Evidence map›Paper›PMID 37593294›Full record

ReviewCureus2023

Safety and Efficacy of Zavegepant in Treating Migraine: A Systematic Review.

Zainab Z Khan, Usman Ahmed, Faizan Shahzad, Muaz Ali, Kashif Tousif, Usman Ahmed, Qazi Muhammad Safwan, Syed Imam Naufil, Sara Murtaza, Sajeel Saeed and 3 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. 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
2.4field-weighted citation impact, top 11% 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. Pooled it
  2. Clinical evaluation of zavegepant for the acute treatment of migraine.Journal of managed care & specialty pharmacy · 2025
    Review
  3. Article
  4. 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

13 authors at 4 institutions in 1 country.

Zainab Z KhanNeurology, CMH (Combined Military Hospital) Lahore Medical College and Institute of Dentistry, Lahore, PAK.
Usman AhmedPediatric Surgery, Rawalpindi Medical University, Rawalpindi, PAK.
Faizan ShahzadCardiology, Rawalpindi Medical University, Rawalpindi, PAK.
Muaz AliInternal Medicine, Rawalpindi Medical University, Rawalpindi, PAK.
Kashif TousifSurgery, Rawalpindi Medical University, Rawalpindi, PAK.
Usman AhmedCardiology, Allama Iqbal Medical College, Lahore, PAK.
Qazi Muhammad SafwanNeurology, Hayatabad Medical Complex, Peshawar, PAK.
Syed Imam NaufilSurgery, Rawalpindi Medical University, Rawalpindi, PAK.
Sara MurtazaNeurology, Rawalpindi Medical University, Rawalpindi, PAK.
Sajeel SaeedCardiology, Rawalpindi Medical University, Rawalpindi, PAK.
Jawad BasitCardiology, Rawalpindi Medical University, Rawalpindi, PAK.
Tehseen HaiderSurgery, Rawalpindi Medical University, Rawalpindi, PAK.
Haroon ShabbirNeurology, Rawalpindi Medical University, Rawalpindi, PAK.
Hayatabad Medical Complex · PKAllama Iqbal Medical College · PKCombined Military Hospital · PKRawalpindi Medical University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drugs that act on the calcitonin gene-related peptide (CGRP) pathway herald the dawn of a new era in the management of migraine headaches. The blockade of CGRP alleviates neural inflammation and has been associated with reduced pain sensitization. Zavegepant is a third-generation drug and is the first intranasal CGRP antagonist to be developed. This systematic review aims to assess the safety, efficacy, pharmacokinetics, and tolerability of Zavegepant as an abortive treatment for migraine. Studies that assessed the safety, tolerability, and efficacy of Zavegepant for migraine were identified through a systematic literature review of PubMed, Clinicaltrials.gov, and Cochrane databases in April 2023. Our systematic review yielded a total of six studies that fit our inclusion criteria. Of these, data from only two randomized control trials (RCTs) was homogenous; hence, forest plots of results pooled from the included studies were not reported. The included studies showed that Zavegepant is an efficacious and well-tolerated abortive treatment modality for episodic migraine in adult patients. Zavegepant showed safety and efficacy in migraine treatment according to various parameters throughout the six included studies. These parameters include adverse events, pharmacokinetic properties, CGRP inhibition, effect on blood pressure/electrocardiogram, pain freedom, and freedom from most bothersome symptoms.

Indexed as

calcitonin gene-related peptide (cgrp) pathwaygepantsinternational headache societyintranasal migraine drugmigraine headachesmigraine managementmigraine treatmenttherapeutic agenttrigemino-vascular systemzavegepant

Identifiers

PMID37593294
PMCPMC10428082
OpenAlexW4384558869

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.