Evidence map›Paper›PMID 31323828›Full record

SynthesisInternational journal of molecular sciences2019

Effects of Anti-Calcitonin Gene-Related Peptide for Migraines: A Systematic Review with Meta-Analysis of Randomized Clinical Trials.

I-Hsin Huang, Po-Chien Wu, En-Yuan Lin, Chien-Yu Chen, Yi-No Kang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 5% 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Could erectile dysfunction be a side effect of CGRP inhibition? A case report.Cephalalgia : an international journal of headache · 2022
    Article
  11. Review
  12. Article
  13. Review
  14. Ocular Surface Pain: A Narrative Review.Ophthalmology and therapy · 2020
    Review
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 at 4 institutions in 1 country.

I-Hsin HuangSchool of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.
Po-Chien WuSchool of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.
En-Yuan LinDivision of Neurosurgery, Department of Surgery, Taiwan Adventist Hospital, Taipei 105, Taiwan.
Chien-Yu ChenDepartment of Education, Taipei Medical University Hospital, Taipei 110, Taiwan. jc2jc@tmu.edu.tw.ORCID 0000-0001-5895-9941
Yi-No KangEvidence-Based Medicine Center, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan. academicnono@gmail.com.ORCID 0000-0001-8244-2846
Taipei Medical University Hospital · TWTaipei Medical University · TWTaiwan Adventist Hospital · TWWan Fang Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to evaluate the response rate of migraines by using anti-calcitonin gene-related peptide (anti-CGRP) for patients with migraines. We searched three main medical databases up to 29 March 2019. No restriction on language and publication time were applied. Eligible trials included randomized clinical trials investigating a 50%, 75%, and 100% response rate of migraine patients after anti-CGRP intervention. The collected data were dichotomous, and risk ratios (RRs) with a 95% confidence interval (CI) were used to present the quantitative synthesis results. The systematic review identified 16 eligible randomized clinical trials (RCTs) with 9439 patients. Eight of the 16 trials with 2516 patients reported a 50% response rate, and the pooled results showed a significant benefit from anti-CGRP. However, the effects seem to gradually reduce from the first month (RR 1.99, 95% CI 1.59 to 2.49) to the third month (RR 1.48, 95% CI 1.26 to 1.75) of treatment. The magnitude of effect was influenced by the type of anti-CGRP, according to the test for differences between subgroups (I-square = 53%). The funnel plots and Egger's tests did not show serious small study effects in the results. In conclusion, the current evidences confirmed that anti-CGRP treatment can reduce migraine pain in the short term (within three months), but the long-term effect should be investigated in the future. Moreover, its effects may be influenced by the type and dose of anti-CGRP. Therefore, future studies should make direct comparisons among anti-CGRP medications.

Indexed as

AnimalsAntibodies, MonoclonalCalcitonin Gene-Related PeptideHumansMigraine DisordersRandomized Controlled Trials as TopicAntibodies, MonoclonalCalcitonin Gene-Related Peptideanti-calcitonin gene-related peptideinternal medicinemigraine

Identifiers

PMID31323828
PMCPMC6678090
OpenAlexW2958892765

What OpenQuestion holds

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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.