PMID- 26095133 OWN - NLM STAT- MEDLINE DCOM- 20160505 LR - 20231213 IS - 1744-7607 (Electronic) IS - 1742-5255 (Linking) VI - 11 IP - 9 DP - 2015 TI - Review of dose-response curves for acute antimigraine drugs: triptans, 5-HT1F agonists and CGRP antagonists. PG - 1409-18 LID - 10.1517/17425255.2015.1055244 [doi] AB - INTRODUCTION: Dose-response curves for efficacy and tolerability are the important determinants for the choice of doses of acute migraine drugs. AREAS COVERED: Dose-response curves for the efficacy of seven triptans (5-HT1B/1D receptor agonists), a 5-HT1F receptor agonist (lasmiditan) and four oral calcitonin-gene related peptide receptor antagonists (telcagepant, MK-3207, BI 44370 TA and BMS-927711) in placebo-controlled trials were reviewed. In addition, dose-response curves for adverse events (AEs) were reviewed. EXPERT OPINION: For most triptans, the dose-response curve for efficacy is flat, whereas AEs often increase with increasing doses. The two other groups of drugs also have flat dose-response curves for efficacy. Overall, the triptans still have the most favorable efficacy-tolerability profile. Current acute antimigraine drugs do not fulfill the expectations of the patients, and thus, there are many unmet needs. Although upcoming drugs may not be superior to triptans, migraine patients will potentially benefit greatly from these, especially patients who are triptan non-responders and patients with cardiovascular disease. FAU - Hougaard, Anders AU - Hougaard A AD - a 1 University of Copenhagen, Glostrup Hospital, Danish Headache Centre, Department of Neurology , Glostrup, Denmark. FAU - Tfelt-Hansen, Peer AU - Tfelt-Hansen P LA - eng PT - Journal Article PT - Review DEP - 20150626 PL - England TA - Expert Opin Drug Metab Toxicol JT - Expert opinion on drug metabolism & toxicology JID - 101228422 RN - 0 (Calcitonin Gene-Related Peptide Receptor Antagonists) RN - 0 (Receptors, Serotonin) RN - 0 (Serotonin Receptor Agonists) RN - 0 (Tryptamines) SB - IM MH - Acute Disease MH - *Calcitonin Gene-Related Peptide Receptor Antagonists MH - Dose-Response Relationship, Drug MH - Humans MH - Migraine Disorders/*drug therapy/physiopathology MH - Receptors, Serotonin/drug effects MH - Serotonin Receptor Agonists/*administration & dosage/pharmacology MH - Tryptamines/*administration & dosage/pharmacology MH - Receptor, Serotonin, 5-HT1F OTO - NOTNLM OT - acute treatment OT - adverse events OT - dose-response curve OT - efficacy OT - migraine. EDAT- 2015/06/23 06:00 MHDA- 2016/05/06 06:00 CRDT- 2015/06/23 06:00 PHST- 2015/06/23 06:00 [entrez] PHST- 2015/06/23 06:00 [pubmed] PHST- 2016/05/06 06:00 [medline] AID - 10.1517/17425255.2015.1055244 [doi] PST - ppublish SO - Expert Opin Drug Metab Toxicol. 2015;11(9):1409-18. doi: 10.1517/17425255.2015.1055244. Epub 2015 Jun 26.