Evidence map›Paper›PMID 30866804›Full record

ReviewThe journal of headache and pain2019

CGRP and migraine from a cardiovascular point of view: what do we expect from blocking CGRP?

Valentina Favoni, Luca Giani, Linda Al-Hassany, Gian Maria Asioli, Calogera Butera, Irene de Boer, Martina Guglielmetti, Chrysoula Koniari, Theodoros Mavridis, Marge Vaikjärv and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in The journal of headache and pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 6 pooled it
10.4field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 6 syntheses or guidelines pooled it, 131 citations in OpenAlex.

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  13. Retrospective Review of Dual CGRP-Targeted Regimens for Acute and Preventive Treatment of Migraines in a Veteran Population.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
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12 more citing papers are in PubMed but not listed here.

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

16 authors at 10 institutions in 4 countries.

Valentina FavoniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy. valentina.favoni2@unibo.it.ORCID http://orcid.org/0000-0001-5335-2438
Luca GianiRicovero Ferdinando Uboldi, Paderno Dugnano, Italy.
Linda Al-HassanyDivision of Vascular Medicine and Pharmacology, Department of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Gian Maria AsioliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Calogera ButeraDipartimento Neurologico e INSPE, IRCCS Ospedale San Raffaele, Milan, Italy.
Irene de BoerDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Martina GuglielmettiDepartment of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.
Chrysoula Koniari1st Neurology Department, Aeginition Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Theodoros Mavridis1st Neurology Department, Aeginition Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Marge VaikjärvFaculty of Medicine, University of Tartu, Tartu, Estonia.
Iris VerhagenDivision of Vascular Medicine and Pharmacology, Department of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Angela VerzinaNeurology Clinic, University of Perugia, Perugia, Italy.
Bart ZickDivision of Vascular Medicine and Pharmacology, Department of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Paolo MartellettiDepartment of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.
Simona SaccoUOC Neurologia e Stroke Unit, Ospedale SS Filippo e Nicola, Avezzano, Italy.
European Headache Federation School of Advanced Studies (EHF-SAS)
Leiden University Medical Center · NLIstituto delle Scienze Neurologiche di Bologna · ITNational and Kapodistrian University of Athens · GRCTO Andrea Alesini · ITErasmus MC · NLIRCCS Ospedale San Raffaele · ITUniversity of L'Aquila · ITUniversity of Perugia · ITUniversity of Sassari · ITUniversity of Tartu · EE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Calcitonin gene-related peptide (CGRP) is a neuropeptide with a pivotal role in the pathophysiology of migraine. Blockade of CGRP is a new therapeutic target for patients with migraine. CGRP and its receptors are distributed not only in the central and peripheral nervous system but also in the cardiovascular system, both in blood vessels and in the heart. We reviewed the current evidence on the role of CGRP in the cardiovascular system in order to understand the possible short- and long-term effect of CGRP blockade with monoclonal antibodies in migraineurs.In physiological conditions, CGRP has important vasodilating effects and is thought to protect organs from ischemia. Despite the aforementioned cardiovascular implication, preventive treatment with CGRP antibodies has shown no relevant cardiovascular side effects. Results from long-term trials and from real life are now needed.

Indexed as

Antibodies, MonoclonalCalcitonin Gene-Related PeptideCalcitonin Gene-Related Peptide Receptor AntagonistsCardiovascular SystemHumansMigraine DisordersReceptors, Calcitonin Gene-Related PeptideSex FactorsVasodilationAntibodies, MonoclonalCalcitonin Gene-Related PeptideCalcitonin Gene-Related Peptide Receptor AntagonistsReceptors, Calcitonin Gene-Related PeptideCardiovascularCGRPCGRP antibodyMigraine treatment

Identifiers

PMID30866804
PMCPMC6734543
OpenAlexW2943483025

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.