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CGRP and migraine; from bench to bedside

Edvinsson, L. LU (2021) In Revue Neurologique 177(7). p.785-790
Abstract

Migraine treatment has reached a new era with the development of drugs that target the trigeminal neuropeptide calcitonin gene-related peptide (CGRP) or its receptor. The CGRP related therapies offer considerable improvements over existing drugs as they are the first to be designed to act on the trigeminal pain system, more specific and with few adverse events. Small molecule CGRP receptor antagonists, such as rimegepant and ubrogepant, are effective for the acute treatment of migraine headache. In contrast, monoclonal antibodies against CGRP or the CGRP receptor are beneficial for the prophylactic treatments in chronic migraine. Here I will provide a historical overview of the long path that led to their successful development. In... (More)

Migraine treatment has reached a new era with the development of drugs that target the trigeminal neuropeptide calcitonin gene-related peptide (CGRP) or its receptor. The CGRP related therapies offer considerable improvements over existing drugs as they are the first to be designed to act on the trigeminal pain system, more specific and with few adverse events. Small molecule CGRP receptor antagonists, such as rimegepant and ubrogepant, are effective for the acute treatment of migraine headache. In contrast, monoclonal antibodies against CGRP or the CGRP receptor are beneficial for the prophylactic treatments in chronic migraine. Here I will provide a historical overview of the long path that led to their successful development. In addition, I will discuss aspects on the biology of CGRP signalling, the role of CGRP in migraine headache, the efficacy of CGRP targeted treatment, and synthesize what currently is known about the role of CGRP in the trigeminovascular system.

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Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
CGRP, CLR, CTR, RAMPs, Receptors
in
Revue Neurologique
volume
177
issue
7
pages
785 - 790
publisher
Elsevier Masson SAS
external identifiers
  • pmid:34275653
  • scopus:85110395853
ISSN
0035-3787
DOI
10.1016/j.neurol.2021.06.003
language
English
LU publication?
no
id
5fe7e31d-7e0f-4372-9d81-2853122b88c5
date added to LUP
2021-09-07 13:20:03
date last changed
2024-06-15 15:48:50
@article{5fe7e31d-7e0f-4372-9d81-2853122b88c5,
  abstract     = {{<p>Migraine treatment has reached a new era with the development of drugs that target the trigeminal neuropeptide calcitonin gene-related peptide (CGRP) or its receptor. The CGRP related therapies offer considerable improvements over existing drugs as they are the first to be designed to act on the trigeminal pain system, more specific and with few adverse events. Small molecule CGRP receptor antagonists, such as rimegepant and ubrogepant, are effective for the acute treatment of migraine headache. In contrast, monoclonal antibodies against CGRP or the CGRP receptor are beneficial for the prophylactic treatments in chronic migraine. Here I will provide a historical overview of the long path that led to their successful development. In addition, I will discuss aspects on the biology of CGRP signalling, the role of CGRP in migraine headache, the efficacy of CGRP targeted treatment, and synthesize what currently is known about the role of CGRP in the trigeminovascular system.</p>}},
  author       = {{Edvinsson, L.}},
  issn         = {{0035-3787}},
  keywords     = {{CGRP; CLR; CTR; RAMPs; Receptors}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{7}},
  pages        = {{785--790}},
  publisher    = {{Elsevier Masson SAS}},
  series       = {{Revue Neurologique}},
  title        = {{CGRP and migraine; from bench to bedside}},
  url          = {{http://dx.doi.org/10.1016/j.neurol.2021.06.003}},
  doi          = {{10.1016/j.neurol.2021.06.003}},
  volume       = {{177}},
  year         = {{2021}},
}