Evidence map›Paper›PMID 32810212›Full record

ArticleBrain : a journal of neurology2020

Differential medication overuse risk of novel anti-migraine therapeutics.

Chonlawan Saengjaroentham, Lauren C Strother, Isaac Dripps, Mohammad Rayhan Sultan Jabir, Amynah Pradhan, Peter J Goadsby, Philip R Holland

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Sex-specific considerations in migraine therapy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Medication-overuse headache: a narrative review.The journal of headache and pain · 2024
    Review
  16. Review
  17. Article
  18. Update of Gepants in the Treatment of Chronic Migraine.Current pain and headache reports · 2023
    Review
  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

7 authors at 2 institutions in 2 countries.

Chonlawan SaengjaroenthamHeadache Group, Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Lauren C StrotherHeadache Group, Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Isaac DrippsDepartment of Psychiatry, University of Illinois at Chicago, Chicago, USA.
Mohammad Rayhan Sultan JabirHeadache Group, Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Amynah PradhanDepartment of Psychiatry, University of Illinois at Chicago, Chicago, USA.
Peter J GoadsbyHeadache Group, Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Philip R HollandHeadache Group, Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
King's College London · GBUniversity of Illinois Chicago · US

Funding

The role of delta opioid receptors in trigeminovascular painR01DA040688 · NIDA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PRADHAN, AMYNAH AMIR ALI · 2016 to 2020
$1.8M
Medical Research Council MR/P006264/1NIDA NIH HHS R01 DA040688Wellcome Trust 104033
6 · The paper itself

Abstract

Medication overuse headache is estimated to affect 2% of the population, and is ranked in the top 20 most disabling disorders due to its high level of disability. Several therapies used in the treatment of acute migraine are thought to be associated with medication overuse headache, including opioids and triptans. With limited treatment options, it is critical to determine the risk profile of novel therapies prior to their widespread use. The current study explores the potential medication overuse risk of two novel therapeutic drug classes, namely the ditans: 5-HT1F receptor agonists, and the gepants: calcitonin gene-related peptide receptor antagonists, in a preclinical model of medication overuse. Persistent exposure of mice to the 5-HT1F agonist LY344864, but not olcegepant produced a significant reduction in hind paw and orofacial mechanical withdrawal thresholds as a surrogate readout of allodynia. In agreement, only LY344864 induced neuroplastic changes in trigeminal sensory afferents, increasing calcitonin gene-related peptide expression and basal trigeminal nociception. Our data highlight a differential medication overuse headache risk profile for the ditan and gepant classes of drugs that has important implications for their clinical use and patient education to help reduce the burden of medication overuse headache.

Indexed as

AnimalsCalcitonin Gene-Related Peptide Receptor AntagonistsCarbazolesFluorobenzenesHeadache Disorders, SecondaryMaleMiceMice, Inbred C57BLMigraine DisordersPain MeasurementPiperazinesQuinazolinesReceptors, Calcitonin Gene-Related PeptideReceptor, Serotonin, 5-HT1FReceptors, SerotoninRisk FactorsCalcitonin Gene-Related Peptide Receptor AntagonistsCarbazolesFluorobenzenesLY 344864olcegepantPiperazinesQuinazolinesReceptors, Calcitonin Gene-Related PeptideReceptor, Serotonin, 5-HT1FReceptors, Serotoninheadache: drug treatmentheadache: experimental modelsmigrainesecondary headachetrigeminal ganglion

Identifiers

PMID32810212
PMCPMC7523700
OpenAlexW3060984057

What OpenQuestion holds

Textmetadata
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.