Paper Details 
Original Abstract of the Article :
<b>Aim:</b> Atogepant, a calcitonin gene-related peptide (CGRP) receptor antagonist, is a substrate of OATP and metabolized by CYP3A4. Effect of multiple-dose itraconazole (strong CYP3A4 inhibitor), single-dose rifampin (strong OATP inhibitor) and multiple-dose rifampin (strong CYP3A4 inducer) on s...See full text at original site
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引用元:
https://doi.org/10.2217/pmt-2023-0056

データ提供:米国国立医学図書館(NLM)

Atogepant: A New Era of Migraine Management

Atogepant, a new medication for the treatment of migraine, is a calcitonin gene-related peptide (CGRP) receptor antagonist. This study explores the pharmacokinetic interactions between atogepant and other drugs that affect its metabolism or transportation. The study found that atogepant’s systemic exposure significantly increased when co-administered with itraconazole, a strong inhibitor of CYP3A4, an enzyme responsible for metabolizing atogepant. Atogepant exposure also increased when co-administered with a single dose of rifampin, a strong inhibitor of OATP, a transporter protein that helps to move atogepant into the body’s cells. However, atogepant exposure decreased when co-administered with multiple doses of rifampin, which acts as a strong inducer of CYP3A4, increasing the rate of atogepant metabolism.

Understanding Drug Interactions

This research provides valuable insights into the pharmacokinetic interactions of atogepant with other medications. The findings highlight the importance of considering potential drug interactions when prescribing atogepant, especially for patients taking medications that affect CYP3A4 or OATP activity. This knowledge allows healthcare providers to adjust dosages or consider alternative medications to ensure optimal treatment outcomes and minimize the risk of adverse effects.

A New Approach to Migraine Treatment

The development of atogepant represents a promising new era in migraine treatment, offering a targeted approach to addressing the underlying mechanisms of migraine. However, understanding its interactions with other medications is crucial for ensuring safe and effective treatment. This research is a testament to the importance of ongoing investigation and a commitment to personalized medicine, tailoring treatments to the individual needs of each patient.

Dr. Camel's Conclusion

This study reminds us that in the vast desert of drug development, understanding the intricate interactions between different medications is essential for ensuring patient safety and maximizing treatment effectiveness. It encourages us to approach healthcare with a sense of curiosity and a commitment to personalized medicine.

Date :
  1. Date Completed n.d.
  2. Date Revised 2023-08-31
Further Info :

Pubmed ID

37650778

DOI: Digital Object Identifier

10.2217/pmt-2023-0056

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English

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