The goal of this project is to evaluate galcanezumab transfer into maternal breastmilk, and to evaluate infant (growth, development, constipation, colic, infections) and maternal (headache) outcomes for dyads in which the mother was treated with galcanezumab and to compare outcomes for infants who were or were not breastfed after maternal treatment.
In this prospective observational study, the study team proposes to prospectively collect serial milk samples from 30 adult women who are treated with galcanezumab for migraine. Mothers who are interested in participating will be connected with us, the main clinical site, by neurologists across the USA. Mothers must carry a diagnosis of migraine, be aged 18-45 years, and be between 14 days and 9 months postpartum, and still nursing, at the time of enrollment.
This study will fill a significant unmet need as women of childbearing potential are over-represented in the migraine population, and yet they are excluded from clinical trials of migraine treatments during pregnancy and lactation.

Start Date01 Dec 2023

Sponsor / Collaborator

The University of California, San Francisco

[+1]

NCT05492695 / TerminatedPhase 4

TOGETHER STUDY: Tandem OnabotulinumtoxinA Galcanezumab Emerging Therapeutic Headache Elimination Research Study

This is a multicenter, double-blind, placebo-controlled study assessing the effectiveness of Galcanezumab as an add-on therapy for Migraine participants on a stable migraine prophylaxis regimen including Botox with or without one other migraine prophylaxis agent (BMPT), who have persistent unmet need. The study population will consist of approximately 150 participants ages 18-65 who report at least a 30% reduction in monthly migraine days from BMPT and still experience an average of ≥ 6 migraine days per month, following International Classification of Headache Disorders (ICHD-3) criteria. Subjects should be stable on at least 2, but no more than 8, consecutive injection cycles of Botox. Overall migraine day reduction will be assessed in the participants based on participant self-report (via daily electronic diaries) and medical record review.

Start Date01 Oct 2022

Sponsor / Collaborator

Diamond Headache Clinic, Ltd.

NCT05281770 / RecruitingNot ApplicableIIT

Non-interventional Study of the Austrian Headache Society: Monoclonal CGRP Antibodies for Migraine Prevention a Nationwide Real Life Study

The present non-interventional study on migraine prevention with monoclonal CGRP antibodies adresses questions concering safety, swichting from one CGRP mab to another, efficacy on auras in the real world setting.

Start Date01 Oct 2022

Sponsor / Collaborator

Medical University of Vienna

[+1]

100 Clinical Results associated with Galcanezumab-gnlm

100 Translational Medicine associated with Galcanezumab-gnlm

100 Patents (Medical) associated with Galcanezumab-gnlm

391

Literatures (Medical) associated with Galcanezumab-gnlm

01 Feb 2025·Neurology-Clinical Practice

Efficacy and Tolerability of Anti-CGRP Monoclonal Antibodies in Patients Aged ≥ 65 Years With Daily or Nondaily Migraine

Article

Author: Hennessy, Elise ; Ahmed, Zubair ; Mays, Maryann ; Sonneborn, Claire ; Hogue, Olivia ; Suneja, Aarushi ; Salim, Amira ; Biswas, Sudipa ; Mata, Ignacio F.

Background and Objectives:

Despite decreasing prevalence of migraine with advancing age, there remains a significant proportion of individuals aged ≥65 years with migraine. Treatment of this population is difficult and they are often excluded from clinical trials, limiting evidence regarding migraine treatment outcomes. Our objective is to assess the efficacy and tolerability of anti-calcitonin gene-related peptide (CGRP) monoclonal antibody (mAb) therapies (erenumab, fremanezumab, and galcanezumab) in patients ≥65 years (O65) compared with patients <65 (U65) with daily or nondaily migraine.

Methods:

This observational study uses retrospective data from the electronic medical records of patients who were treated with an anti-CGRP mAb between June 2018 and November 2021. Efficacy was determined through a reduction in monthly migraine days (MMDs) and Headache Impact Test (HIT-6) scores from baseline to posttreatment. Tolerability was examined through the number of adverse events reported per group. Mann-Whitney tests were used to compare the efficacy and tolerability of U65 and O65 patients overall and separated into daily and nondaily migraine groups.

