PMID- 30648737 OWN - NLM STAT- MEDLINE DCOM- 20200207 LR - 20211204 IS - 1532-6535 (Electronic) IS - 0009-9236 (Linking) VI - 105 IP - 5 DP - 2019 May TI - Calcitonin Gene-Related Peptide Antagonists in the Treatment of Episodic Migraine. PG - 1121-1129 LID - 10.1002/cpt.1356 [doi] AB - Migraine is a prevalent, disabling neurological disorder involving the trigeminovascular system. Previous treatments were either originally intended for other conditions and/or associated with intolerable adverse effects (AEs). Calcitonin gene-related peptide (CGRP) is the most prevalent neuropeptide in the trigeminal afferent neurons and plays a significant role in pain sensitization central to migraine. The CGRP antagonists (gepants and monoclonal antibodies) are the first treatments created specifically for migraine, modulating pain signaling pathways and alleviating migraine attacks and recurrences. With their efficacy in several clinical trials and relatively fewer AEs, the CGRP antagonists show great promise for use in episodic migraine. CI - (c) 2019 The Authors Clinical Pharmacology & Therapeutics (c) 2019 American Society for Clinical Pharmacology and Therapeutics. FAU - Yuan, Hsiangkuo AU - Yuan H AD - Jefferson Headache Center, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. FAU - White, Courtney S AU - White CS AD - Jefferson Headache Center, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. FAU - Silberstein, Stephen D AU - Silberstein SD AD - Jefferson Headache Center, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. LA - eng PT - Journal Article PT - Review DEP - 20190318 PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 RN - 0 (Antibodies, Monoclonal) RN - 0 (Calcitonin Gene-Related Peptide Receptor Antagonists) RN - 0 (Dipeptides) RN - 0 (Piperazines) RN - 0 (Quinazolines) RN - JHB2QIZ69Z (Calcitonin Gene-Related Peptide) RN - WOA5J8TX6M (olcegepant) SB - IM MH - Antibodies, Monoclonal/therapeutic use MH - Calcitonin Gene-Related Peptide/*antagonists & inhibitors/metabolism MH - Calcitonin Gene-Related Peptide Receptor Antagonists/*therapeutic use MH - Dipeptides/therapeutic use MH - Humans MH - Migraine Disorders/*drug therapy/physiopathology MH - Piperazines MH - Quinazolines/therapeutic use EDAT- 2019/01/17 06:00 MHDA- 2020/02/08 06:00 CRDT- 2019/01/17 06:00 PHST- 2018/10/08 00:00 [received] PHST- 2018/11/30 00:00 [accepted] PHST- 2019/01/17 06:00 [pubmed] PHST- 2020/02/08 06:00 [medline] PHST- 2019/01/17 06:00 [entrez] AID - 10.1002/cpt.1356 [doi] PST - ppublish SO - Clin Pharmacol Ther. 2019 May;105(5):1121-1129. doi: 10.1002/cpt.1356. Epub 2019 Mar 18.