Ajovy (fremanezumab-vfrm) vs Emgality (galcanezumab)

Ajovy (fremanezumab-vfrm) vs Emgality (galcanezumab)

Ajovy (fremanezumab-vfrm) and Emgality (galcanezumab) are both FDA-approved monoclonal antibodies for the preventive treatment of migraine in adults. Ajovy is unique in offering flexible dosing schedules, allowing patients to choose between monthly or quarterly injections, whereas Emgality is administered once monthly. Both medications work by targeting and blocking the activity of calcitonin gene-related peptide (CGRP), a molecule involved in migraine attacks, but individual responses to the medications may vary, making it important for patients to discuss their medical history, preferences, and potential side effects with their healthcare provider to determine the most suitable option.

Difference between Ajovy and Emgality

Metric Ajovy (fremanezumab-vfrm) Emgality (galcanezumab)
Generic name Fremanezumab Galcanezumab
Indications Preventive treatment of migraine in adults Preventive treatment of migraine in adults; Treatment of episodic cluster headache in adults
Mechanism of action Monoclonal antibody that binds to calcitonin gene-related peptide (CGRP) ligand and blocks its binding to the receptor Monoclonal antibody that binds to calcitonin gene-related peptide (CGRP) ligand and blocks its binding to the receptor
Brand names Ajovy Emgality
Administrative route Subcutaneous injection Subcutaneous injection
Side effects Injection site reactions, hypersensitivity reactions Injection site reactions, hypersensitivity reactions
Contraindications Hypersensitivity to fremanezumab or any of its excipients Hypersensitivity to galcanezumab or any of its excipients
Drug class Monoclonal antibody Monoclonal antibody
Manufacturer Teva Pharmaceuticals Eli Lilly and Company

Efficacy

Ajovy (Fremanezumab-vfrm) Efficacy in Migraine Prevention

Ajovy (fremanezumab-vfrm) is a monoclonal antibody that targets the calcitonin gene-related peptide (CGRP) pathway, which is believed to play a critical role in migraine pathophysiology. Clinical trials have demonstrated Ajovy's efficacy in the preventive treatment of migraine in adults. In these trials, patients treated with Ajovy experienced a significant reduction in the number of monthly migraine days compared to those on placebo. The medication is administered as a subcutaneous injection and can be given either monthly or quarterly, offering flexibility in dosing schedules to meet individual patient needs.

Emgality (Galcanezumab) Efficacy in Migraine Prevention

Emgality (galcanezumab) is another monoclonal antibody targeting the CGRP pathway, approved for the prevention of migraine in adults. In clinical studies, Emgality has shown to significantly reduce the monthly number of migraine days in patients with episodic and chronic migraine. The treatment is provided as a monthly subcutaneous injection. Patients using Emgality have reported not only fewer migraine days but also a reduction in the use of acute migraine medications, which indicates an improvement in the overall burden of the disease.

Comparative Efficacy in Clinical Trials

When comparing Ajovy and Emgality, both have shown substantial efficacy in reducing the frequency of migraine days in clinical trials. While direct head-to-head trials have not been conducted to compare the two drugs, the available data from separate studies suggest that both Ajovy and Emgality are effective options for migraine prevention. The choice between the two may depend on various factors, including patient preference, dosing schedule, and individual response to treatment.

Considerations for Treatment Selection

It is important to note that individual response to migraine preventive treatments can vary. Ajovy and Emgality are generally well-tolerated, but patients should discuss with their healthcare providers the potential benefits and risks of these medications. Additionally, while both medications are designed to target the CGRP pathway and have shown efficacy in clinical trials, healthcare providers may consider patient-specific factors such as medical history, concomitant medications, and personal preferences when recommending a treatment plan for migraine prevention.

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

Access Ajovy or Emgality today

If Ajovy or Emgality 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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