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Nurtec ODT
Nurtec ODT (rimegepant (as sulfate)) was approved for the following therapeutic use:
Nurtec ODT is indicated for:
• acute treatment of migraine with or without aura in adults;
• prophylactic treatment of episodic migraine in adults who have at least 4 migraine attacks per month.
Rimegepant binds with high affinity to the human calcitonin gene-related peptide (CGRP) receptor and antagonises CGRP receptor function.
Multiple lines of clinical evidence point to a role for CGRP in migraine pathophysiology: 1) serum levels of CGRP are elevated during migraine; 2) treatment with anti-migraine drugs returns CGRP levels to normal coincident with pain relief and 3) intravenous (IV) CGRP infusion produces lasting pain in non-migraineurs and migraineurs.
The decision was based on quality (chemistry and manufacturing), nonclinical (pharmacology and toxicology), clinical (pharmacology, safety and efficacy) and risk management plan information submitted by the sponsor. The benefit-risk profile of Nurtec ODT was considered favourable for the therapeutic use approved.