Calcitonin Gene–Related Peptide Receptor Antagonist BIBN 4096 BS for the Acute Treatment of Migraine

Calcitonin gene–related peptide (CGRP) dilates cerebral and dural vessels and may contribute to migraine, since cranial CGRP levels have been shown to be elevated in patients with migraine. In this randomized, controlled trial, patients with migraine had a higher rate of response to the CGRP-recepto...

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Veröffentlicht in:The New England journal of medicine 2004-03, Vol.350 (11), p.1104-1110
Hauptverfasser: Olesen, Jes, Diener, Hans-Christoph, Husstedt, Ingo W, Goadsby, Peter J, Hall, David, Meier, Ulrich, Pollentier, Stephane, Lesko, Lynna M
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container_end_page 1110
container_issue 11
container_start_page 1104
container_title The New England journal of medicine
container_volume 350
creator Olesen, Jes
Diener, Hans-Christoph
Husstedt, Ingo W
Goadsby, Peter J
Hall, David
Meier, Ulrich
Pollentier, Stephane
Lesko, Lynna M
description Calcitonin gene–related peptide (CGRP) dilates cerebral and dural vessels and may contribute to migraine, since cranial CGRP levels have been shown to be elevated in patients with migraine. In this randomized, controlled trial, patients with migraine had a higher rate of response to the CGRP-receptor antagonist BIBN 4096 BS than to placebo (66 percent vs. 27 percent). A proof-of-concept study of a CGRP-receptor antagonist as an effective acute treatment for migraine. Migraine is among the most common disorders, with a one-year prevalence of 12 percent. 1 , 2 According to the Global Burden of Disease Study conducted under the auspices of the World Health Organization, migraine is one of the leading causes of disability. 3 Although the availability of triptans — selective agonists of serotonin (5-hydroxytryptamine [5-HT]) receptors that activate 5-HT 1B and 5-HT 1D (5-HT 1B/1D ) receptors — has greatly improved the acute treatment of migraine, many patients have no response to triptans, complete pain relief is the exception rather than the rule, and their vasoconstrictive properties cause concern among doctors and . . .
doi_str_mv 10.1056/NEJMoa030505
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subjects Acute Disease
Adult
Biological and medical sciences
Calcitonin Gene-Related Peptide Receptor Antagonists
Clinical outcomes
Dose-Response Relationship, Drug
Double-Blind Method
Drug therapy
Female
General aspects
Humans
Male
Medical sciences
Medical treatment
Middle Aged
Migraine
Migraine Disorders - drug therapy
Neurology
Piperazines
Piperidines - adverse effects
Piperidines - therapeutic use
Quinazolines - adverse effects
Quinazolines - therapeutic use
Time Factors
Vascular diseases and vascular malformations of the nervous system
title Calcitonin Gene–Related Peptide Receptor Antagonist BIBN 4096 BS for the Acute Treatment of Migraine
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