Chan KY et al., 2010, Characterization of the calcitonin gene-related peptide receptor antagonist telcagepant (MK-0974) in human isolated coronary arteries., J Pharmacol Exp Ther TTD : Telcagepant Version: 2020.06.01

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Results Telcagepant was generally well tolerated: 66/2660 (2.5%) on telcagepant and 36/1326 (2.7%) on placebo discontinued because of a clinical adverse event. The percentages of patients with clinical adverse events, laboratory adverse events, or discontinuation because of a laboratory adverse event were also similar between treatments.

Merck's ($MRK) headaches in developing migraine drugs continue. The drug giant revealed today that it has kicked to the curb its late-stage drug telcagepant, a once-touted experimental drug for Discontinued Endocrine disorders; Migraine Most Recent Events 24 Jun 2018 Biomarkers information updated 29 Jul 2011 Discontinued - Phase-I for Migraine in Belgium (PO) 29 Jul 2011 Discontinued - Phase-II/III for Migraine in USA (PO) 2006-10-26. Telcagepant has been investigated for the treatment of Migraine. It is an antagonist of the receptor for calcitonin gene-related peptide (CGRP), a primary neuropeptide involved in the pathophysiology of migraine.

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Telcagepant, which were evaluated in some clinical trials about abortive treatment of migraine, had not reported cardiovascular events (Connor et al., 2011 ; Connor et al., 2009 ; Hewitt, Martin, et al., 2011 ; Ho et al., 2010 , 2012 ; Ho, Ferrari, et al., 2008 ; Ho, Mannix, et al., 2008 ). However, previously investigated CGRP receptor antagonists, telcagepant and MK-3207, were discontinued during clinical development because of concerns about drug-induced liver injury. A subsequent effort to identify novel CGRP receptor antagonists less likely to cause hepatotoxicity led to the development of ubrogepant. Telcagepant is orally available and several completed Phase III trials have revealed positive results.

Telcagepant is orally available and several completed Phase III trials have revealed positive results. In several comparative studies of telcagepant and triptans, telcegepant did not appeared more effective than zolmitriptan or rizatriptan, although it had fewer triptan-related adverse events and drug-related adverse enents.

Pooled together, all doses had a response rate of 60%. Onset of effect occurred 30 minutes post dose. Adverse events happened in 20% vs 12% in those receiving placebo. 77 Olcegepant was discontinued because of difficulties in developing an oral formulation. Telcagepant (MK‐0974) was the first orally available CGRP‐RA.

Both treatments were well-tolerated with dry mouth, nausea, dizziness, and somnolence again appearing as the most common adverse events to CGRP antagonism. Telcagepant is orally available and several completed Phase III trials have revealed positive results. In several comparative studies of telcagepant and triptans, telcegepant did not appeared more effective than zolmitriptan or rizatriptan, although it had fewer triptan-related adverse events and drug-related adverse enents. Conclusions.- Two doses of 300-mg telcagepant, administered 2 hours apart, did not appear to exacerbate spontaneous ischemia and were generally well tolerated in a small cohort of patients with stable coronary artery disease.

Telcagepant discontinued

The Merck CGRP antagonist telcagepant does not contract or relax human “ Merck is discontinuing the clinical development program for telcagepant, the 

Telcagepant discontinued

The percentages of patients with clinical adverse events, laboratory adverse events, or discontinuation because of a laboratory adverse event were also similar between treatments.

Telcagepant discontinued

Onset of effect occurred 30 minutes post dose. Adverse events happened in 20% vs 12% in those receiving placebo.
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Telcagepant discontinued

While telcagepant demonstrated a clinical effect, development  17 Oct 2018 Merck & Co's telcagepant were discontinued after researchers detected liver enzyme elevations. Allergan said it would submit ubrogepant for  6 May 2018 Keywords.

The percentages of patients with clinical adverse events, laboratory adverse events, or discontinuation because of a laboratory adverse event were also similar between treatments.
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Two participants discontinued treatment with atogepant due to AEs. Randomized controlled trial of the CGRP receptor antagonist telcagepant for migraine 

As a result of this action, pediatric development will be discontinued. Regardless, Merck discontinued the development of telcagepant and another compound MK-3207 in July 2011 due to liver toxicity.


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Telcagepant 140 mg was administered once daily at bedtime for 7 consecutive days each month, beginning at the onset of menses, for up to 6 months. Dosing could begin up to 3 days prior to menses onset if prodromal symptoms reliably predicted onset of menses.

The percentages of patients with clinical adverse events, laboratory adverse events, or discontinuation because of a laboratory adverse event were also similar between treatments.