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NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe)

Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

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Page 1: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

NEW PRODUCT SLIDESHOW

Aimovig (erenumab-aooe)

Page 2: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Introduction

Brand name: Aimovig

Generic name: Erenumab-aooe

Pharmacological class: Calcitonin gene-related peptide (CGRP) receptor antagonist

Strength and Formulation: 70mg/mL; soln for SC inj; preservative-free

Manufacturer: Amgen

How supplied: Single-dose prefilled SureClickautoinjectors—1, 2; Single-dose prefilled syringes—1, 2

Legal Classification: Rx

Page 3: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Indications

For the preventive treatment of

migraine in adults

Page 4: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Aimovig

Page 5: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Dosage & Administration

Give by SC inj into abdomen, thigh, or

upper arm

70 mg once monthly

Some patients may benefit from 140 mg

(given as 2 consecutive 70 mg inj) once

monthly

Page 6: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Considerations for Special

Populations

Pregnancy: No adequate data on

developmental risk

Nursing mothers: Consider benefits with

mother’s need and potential adverse

effects on infant

Pediatric: Not established

Elderly: Caution with dose selection

Renal impairment: Severe renal

impairment (<30mL/min/1.73 m²): not

studied

Page 7: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Warnings/Precautions

Do not inject into tender, bruised, red, or

hard areas

Latex allergy

Page 8: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Adverse Reactions

Injection site reactions

Constipation

Cramps

Muscle spasms

Page 9: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Mechanism of Action

Erenumab-aooe, a human

immunoglobulin G2 (IgG2) monoclonal

antibody, binds to the calcitonin gene-

related peptide (CGRP) receptor and

antagonizes CGRP receptor function

Page 10: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

Study 1 (N=955) was a randomized, multi-

center, 6-month, placebo-controlled, double-

blind study that enrolled patients with a

history of episodic migraine (4 to 14 migraine

days per month)

Page 11: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

Patients were randomized to Aimovig

70mg, Aimovig 140mg, or placebo as SC

injection once monthly for 6 months

Acute headache treatments were allowed,

including migraine-specific medications and

NSAIDs

Page 12: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

The primary efficacy endpoint was the

change from baseline in mean monthly

migraine days (MMD) over months 4 to 6

Page 13: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

At the end of 6 months, the change in MMD

from baseline was:

Aimovig 70mg: -3.2 days (P <.001)

Aimovig 140mg: -3.7 days (P <.001)

Placebo: -1.8 days

Page 14: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

Study 2 (N=577) was a randomized, multi-

center, 3-month, placebo-controlled, double-

blind study that enrolled patients with a

history of episodic migraine (4 to 14 migraine

days per month)

Page 15: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

Patients were randomized to receive either

Aimovig 70mg or placebo as SC injection

once monthly for 3 months

Acute headache treatments were allowed,

including migraine-specific medications and

NSAIDs

Page 16: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

The primary efficacy endpoint was the

change from baseline in MMD at month 3

Page 17: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

At the end of 3 months, the change in MMD

from baseline was:

Aimovig 70mg: -2.9 days (P <.001)

Placebo: -1.8 days

Page 18: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

Study 3 (N=667) was a randomized, multi-

center, 3-month, placebo-controlled,

double-blind study that enrolled patients

with a history of chronic migraine (≥15

headache days per month with ≥8 migraine

days per month) with or without aura

Page 19: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

Patients were randomized to Aimovig

70mg, Aimovig 140mg, or placebo as SC

injection once monthly for 3 months

Page 20: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

The primary efficacy endpoint was the

change from baseline in MMD at month 3

Page 21: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

Clinical Studies

At the end of 3 months, the change in MMD

from baseline was:

Aimovig 70mg: -6.6 days (P <.001)

Aimovig 140mg: -6.6 days (P <.001)

Placebo: -4.2 days

For more clinical data info, see full labeling

Page 22: Aimovig - Monthly Prescribing Reference · 2018. 8. 6. · NEW PRODUCT SLIDESHOW Aimovig (erenumab-aooe) Introduction ... with a history of chronic migraine (≥15 headache days per

New Product Monograph

For more information view the product

monograph available at:

https://www.empr.com/aimovig/drug/34835/