Evidence map›Paper›PMID 31146544›Full record

Trial reportCephalalgia : an international journal of headache2019

Long-term safety and tolerability of erenumab: Three-plus year results from a five-year open-label extension study in episodic migraine.

Messoud Ashina, Peter J Goadsby, Uwe Reuter, Stephen Silberstein, David Dodick, Gregory A Rippon, Jan Klatt, Fei Xue, Victoria Chia, Feng Zhang and 2 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cephalalgia : an international journal of headache, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
–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.

NCT01952574 phase2completednot on this map

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

TypeinterventionalSponsorAmgenRan2013 to 2019Enrolled483ConditionsMigraineArmsErenumab, Placebo, Erenumab PFS, Erenumab AI/Pen
NCT04884763 phase2completednot on this mapstarted 2021, after this paper: background citation

A Randomized, Double Blind, Placebo-Controlled Single Center Phase 2 Pilot Study to Assess the Safety and Efficacy of Off-label Subcutaneous Administration of Erenumab-aooe in Patients With Temporomandibular Disorder

TypeinterventionalSponsorIndiana UniversityRan2021 to 2024Enrolled30ConditionsTemporomandibular DisorderArmsErenumab-aooe (EREN) 140 mg s.c. administered every four weeks for a total of five treatments, Placebo (EREN-P) s.c. administered every four weeks for a total of five treatments
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  12. Novel Migraine Treatments: A ReviewJournal of oral & facial pain and headache · 2023
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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

12 authors.

Messoud AshinaDepartment of Neurology, Danish Headache Center, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Peter J GoadsbyNIHR-Wellcome Trust King's Clinical Research Facility, King's College London, London, UK.ORCID https://orcid.org/0000-0003-3260-5904
Uwe ReuterDepartment of Neurology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Stephen SilbersteinJefferson Headache Center, Thomas Jefferson University, Philadelphia, PA, USA.
David DodickDepartment of Neurology, Mayo Clinic, Scottsdale, AZ, USA.
Gregory A RipponAmgen Inc., Thousand Oaks, CA, USA.
Jan KlattNovartis Pharma AG, Basel, Switzerland.
Fei XueAmgen Inc., Thousand Oaks, CA, USA.
Victoria ChiaAmgen Inc., Thousand Oaks, CA, USA.
Feng ZhangAmgen Inc., Thousand Oaks, CA, USA.
Sunfa ChengAmgen Inc., Thousand Oaks, CA, USA.
Daniel D MikolAmgen Inc., Thousand Oaks, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreviously published three-month placebo-controlled and one-year open-label clinical trial data have provided information on the efficacy and safety of erenumab.

methodsInterim analysis was undertaken from an ongoing five-year open-label treatment phase after all patients completed three years in the open-label treatment phase or discontinued the study. Adult patients with episodic migraine enrolled in the open-label treatment phase initially received 70 mg erenumab monthly. A protocol amendment increased the dosage to 140 mg monthly to assess long-term safety of the higher dose. Safety and tolerability were assessed by monitoring adverse events, electrocardiograms, laboratory assessments, and vital signs.

resultsOf 383 patients enrolled in the open-label treatment phase, at data cutoff 235 (61.3%) remained in the study, all received 140 mg for ≥1 year. Median (Q1, Q3) exposure (70 or 140 mg) for all patients enrolled was 3.2 (1.3, 3.4) years. The most frequent adverse events (≥4.0/100 patient-years) were reported as viral upper respiratory tract infection, sinusitis, influenza, and back pain. Exposure-adjusted serious adverse event rates were 4.2/100 patient-years. There was no increase in cardiovascular events over time.

conclusionsIn this long-term study of a CGRP-receptor antibody, erenumab was found to be safe and well-tolerated with a spectrum and rate of adverse events consistent with shorter-term placebo-controlled studies.

trial registrationClinicalTrials.gov NCT01952574.

Indexed as

AdultAntibodies, Monoclonal, HumanizedCalcitonin Gene-Related Peptide Receptor AntagonistsDouble-Blind MethodFemaleHumansMaleMiddle AgedMigraine DisordersTreatment OutcomeAntibodies, Monoclonal, HumanizedCalcitonin Gene-Related Peptide Receptor AntagonistserenumabErenumabmigrainesafety

Identifiers

PMID31146544
PMCPMC6779015

What OpenQuestion holds

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LicenceCC BY-NC
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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.