Why do many KOLs prefer Teva's Ajovy or Lilly's Emgality over Amgen/Novartis' Aimovig for the preventive management of migraine? Over the next five years, neurologists anticipate subcutaneous anti-CGRP mAbs will challenge Botox as the first-line treatment for migraine prevention, but that use of Lundbeck's Vyepti will remain limited - why? KOLs critically assess the prospects of launched and pipeline therapies.
Key questions answered:
- How do KOLs assess the potential impact of Xeomin, Dysport and prabotulinumtoxinA on the use of AbbVie's well-established Botox?
- Why are experts impressed by AbbVie's Botox+ Qulipta/Aquipta combination trial?
- How do KOLs prescribe Pfizer's Nurtec ODT/Vydura, and what other studies do experts recommend?
- What underpins neurologists' opinion that AbbVie's Qulipta/Aquipta is preferable to Pfizer's Nurtec ODT in the preventive management of migraine?
- Why do neurologists say that despite being an effective treatment, Lilly's lasmiditan is currently reserved for later-line therapy?
- Why are KOLs not particularly impressed by the clinical data for Pfizer's Zavzpret?
Key brands covered in this report:
- Botox
- Aimovig
- Ajovy
- Emgality
- Reyvow/Rayvow
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- Ubrelvy
- Nurtec ODT/Vydura
- Qulipta/Aquipta
- Vyepti
- Zavzpret
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Table of Contents
Executive summary (6)
Current and future treatment algorithm
Research objectives (3)
Marketed therapies (137)
- Botox (onabotulinum toxin A; AbbVie) (18)
- Key insights summary (18)
- Aimovig (erenumab/erenumab-aooe; Amgen/Novartis) (10)
- Key insights summary (10)
- Ajovy (fremanezumab/fremanezumab-vfrm; Teva) (10)
- Key insights summary (10)
- Emgality (galcanezumab/galcanezumab-gnlm; Lilly) (10)
- Key insights summary (10)
- Reyvow/Rayvow (lasmiditan; Lilly) (14)
- Key insights summary (14)
- Ubrelvy (ubrogepant; AbbVie) (9)
- Nurtec ODT/Vydura (rimegepant; Pfizer) (16)
- Key insights summary (16)
- Qulipta/Aquipta (atogepant; AbbVie) (16)
- Key insights summary (16)
- Vyepti (eptinezumab; Lundbeck) (21)
- Key insights summary (21)
- Zavzpret (zavegepant; Pfizer) (13)
- Key insights summary (13)
Early-stage development programmes (22)
- Key insights summary (22)
- KOLs are pleased with the Phase II HOPE trial and are enthusiastic about the potential of PACAP therapy in migraine treatment (20)
Current dynamics of oral gepants and subcutaneous anti-CGRP mAbs (12)
- Key insights summary (12)
- Better tolerability profile of oral gepants makes them the preferred option over triptans: some KOLs favour subcutaneous mAbs over oral gepants due to adherence issues (10)
Future Outlook for the Migraine Therapies (10)
- Key insights summary (10)
- Neurologists foresee triptans to remain a standard choice for acute migraine, with gepants being the second line of treatment (8)
Appendix (4)