Spuntarelli Valerio, Negro Andrea, Luciani Michelangelo, Bentivegna Enrico, Martelletti Paolo
Department of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.
Emergency Department, Regional Referral Headache Centre, Sant'Andrea Hospital, Rome, Italy.
Expert Opin Biol Ther. 2021 Aug;21(8):999-1011. doi: 10.1080/14712598.2021.1931678. Epub 2021 Jun 1.
Migraine is one of the most common illnesses in the world, with severe economical and subjective implications. Nowadays specific and nonspecific drugs are used for migraine chronic therapy, but a portion of patients have no benefit from these administrations. CGRP receptor antagonists are a good preventive treatment for episodic and chronic migraine.
This article reviews both preclinical and clinical studies on eptinezumab as a potential preventive therapy for migraine, as well as pharmacokinetic and pharmacodynamic features. Thus, it summarizes safety and tolerability data based on human studies.
Eptinezumab had good results in several trials, making this molecule a promising migraine preventive drug. Although preclinical and clinical studies showed a significant efficacy, there are no data on the use of Eptinezumab during pregnancy or breastfeeding. There are still some knowledge limits about its pharmacokinetics and metabolism. This is a matter of concern that should be addressed in future studies.
偏头痛是世界上最常见的疾病之一,具有严重的经济和主观影响。如今,特异性和非特异性药物用于偏头痛的慢性治疗,但一部分患者并未从这些治疗中获益。降钙素基因相关肽(CGRP)受体拮抗剂是发作性和慢性偏头痛的一种良好预防性治疗药物。
本文综述了关于eptinezumab作为偏头痛潜在预防性治疗的临床前和临床研究,以及其药代动力学和药效学特征。因此,它总结了基于人体研究的安全性和耐受性数据。
Eptinezumab在多项试验中取得了良好结果,使该分子成为一种有前景的偏头痛预防药物。尽管临床前和临床研究显示出显著疗效,但尚无关于eptinezumab在妊娠或哺乳期使用的数据。关于其药代动力学和代谢仍存在一些知识空白。这是一个值得关注的问题,应在未来研究中加以解决。