Lupi Chiara, Guerzoni Simona, Negro Andrea, Benemei Silvia
Headache Centre, Careggi University Hospital, Department of Health Sciences, University of Florence, Florence, Italy,
Medical Toxicology Unit, Headache and Drug Abuse Centre, Department of Biomedical, Metabolic and Neural Sciences, University of Modena e Reggio Emilia, Modena, Italy.
Ther Clin Risk Manag. 2019 Apr 11;15:557-569. doi: 10.2147/TCRM.S159690. eCollection 2019.
In the last 15 years relevant efforts have been made to demonstrate that calcitonin gene-related peptide (CGRP) antagonism is a valuable and druggable mechanism for treatment or prevention of migraine. Galcanezumab is one of the antibodies developed and studied to prevent migraine by targeting CGRP. The scope of this review is to report data currently available on galcanezumab. According to available data, galcanezumab is safe and efficacious in preventing migraine in episodic migraine patients, also reducing disability and functional impairment due to the disorder. In September 2018, galcanezumab was approved in the USA for the prevention of migraine in adults. The placement of galcanezumab into the current therapeutic scenario will be a revolution for migraine patients, and probably in a less near future also for patients affected by other primary headaches.
在过去15年里,人们进行了相关努力以证明降钙素基因相关肽(CGRP)拮抗作用是治疗或预防偏头痛的一种有价值且可成药的机制。加卡尼单抗是为通过靶向CGRP预防偏头痛而研发和研究的抗体之一。本综述的范围是报告目前有关加卡尼单抗的可用数据。根据现有数据,加卡尼单抗在预防发作性偏头痛患者的偏头痛方面安全有效,还能减少该疾病导致的残疾和功能损害。2018年9月,加卡尼单抗在美国被批准用于预防成人偏头痛。加卡尼单抗进入当前的治疗方案对偏头痛患者来说将是一场变革,而且可能在不久的将来对其他原发性头痛患者也是如此。