Two drugs given to people who suffer
migraines reduced the frequency of their headaches in early trials, scientists
said.
The test results “may potentially
represent a new era in preventive therapy for migraine,” Dr. Peter Goadsby, an
author on studies of both drugs, said in a statement. One of the researchers
called migraine headaches the third most common medical disorder in the world.
Both drugs must undergo larger
trials to confirm the results.
Both drugs are intended to prevent
rather than treat migraine headaches, and the studies of them are the first to
test monoclonal antibodies for migraine prevention, the scientists said. The
drugs are directed against what’s called the calcitonin gene-related peptide,
which had been thought important in migraines but had not previously been
targeted with a drug.
The researchers are to present their
findings at the American Academy of Neurology’s 66th annual meeting, which
begins Saturday in Philadelphia.
“The big deal is that there’s never
been anything introduced to prevent migraine attacks that was based on a
mechanism and a sole indication of migraine,” Goadsby said Wednesday by
telephone. In the past, sufferers could try beta blockers, antidepressants or
anticonvulsants, hoping they’d work for their headaches.
“This the first bespoke migraine
treatment,” said Goadsby, a neurology professor at Kings College London and UC
San Francisco.
He said patients should be pleased,
and for some it could be life-changing. He gave the example of a pilot who
could be unable to keep flying if her headaches were treated with certain drugs
now in use.
In one study 163 people who had
migraines from five 14 days a month were given a placebo or an intravenous dose
of a drug called ALD403. They were followed for 24 weeks. Those who got the
drug had an average of 5.6 fewer migraine days a month; those who took the
placebo had 4.6 fewer days.
In the second study, 217 people who
had a migraine four to 14 days a month, received biweekly injections of a drug
called LY2951742 or a placebo for 12 weeks. Those who got the drug had an
average of 4.2 fewer migraine days a month at the 12-week mark. Those who got
the placebo had an average of three fewer days.
Dr. David Dodick of the Mayo Clinic
in Arizona, an author of both studies, said by telephone that rates for
placebos are often high in studies of pain, and in this case those rates could
be due in part to the high level of anticipation people had for the success of
migraine treatment. They also could be affected, as they sometimes are, by the
invasiveness of the treatments – injections rather than pills, he said.
“Clearly in the future, we’ll have
to get a grip on this and carefully, carefully design” the next phase of trials
for the drugs, he said.
The scientists don’t have a sense
yet of which drug might be better, or might work better for certain people,
Dodick said. Both appear safe at this point, he said.
The studies
were supported by drug compani
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