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.