CGRP drugs for migraine embody a really important and exciting step forward in the treatment of this chronic condition.
Because it’s the first time a medication has been developed and trialed specifically for the treatment of migraines since the triptans in the 90's. Yup... it's been that long!
AND it’s not something that’s come about as a 'happy coincidence' while scientists were working elsewhere on treating some other condition!
If you’ve looked around my site a little, or read my e-book or enrolled in my Migraine Pain Management course, you’ll know that I often say that migraineurs have more treatment options available to them now than ever before. Continued research is developing medical and scientific understanding of migraines, why they occur and how best to treat them.
And if scientists are now working on developing medication specifically for migraines, who knows what else the future will hold for us!
While CGRP drugs for migraine don’t represent a cure, trials have so far shown extremely positive results.
Aimovig, the first CGRP Inhibitor for migraine was approved (May 2018) by the FDA! Click here to see the other ones that are available now - Migraine News.
CGRP (calcitonin gene-related peptide) is already firmly on the “Wanted” poster when it comes to the biological processes involved in creating some of the distressing symptoms of a migraine attack.
CGRP occurs naturally in the body and is released during a migraine. Its subsequent interference with the trigeminal nerve causes the attack’s associated pain. The trigeminal nerves are responsible for sensations in the face/head and control actions like chewing and biting.
Other peptides also interfere with the trigeminal nerve (CGRP isn’t the only culprit!), and in its distressed state the nerve sends pain signals to the brain in response to otherwise ordinary and harmless stimuli including light, smells and sounds.
Bam. There’s your migraine… light feels like it’s burning right through your eyes. Sounds are amplified beyond belief and you feel like your head’s about to explode. Smells that you love can send you running for the nearest bathroom with your hand firmly clamped over your mouth.
Given that CGRP is known to cause pain during an attack, it makes sense to try and prevent it from interfering. So, that’s where the new drugs come in. They’re CGRP monoclonal antibodies. In essence, they seek out and attach themselves to CGRP which prevents the trigeminal nerve interference.
Results for two different studies have been released so far (see details here: ALD403 and LY2951742).
Both studies included CGRP drug treatment and a placebo, with roughly half of the participants receiving one or the other. The headlines for both studies were:
As with all medications and migraine treatment options, there are a few drawbacks to take into consideration…
But, the drawbacks don’t take away from the fact that this is a migraine specific treatment. And it’s about time we got some serious treatment options of our own!
While we wait to see more CGRP drugs for migraine get approved and introduced as a viable treatment option, you can take steps to lower CGRP prevalence yourself. Some foods are known to effect a minor reduction in the secretion of CGRP, including ginger and butterbur.
If this is something you’d like to explore, I recommend you check out this great article: Natural, Plant-based CGRP Receptor Antagonists & Inhibitors for Migraine Relief
In the meantime, I’ll be keeping a close eye on the new CGRP drugs for migraine as they receive final FDA approval… and let’s hope that the door now stays open for more migraine specific treatment trials!