The U.S. Food and Drug Administration today approved Aimovig
(erenumab-aooe) for the preventive treatment of migraine in adults. The
treatment is given by once-monthly self-injections. Aimovig is the first
FDA-approved preventive migraine treatment in a new class of drugs that work by
blocking the activity of calcitonin gene-related peptide, a molecule that is
involved in migraine attacks.
“Aimovig provides patients with a novel option for reducing the number of
days with migraine,” said Eric Bastings, M.D., deputy director of the Division
of Neurology Products in the FDA’s Center for Drug Evaluation and Research. “We
need new treatments for this painful and often debilitating condition.”
Patients often describe migraine headache pain as an intense pulsing or
throbbing pain in one area of the head. Additional symptoms include nausea
and/or vomiting and sensitivity to light and sound. Approximately one-third of
affected individuals can predict the onset of a migraine because it is preceded
by an aura – transient sensory or visual disturbances that appear as flashing
lights, zig-zag lines or a temporary loss of vision. People with migraine tend
to have recurring attacks triggered by a number of different factors, including
stress, hormonal changes, bright or flashing lights, lack of food or sleep and
diet. Migraine is three times more common in women than in men and affects more
than 10 percent of people worldwide.
The effectiveness of Aimovig for the preventive treatment of migraine was
evaluated in three clinical trials. The first study included 955 participants
with a history of episodic migraine and compared Aimovig to placebo. Over the
course of six months, Aimovig-treated patients experienced, on average, one to
two fewer monthly migraine days than those on placebo. The second study
included 577 patients with a history of episodic migraine and compared Aimovig
to placebo. Over the course of three months, Aimovig-treated patients
experienced, on average, one fewer migraine day per month than those on
placebo. The third study evaluated 667 patients with a history of chronic
migraine and compared Aimovig to placebo. In that study, over the course of
three months, patients treated with Aimovig experienced, on average, 2 ½ fewer
monthly migraine days than those receiving placebo.
The most common side effects that patients in the clinical trials reported
were injection site reactions and constipation.
The FDA granted the approval of Aimovig to Amgen Inc.
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