Galcanezumab
(Synonyms: LY 2951742) 目录号 : GC66402Galcanezumab (LY 2951742) 是一种针对 CGRP 配体的人源化 IgG4 单克隆抗体。Galcanezumab 可用于偏头痛或丛集性头痛的研究。
Cas No.:1578199-75-3
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Galcanezumab (LY 2951742) is a humanized IgG4 monoclonal antibody against the CGRP ligand. Galcanezumab can be used for migraine or cluster headaches research[1].
Cas No. | 1578199-75-3 | SDF | Download SDF |
别名 | LY 2951742 | ||
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Galcanezumab in chronic migraine: The randomized, double-blind, placebo-controlled REGAIN study
Neurology 2018 Dec 11;91(24):e2211-e2221.PMID:30446596DOI:10.1212/WNL.0000000000006640.
Objective: To evaluate the efficacy and safety of Galcanezumab, a humanized monoclonal antibody that selectively binds to calcitonin gene-related peptide, in the preventive treatment of chronic migraine. Methods: A phase 3, randomized, double-blind, placebo-controlled study of LY2951742 in patients with chronic migraine (Evaluation of Galcanezumab in the Prevention of Chronic Migraine [REGAIN]) was a phase 3 study with a 3-month double-blind, placebo-controlled treatment phase and a 9-month open-label extension. Eligible patients 18 to 65 years of age with chronic migraine were randomized 2:1:1 to monthly subcutaneous injections of placebo (n = 558), Galcanezumab 120 mg (with a 240-mg loading dose, n = 278), or Galcanezumab 240 mg (n = 277). The primary endpoint was the overall mean change from baseline in the number of monthly migraine headache days (MHDs) during the 3-month double-blind treatment phase. Results: Mean number of monthly MHDs at baseline was 19.4 for the total sample. Both Galcanezumab dose groups demonstrated greater overall mean reduction in the number of monthly MHDs compared to placebo (placebo -2.7, Galcanezumab 120 mg -4.8, Galcanezumab 240 mg -4.6) (p < 0.001 for each dose compared to placebo). There were no clinically meaningful differences between Galcanezumab doses and placebo on any safety or tolerability outcome except for a higher incidence of treatment-emergent injection-site reaction (p < 0.01), injection-site erythema (p < 0.001), injection-site pruritus (p < 0.01), and sinusitis (p < 0.05) in the Galcanezumab 240-mg group relative to placebo. Conclusions: Both doses of Galcanezumab were superior to placebo in reducing the number of monthly MHDs. Galcanezumab appears efficacious, safe, and well tolerated for the preventive treatment of chronic migraine. Clinicaltrialsgov identifier: NCT02614261. Classification of evidence: This interventional study provides Class I evidence that Galcanezumab is superior to placebo in the reduction of the number of monthly MHDs.
Galcanezumab for the prevention of migraine
Pain Manag 2021 Mar;11(2):101-112.PMID:33291980DOI:10.2217/pmt-2020-0030.
Migraine is a common and disabling disorder affecting approximately 1.02 billion people worldwide. Calcitonin gene-related peptide (CGRP) has been identified as playing an important role in the pathophysiology of migraine and several migraine-specific therapies targeting the CGRP ligand or its receptor have been approved since 2018 for the acute and preventive treatment of migraine. This review focuses on the pharmacology, clinical efficacy and safety/tolerability of Galcanezumab, an anti-CGRP monoclonal antibody approved for the prevention of migraine.
Galcanezumab in episodic migraine: the phase 3, randomized, double-blind, placebo-controlled PERSIST study
J Headache Pain 2022 Jul 28;23(1):90.PMID:35896988DOI:10.1186/s10194-022-01458-0.
