Ajovy (fremanezumab-vfrm) vs Zavzpret (zavegepant)

Ajovy (fremanezumab-vfrm) vs Zavzpret (zavegepant)

Ajovy (fremanezumab-vfrm) is a long-acting injectable monoclonal antibody designed to prevent migraine by targeting the CGRP pathway, with dosing options that allow for administration once a month or quarterly. Zavzpret (zavegepant), on the other hand, is a CGRP receptor antagonist formulated as a nasal spray intended for the acute treatment of migraine attacks, offering a non-oral route of administration that may be beneficial for patients experiencing nausea or vomiting during migraines. When deciding between the two, patients should consider whether they are seeking prevention (Ajovy) or acute treatment (Zavzpret), their preference for administration route, and discuss their medical history and potential side effects with their healthcare provider.

Difference between Ajovy and Zavzpret

Metric Ajovy (fremanezumab-vfrm) Zavzpret (zavegepant)
Generic name Fremanezumab Zavegepant
Indications Preventive treatment of migraine in adults Acute treatment of migraine with or without aura in adults
Mechanism of action Monoclonal antibody that binds to calcitonin gene-related peptide (CGRP) ligand and blocks its binding to the receptor Calcitonin gene-related peptide (CGRP) receptor antagonist
Brand names Ajovy Zavzpret
Administrative route Subcutaneous injection Oral
Side effects Injection site reactions, hypersensitivity reactions, constipation Nausea, dizziness, dry mouth, somnolence, fatigue
Contraindications Hypersensitivity to fremanezumab or any of its excipients Hypersensitivity to zavegepant or any of its excipients
Drug class Monoclonal antibody, anti-CGRP Small molecule CGRP receptor antagonist
Manufacturer AbbVie (previously Teva Pharmaceuticals) Biohaven Pharmaceuticals

Efficacy

Ajovy (fremanezumab-vfrm) Efficacy in Migraine Prevention

Ajovy (fremanezumab-vfrm) is a calcitonin gene-related peptide (CGRP) antagonist designed for the prevention of migraine. It has been shown to be effective in reducing the frequency of migraine days in adults with episodic and chronic migraine. In clinical trials, patients receiving Ajovy experienced a significant reduction in monthly migraine days compared to those on placebo. For episodic migraine sufferers, this reduction was typically observed within the first week of treatment. The efficacy of Ajovy in preventing migraines has been sustained over long-term studies, indicating its potential as a reliable prophylactic option for individuals with this debilitating condition.

Zavzpret (zavegepant) Efficacy in Migraine Treatment

Zavzpret (zavegepant) is another CGRP receptor antagonist, but unlike Ajovy, it is used for the acute treatment of migraine with or without aura in adults. In clinical trials, Zavzpret demonstrated efficacy in alleviating migraine pain and the most bothersome symptom identified by the patient (such as nausea, photophobia, or phonophobia) within two hours of administration. The proportion of patients achieving pain freedom and freedom from their most bothersome symptom was significantly greater with Zavzpret compared to placebo. These results suggest that Zavzpret is an effective acute treatment option for migraine attacks.

Comparison of Ajovy and Zavzpret

While both Ajovy and Zavzpret are part of the CGRP antagonist class of drugs, their usage in migraine management differs. Ajovy is designed for the preventive treatment of migraine, aiming to decrease the frequency of migraine episodes over time. Zavzpret, on the other hand, is intended for the immediate relief of migraine symptoms during an attack. Both medications have shown efficacy in their respective roles, with Ajovy being beneficial for long-term management and Zavzpret providing rapid relief during acute migraine episodes.

Conclusion

In conclusion, Ajovy (fremanezumab-vfrm) has proven to be an effective preventive treatment for migraine, reducing the number of migraine days in patients with episodic and chronic migraine. Zavzpret (zavegepant), conversely, has demonstrated its efficacy as an acute treatment for migraine, providing relief from pain and associated symptoms within a short time frame. Both medications represent significant advances in the management of migraine, offering hope to patients seeking to control this chronic and often incapacitating condition.

Regulatory Agency Approvals

Ajovy
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
Zavzpret
  • Food and Drug Administration (FDA), USA

Access Ajovy or Zavzpret today

If Ajovy or Zavzpret are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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