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| Brand Name | Imitrex | | | | | | | | | | | | | | | | | | | | | |
| Generic Name | Sumatriptan | | | | | | | | | | | | | | | | | | | | | |
| Mechanism | Selective 5-ht1 agonist (no 5-ht2, etc.) | | | | | | | | | | | | | | | | | | | | | |
| | Mediates vasoconstriction | | | | | | | | | | | | | | | | | | | | | |
| Administration | Oral tablet, subcutaneous injection, nasal spray | | | | | | | | | | | | | | | | | | | | | |
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| | Oral Tablet | | | | | | | | | | | | | | | | | | | | | |
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| | | Pain Relief at 2 Hours | | | | Pain Relief at 4 Hours | | | | | | | | | | | | | | | | |
| | | Placebo | 25mg | 50mg | 100mg | Placebo | 25mg | 50mg | 100mg | | | | | | | | | | | | | |
| | Study 1 | 0.27 | 0.52 | 0.61 | 0.62 | 0.38 | 0.67 | 0.78 | 0.79 | | | | | | | | | | | | | |
| | Number of Patients (N) | 94 | 298 | 296 | 296 | 94 | 298 | 296 | 296 | | | | | | | | | | | | | |
| | Study 2 | 0.26 | 0.52 | 0.5 | 0.56 | 0.38 | 0.7 | 0.68 | 0.71 | | | | | | | | | | | | | |
| | Number of Patients (N) | 65 | 66 | 62 | 66 | 65 | 66 | 62 | 66 | | | | | | | | | | | | | |
| | Study 3 | 0.17 | 0.52 | 0.54 | 0.57 | 0.19 | 0.65 | 0.72 | 0.78 | | | | | | | | | | | | | |
| | Number of Patients (N) | 47 | 48 | 46 | 46 | 47 | 48 | 46 | 46 | | | | | | | | | | | | | |
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| | Subcutaneous Injection | | | | | | | | | | | | | | | | | | | | | |
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| | | Placebo | 1mg | 2mg | 3mg | 4mg | 6mg | 8mg | | | | | | | | | | | | | | |
| | Number of Patients (N) | 62 | 30 | 30 | 30 | 30 | 30 | 30 | | | | | | | | | | | | | | |
| | Relief (10 min) | 0.05 | 0.1 | 0.07 | 0.17 | 0.13 | 0.1 | 0.23 | | | | | | | | | | | | | | |
| | Relief (30 min) | 0.15 | 0.4 | 0.23 | 0.47 | 0.37 | 0.63 | 0.57 | | | | | | | | | | | | | | |
| | Relief (1 hr) | 0.24 | 0.43 | 0.57 | 0.57 | 0.5 | 0.73 | 0.8 | | | | | | | | | | | | | | |
| | Relief (2 hr) | 0.21 | 0.4 | 0.43 | 0.6 | 0.57 | 0.7 | 0.83 | | | | | | | | | | | | | | |
| | Adverse Events Incidence | 0.55 | 0.63 | 0.63 | 0.77 | 0.8 | 0.83 | 0.93 | | | | | | | | | | | | | | |
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| | | Study 1 | | Study 2 | | | | | | | | | | | | | | | | | | |
| | | Placebo | 6mg | Placebo | 6mg | | | | | | | | | | | | | | | | | |
| | | n=190 | n=384 | n=180 | n=350 | | | | | | | | | | | | | | | | | |
| | 1-Hour Data | | | | | | | | | | | | | | | | | | | | | |
| | Pain Relief (grade 0/1) | 0.18 | 0.7 | 0.26 | 0.7 | | | | | | | | | | | | | | | | | |
| | No Pain | 0.05 | 0.48 | 0.13 | 0.49 | | | | | | | | | | | | | | | | | |
| | Without Nausea | 0.48 | 0.73 | 0.5 | 0.73 | | | | | | | | | | | | | | | | | |
| | Without Photophobia | 0.23 | 0.56 | 0.25 | 0.58 | | | | | | | | | | | | | | | | | |
| | Little or No Clinical Disability | 0.34 | 0.76 | 0.34 | 0.76 | | | | | | | | | | | | | | | | | |
| | 2-Hour Data | | | | | | | | | | | | | | | | | | | | | |
