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Migraine

Zavegepant for the acute treatment of migraine: look before leaping

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The armamentarium of acute medications for migraine is set to expand further with the results of a phase III trial, in which intranasal administration of zavegepant was superior to placebo in treating a single migraine attack. The therapeutic benefits were modest, however, and so more work is needed to address unmet treatment needs.

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References

  1. Ashina, M. Migraine. N. Engl. J. Med. 383, 1866–1876 (2020).

    Article  CAS  PubMed  Google Scholar 

  2. Eigenbrodt, A. K. et al. Diagnosis and management of migraine in ten steps. Nat. Rev. Neurol. 17, 501–514 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  3. Lipton, R. B., Hamelsky, S. W. & Dayno, J. M. What do patients with migraine want from acute migraine treatment? Headache 42 (Suppl. 1), 3–9 (2002).

    Article  PubMed  Google Scholar 

  4. Ashina, M. et al. Migraine: integrated approaches to clinical management and emerging treatments. Lancet 397, 1505–1518 (2021).

    Article  PubMed  Google Scholar 

  5. Croop, R. et al. Oral rimegepant for preventive treatment of migraine: a phase 2/3, randomised, double-blind, placebo-controlled trial. Lancet 397, 51–60 (2021).

    Article  CAS  PubMed  Google Scholar 

  6. Lipton, R. B. et al. Safety, tolerability, and efficacy of zavegepant 10 mg nasal spray for the acute treatment of migraine in the USA: a phase 3, double-blind, randomised, placebo-controlled multicentre trial. Lancet Neurol. 22, 209–217 (2023).

    Article  CAS  PubMed  Google Scholar 

  7. Croop, R. et al. Zavegepant nasal spray for the acute treatment of migraine: a phase 2/3 double-blind, randomized, placebo-controlled, dose-ranging trial. Headache 62, 1153–1163 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  8. Derry, S. & Moore, R. A. Paracetamol (acetaminophen) with or without an antiemetic for acute migraine headaches in adults. Cochrane Database Syst. Rev. 2013, CD008040 (2013).

  9. Derry, C. J., Derry, S. & Moore, R. A. Sumatriptan (all routes of administration) for acute migraine attacks in adults — overview of Cochrane reviews. Cochrane Database Syst. Rev. 2014, CD009108 (2014).

  10. Bird, S., Derry, S. & Moore, R. A. Zolmitriptan for acute migraine attacks in adults. Cochrane Database Syst. Rev. 2014, CD008616 (2014).

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Correspondence to Håkan Ashina.

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H.A. reports personal fees from Teva, outside of the submitted work. P.T.-H. declares no competing interests.

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Ashina, H., Tfelt-Hansen, P. Zavegepant for the acute treatment of migraine: look before leaping. Nat Rev Neurol 19, 329–330 (2023). https://doi.org/10.1038/s41582-023-00803-4

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