Emgality (galcanezumab) vs Trudhesa (dihydroergotamine mesylate)

Emgality (galcanezumab) vs Trudhesa (dihydroergotamine mesylate)

Emgality (galcanezumab) and Trudhesa (dihydroergotamine mesylate) are both FDA-approved for the treatment of migraine, but they differ in their mechanisms of action and administration. Emgality is a once-monthly subcutaneous injection that works by targeting and blocking the calcitonin gene-related peptide (CGRP) pathway, which is believed to play a key role in migraine. Trudhesa, on the other hand, is an intranasal spray that provides rapid relief by constricting blood vessels and is used when a migraine attack occurs, rather than for prevention.

Difference between Emgality and Trudhesa

Metric Emgality (galcanezumab) Trudhesa (dihydroergotamine mesylate)
Generic name galcanezumab dihydroergotamine mesylate
Indications Preventive treatment of migraine in adults Acute treatment of migraine with or without aura in adults
Mechanism of action Calcitonin gene-related peptide (CGRP) antagonist Agonist at serotonin (5-HT) receptors, causing vasoconstriction
Brand names Emgality Trudhesa
Administrative route Subcutaneous injection Nasal spray
Side effects Injection site reactions, constipation, itching Nausea, vomiting, nasal discomfort, dizziness
Contraindications Hypersensitivity to galcanezumab or any of its excipients Hypersensitivity to dihydroergotamine or any of its excipients, uncontrolled hypertension, pregnancy
Drug class Monoclonal antibody Ergot alkaloid derivative
Manufacturer Eli Lilly and Company Impel NeuroPharma

Efficacy

Emgality (Galcanezumab) for Migraine Prevention

Emgality (galcanezumab) is a monoclonal antibody that has been approved by the FDA for the preventive treatment of migraine in adults. The efficacy of Emgality was established in several pivotal clinical trials, where it was shown to significantly reduce the number of monthly migraine days when compared to placebo. Patients treated with Emgality reported experiencing fewer migraine days per month, which suggests that the medication can be an effective preventive treatment for those suffering from frequent migraine attacks.

Emgality Clinical Trial Results

In the clinical trials, Emgality demonstrated a reduction in monthly migraine days by an average of 4-5 days when compared to baseline. The trials included a diverse group of patients, including those with chronic migraine (defined as 15 or more headache days per month, of which at least 8 are migraines) and episodic migraine (fewer than 15 headache days per month). The results indicated that Emgality was effective for a broad range of patients with migraine, providing a significant improvement in their quality of life and daily functioning.

Trudhesa (Dihydroergotamine Mesylate) for Acute Migraine Treatment

Trudhesa (dihydroergotamine mesylate) is a nasal spray formulation approved for the acute treatment of migraine with or without aura in adults. Unlike Emgality, Trudhesa is not used for prevention but rather for the immediate relief of migraine symptoms. The efficacy of Trudhesa has been demonstrated in clinical studies where it was shown to provide rapid relief from migraine pain and associated symptoms such as nausea and sensitivity to light and sound. The medication works by constricting blood vessels around the brain and inhibiting inflammatory substances that can lead to migraine pain.

Trudhesa Clinical Trial Results

Clinical trials have shown that Trudhesa can begin to relieve migraine pain as quickly as within 15 minutes, with significant pain relief occurring within 2 hours for many patients. The treatment has been found to be effective in providing relief for a significant proportion of patients experiencing acute migraine attacks, and it is well-tolerated with a safety profile that supports its use for the acute treatment of migraine. Moreover, Trudhesa's nasal spray formulation allows for rapid absorption, making it a suitable option for patients who require fast-acting relief.

Regulatory Agency Approvals

Emgality
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
Trudhesa
  • Food and Drug Administration (FDA), USA

Access Emgality or Trudhesa today

If Emgality or Trudhesa 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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