Headache Disorders

Four anti-CGRP MAbs are currently in use for the prevention of episodic and chronic migraine: erenumab, which targets the CGRP receptor, and fremanezumab, galcanezumab, and eptinezumab, which target the CGRP ligand. In addition, anti-CGRP MAbs have shown some degree of success as preventive treatmen...

Полное описание

Сохранить в:
Библиографические подробности
Формат: Online
Язык:английский
Опубликовано: MDPI - Multidisciplinary Digital Publishing Institute 2025
Предметы:
Online-ссылка:ONIX_20250812T110751_9783725843473_444
Метки: Добавить метку
Нет меток, Требуется 1-ая метка записи!
_version_ 1869515616301350912
collection Directory of Open Access Books
description Four anti-CGRP MAbs are currently in use for the prevention of episodic and chronic migraine: erenumab, which targets the CGRP receptor, and fremanezumab, galcanezumab, and eptinezumab, which target the CGRP ligand. In addition, anti-CGRP MAbs have shown some degree of success as preventive treatments for other headache disorders, such as cluster and post-traumatic headaches. There are, however, unmet needs associated with the prophylactic management of these headache disorders, because of inadequate headache frequency reduction in about one-third of migraine patients and an even higher percentage of treatment failure in cluster and post-traumatic headache patients. Significant unmet needs are also present in the symptomatic management of these headache disorders. To overcome these challenges, new acute pharmacological options for headaches have been studied in the last few years, including gepants, a class of small molecules that target the CGRP receptor, and ditans, a class of non-triptan serotonin receptor antagonists. Gepants have been also explored for migraine prevention. This Special Issue summarizes our existing knowledge on the advantages and limitations of modern therapies for headache disorders, highlights open clinical and pathogenetic issues, and explores future directions for research. The Co-Editors and I are confident that it will serve as a reference point for those seeking to understand why, when, and how to treat headache patients with monoclonal antibodies that target CGRP, gepants or ditans.
format Online
id doab-20.500.12854ir-165689
institution Directory of Open Access Books
language eng
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher MDPI - Multidisciplinary Digital Publishing Institute
publisherStr MDPI - Multidisciplinary Digital Publishing Institute
record_format ojs
spelling doab-20.500.12854ir-1656892025-08-12T10:07:18Z Headache Disorders Argyriou, Andreas A. Michail, Vikelis Dermitzakis, Emmanouil V. CGRP monoclonal antibodies fremanezumab phenotypes predictors response episodic migraine chronic migraine psychiatric comorbidities efficacy headache migraine telehealth virtual care coaching migraine with aura (MA) migraine without aura (MO) familial hemiplegic migraine (FHM) genetics carbonic anhydrase inhibitors idiopathic intracranial hypertension transverse sinuses quality of life questionnaire desvenlafaxine prophylaxis pain women episodes frequency severity disability atogepant CGRP receptor antagonist preventive treatment telecoaching adapted physical activity exercise digital tools COVID-19 lifestyle changes thema EDItEUR::M Medicine and Nursing Four anti-CGRP MAbs are currently in use for the prevention of episodic and chronic migraine: erenumab, which targets the CGRP receptor, and fremanezumab, galcanezumab, and eptinezumab, which target the CGRP ligand. In addition, anti-CGRP MAbs have shown some degree of success as preventive treatments for other headache disorders, such as cluster and post-traumatic headaches. There are, however, unmet needs associated with the prophylactic management of these headache disorders, because of inadequate headache frequency reduction in about one-third of migraine patients and an even higher percentage of treatment failure in cluster and post-traumatic headache patients. Significant unmet needs are also present in the symptomatic management of these headache disorders. To overcome these challenges, new acute pharmacological options for headaches have been studied in the last few years, including gepants, a class of small molecules that target the CGRP receptor, and ditans, a class of non-triptan serotonin receptor antagonists. Gepants have been also explored for migraine prevention. This Special Issue summarizes our existing knowledge on the advantages and limitations of modern therapies for headache disorders, highlights open clinical and pathogenetic issues, and explores future directions for research. The Co-Editors and I are confident that it will serve as a reference point for those seeking to understand why, when, and how to treat headache patients with monoclonal antibodies that target CGRP, gepants or ditans. 2025-08-12T10:07:15Z 2025-08-12T10:07:15Z 2025 book ONIX_20250812T110751_9783725843473_444 9783725843473 9783725843480 https://directory.doabooks.org/handle/20.500.12854/165689 eng image/jpeg Attribution 4.0 International https://mdpi.com/books https://mdpi.com/books/pdfview/book/11038 MDPI - Multidisciplinary Digital Publishing Institute 10.3390/books978-3-7258-4348-0 10.3390/books978-3-7258-4348-0 46cabcaa-dd94-4bfe-87b4-55023c1b36d0 9783725843473 9783725843480 120 open access
spellingShingle CGRP
monoclonal antibodies
fremanezumab
phenotypes
predictors
response
episodic migraine
chronic migraine
psychiatric comorbidities
efficacy
headache
migraine
telehealth
virtual care
coaching
migraine with aura (MA)
migraine without aura (MO)
familial hemiplegic migraine (FHM)
genetics
carbonic anhydrase inhibitors
idiopathic intracranial hypertension
transverse sinuses
quality of life
questionnaire
desvenlafaxine
prophylaxis
pain
women
episodes
frequency
severity
disability
atogepant
CGRP receptor antagonist
preventive treatment
telecoaching
adapted physical activity
exercise
digital tools
COVID-19
lifestyle changes
thema EDItEUR::M Medicine and Nursing
Headache Disorders
title Headache Disorders
title_full Headache Disorders
title_fullStr Headache Disorders
title_full_unstemmed Headache Disorders
title_short Headache Disorders
title_sort headache disorders
topic CGRP
monoclonal antibodies
fremanezumab
phenotypes
predictors
response
episodic migraine
chronic migraine
psychiatric comorbidities
efficacy
headache
migraine
telehealth
virtual care
coaching
migraine with aura (MA)
migraine without aura (MO)
familial hemiplegic migraine (FHM)
genetics
carbonic anhydrase inhibitors
idiopathic intracranial hypertension
transverse sinuses
quality of life
questionnaire
desvenlafaxine
prophylaxis
pain
women
episodes
frequency
severity
disability
atogepant
CGRP receptor antagonist
preventive treatment
telecoaching
adapted physical activity
exercise
digital tools
COVID-19
lifestyle changes
thema EDItEUR::M Medicine and Nursing
topic_facet CGRP
monoclonal antibodies
fremanezumab
phenotypes
predictors
response
episodic migraine
chronic migraine
psychiatric comorbidities
efficacy
headache
migraine
telehealth
virtual care
coaching
migraine with aura (MA)
migraine without aura (MO)
familial hemiplegic migraine (FHM)
genetics
carbonic anhydrase inhibitors
idiopathic intracranial hypertension
transverse sinuses
quality of life
questionnaire
desvenlafaxine
prophylaxis
pain
women
episodes
frequency
severity
disability
atogepant
CGRP receptor antagonist
preventive treatment
telecoaching
adapted physical activity
exercise
digital tools
COVID-19
lifestyle changes
thema EDItEUR::M Medicine and Nursing
url ONIX_20250812T110751_9783725843473_444