Results:

The dataset consisted of U65 (n = 2,707; median [interquartile range]; 45.4 [35.8-53.8] years) or O65 (n = 304; 69.5 [67.3-73.3] years) and further separated into daily (n = 1,303) and nondaily (n = 1,708) migraine. There was no difference (p = 0.57) in the median MMD reduction between U65 (10 days [0.0-17.0]) and O65 (10 days [0.0-16.5]). Similarly, no difference was found among patients with nondaily migraine (p = 0.82) and patients with daily migraine (p = 0.59). HIT-6 scores decreased from severe to moderate/substantial impact for all groups. The daily and nondaily groups showed differences in meeting the 50% improvement threshold (nondaily U65, 67% vs daily U65, 54%, p < 0.0001; nondaily O65, 65% vs daily O65, 49%, p = 0.008). Side effects were reported (829/3,011), with a higher incidence in the U65 (22% O65, 28% U65). The most common side effects for both groups were injection site reaction/rash (40%) and constipation (25%).

Discussion:

This retrospective analysis provides real-world evidence that there is no difference in the efficacy and tolerability of treatment with erenumab, fremanezumab, and galcanezumab in patients O65 when compared with patients U65 both with daily or nondaily migraine. These data may help guide the choice of migraine treatment in older populations.

01 Dec 2024·Pain and Therapy

Cerebral Artery Vasoconstriction After Galcanezumab Loading Dose for Migraine Prevention: A Case Report

Article

Author: Blumenfeld, Andrew ; Asawavichienjinda, Thanin ; Jittapiromsak, Nutchawan

Anti-calcitonin gene-related peptide (CGRP) monoclonal antibodies that target CGRP ligands or receptors, may cause a very rare side effect of reversible cerebral vasoconstriction syndrome (RCVS). This study is a case report of a patient who developed cerebral artery vasoconstriction documented on serial brain magnetic resonance angiography (MRA) scans without the typical manifestations of RCVS following galcanezumab loading dose. Case report: A 40-year-old female patient with high-frequency episodic migraine with visual aura on topiramate 100 mg/day developed transient numbness of the right upper and lower extremities and right face without headache and a normal neurological examination 10 min after a loading dose of galcanezumab, which resolved over the next 2 days. Magnetic resonance angiography brain imaging showed segmental arterial constriction of both middle cerebral arteries in the M1-2 segments and both posterior cerebral arteries in the P1-2 segments, which partial resolved in a subsequent study by the end of 6 months. There were no other supporting examination data, such as transcranial Doppler, which might provide additional information on the progression and improvement of the vasoconstriction. Her differential diagnosis included prolonged migraine sensory aura without headache, RCVS, or cerebral vasoconstriction secondary to the effect of an anti-CGRP monoclonal antibody. Further research needs to be conducted.

01 Nov 2024·NEUROLOGICAL SCIENCES

Blood pressure monitoring in elderly migraineurs starting an anti-CGRP monoclonal antibody: a real-world prospective study

Article

Author: Andrini, Giorgia ; Mascarella, Davide ; Favoni, Valentina ; Vernieri, Fabrizio ; Guerzoni, Simona ; Cevoli, Sabina ; Pierangeli, Giulia ; Altamura, Claudia ; Lo Castro, Flavia ; Baraldi, Carlo

Abstract:

Background:

While monoclonal antibodies (mAbs) targeting the CGRP pathway have revolutionized migraine management due to their improved tolerance and adherence, concerns remain about their potential impact on blood pressure (BP), especially in older patients, due to CGRP-mediated vasodilation blockade. Given the growing use of these therapies in older populations, assessing their cardiovascular (CV) safety is of paramount importance.

Methods:

This multicentric observational prospective study focused on migraine sufferers aged ≥ 60 who began erenumab, galcanezumab, or fremanezumab for prevention. Baseline, three-month, and twelve-month BP measurements were collected. Changes in antihypertensive medication and "Newly or Worsened Hypertensive" patients (NWHP) were assessed.