Background: Galcanezumab, a humanized monoclonal antibody that binds calcitonin gene-related peptide, has demonstrated efficacy and good tolerability in patients with episodic migraine in previous phase 3 trials. We report results from the PERSIST study, which was designed to assess the efficacy and safety of Galcanezumab in patients with episodic migraine from China, India, and Russia. Methods: This phase 3 study was conducted at 40 centers in China (n = 26), India (n = 10), and Russia (n = 4). Eligible adult patients with episodic migraine were randomized in a 1:1 ratio to receive monthly Galcanezumab 120 mg (with 240 mg loading dose) or placebo during a double-blind, 3-month treatment period. The primary endpoint was the overall mean change from baseline in monthly migraine headache days (MHDs). Key secondary endpoints were the mean proportion of patients with ≥ 50%, ≥ 75%, and 100% reductions from baseline in MHDs and mean change in the Migraine-Specific Quality of Life Questionnaire (MSQ) Role Function-Restrictive domain score. Results: In total, 520 patients were randomized and received at least one dose of Galcanezumab (N = 261) or placebo (N = 259). The least squares (LS) mean reduction from baseline in monthly MHDs over 3 months was significantly greater with Galcanezumab compared with placebo (-3.81 days vs. -1.99 days; p < 0.0001). Significantly greater mean proportions of patients with Galcanezumab versus placebo had ≥ 50%, ≥ 75%, and 100% reductions from baseline in MHDs (all p < 0.0001). The overall mean improvement from baseline in MSQ Role Function-Restrictive score over 3 months was significantly greater with Galcanezumab versus placebo (p < 0.0001). There were no clinically meaningful differences between the Galcanezumab and placebo group on any safety parameters except for a higher incidence of injection site pruritus (5.0% vs. 0.0%), injection site reaction (3.8% vs. 0.4%), and injection site discomfort (2.3% vs. 0.0%). TEAEs related to injection sites were mild in severity, except in 1 patient who had a moderate injection site reaction. Six serious adverse events were reported by 6 patients (2 Galcanezumab, 4 placebo). Conclusions: Galcanezumab 120 mg once monthly was effective and well tolerated in patients with episodic migraine from China, India, and Russia. Trial registration: ClinicalTrials.gov Identifier NCT03963232 (PERSIST), registered May 24, 2019.
Migraine overview and summary of current and emerging treatment options
Am J Manag Care 2019 Jan;25(2 Suppl):S23-S34.PMID:30681821doi
Migraine is a leading cause of disability worldwide. Approximately 15% of Americans experience migraines. Most people who have migraines feel that people who do not have them often underestimate their condition. Migraines affect people's quality of life and ability to participate in work, family, and social events. A new class of medication, calcitonin gene-related peptide (CGRP) antagonists, has been approved for migraine prevention in adults. The newly approved CGRP antagonists are erenumab, fremanezumab, and Galcanezumab, while eptinezumab looks to 2020 for approval. Lasmiditan, ubrogepant, and rimegepant are currently emerging acute migraine therapies that may be added to the arsenal of current migraine management.
[Galcanezumab for episodic and chronic cluster headache]
Schmerz 2022 Apr 27.PMID:35476143DOI:10.1007/s00482-022-00648-8.
Background: Cluster headache (CH) is a highly debilitating headache disorder characterized by frequent attacks of excruciating unilateral pain accompanied by cranial autonomic symptoms. Calcitonin gene-related peptide (CGRP) is implicated in the pathophysiology of CH. Objectives: Preventive efficacy and tolerability of the anti-CGRP antibody Galcanezumab in patients with episodic (eCH) and chronic CH (cCH). Review of the study results and the challenges in developing drugs for the preventive treatment of CH. Materials and methods: In two international multicenter phase III trials Galcanezumab 300 mg given subcutaneously every 4 weeks was compared with placebo. The double-blind study period (8 weeks in eCH, 12 weeks in cCK) was preceded by a baseline period in both trials. The primary endpoint was the reduction in weekly attack frequency. Results: In the eCH trial, 106 patients were randomized to either Galcanezumab (n = 49) or placebo (n = 57). The mean weekly attack frequency during the first 3 weeks decreased by 52% in the Galcanezumab group compared with 27% in the placebo group (p = 0.036). In the cCH trial, 237 patients were randomized to Galcanezumab (n = 117) or placebo (n = 120). The primary endpoint was not met in this study. The reduction in mean weekly attack rate was 5.4 with Galcanezumab versus 4.6 with placebo (p = 0.334). Galcanezumab was well tolerated in both studies. Conclusions: Galcanezumab had a significant effect in the prevention of eCH attacks but not in cCH. Possible reasons for this discrepancy are discussed.