Evidence map›Paper›PMID 32806953›Full record

ArticleCephalalgia : an international journal of headache2020

Effect of calcitonin gene-related peptide (-receptor) antibodies in chronic cluster headache: Results from a retrospective case series support individual treatment attempts.

Ruth Ruscheweyh, Gregor Broessner, Gudrun Goßrau, Katja Heinze-Kuhn, Tim P Jürgens, Katharina Kaltseis, Katharina Kamm, Andreas Peikert, Bianca Raffaelli, Florian Rimmele and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Cephalalgia : an international journal of headache, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. 15. Cluster Headache.Pain practice : the official journal of World Institute of Pain · 2025
    Review
  5. Review
  6. Article
  7. Review
  8. Health equity, care access and quality in headache - part 2.The journal of headache and pain · 2023
    Review
  9. Observational
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. The ultimate guide to the anti-CGRP monoclonal antibodies galaxy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  17. Review
  18. Galcanezumab effectiveness on comorbid cluster headache and chronic migraine: a prospective case series.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  19. 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

11 authors at 7 institutions in 2 countries.

Ruth RuscheweyhLudwig Maximilians University Munich, Department of Neurology, Munich, Germany.ORCID 0000-0001-9510-7158
Gregor BroessnerHeadache Outpatient Clinic, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Gudrun GoßrauHeadache Outpatient Clinic, Interdisciplinary Pain Center, University Hospital and Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.ORCID 0000-0002-0995-5482
Katja Heinze-KuhnMigraine and Headache Centre, Pain Clinic Kiel, Kiel, Germany.
Tim P JürgensHeadache Center North-East, Department of Neurology, University Medical Center Rostock, Rostock, Germany.
Katharina KaltseisHeadache Outpatient Clinic, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Katharina KammLudwig Maximilians University Munich, Department of Neurology, Munich, Germany.ORCID 0000-0002-1891-1799
Andreas PeikertNeurologicum Bremen Outpatient Center for Neurology and Psychiatry, Bremen, Germany.
Bianca RaffaelliCharité Universitätsmedizin Berlin, Department of Neurology, Berlin, Germany.ORCID 0000-0001-9758-1494
Florian RimmeleHeadache Center North-East, Department of Neurology, University Medical Center Rostock, Rostock, Germany.
Stefan EversDepartment of Neurology, Krankenhaus Lindenbrunn, Coppenbrügge, Germany.
Innsbruck Medical University · ATLudwig-Maximilians-Universität München · DEUniversity of Rostock · DECharité - Universitätsmedizin Berlin · DEClinical Research Center Kiel · DEUniversity Hospital Carl Gustav Carus · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the efficacy of monoclonal antibodies targeting calcitonin gene-related peptide (CGRP) or its receptor in chronic cluster headache (CCH) treatment under real world conditions.

backgroundCalcitonin gene-related peptide has an important pathophysiological role in cluster headache. Although the randomised controlled trial with the calcitonin gene-related peptide antibody galcanezumab was negative, chronic cluster headache patients with insufficient response to other preventive treatments have been receiving individual off-label treatment attempts with calcitonin gene-related peptide-(receptor) antibodies.

methodsData from 22 chronic cluster headache patients who received at least one dose of a calcitonin gene-related peptide(-receptor) antibody and recorded attack frequency in a headache diary were retrospectively collected at eight headache centres.

resultsThe number of previous preventive therapies was 6.5 ± 2.4 (mean ± standard deviation, range: 2-11). The average number of attacks per week was 23.3 ± 16.4 at baseline and significantly decreased by -9.2 ± 9.7 in the first month of treatment with a calcitonin gene-related peptide(-receptor) antibody (

conclusionUnder real-world conditions, individual treatment with calcitonin gene-related peptide(-receptor) antibodies was effective in 55% of our chronic cluster headache patients. This finding supports individual off-label treatment attempts with calcitonin gene-related peptide-(receptor) antibodies in chronic cluster headache patients insufficiently responding to other therapies.

Indexed as

Calcitonin Gene-Related PeptideCluster HeadacheHeadacheHumansReceptors, Calcitonin Gene-Related PeptideRetrospective StudiesCalcitonin Gene-Related PeptideReceptors, Calcitonin Gene-Related PeptideCGRPChronic cluster headacheerenumabgalcanezumabheadache diarypreventive treatment

Identifiers

PMID32806953
PMCPMC7691634
OpenAlexW3075351109

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.