Results:

Among 155 patients receiving anti-CGRP mAbs (40 Erenumab, 47 Galcanezumab, 68 Fremanezumab), 42.5% had hypertension history and 39% were on antihypertensive treatment. No significant systolic or diastolic BP changes occurred at any time point compared to baseline (all p > 0.05), with no differences between the three groups. After one year, 20/155 (12.9%) patients were considered NWHP; 11/20 had prior hypertension, and 5/11 adjusted antihypertensive therapy. Among 9/20 newly hypertensive patients, 5/9 had a single measurement above the normal threshold with no requirement for new pharmacological therapy. A higher baseline BP value was associated with increased BP (p = 0.002).

Conclusions:

The study concludes that treatment with anti-CGRP mAbs over one year does not significantly affect BP in patients aged ≥ 60, nor does it increase the incidence of hypertension compared to general population trends. Nonetheless, continuous monitoring and further long-term studies are necessary to fullya scertain the cardiovascular safety of these medications in the elderly.

News (Medical) associated with Galcanezumab-gnlm

19 Sep 2024

·www.pharmaceutical-technology.com

Organon makes $1.2bn play for Roivant’s immuno-dermatology subsidiary

The deal includes a $175m upfront payment for Roivant’s subsidiary Dermavant. Image credit: Shutterstock / testing. Organon is set to acquire Roivant’s immuno-dermatology subsidiary Dermavant in a potential $1.2bn deal. Organon will pay $175m upfront for the business as part of the transaction, which is expected to close in the fourth quarter of this year, as per an 18 September press release. Shares in both Organon and Roivant were down at close compared to their respective market opening prices on the day of the announcement. The bulk of the deal comes in the form of Dermavant’s plaque psoriasis treatment Vtama (tapinarof) The steroid cream is currently under review by the US Food and Drug Administration (FDA) for a label expansion into atopic dermatitis (AD) – if this goes through, Organon will pay Dermavant a milestone payment of $75m. Based on how Vtama does commercially, Dermavant could also be in line for a further $950m of milestone payments. See Also: Pioneering ePRO and eCOA innovations for next-generation clinical trials Dermavant’s lead asset Vtama won FDA approval for plaque psoriasis in May 2022. The drug brought in modest US sales of $78m in 2023 for Roivant, though its quarter-on-quarter growth has been underwhelming. Whilst psoriasis affects eight million people in the US aged 20 and older, AD affects 16.5 million adults in the country, and a further 9.6 million children have the condition. An FDA clearance for AD would open Vtama to a US market predicted to be worth $13.5bn by 2030, according to analysis by GlobalData’s Pharma Intelligence Center. GlobalData is the parent company of Pharmaceutical Technology. Vtama boasted strong results in a Phase III trial for AD earlier this year, with 51% of 728 patients achieving complete disease clearance following 48-week use of the cream. The supplemental new drug application (sNDA) would allow Vtama’s use in adults and children two years of age and older with the inflammatory skin condition – the Prescription Drug User Fee Act (PDUFA) action is expected in the fourth quarter of this year. Organon’s CEO Kevin Ali said: “We look forward to combining Dermavant’s strong dermatology commercial and field medical organisation in the US, with Organon’s market access capabilities, regulatory expertise and worldwide commercial reach.” The deal follows several bolt-on deals by Organon recently, including purchasing US rights to Eli Lilly’s migraine medications Emgality (galcanezumab) and Rayvow (lasmiditan) for $50m in December last year . The deal was updated, giving more rights to Organon for Emgality, for $22.5m last month . While the Dermavant acquisition marks a dermatology expansion for Organon in the US, it also signals the second time in just over a year that Roivant has sold a subsidiary. Roivant earned $7.1bn from Roche when the latter bought its immunology company Telavant in December last year.

