Evidence map›Paper›PMID 37400756›Full record

ArticleBMC neurology2023

Real-world evidence on the economic implications of CGRP-mAbs as preventive treatment of migraine.

Nikolaj Siersbæk, Lærke Kilsdal, Christian Jervelund, Sonja Antic, Lars Bendtsen

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Review
  3. Costs and use of antimigraine drugs in Italy: a ten-year analysis of national data.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  4. Article
  5. Observational
  6. Article
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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

5 authors at 3 institutions in 1 country.

Nikolaj SiersbækCopenhagen Economics, Langebrogade 3C, Copenhagen K, 1411, Denmark. nsi@copenhageneconomics.com.
Lærke KilsdalCopenhagen Economics, Langebrogade 3C, Copenhagen K, 1411, Denmark.
Christian JervelundCopenhagen Economics, Langebrogade 3C, Copenhagen K, 1411, Denmark.
Sonja AnticPain and Headache Clinic, Aarhus University Hospital, Universitetsbyen 25, 1, Aarhus C, 8000, Denmark.
Lars BendtsenDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital - Rigshospitalet, Valdemar Hansen Vej 5, Glostrup, 2600, Denmark.
Aarhus University Hospital · DKCopenhagen University Hospital · DKUniversity College Copenhagen · DK

Funding

Novartis Healthcare Denmark A/S POP3 number DK2201120023
6 · The paper itself

Abstract

backgroundCalcitonin gene-related peptide (CGRP) monoclonal antibodies (mAbs) are approved in Europe as preventive treatment of migraine in patients with at least four monthly migraine days. Migraine gives rise to direct healthcare expenditures, but most of the economic burden of migraine is socioeconomic. Evidence on the socioeconomic implications of CGRP-mAbs is, however, limited. There is an increasing interest in supplementing evidence from randomised controlled trials (RCTs) with real-world evidence (RWE) to aid clinical decision making and inform decision making for migraine management. The objective of this study was to generate RWE on the health economic and socioeconomic implications of administering CGRP-mAbs to patients with chronic migraine (CM) and episodic migraine (high-frequency episodic migraine (HFEM), and low-frequency episodic migraine (LFEM)).

methodsReal-world data (RWD) on Danish patients with CM, HFEM, and LFEM were collected via two Danish patient organisations and two informal patient networks and used in a tailored economic model. Treatment effects of CGRP-mAbs on health economic and socioeconomic outcomes were estimated using a sub-sample of patients with CM who receive CGRP-mAb treatment.

resultsA total of 362 patients (CM: 199 [55.0%], HFEM: 80 [22.1%], LFEM: 83 [22.9%]) were included in the health economic model (mean age 44.1 ± 11.5, 97.5% female, 16.3% received treatment with CGRP-mAbs), and 303 patients were included in the socioeconomic model (15.2% received treatment with CGRP-mAbs). Health economic savings from initiating CGRP-mAb treatment totalled €1,179 per patient with CM per year on average (HFEM: €264, LFEM: €175). Socioeconomic gains from initiating CGRP-mAb treatment totalled an average gross domestic product (GDP) gain of €13,329 per patient with CM per year (HFEM: €10,449, LFEM: €9,947).

conclusionOur results indicate that CGRP-mAbs have the potential to reduce both health economic expenditures and the socioeconomic burden of migraine. Health economic savings are used as a basis for health technology assessments (HTAs) of the cost-effectiveness of new treatments, which implies that important socioeconomic gains may not be given enough importance in decision making for migraine management.

Indexed as

Antibodies, MonoclonalCalcitonin Gene-Related PeptideMigraine DisordersAdultEuropeFemaleHumansIncomeMaleMiddle AgedAntibodies, MonoclonalCalcitonin Gene-Related PeptideCGRP-mAbsDirect costHealth economic savingsIndirect costReal-world evidenceSocioeconomic gains

Identifiers

PMID37400756
PMCPMC10316628
OpenAlexW4382983936

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.