Aimovig (erenumab) vs Qulipta (atogepant)

Aimovig (erenumab) vs Qulipta (atogepant)

Aimovig (erenumab) and Qulipta (atogepant) are both preventive treatments for migraine, but they differ in their mechanisms of action and administration. Aimovig is a once-monthly injectable monoclonal antibody that blocks the calcitonin gene-related peptide (CGRP) receptor, which is believed to play a critical role in migraine. In contrast, Qulipta is an oral medication taken daily that also targets the CGRP pathway but does so by blocking the CGRP receptor directly; it is a small molecule CGRP receptor antagonist suitable for patients who prefer oral medication or those with needle aversion.

Difference between Aimovig and Qulipta

Metric Aimovig (erenumab) Qulipta (atogepant)
Generic name Erenumab Atogepant
Indications Preventive treatment of migraine in adults Preventive treatment of episodic migraine in adults
Mechanism of action Calcitonin gene-related peptide receptor (CGRP) antagonist Calcitonin gene-related peptide (CGRP) receptor antagonist
Brand names Aimovig Qulipta
Administrative route Subcutaneous injection Oral
Side effects Injection site reactions, constipation, muscle spasms, and others Nausea, constipation, fatigue, and others
Contraindications Known hypersensitivity to erenumab or any of its excipients Known hypersensitivity to atogepant or any of its excipients
Drug class Monoclonal antibody Small molecule
Manufacturer Amgen AbbVie

Efficacy

Aimovig (Erenumab) for Migraine Prevention

Aimovig, also known by its generic name erenumab, is a preventative medication specifically designed to combat migraine. It belongs to a class of drugs called calcitonin gene-related peptide (CGRP) antagonists. Erenumab is a monoclonal antibody that blocks the action of CGRP, a molecule involved in migraine attacks, thereby reducing the frequency of migraine episodes. Clinical trials have demonstrated the efficacy of Aimovig in reducing the number of monthly migraine days. Patients receiving Aimovig reported experiencing three to four fewer migraine days per month compared to those who did not receive the drug. Furthermore, some patients achieved at least a 50% reduction in the number of migraine days per month, indicating significant relief from this debilitating condition.

Qulipta (Atogepant) in Migraine Management

Qulipta, with the generic name atogepant, is another medication used for the preventive treatment of migraine. It also targets the CGRP pathway but functions as a small molecule CGRP receptor antagonist. The efficacy of Qulipta in reducing the frequency of migraine days has been established through rigorous clinical trials. Patients treated with atogepant have reported a decrease in the average number of monthly migraine days compared to placebo. The reduction in migraine days was observed as early as the first month of treatment and sustained throughout the trial period. Qulipta has been shown to be effective in various dosages, offering flexibility in treatment plans tailored to individual patient needs.

Comparative Efficacy in Migraine Prophylaxis

When comparing the efficacy of Aimovig and Qulipta, it is important to note that both medications have been shown to be effective in the preventive treatment of migraine. However, their modes of administration differ. Aimovig is administered as a monthly subcutaneous injection, which may be preferred by patients seeking less frequent dosing schedules. Qulipta, on the other hand, is taken orally, which might be more suitable for patients who are averse to injections. The choice between these medications may depend on patient preference, tolerability, and the recommendation of a healthcare provider based on the patient's medical history and the severity of their condition.

Conclusion on Migraine Preventive Treatments

In conclusion, both Aimovig and Qulipta have been proven to be effective in reducing the frequency of migraine attacks in adults. Their targeted approach to blocking the CGRP pathway provides a significant advancement in migraine prophylaxis. The efficacy of these medications, along with their safety profiles, makes them valuable options for patients suffering from chronic or episodic migraine. As with all medications, the decision to use Aimovig or Qulipta should be made in consultation with a healthcare provider, taking into account the individual patient's health status and treatment goals.

Regulatory Agency Approvals

Aimovig
  • 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
  • Swissmedic (CH)
  • Medsafe (NZ)
Qulipta
  • Food and Drug Administration (FDA), USA

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If Aimovig or Qulipta 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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