Phase 3Drug ApprovalAcquisitionClinical ResultNDA

05 Sep 2024

·www.pharmaceutical-technology.com

Lilly and EVA Pharma to expand baricitinib access in Africa

The agreement is part of Lilly’s 30×30 strategy. Credit: rafa press/Shutterstock. Eli Lilly and EVA Pharma have formed a partnership to increase the availability of baricitinib in 49 low to middle-income African countries by 2030. Baricitinib is a Janus kinase (JAK) inhibitor indicated for Covid-19, adults with severe alopecia areata and those with moderately to severely active rheumatoid arthritis who have not responded adequately to tumour necrosis factor blockers. The initiative is part of Lilly’s 30×30 strategy, which seeks to enhance health care for 30 million people in resource-limited areas annually by 2030. Incyte discovered baricitinib, which is licensed to Lilly and marketed under the brand name Olumiant. The collaboration will utilise EVA Pharma’s high-containment facility, which is poised to begin distributing locally manufactured baricitinib by 2026 to the agreed territories. See Also: UK NHS launches vaccine programme for RSV Novavax wins FDA emergency approval for updated Covid-19 vaccine The agreement will leverage the pan-African network of EVA Pharma and its local production capabilities, which adhere to international standards. This enables Lilly to extend the medicine’s reach to regions where access to such treatments is often limited. Lilly International executive vice-president and president Ilya Yuffa stated: “Our commitment to expanding access to affordable and innovative medicines for people living in low to middle-income countries continues. “Following our collaboration with EVA Pharma on insulin manufacturing, we are now establishing the first of its kind voluntary licensing agreement for Lilly, where the company will provide certain baricitinib manufacturing know-how to enable EVA Pharma to manufacture and supply baricitinib to people in 49 countries across Africa.” EVA Pharma has been collaborating with Lilly since 2021 to ensure a consistent supply of essential medicines in a number of African nations. The two companies are working together to enhance the affordability and accessibility of insulin in 56 primarily low to middle-income countries, as disclosed in 2022. EVA Pharma CEO Riad Armanious stated: “We are proud to localise the entire value chain of this critical medication on the continent, from producing high-potency baricitinib active pharmaceutical ingredients to tackling complex manufacturing challenges.” The latest development comes after Lilly expanded a commercial agreement , under which Organon will be the sole distributor and promoter of the migraine medication Emgality (galcanezumab) in 11 new markets.

VaccineLicense out/inDrug Approval

21 Aug 2024

·www.pharmaceutical-technology.com

Organon and Lilly expand deal for migraine treatment to new markets

Organon will distribute and promote the migraine treatment. Credit: Volodymyr TVERDOKHLIB/Shutterstock. Organon and Eli Lilly and Company have broadened their commercial agreement under which the former will be the sole distributor and promoter of the migraine medication Emgality (galcanezumab) in 11 new markets. The expanded territories are Canada, Colombia, Israel, Kuwait, Mexico, Qatar, Saudi Arabia, South Korea, Taiwan, Turkey and the United Arab Emirates. The financial terms of the deal include an upfront payment of $22.5m to Lilly, accompanied by additional sales-based milestone payments. The deal builds on Organon’s existing distribution responsibilities for the asset in Europe since February 2024. Organon CEO Kevin Ali stated: “The broadening of this agreement is a testament to Organon’s best-in-class commercialisation capabilities, global footprint and deep expertise in women’s health. See Also: Innovent’s Dupert approved in China to treat lung cancer Pathalys secures $105m to advance SHPT drug through approval “We know that migraine ranks as the leading cause of disability among young women and we’re proud to expand our offering to more women and men around the world living with episodic or chronic migraine.” A humanised monoclonal antibody, Emgality acts as a calcitonin gene-related peptide antagonist. It is designed as a preventive treatment for migraines in adults. In certain markets, it is specifically indicated for patients experiencing at least four migraine days per month. The medicine is also approved for treating episodic cluster headaches in adults in some regions. Under the expanded agreement, Organon will assume full distribution and promotional responsibilities for Emgality in the newly added markets. Lilly will retain its role as the marketing authorisation holder and continue manufacturing the product for sale. Eli Lilly and Company executive vice-president and Lilly International president Ilya Yuffa stated: “We are thrilled to expand this collaboration agreement with Organon. “We’re confident in our shared mission to bring this important migraine treatment to more patients around the world.” The development comes after Eli Lilly concluded the acquisition of Morphic Holding for $3.2bn, aimed at bolstering its inflammatory bowel disease portfolio.

Drug ApprovalAcquisitionLicense out/in

100 Deals associated with Galcanezumab-gnlm

External Link

KEGG	Wiki	ATC	Drug Bank
-	Galcanezumab-gnlm	N02CD02	DB14042

R&D Status

Approved

10 top approved records.

