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                                                                Synonyms: ALD-403 | ALD403 | eptinezumab-jjmr | Vyepti®
                                 
                                                         
                            
                            
                            
                                 
                                
                                eptinezumab is an approved drug (FDA (2020), EMA (2022)) 
                                                        
                                                    
                                Compound class: 
                                                            Antibody
                                 
                                
                                    
                                        Comment: Eptinezumab is a humanized IgG1 anti-calcitonin gene-related peptide (CGRP) monoclonal antibody for the prevention of migraine [6]. It was developed by Lundbeck and their subsidiary Alder Biopharmaceuticals (Alderbio). The INN record for eptinezumab indicates that it binds to CALCA (α-CGRP) and CALCB (β-CGRP). Peptide sequence alignment using NCBI BLAST Protein reveals 100% matches with sequences claimed in Alderbio's patent WO2012162257A2, and distinguish eptinezumab as the monoclonal referred to as Ab5 in the patent document.   
                            
                            
                          
                                
                                    
                                
                          
                                   
                                   
                                  
                                    
                                    
                                    CGRP plays an important role in migraine pathophysiology [2], and both the CGRP peptide and its receptor (CGRPR) are targets of anti-migraine therapeutics [1,4-5]. Eptinezumab is the fourth anti-CGRP pathway monoclonal to reach the clinic: the others are erenumab (anti-CGRPR), galcanezumab (anti-CALCA/B) and fremanezumab (anti-CALCA/B). These antibodies are used as alternatives to CGRPR antagonists such as ubrogepant (FDA approved in 2019).  | 
                                    
Classification ![]()  | 
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| Compound class | Antibody | 
| Approved drug? | Yes. EU EMA (2022) | US FDA (2020) | 
International Nonproprietary Names ![]()  | 
                                                        |
| INN number | INN | 
| 10308 | eptinezumab | 
Synonyms ![]()  | 
                                                        
| ALD-403 | ALD403 | eptinezumab-jjmr | Vyepti® | 
Database Links ![]()  | 
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| Specialist databases | |
| IMGT/mAb-DB | 648 | 
| Other databases | |
| GtoPdb PubChem SID | 404859141 | 
| Search PubMed clinical trials | eptinezumab | 
| Search PubMed titles | eptinezumab | 
| Search PubMed titles/abstracts | eptinezumab |