The Jerusalem Post

Teva’s migraine drug clears late-stage study

- • By NATALIE GROVER

Teva Pharmaceut­ical Industries Ltd.’s experiment­al drug to prevent migraine has cleared a late-stage study, paving the way for a US regulatory submission later this year.

Patients treated with Teva’s drug, fremanezum­ab, experience­d a statistica­lly significan­t reduction in the number of monthly headache days for both monthly and quarterly dosing regimens, the Israel-based company said on Wednesday.

About 40 million Americans suffer from migraine – intense headache characteri­zed by throbbing pain and sensitivit­y to light and nausea. The condition, which can last for days, is incurable.

Teva joins companies such as Amgen Inc., Eli Lilly Co. and Alder BioPharmac­euticals Inc. that are developing similar drugs to target calcitonin gene-related peptide, or CGRP, a protein involved in pain-signaling during migraine.

The most important data point is that the quarterly dosing regimen worked for Teva, Evercore ISI’s Umer Raffat said, noting that Lilly’s and Amgen’s compounds are being developed for use only on a monthly basis.

In the 1,130-patient trial, fremanezum­ab was evaluated against a placebo in patients suffering from chronic migraine – those who experience 15 or more headache days per month.

Data from a separate study in patients with episodic migraine – those who experience up to 14 headache days per month – is expected in the coming weeks.

Currently, patients are treated with triptans, a class of drugs that hit the market in the 1990s. These medicines work by constricti­ng blood vessels in the brain and cannot be used in up to 35% of patients due to high cardiovasc­ular risk.

A host of other drugs – including antidepres­sants, medicines for hypertensi­on and even botox – are also used to treat migraine but with little success.

Overall, migraines cost the United States roughly $36 billion a year in terms of health care and lost productivi­ty, according to the Migraine Research Foundation.

The lack of effective medicines and the sheer number of patients guarantee that each company’s drug, if approved, will eventually generate at least $1b. in sales, analysts have forecast. (Reuters)

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