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Updated: Dec 15, 2025

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Published on: June 2, 2014
Ubrogepant to treat migraine
1Department of Neurology, School of Medicine, University of California, Davis, Sacramento, California, USA. ashishdhirpu@yahoo.com.
Ubrogepant, a novel oral calcitonin gene-related peptide (CGRP) receptor antagonist, effectively treats acute migraine attacks. It offers pain relief and reduces associated symptoms without causing hepatotoxicity.
Area of Science:
- Neurology
- Pharmacology
Background:
- Migraine is a prevalent neurological disorder impacting global populations.
- Calcitonin gene-related peptide (CGRP) plays a crucial role in migraine pathophysiology.
- Elevated CGRP levels are observed during migraine attacks.
Purpose of the Study:
- To review the pharmacology, indication, and safety of ubrogepant for acute migraine treatment.
- To highlight ubrogepant as the first oral CGRP receptor antagonist for migraine.
Main Methods:
- Review of preclinical and clinical data from pivotal phase III trials (ACHIEVE I and ACHIEVE II).
- Analysis of ubrogepant's efficacy, safety, and pharmacokinetic profile.
Main Results:
- Ubrogepant demonstrated effectiveness in treating acute migraine attacks.
- The drug alleviates pain and associated symptoms like nausea and photophobia.
- Ubrogepant showed a favorable safety profile, free from hepatotoxicity at therapeutic doses.
Conclusions:
- Ubrogepant is an effective and safe oral treatment option for acute migraine attacks.
- It provides significant pain relief and symptom management for migraine sufferers.
- Ubrogepant is not indicated for migraine prevention.
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