Evidence map›Paper›PMID 35261165›Full record

SynthesisBrain and behavior2022

Efficacy and safety of calcitonin gene-related peptide antagonists in migraine treatment: A meta-analysis.

Tingting Huang, Yang Xu, Yajie Chen, Jing Bian, Zhaohu Chu, Shoucai Zhao, Lingsong Ma

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Brain and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 5 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.

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

8 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Review
  8. 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

7 authors.

Tingting HuangDepartment of Neurology, The First Affiliated Hospital of Wannan Medical Collage, Wuhu, Anhui, China.ORCID 0000-0002-3104-9910
Yang XuDepartment of Neurology, The First Affiliated Hospital of Wannan Medical Collage, Wuhu, Anhui, China.ORCID 0000-0001-8778-3885
Yajie ChenDepartment of Neurology, The First Affiliated Hospital of Wannan Medical Collage, Wuhu, Anhui, China.
Jing BianDepartment of Neurology, The First Affiliated Hospital of Wannan Medical Collage, Wuhu, Anhui, China.ORCID 0000-0002-7521-640X
Zhaohu ChuDepartment of Neurology, The First Affiliated Hospital of Wannan Medical Collage, Wuhu, Anhui, China.
Shoucai ZhaoDepartment of Neurology, The First Affiliated Hospital of Wannan Medical Collage, Wuhu, Anhui, China.ORCID 0000-0001-8555-4835
Lingsong MaDepartment of Neurology, The First Affiliated Hospital of Wannan Medical Collage, Wuhu, Anhui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe systematically reviewed the efficacy and safety of Calcitonin Gene-Related Peptide (CGRP) antagonists for migraine treatment.

methodsVarious databases including PubMed, Embase, The Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), WanFang Data were electronically searched for randomized controlled trials (RCTs) on CGRP antagonists for migraine treatment since inception to March 2021. The trials were screened for inclusion, after which the methodological quality of the included trials was assessed. Then meta-analysis was performed using the Revman 5.3 software.

resultsA total of 26 RCTs involving 21,736 patients were included. The CGRP antagonists group included 13,635 patients while the control group included 8101 patients. Meta-analysis showed that compared to the control group, CGRP antagonists were associated with various significant effects, including the following outcome indicators: (1) number of patients with ≥50% reduction from baseline in mean monthly migraine days (RR = 1.50, 95% CI [1.39,1.62], p < .00001); (2) number of patients with pain free at 2 h postdose (RR = 1.98, 95% CI [1.77, 2.20], p < .00001), and (3) number of patients with 2-24 h sustained pain free postdose (RR = 2.18, 95% CI [1.93, 2.46], p < .00001). However, the number of patients with any adverse events was significantly high in the antagonists group, relative to the control group (RR = 1.08, 95% CI [1.04, 1.12], p < .0001).

conclusionsCGRP antagonists are significantly effective for migraine treatment; however, they are associated with various adverse events. Due to limitations with regards to quantity and quality of the included studies, the above conclusions should be verified by more high quality studies.

Indexed as

Calcitonin Gene-Related PeptideMigraine DisordersCalcitonin Gene-Related Peptide Receptor AntagonistsHumansCalcitonin Gene-Related PeptideCalcitonin Gene-Related Peptide Receptor AntagonistsCGRP antagonistsmeta-analysismigrainerandomized controlled trial

Identifiers

PMID35261165
PMCPMC9015008

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Registered trials

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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.