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Indication	Country/Location	Organization	Date
Cluster Headache	US	Eli Lilly & Co.	04 Jun 2019
Migraine Disorders	US	Eli Lilly & Co.	27 Sep 2018

Developing

10 top R&D records.

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Indication	Highest Phase	Country/Location	Organization	Date
Osteoarthritis, Knee	Phase 2	US	Eli Lilly & Co.	01 Jul 2014

Clinical Result

Indication

Phase

Evaluation

View All Results

Study	Phase	Population	Analyzed Enrollment	Group	Results	Evaluation	Publication Date


NCT02959177 \| NCT02959190 (Pubmed) Manual	Phase 2	Migraine Disorders	406	galcanezumab 120mg (6-month treatment)	ojiysbmxiw(ooaowujced) = ugktbkxlty jrjudftvdu (itfqygqxee, 4.64) View more	Positive	01 Jun 2024
				galcanezumab 240mg (6-month treatment)	ojiysbmxiw(sizmopnkli) = ldgxerzfxi jnyqiqjrzr (vfzwwrkcop )
NCT05284019 (EVEC, CTgov)	Phase 4	Migraine Disorders	32	Onabotulinumtoxin-A (Onabotulinumtoxin-A)	taknkvvzma(ejcinlpkgt) = udyuivudex xwdlfcyqoz (tvkwtzoupx, frackrywjj - zihbivdecq) View more	-	29 May 2024
				Eptinezumab (Eptinezumab)	taknkvvzma(ejcinlpkgt) = ekbclrkwiy xwdlfcyqoz (tvkwtzoupx, hxbbmgzbyj - wdmxsycuen) View more
AAN2023	Not Applicable	Migraine Disorders	20	Fremanezumab	mcywntvrkr(pfmljspqee) = fqvskmalqr vaevwgrfhq (bjoypctjeo ) View more	Positive	25 Apr 2023
P10-12.006 (AAN2023)	Phase 3	Migraine Disorders	-	Galcanezumab 120mg with a 240mg loading dose	lzchvxwfrr(hzzaijaigc) = 0.6% ujdqbzjoat (blveacdigf ) View more	Positive	25 Apr 2023
				Placebo
NCT03963232 (PERSIST, Pubmed) Manual	Phase 3	Migraine Disorders	520	Galcanezumab-gnlm	fhvmhxghpi(ztdurmchgb) = qofkhkvrfx ygimegoyaz (ljecmvixxv ) View more	Positive	28 Jul 2022
				Placebo	fhvmhxghpi(ztdurmchgb) = vdesswtdvf ygimegoyaz (ljecmvixxv ) View more
Pubmed Manual	Not Applicable	Pain \| Migraine Disorders	43	Galcanezumab	ejxtxlplne(qndhseecer) = lejraztjeg cxsbonjvhj (fjnhnduoku ) View more	Positive	13 Jun 2022
NCT02797951 (Pubmed) Manual	Phase 3	Cluster Headache	164	Galcanezumab-gnlm	czkrvngeye(qifkopxbew) = ihxziefkrj bedzzkutja (nqcgoffpxe ) View more	Positive	27 May 2022
NCT02614261 (REGAIN, Pubmed \| Curr Med Res Opin)	Phase 3	Migraine Disorders	1,022	Galcanezumab loading dose (240mg)	pjjezfdrwe(vahrbcnkxg) = Incidence of discontinuation from the OLE due to adverse events was 5%. oziyqpabqe (nzipekybsl )	Positive	08 Apr 2022
				Galcanezumab 120mg/month
NCT04294147 (CTgov)	Phase 4	Migraine Disorders	65	Erenumab (140 mg Erenumab SC)	tiqaiyqehj(xzqdlvvkov) = gcitujsqlf kvuuuvcliz (lsgdjzqswg, doaymxqvxj - hbyvzfqexm) View more	-	22 Mar 2022
				Galcanezumab (240 mg Galcanezumab SC)	tiqaiyqehj(xzqdlvvkov) = flxherajwz kvuuuvcliz (lsgdjzqswg, jvwenxdkgy - zshrbtykjy) View more

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