Evidence map›Paper›PMID 34363708›Full record

Trial reportHeadache2021

Timing and durability of response to erenumab in patients with chronic migraine.

Stewart J Tepper, Sylvia Lucas, Messoud Ashina, Todd J Schwedt, Jessica Ailani, James Scanlon, Jan Klatt, Denise E Chou, Andrea Wang, Gabriel Paiva da Silva Lima

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Headache, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. 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

10 authors at 7 institutions in 3 countries.

Stewart J TepperGeisel School of Medicine at Dartmouth, Hanover, NH, USA.
Sylvia LucasUniversity of Washington Medical Center, Seattle, WA, USA.
Messoud AshinaDanish Headache Center, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-6218-4744
Todd J SchwedtMayo Clinic, Phoenix, AZ, USA.
Jessica AilaniMedstar Georgetown University, Washington, DC, USA.
James ScanlonAmgen Inc., Thousand Oaks, CA, USA.
Jan KlattNovartis, Basel, Switzerland.
Denise E ChouAmgen Inc., Thousand Oaks, CA, USA.
Andrea WangAmgen Inc., Thousand Oaks, CA, USA.
Gabriel Paiva da Silva LimaAmgen Inc., Thousand Oaks, CA, USA.
Amgen (United States) · USDartmouth College · USGeorgetown University · USMayo Clinic Hospital · USNovartis (Switzerland) · CHUniversity of Copenhagen · DKUniversity of Washington Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundErenumab is a human anti-calcitonin gene-related peptide receptor monoclonal antibody approved for migraine prevention. We sought to further assess the temporal patterns of response to erenumab in patients with chronic migraine (CM), specifically the onset and sustainability of monthly migraine day (MMD) response.

methodsThis is a post hoc analysis of a 12-week, randomized, double-blind, placebo-controlled study of erenumab for migraine prevention in patients with CM (≥15 headache days/month, including ≥8 migraine days/month). Onset and sustainability were assessed according to MMD reduction from baseline, with the following response categories: responders (≥50% reduction), partial responders (≥30% and <50%), or nonresponders (<30%).

resultsAmong the erenumab 140 mg group (n = 187), 54.0% (101/187) achieved a response at any month during the study with a median time to onset of monthly response of 1 month. This improvement was maintained in most patients with continued treatment. An initial response was achieved at Month 1 by 28.3% (53/187) of patients; 69.8% (37/53) of whom maintained a response at Months 2 and 3. Although many patients responded early, some patients required longer treatment to achieve a response; 79.4% (27/34) of initial partial responders and 21.0% (21/100) of initial nonresponders subsequently achieved a response. Similar findings were observed for the erenumab 70mg group (n = 188).

conclusionA majority of erenumab-treated patients with CM who achieved an initial response at Month 1 sustained this benefit. Many patients responded later with continued treatment. Our data support recommendations to assess outcomes after ≥3 months of preventive treatment with erenumab in CM.

Indexed as

Outcome Assessment, Health CareAdultAntibodies, Monoclonal, HumanizedCalcitonin Gene-Related Peptide Receptor AntagonistsChronic DiseaseDouble-Blind MethodFemaleHumansMaleMiddle AgedMigraine DisordersTime FactorsAntibodies, Monoclonal, HumanizedCalcitonin Gene-Related Peptide Receptor Antagonistserenumabchronic migraineerenumabresponse patterns

Identifiers

PMID34363708
PMCPMC8519048
OpenAlexW3188712371

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.