Table 3.
Monoclonal antibodies | Erenumab | Galcanezumab | Fremanezumab | Eptinezumab |
---|---|---|---|---|
Target | CGRP receptor | CGRP ligand | CGRP ligand | CGRP ligand |
IgG type | IgG2, human | IgG4, humanized | IgG2a, humanized | IgG1, humanized |
Administration | Monthly SC | Monthly SC | Monthly or quarterly SC | Quarterly IV |
Doses approved for migraine prevention (EM, CM) | 70 mg or 140 mg | 120 mg (240 mg loading dose) | 225 mg monthly or 675 mg quarterly | 100 mg or 300 mg |
Other headache disorders (approved or under investigation) | cCH, PTH | eCH (approved 300 mg monthly), cCH (no primary endpoint met) | eCH and cCH (primary endpoint unlikely to be met), PTH | eCH, cCH |
Abbreviations: cCH Chronic cluster headache, eCH Episodic cluster headache, IV Intravenous, SC Subcutaneous injection, PTH Acute post-traumatic headache