Evidence map›Paper›PMID 30377991›Full record

ArticlePharmacoEconomics - open2019

Costs of Acute Headache Medication Use and Productivity Losses Among Patients with Migraine: Insights from Three Randomized Controlled Trials.

Joshua K Porter, Gian Luca Di Tanna, Richard B Lipton, Sandhya Sapra, Guillermo Villa

3 registry-linked trialsAbstract read
In one paragraph

Article in PharmacoEconomics - open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02066415 phase2completednot on this map

A Phase 2, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of AMG 334 in Chronic Migraine Prevention

TypeinterventionalSponsorAmgenRan2014 to 2016Enrolled667ConditionsTreatment for Prevention of Chronic MigraineArmsErenumab, Placebo
NCT02456740 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of AMG 334 in Migraine Prevention

TypeinterventionalSponsorAmgenRan2015 to 2017Enrolled955ConditionsMigraineArmsErenumab, Placebo
NCT02483585 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of AMG 334 in Migraine Prevention

TypeinterventionalSponsorAmgenRan2015 to 2017Enrolled577ConditionsMigraineArmsErenumab, Placebo
3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. The Environment and Headache: a Narrative Review.Current environmental health reports · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. An Application of a Hybrid Intelligent System for Diagnosing Primary Headaches.International journal of environmental research and public health · 2021
    Article
  18. Impact of Individual Headache Types on the Work and Work Efficiency of Headache Sufferers.International journal of environmental research and public health · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Joshua K PorterEconomic Modeling Center of Excellence, Amgen (Europe) GmbH, Suurstoffi 22, Rotkreuz, Zug, 6343, Switzerland. joshua.porter@amgen.com.ORCID http://orcid.org/0000-0002-1641-4625
Gian Luca Di TannaEconomic Modeling Center of Excellence, Amgen (Europe) GmbH, Suurstoffi 22, Rotkreuz, Zug, 6343, Switzerland.
Richard B LiptonAlbert Einstein College of Medicine, New York, NY, 10461, USA.
Sandhya SapraAmgen Inc, Thousand Oaks, CA, 91320, USA.
Guillermo VillaEconomic Modeling Center of Excellence, Amgen (Europe) GmbH, Suurstoffi 22, Rotkreuz, Zug, 6343, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMigraine is associated with a substantial physical and emotional burden for patients. There is also a large economic burden associated with migraine, in terms of lost productivity and healthcare resource use. By reducing the number of monthly migraine days (MMD) experienced by patients, effective preventive treatments can reduce acute medication use and costs of lost productivity.

methodsPatient level data from three erenumab clinical trials (NCT02456740, NCT02483585 and NCT02066415) were combined and migraine day frequencies were examined. The number of days per month on which patients used acute medication was estimated as a function of MMD. Productivity losses were estimated based on patient responses to the Migraine Disability Assessment questionnaire. Zero-inflated Poisson regression models were used to predict acute medication use and productivity losses per MMD.

resultsThe results demonstrated that as MMD increased, use of acute medication also increased. Similarly, as MMD increased, loss of productivity (due to absenteeism and presenteeism) also increased. The relationship of MMD to both acute headache medication use and lost productivity was non-linear, with marginal outcomes increasing with frequency.

conclusionsAs MMD increased, acute medication use and productivity loss also increased, but the relationship was non-linear. Therefore, it is important that the distribution of MMD patients is accounted for when estimating the outcomes of migraine patients. By reducing the MMD experienced by patients, effective preventive agents may reduce the requirement for acute medication and also reduce productivity loss, which may translate into potential economic savings.

Identifiers

PMID30377991
PMCPMC6710313

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.