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. 2014 Oct;94(4):1099–1142. doi: 10.1152/physrev.00034.2013

Table 1.

Current CGRP antagonists/antibodies under investigation

Name Type Affinity* (Ki, nM) Indication Route of Administration Efficacious Doses, mg Current Stage in Clinical Trials Reference Nos.
Olcegepant (BIBN4096BS) Nonpeptide receptor antagonist 0.01 Acute migraine treatment Intravenous 2.5 Phase II 100, 293, 311, 349
Telcegepant (MK-0974) Nonpeptide receptor antagonist 0.8 Acute migraine treatment/prophylactic for episodic migraine Oral 150, 300 Discontinued after phase III due to liver toxicity 76, 77, 180
MK-3207 Nonpeptide receptor antagonist 0.02 Acute migraine treatment Oral 10, 100, 200 Discontinued after phase II due to liver toxicity 176, 349
BI 44370 TA Nonpeptide receptor antagonist Not reported Acute migraine treatment Oral 400 Phase II 92
BMS-927711 Nonpeptide receptor antagonist 0.027 Acute migraine treatment Oral 75, 150, 300 Phase II 258, 266
BMS-742413 Nonpeptide receptor antagonist 0.023 Acute migraine treatment Intranasal Preclinical 68
MK-2918 Nonpeptide receptor antagonist 0.05 Acute migraine treatment Oral Preclinical 318
LY2951742 Humanized monoclonal antibody against CGRP Prophylactic for episodic migraine/also in preclinical studies for osteoarthritic pain Subcutaneous 150 Phase II results reported at 2014 AAN meeting; clinical trial NCT01625988 31, 95
ALD403 Humanized monoclonal antibody against CGRP Prophylactic for episodic migraine Intravenous 1,000 Phase I results reported at 2014 AAN meeting; clinical trial NCT01772524 145
AMG 334 Fully humanized monoclonal antibody against CGRP receptor Prophylactic for episodic and chronic migraine/also in phase I for hot flashes associated with menopause Subcutaneous Not reported Phase II ongoing; clinical trial NCT01952574
LBR-101 Fully humanized antibody against CGRP Prophylactic for episodic and chronic migraine Subcutaneous Dose-ranging Phase I -published Phase II ongoing 32
*

Affinity is given for human calcitonin gene-related peptide (CGRP) receptor.