| | Pain Relief (grade 0/1) | 0.31 | 0.81 | 0.39 | 0.82 | | | | | | | | | | | | | | | | | |
| | No Pain | 0.11 | 0.63 | 0.19 | 0.65 | | | | | | | | | | | | | | | | | |
| | Without Nausea | 0.56 | 0.82 | 0.63 | 0.81 | | | | | | | | | | | | | | | | | |
| | Without Photophobia | 0.31 | 0.72 | 0.35 | 0.71 | | | | | | | | | | | | | | | | | |
| | Little or No Clinical Disability | 0.42 | 0.85 | 0.49 | 0.84 | | | | | | | | | | | | | | | | | |
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| | Nasal Spray | | | | | | | | | | | | | | | | | | | | | |
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| | | placebo | 5mg | 10mg | 20mg | | | | | | | | | | | | | | | | | |
| | Headache Response (2 hrs) | | | | | | | | | | | | | | | | | | | | | |
| | Study 1 | 0.25 | 0.49 | 0.46 | 0.64 | | | | | | | | | | | | | | | | | |
| | Number of Patients (N) | 63 | 121 | 112 | 118 | | | | | | | | | | | | | | | | | |
| | Study 2 | 0.25 | n/a | 0.44 | 0.55 | | | | | | | | | | | | | | | | | |
| | Number of Patients (N) | 138 | | 273 | 277 | | | | | | | | | | | | | | | | | |
| | Study 3 | 0.35 | n/a | 0.54 | 0.63 | | | | | | | | | | | | | | | | | |
| | Number of Patients (N) | 100 | | 106 | 202 | | | | | | | | | | | | | | | | | |
| | Study 4 | 0.29 | n/a | 0.43 | 0.62 | | | | | | | | | | | | | | | | | |
| | Number of Patients (N) | 112 | | 106 | 215 | | | | | | | | | | | | | | | | | |
| | Study 5 | 0.36 | 0.54 | 0.53 | 0.6 | | | | | | | | | | | | | | | | | |
| | Number of Patients (N) | 198 | 296 | 291 | 286 | | | | | | | | | | | | | | | | | |
| | Adverse Events | | | | | | | | | | | | | | | | | | | | | |
| | Number of Patients (N) | 704 | 496 | 1007 | 1212 | | | | | | | | | | | | | | | | | |
| | Burning Sensation | 0.001 | 0.004 | 0.006 | 0.014 | | | | | | | | | | | | | | | | | |
| | Sinus Discomfort | 0.024 | 0.028 | 0.025 | 0.038 | | | | | | | | | | | | | | | | | |
| | Throat Discomfort | 0.009 | 0.008 | 0.018 | 0.024 | | | | | | | | | | | | | | | | | |
| | Nausea/Vomiting | 0.113 | 0.122 | 0.11 | 0.135 | | | | | | | | | | | | | | | | | |
| | Dizziness | 0.009 | 0.01 | 0.017 | 0.014 | | | | | | | | | | | | | | | | | |
| | Taste | 0.017 | 0.135 | 0.193 | 0.245 | | | | | | | | | | | | | | | | | |
| | Information Source: Imitrex Nasal Spray Prescribing Information | | | | | | | | | | | | | | | | | | | | | |
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| £ millions | 1Q04A | 2Q04A | 3Q04A | 4Q04A | 1Q05A | 2Q05A | 3Q05A | 4Q05A | 1Q06A | 2Q06E | 3Q06E | 4Q06E | | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 |
| - USA | 126 | 109 | 127 | 130 | 123 | 112 | 131 | 138 | 135 | 130 | 123.48 | 105.44 | | 560 | 492 | 504 | 493.92 | 390 | 234 | 140.4 | 84.24 | 50.544 |
| - Europe | 35 | 36 | 36 | 35 | 33 | 37 | 36 | 38 | 37 | 37.5 | 37.5 | 38 | | 146 | 142 | 144 | 150 | 148.5 | 147.015 | 145.54485 | 144.0894015 | 142.648507485 |
| - RoW | 11 | 13 | 12 | 12 | 11 | 13 | 13 | 12 | 10 | 12.1275 | 12.1275 | 14.255 | | 53 | 48 | 49 | 48.51 | 48.024899999999995 | 47.544650999999995 | 47.06920449 | 46.5985124451 | 46.132527320649 |