FDA approves Aimovig ( erenumab-aooe )

May 17, 2018, The U.S. Food and Drug Administration today approved Aimovig (erenumab-aooe) for the preventive treatment of migraine in adults. The treatment is given by once-monthly self-injections. Aimovig is the first FDA-approved preventive migraine treatment in a new class of drugs that work by blocking the activity of calcitonin gene-related peptide, a molecule that is involved in migraine attacks.

“Aimovig provides patients with a novel option for reducing the number of days with migraine,” said Eric Bastings, M.D., deputy director of the Division of Neurology Products in the FDA’s Center for Drug Evaluation and Research. “We need new treatments for this painful and often debilitating condition.” 

Patients often describe migraine headache pain as an intense pulsing or throbbing pain in one area of the head. Additional symptoms include nausea and/or vomiting and sensitivity to light and sound. Approximately one-third of affected individuals can predict the onset of a migraine because it is preceded by an aura – transient sensory or visual disturbances that appear as flashing lights, zig-zag lines or a temporary loss of vision. People with migraine tend to have recurring attacks triggered by a number of different factors, including stress, hormonal changes, bright or flashing lights, lack of food or sleep and diet. Migraine is three times more common in women than in men and affects more than 10 percent of people worldwide.

The effectiveness of Aimovig for the preventive treatment of migraine was evaluated in three clinical trials. The first study included 955 participants with a history of episodic migraine and compared Aimovig to placebo. Over the course of six months, Aimovig-treated patients experienced, on average, one to two fewer monthly migraine days than those on placebo. The second study included 577 patients with a history of episodic migraine and compared Aimovig to placebo. Over the course of three months, Aimovig-treated patients experienced, on average, one fewer migraine day per month than those on placebo. The third study evaluated 667 patients with a history of chronic migraine and compared Aimovig to placebo. In that study, over the course of three months, patients treated with Aimovig experienced, on average, 2 ½ fewer monthly migraine days than those receiving placebo. 

The most common side effects that patients in the clinical trials reported were injection site reactions and constipation. 

DRUG TRIALS SNAPSHOT SUMMARY:

What is the drug for?

AIMOVIG is a drug used for the preventive treatment of migraine in adults.

A migraine is a type of headache that can be associated with nausea, vomiting, and sensitivity to light, sound, or smell.

How is this drug used?

AIMOVIG is an injection given under the skin (subcutaneous) once a month.

What are the benefits of this drug?

Patients treated with AIMOVIG experienced fewer days of migraine headaches per month in comparison to patients who received placebo treatment.

Were there any differences in how well the drug worked in clinical trials among sex, race and age?

• Sex AIMOVIG worked similarly in men and women.
• Race: The majority of patients were White. The number of patients in other races were limited; therefore, differences in side effects among races could not be determined.
• Age: AIMOVIG worked similarly in patients younger or older than 40 years of age.