Topiramate

New 12-month data from the INFUSE study show patient-reported outcomes related to multiple migraine-related cognitive symptoms in participants who failed at least one prior calcitonin gene-related peptide (CGRP)-targeted therapy 1 Six-month data from the INFUSE study was recently published in Cephalalgia Reports, an official journal of the International Headache Society New PROCEED phase 2b route of administration and dose-finding trial results of bocunebart (Lu AG09222; anti-PACAP mAb) being investigated in migraine prevention 2 DEERFIELD, Ill.--(BUSINESS WIRE)--Lundbeck US, the US subsidiaries of H. Lundbeck A/S., today announced the presentation of new VYEPTI® (eptinezumab-jjmr) data at the American Headache Society’s (AHS) 68th Annual Scientific Meeting, taking place June 4-7, 2026, in Orlando, Florida. The presentations will share findings from the INFUSE, DELIVER, SUNSET, and RESOLUTION trials, featuring real-world data and phase 3 clinical trial post-hoc analyses of VYEPTI and patient-reported outcomes on headache hours, brain fog and other cognitive symptoms, and dose escalation. New phase 2b data on bocunebart, an investigational drug targeting Pituitary Adenylate Cyclase-Activating Polypeptide (PACAP) for the prevention of migraine, will also be presented. “To truly raise the bar and optimize outcomes for migraine care, we must continue to focus on what patients report are meaningful to them,” said Damian Fiore, Vice President, US Medical Affairs, Neurology at Lundbeck. “These data reinforce the importance of looking beyond headache days to the broader burden of migraine and the sustained impact preventive treatment may have over time.” VYEPTI is indicated for the preventive treatment of migraine in adults. VYEPTI is contraindicated in patients with serious hypersensitivity to eptinezumab-jjmr or to any of its ingredients. Reactions have included anaphylaxis and angioedema. Please see Important Safety Information below. Lundbeck VYEPTI Migraine Data at AHS Presentation Summary Presentation Number Real-world effectiveness of eptinezumab treatment on migraine-related cognitive symptoms in participants in whom ≥1 prior CGRP-targeted therapy had failed: 12-month results of the INFUSE study In the 12-month INFUSE study, patients reported a sustained improvement across multiple cognitive symptoms in participants who self-reported at least one prior CGRP-targeted therapy had failed. 1 At 12 months, participants measured changes across all cognitive symptoms evaluated, including brain fog, difficulty making decisions, reading comprehension, and complex tasks. 1 These findings underscore the importance of evaluating cognitive burden in migraine and assessing changes during preventive treatment. T 15 Reductions in Headache hours with severe pain intensity with eptinezumab treatment: Post hoc analysis of the DELIVER trial The post-hoc analysis of the 72-week DELIVER trial ( NCT04418765 ) investigated total time (in hours) spent with headache and headache hours with severe pain through 72 weeks in patients with chronic or episodic migraine and 2-4 previous preventive treatment failures. The full analysis set (N=890) was evaluated. 3 This analysis supports the concept that pain is a distinct dimension of migraine, separate from frequency. T 29 Dose escalation to eptinezumab 300 mg: A subgroup analysis of the 60-week, open-label SUNSET trial in Japanese participants with chronic migraine who experienced suboptimal response A post-hoc analysis of the 60-week extension phase of the SUNSET trial ( NCT05064371 ) evaluated dose escalation in Japanese participants (n=160) with chronic migraine who had a suboptimal response (14 days, and episodic migraine as migraine occurring on ≥4 days and headache occurring on ≤14 days. All patients had to have experienced failures of two to four prior preventive treatment classes (including: propranolol, metoprolol, topiramate, amitriptyline, flunarizine, valproate, divalproex, candesartan) or botulinum toxin A/B (if documented that botulinum toxin was used for chronic migraine), and at least one failure being due to inadequate efficacy. Patients who experienced failure on a previous treatment targeting the CGRP pathway were excluded from participation. Documented evidence of prior migraine treatment failures was supported by medical records or by physicians’ confirmation specific to each treatment in the past 10 years. About the SUNSET trial The SUNSET trial (NCT05064371) was an extension of the phase 3, multiregional, randomized, double-blind, placebo-controlled SUNRISE trial (NCT04921384) conducted in adults (18–75 years) diagnosed with chronic migraine. 