- |||||||||| Ajovy (fremanezumab) / Otsuka, Teva
[VIRTUAL] Real-World Adherence, Persistence, Switching, and Reinitiation by Quarterly and Monthly Dosing Regimen in Patients Prescribed AJOVY in US Physician Practices () - Mar 18, 2021 - Abstract #AAN2021AAN_1138; Greater reductions in the monthly total migraine burden, including frequency, severity, and duration, were seen with quarterly and monthly fremanezumab versus placebo for patients with EM and CM, including those with difficult-to-treat migraine. This real-world study showed treatment adherence and persistence were higher for patients prescribed quarterly versus monthly dosing, with comparable switching and reinitiation rates.
- |||||||||| Ajovy (fremanezumab) / Otsuka, Teva
[VIRTUAL] Efficacy of Fremanezumab in Patients With Moderate and Higher Frequency Episodic Migraine () - Mar 18, 2021 - Abstract #AAN2021AAN_1062; Fremanezumab treatment is associated with statistically significant reductions in migraine-related inpatient, ER, and outpatient visits; acute medication prescriptions; and outpatient and acute medication costs in the first 6 months of use. Fremanezumab demonstrated efficacy, based on reductions in MMDs and MHDs versus placebo, with similar therapeutic gains in the MFEM and HFEM groups.
- |||||||||| Ajovy (fremanezumab) / Otsuka, Teva
[VIRTUAL] A Phase 2 Study of Fremanezumab as a Treatment for Posttraumatic Headache in Adult Patients () - Mar 18, 2021 - Abstract #AAN2021AAN_1045; This study did not demonstrate statistical differences between fremanezumab and placebo treatment for any of the efficacy endpoints. Despite being administered at a higher dose than labeled for migraine, safety data for fremanezumab 675 mg monthly was comparable to placebo administration and consistent with the known safety profile of fremanezumab.
- |||||||||| Ajovy (fremanezumab) / Otsuka, Teva
[VIRTUAL] Efficacy of Fremanezumab in Patients With Lower and Higher Frequency Chronic Migraine () - Mar 18, 2021 - Abstract #AAN2021AAN_1040; This pooled analysis demonstrated that fremanezumab resulted in clinically meaningful improvements in headache- and migraine-related disability severity, further supporting the efficacy of fremanezumab in patients with difficult-to-treat migraine. Fremanezumab demonstrated efficacy for CM, based on reductions in MMDs and MHDs versus placebo, regardless of baseline migraine frequency.
- |||||||||| Ajovy (fremanezumab) / Otsuka, Teva
Trial initiation date: Safety and Efficacy of Fremanezumab for Migraine in Adult CADASIL (clinicaltrials.gov) - Mar 17, 2021 P2, N=5, Not yet recruiting, As currently approved preventative therapies are limited in the pediatric population, continued investigation towards alternative agents is paramount to improve headache prevention in this group. Initiation date: Jan 2021 --> Dec 2021
- |||||||||| Emgality (galcanezumab) / Eli Lilly, Daiichi Sankyo, TEV-48125 / Teva, Ajovy (fremanezumab) / Otsuka, Teva
Journal: CGRP pathway monoclonal antibodies for Cluster Headache. (Pubmed Central) - Feb 23, 2021 Both fremanezumab and galcanezumab trials in chronic cluster headache were terminated after futility analysis predicting failure of both trials to fulfil their primary endpoint. The role of CGRP in cluster headache supports ongoing trials of the remaining CGRP pathway monoclonal antibodies and gepants for preventive and acute treatment.A Panglossian view would include targeting neuropeptides involved in parasympathetic signalling in cluster headache, such as pituitary adenylate cyclase-activating peptide (PACAP); such targets warrant exploration in the search of new cluster headache treatments.
