CGRP receptor antagonists (CGRP-RAs): general aspects

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

CGRP receptor antagonists (CGRP-RAs): general aspects. α- CGRP: this is the conventional CGRP, β-CGRP. Fully referenced neurology checklist.

CGRP gene family members

  • α- CGRP: this is the conventional CGRP
  • β-CGRP
  • Adrenomedullin
  • Adrenomedullin 2
  • Amylin
  • Calcitonin

CGRP receptor subunits

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CGRP role in migraine pathogenesis

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Approved CGRP-RAs

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Investigational intranasal CGRP-RAs

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Indications

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Discontinued CGRP-RAs

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Re-starting after discontinuation

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Synonym

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References

  1. Russo AF. Calcitonin gene-related peptide (CGRP): a new target for migraine. Annu Rev Pharmacol Toxicol 2015; 55:533-552. 
  2. Voss T, Lipton RB, Dodick DW, et al. A phase IIb randomized, double-blind, placebo-controlled trial of ubrogepant for the acute treatment of migraine. Cephalalgia 2016; 36:887-898.
  3. Scott LJ. Rimegepant: first approval. Drugs 2020; 80:741-746.
  4. Kish T. Emerging therapies for patients with difficult-to-treat migraine. P T 2018; 43:616-621.
  5. Croop R, Madonia J, Stock DA, et al. Zavegepant nasal spray for the acute treatment of migraine: a Phase 2/3 double-blind, randomized, placebo-controlled, dose-ranging trial. Headache 2022; 62:1153-1163.
  6. And 6 more. Subscribe to see the full list

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