159 Japanese participants who completed SUNRISE were enrolled and treated in SUNSET after completing 12-week, randomized, double-blind treatment with IV eptinezumab-jjmr 100 mg, 300 mg, or placebo. SUNSET comprised a 60-week open-label treatment period (during which participants received IV eptinezumab-jjmr every 12 weeks [5 doses total] and completed a daily electronic diary) and an 8-week safety follow-up period. All participants received eptinezumab-jjmr 100 mg at baseline in SUNSET, participants who did not achieve ≥50% reduction from SUNRISE baseline in monthly migraine days (MMDs; SUNSET Weeks 1–12) had their dose increased to 300 mg at SUNSET Week 12 and onward. The primary endpoints investigated long-term safety and tolerability, including treatment emergent adverse events (TEAEs). Secondary endpoints included change from baseline in the number of MMDs, ≥50% and ≥75% migraine responder rates (MRRs), and Patient Global Impression of Change (PGIC) score. Exploratory endpoints included change from baseline in the Migraine-specific Work Productivity and Activity Impairment (WPAI:M) questionnaire domain scores. About the RESOLUTION trial The RESOLUTION trial was a phase IV, multi-national, randomized, double-blind, placebo-controlled trial. The trial enrolled 608 participants with dual diagnoses of chronic migraine and MOH, and participants were randomly allocated to one of two treatment groups, brief educational intervention (BEI) and eptinezumab-jjmr (100 mg; n = 305) or BEI and placebo (n = 303), in a 1:1 ratio. BEI involves a short screening followed by individual feedback on how and why acute migraine medication use should be reduced, and this approach to patient education has been shown to result in long-term medication reductions for patients with MOH. RESOLUTION is the first randomized controlled trial to assess the efficacy of an anti-CGRP treatment in combination with structured patient education in chronic migraine and MOH. The primary endpoint was the change from baseline in monthly migraine days over weeks 1-4. Key secondary endpoints included change from baseline in average daily pain assessment score (as accessed by 3-point pain intensity scale, mild, medium, severe), and change from baseline in acute medication use over 1-12 weeks. Other secondary and exploratory endpoints assessed monthly migraine days over weeks 1-12, MOH remission, transition from chronic to episodic migraine, reductions in headache-related burden, migraine-related disability, work productivity loss, activity impairment, and the safety and tolerability of eptinezumab-jjmr in this patient population. The participants in the RESOLUTION trial were mainly from European countries. About bocunebart Bocunebart is an investigational monoclonal antibody (mAb) with a novel mechanism of action. It is engineered to bind to and inhibit the signaling of pituitary adenylate cyclase-activating polypeptide (PACAP), a neuropeptide implicated in migraine pathophysiology. This mechanism operates through a pathway distinct from that targeted by anti-calcitonin gene-related peptide (anti-CGRP) therapies. Bocunebart represents a potential new treatment class and could provide an alternative option for migraine prevention, offering hope to individuals severely affected by the condition. Bocunebart is an investigational drug, not approved by the US Food and Drug Administration (FDA) or any other regulatory agency, and the efficacy and safety of bocunebart have not been established. About the PROCEED trial The PROCEED trial assessed the efficacy, safety, and tolerability of bocunebart versus placebo when administered once monthly for three months. The PROCEED trial aimed to establish the optimal dose and route of administration, subcutaneous and IV, of bocunebart. In the IV part of PROCEED a total of 431 patients from 14 countries (Bulgaria, Czechia, Denmark, France, Georgia, Germany, Hungary, Lithuania, Japan, Poland, Romania, Slovakia, Spain, and the United States) were randomized. The primary efficacy endpoint was defined as the difference between bocunebart and placebo in the mean change from baseline in the number of monthly migraine days over weeks 1 to 12. The target population for this trial was defined as patients diagnosed with migraine as outlined in the International Classification of Headache Disorders Third Edition (ICHD-3) and with treatment failure of 1-4 different preventive migraine medications in the past 10 years. About Lundbeck Lundbeck is a global biopharmaceutical company focusing exclusively on brain health. With more than 70 years of experience in neuroscience, we are committed to improving the lives of people with neurological and psychiatric diseases. Brain disorders affect a large part of the world’s population, and the effects are felt throughout society. With the rapidly improving understanding of the