- |||||||||| Ajovy (fremanezumab) / Otsuka, Teva
Trial completion, Enrollment change: A Safety Evaluation Trial of TEV-48125 Self-administered in Migraine Patients (clinicaltrials.gov) - Jan 28, 2021 P3, N=71, Completed, The role of CGRP in cluster headache supports ongoing trials of the remaining CGRP pathway monoclonal antibodies and gepants for preventive and acute treatment.A Panglossian view would include targeting neuropeptides involved in parasympathetic signalling in cluster headache, such as pituitary adenylate cyclase-activating peptide (PACAP); such targets warrant exploration in the search of new cluster headache treatments. Active, not recruiting --> Completed | N=50 --> 71
- |||||||||| TEV-48125 / Teva, Ajovy (fremanezumab) / Otsuka, Teva
Clinical, Journal: A comprehensive overview and safety evaluation of fremanezumab as a preventive therapy for migraine. (Pubmed Central) - Jan 23, 2021 Introduction: Fremanezumab, a humanized monoclonal antibody targeting calcitonin gene-related peptide (CGRP mAb), is a migraine-specific treatment for migraine prevention.Areas covered: This review will briefly discuss other available and emerging CGRP mAbs and the neurophysiology of fremanezumab. The review will focus on phase III trials of the efficacy of fremanezumab for episodic and chronic trials, and a recent pooled safety and tolerability analysis of its use.Expert opinion: Continued efficacy and safety data collection will help guide long-term risk and efficacy counseling in the general population.
- |||||||||| Botox (onabotulinumtoxin A) / GSK, AbbVie
Journal: Drugs for Migraine. (Pubmed Central) - Jan 23, 2021 The review will focus on phase III trials of the efficacy of fremanezumab for episodic and chronic trials, and a recent pooled safety and tolerability analysis of its use.Expert opinion: Continued efficacy and safety data collection will help guide long-term risk and efficacy counseling in the general population. No abstract available
- |||||||||| Ajovy (fremanezumab) / Otsuka, Teva
Trial completion date, Trial initiation date, Trial primary completion date: Medicinal vs. Orthotic Comparison for Migraine Prevention: A Double-Blind Study (clinicaltrials.gov) - Jan 22, 2021 P=N/A, N=80, Not yet recruiting, No abstract available Trial completion date: Feb 2021 --> Dec 2021 | Initiation date: Sep 2020 --> Feb 2021 | Trial primary completion date: Jan 2021 --> Apr 2021
- |||||||||| Review, Journal: Immunogenicity of biologic therapies for migraine: a review of current evidence. (Pubmed Central) - Jan 16, 2021
As more CGRP mAb studies are conducted and more long-term follow-up data become available, evidence is increasing that immunogenicity rates of biologic therapies for migraine are low, and adverse events related to ADAs are rare. Taken together, these results add to the growing body of evidence for the safety and tolerability of this class of migraine medications.
- |||||||||| Journal: CGRP antagonists for decreasing migraine frequency: New options, long overdue. (Pubmed Central) - Jan 2, 2021
But a new set of drugs is available for preventing migraine attacks: erenumab, galcanezumab, fremanezumab, and eptinezumab. These monoclonal antibodies target calcitonin gene-related peptide (CGRP) or its receptors, each a key molecule in the pathophysiology of migraine.
- |||||||||| TEV-48125 / Teva, Ajovy (fremanezumab) / Otsuka, Teva
Clinical, Journal: LONG-TERM SAFETY, TOLERABILITY, AND EFFICACY OF FREMANEZUMAB IN MIGRAINE: A RANDOMIZED STUDY. (Pubmed Central) - Dec 16, 2020 P3 This guideline has been approved by the German Neurological Society (DGN) and the German Migraine and Headache Society (GMHS) and was reviewed by the two societies. Fremanezumab quarterly and monthly were well tolerated and demonstrated sustained improvements in monthly migraine days, headache days, and headache-related disability for up to 12 months in patients with migraine.ClinicalTrials.gov: NCT02638103 CLASSIFICATION OF EVIDENCE: This study provides Class IV evidence that long-term fremanezumab treatment is safe, well tolerated, and effective at sustaining reductions in monthly migraine and headache days.
- |||||||||| Ajovy (fremanezumab) / Otsuka, Teva
Trial completion date, Trial primary completion date: A Study to Test the Effectiveness and Safety of Fremanezumab on Patients With Fibromyalgia (clinicaltrials.gov) - Dec 3, 2020 P2, N=240, Recruiting, It also focuses on the effect of monoclonal antibodies on expression of class Fc gamma receptors (FcγR). Trial completion date: Aug 2021 --> Jun 2022 | Trial primary completion date: Aug 2021 --> Jun 2022
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