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The Journal of Headache and Pain
Published in: The Journal of Headache and Pain 2/2009

Open Access 01-04-2009 | Original

Sumatriptan does not change calcitonin gene-related peptide in the cephalic and extracephalic circulation in healthy volunteers

Authors: Jakob Møller Hansen, Jesper Petersen, Troels Wienecke, Karsten Skovgaard Olsen, Lars Thorbjørn Jensen, Messoud Ashina

Published in: The Journal of Headache and Pain | Issue 2/2009

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Abstract

Triptans are effective and well tolerated in acute migraine management but their exact mechanism of action is still debated. Triptans might exert their antimigraine effect by reducing the levels of circulating calcitonin gene-related peptide (CGRP). To examine this question, we examined whether sumatriptan modulate the baseline CGRP levels in vivo, under conditions without trigeminovascular system activation. We sampled blood from the internal and external jugular, the cubital veins, and the radial artery before and after administration of subcutaneous sumatriptan in 16 healthy volunteers. Repeated-measure ANOVA showed no interaction between catheter and time of sampling and thus no significant difference in CGRP between the four catheters (P = 0.75). CGRP did not change over time in the four compartments (P > 0.05). The relative changes in CGRP between baseline and maximal sumatriptan concentration did not differ between the four vascular compartments (P = 0.49). It was found that Sumatriptan did not change the levels of circulating CGRP in the intra or extracerebral circulation in healthy volunteers. This speaks against a direct CGRP-reducing effect of sumatriptan in vivo in humans when the trigemino vascular system is not activated.
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Metadata
Title
Sumatriptan does not change calcitonin gene-related peptide in the cephalic and extracephalic circulation in healthy volunteers
Authors
Jakob Møller Hansen
Jesper Petersen
Troels Wienecke
Karsten Skovgaard Olsen
Lars Thorbjørn Jensen
Messoud Ashina
Publication date
01-04-2009
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 2/2009
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1007/s10194-009-0102-x

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