biology of the brain, we hold ourselves accountable for advancing brain health by curiously exploring new opportunities for treatments. As a focused innovator, we strive for our research and development programs to tackle some of the most complex neurological challenges. We develop transformative medicines targeting people for whom there are few or no treatments available, expanding into neuro-specialty and neuro-rare from our strong legacy within psychiatry and neurology. We are committed to fighting stigma and we act to improve health equity. We strive to create long-term value for our shareholders by making positive contributions to patients, their families and society as a whole. Lundbeck has more than 5,000 employees in more than 20 countries and our products are available in more than 80 countries. Lundbeck US comprises the wholly owned US subsidiaries of H. Lundbeck A/S (HLUNa / HLUNb, HLUNA DC / HLUNB DC) (“Lundbeck”), including Lundbeck LLC and Lundbeck Pharmaceuticals LLC. For additional information, please visit Lundbeck.com/us and connect with us on LinkedIn , Instagram , and X at @LundbeckUS . References Starling, A., Lipton, R., Soni-Brahmbhatt., et al. Real-World Impact of Eptinezumab Treatment on Migraine-Related Cognitive Symptoms in Participants in Whom ≥1 Prior CGRP-Targeted Therapy had Failed: 12-Month Results of a Prospective Study. Presented at American Headache Society 68th Annual Scientific Meeting. June 2026. Ailani, J., Phul, R., Florea, I., et al. Targeting PACAP in migraine prevention: Outcomes from the PROCEED phase 2b trial of bocunebart (Lu AG09222). Presented at American Headache Society 68th Annual Scientific Meeting. June 2026. Tassorelli, C., Awad, S., Grossman, S., et al. Headache hours with severe pain intensity during long-term treatment with eptinezumab: Post hoc analysis of the DELIVER trial. Presented at American Headache Society 68th Annual Scientific Meeting. June 2026. Mcallister, P., Asher, D., Awad, S., et al. Dose escalation to eptinezumab 300 mg: A subgroup analysis of the 60-week, open-label SUNSET trial in Japanese participants with chronic migraine who experienced suboptimal response. Presented at American Headache Society 68th Annual Scientific Meeting. June 2026. Lipton, R., Terwindt, G., Jensen, R., et al. Consistent efficacy of eptinezumab across countries in adults with CM and MOH who also received patient education: Results from the RESOLUTION trial. Presented at American Headache Society 68th Annual Scientific Meeting. June 2026. Starling, A., Ailani, J., Florea, I., et al. Safety and Tolerability of Anti-PACAP Monoclonal Antibody Lu AG09222 when Co-administered with a Gepant in Participants with Migraine. Presented at American Headache Society 68th Annual Scientific Meeting. June 2026. What is migraine? nids.nih.gov Law H. Z., Chung M. H., Nissan G., Janis J. E., Amirlak B. Hospital burden of migraine in United States adults: A 15-year national inpatient sample analysis. 2020. Lipton R. B., Buse D. C., Nahas S. J., et al. Risk factors for migraine disease progression: a narrative review for a patient-centered approach. J Neurol . 2023;270(12):5692-5710. doi:10.1007/s00415-023-11880-2 Cohen, F., Brooks, C. V., Sun, D., Buse, D. C., Reed, M. L., Fanning, K. M., & Lipton, R. B. (2024). Prevalence and burden of migraine in the United States: A systematic review. Headache , 64(5), 516–532. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Buse D. C., Scher A. I., Dodick D. W., et al. Impact of Migraine on the family: Perspectives of people with migraine and their spouse/domestic partner in the CaMEO study. Mayo Clinic . 2016, 91(5):596-611. doi: 10.1016/j.mayocp.2016.02.013 . Contacts Brittany Korb Director, Product and Portfolio Communications brkr@lundbeck.com

一、药物发现中的机器学习应用 虚拟筛选是机器学习最成熟的应用之一。传统分子对接计算成本高，而机器学习模型可在毫秒级预测化合物与靶点的结合亲和力。基于描述符的随机森林模型和基于图神经网络的深度学习模型能有效学习分子结构与活性的复杂映射关系。生成模型可探索化学空间，设计具有理想性质的全新分子结构，突破已知化合物库的限制 二、ADMET性质预测 药物研发失败案例中约50%归因于不良的ADMET性质。机器学习模型可同时预测吸收、分布、代谢、排泄和毒性多个终点。DeepTox利用深度神经网络在Tox21数据集上达到0.95以上的AUC；ADMETlab平台整合多种算法，支持30余个性状预测。关键技巧：使用扩展连通性指纹或多通道特征编码分子，采用多任务学习提升小样本预测性能。预测结果指导化合物优先排序，减少后期损耗 三、药效预测与药物重定位 药物重定位通过发现已有药物的新适应症，显著缩短研发周期。机器学习方法包括：基于表达谱的连接图计算药物处理与疾病差异表达的相关性；基于知识图谱的关系推理整合药物-靶点-疾病三元组；基于网络邻近度的算法评估药物靶点与疾病蛋白模块的距离。代表性成功案例：托吡酯通过机器学习预测用于炎症性肠病，已进入临床验证 四、定量构效关系与活性优化 QSAR模型从传统统计学方法发展为深度学习方法。图注意力网络捕获分子局部和全局特征，可解释性注意力权重能定位关键药效团。主动学习策略在标记数据稀缺时迭代选择最具信息量的化合物进行实验验证，大幅减少湿实验成本。优化过程中结合贝叶斯优化进行多目标优化，平衡活性和类药性。 五、毒理学预测与安全性评估 毒性预测模型利用文献和注册数据训练，支持hERG、肝毒性、遗传毒性等终点评估。深度学习和图核方法在hERG阻滞预测中达到85%以上的准确率。负样本生成技术增强模型对不平衡数据的处理能力。集成学习融合多种基线模型，进一步提升预测稳健性 六、个体化用药与临床药理 药代动力学模型：基于群体药代数据的机器学习模型可预测个体血药浓度，指导万古霉素、华法林等治疗窗窄药物的剂量调整。药物反应预测：利用患者多组学特征和临床指标，构建分类模型预测抗癌药物敏感性。不良事件预警：自然语言处理挖掘电子病历和FAERS数据库，识别药物-不良事件关联信号 #机器学习# #药理学# #药物设计# #ADMET预测# #药物重定位# #QSAR#