Evidence map›Paper›PMID 35403223›Full record

Observational studyHeadache2022

A real-world, observational study of erenumab for migraine prevention in Canadian patients.

Werner J Becker, Sian Spacey, Elizabeth Leroux, Rose Giammarco, Jonathan Gladstone, Suzanne Christie, Arash Akaberi, G Sarah Power, Jagdeep K Minhas, Johanna Mancini and 3 more

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Headache, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05442008 (Study of Early MIDAS Reduction at 3 Months as Predictor of Long-term Erenumab Treatment in Chronic Migraine), which is not on this map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% 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.

NCT05442008 completednot on this map

Study of Early MIDAS Reduction at 3 Months as Predictor of Long-term Erenumab Treatment in Chronic Migraine: a Real-life, Open-label, Trial

TypeobservationalSponsorIRCCS National Neurological Institute "C. Mondino" FoundationRan2018 to 2021Enrolled53ConditionsMigraineArmsErenumab 70/140 mg s.c.
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Article
  6. Review
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  8. Observational
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  13. Observational
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

13 authors at 8 institutions in 3 countries.

Werner J BeckerDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Sian SpaceyDivision of Neurology, University of British Columbia, Vancouver, British Columbia, Canada.
Elizabeth LerouxBrunswick Medical Center, Montreal, Quebec, Canada.
Rose GiammarcoHamilton Headache Clinic, Hamilton, Ontario, Canada.
Jonathan GladstoneGladstone Headache Clinic, Toronto, Ontario, Canada.
Suzanne ChristieOttawa Headache Centre Inc., Ottawa, Ontario, Canada.
Arash AkaberiIQVIA Solutions Canada Inc., Montreal, Quebec, Canada.
G Sarah PowerIQVIA Solutions Canada Inc., Mississauga, Ontario, Canada.
Jagdeep K MinhasIQVIA Solutions Canada Inc., Ottawa, Ontario, Canada.
Johanna ManciniIQVIA Solutions Canada Inc., Montreal, Quebec, Canada.
Driss RochdiNovartis Canada, Dorval, Quebec, Canada.ORCID 0000-0001-5587-4360
Ayca FilizNovartis Canada, Dorval, Quebec, Canada.
Natacha BastienNovartis Canada, Dorval, Quebec, Canada.
IQVIA (United Kingdom) · GBNovartis (Canada) · CACommunications Security Establishment · CAGladstone Institutes · USGovernment of New Brunswick · CAHamilton General Hospital · CAUniversity of British Columbia · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess real-world effectiveness, safety, and usage of erenumab in Canadian patients with episodic and chronic migraine with prior ineffective prophylactic treatments.

backgroundIn randomized controlled trials, erenumab demonstrated efficacy for migraine prevention in patients with ≤4 prior ineffective prophylactic migraine therapies. The "Migraine prevention with AimoviG: Informative Canadian real-world study" (MAGIC) assessed real-world effectiveness of erenumab in Canadian patients with migraine.

methodsMAGIC was a prospective open-label, observational study conducted in Canadian patients with chronic migraine (CM) and episodic migraine (EM) with two to six categories of prior ineffective prophylactic therapies. Participants were administered 70 mg or 140 mg erenumab monthly based on physician's assessment. Migraine attacks were self-assessed using an electronic diary and patient-reported outcome questionnaires. The primary outcome was the proportion of subjects achieving ≥50% reduction in monthly migraine days (MMD) after the 3-month treatment period.

resultsAmong the 95 participants who mostly experienced two (54.7%) or three (32.6%) prior categories of ineffective prophylactic therapies and who initiated erenumab, treatment was generally safe and well tolerated; 89/95 (93.7%) participants initiated treatment with 140 mg erenumab. At week 12, 32/95 (33.7%) participants including 17/64 (26.6%) CM and 15/32 (48.4%) EM achieved ≥50% reduction in MMD while 30/86 (34.9%) participants including 19/55 (34.5%) CM and 11/31 (35.5%) EM achieved ≥50% reduction in MMD at week 24. Through patient-reported outcome questionnaires, 62/95 (65.3%) and 45/86 (52.3%) participants reported improvement of their condition at weeks 12 and 24, respectively. Physicians observed improvement in the condition of 78/95 (82.1%) and 67/86 (77.9%) participants at weeks 12 and 24, respectively.

conclusionOne-third of patients with EM and CM achieved ≥50% MMD reduction after 3 months of erenumab treatment. This study provides real-world evidence of erenumab effectiveness, safety, and usage for migraine prevention in adult Canadian patients with multiple prior ineffective prophylactic treatments.

Indexed as

Calcitonin Gene-Related Peptide Receptor AntagonistsMigraine DisordersAdultAnalgesicsAntibodies, Monoclonal, HumanizedCanadaDouble-Blind MethodHumansProspective StudiesTreatment OutcomeAnalgesicsAntibodies, Monoclonal, HumanizedCalcitonin Gene-Related Peptide Receptor Antagonistserenumabchronic migraineeffectivenessepisodic migraineerenumabreal-world

Identifiers

PMID35403223
PMCPMC9320807
OpenAlexW4223547550

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.