Evidence map›Paper›PMID 37996793›Full record

ArticleBMC neurology2023

Real-life experiences with galcanezumab and predictors for treatment response in Turkey.

Pınar Yalinay Dikmen, Betül Baykan, Derya Uludüz, Aynur Özge, Elif Ilgaz Aydınlar, Burcu Polat, Necdet Karlı, Nermin Tepe, Neşe Çelebisoy, Hayal Ergin Toktaş and 7 more

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 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
1.1field-weighted citation impact, top 22% 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, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  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

17 authors at 10 institutions in 1 country.

Pınar Yalinay DikmenSchool of Medicine, Neurology Department, Acibadem University, Büyükdere Caddesi. No: 40, Istanbul, 34390, Turkey. pinar.yalinay@acibadem.edu.tr.ORCID http://orcid.org/0000-0001-7112-2142
Betül BaykanPrivate practice, Istanbul, Turkey.
Derya UludüzCerrahpasa Medical Faculty, School of Medicine, Neurology Department, Istanbul University, Istanbul, Turkey.
Aynur ÖzgeFaculty of Medicine, School of Medicine, Neurology Department, Mersin University, Mersin, Turkey.
Elif Ilgaz AydınlarSchool of Medicine, Neurology Department, Acibadem University, Büyükdere Caddesi. No: 40, Istanbul, 34390, Turkey.
Burcu PolatSchool of Medicine, School of Medicine, Neurology Department, Istanbul Medipol University, Istanbul, Turkey.
Necdet KarlıFaculty of Medicine, School of Medicine, Neurology Department, Uludag University, Bursa, Turkey.
Nermin TepeFaculty of Medicine, School of Medicine, Neurology Department, Balikesir University, Balıkesir, Turkey.
Neşe ÇelebisoyFaculty of Medicine, School of Medicine, Neurology Department, Ege University, Izmir, Turkey.
Hayal Ergin ToktaşNeurology Department, Bayindir Hospital, Istanbul, Turkey.
Buket NiflioğluPrivate practice, Istanbul, Turkey.
Rahşan KaracıNeurology Department, University of Health Sciences, Istanbul, Turkey.
Füsun Mayda DomaçNeurology Department, University of Health Sciences, Istanbul, Turkey.
Ezgi UludüzKoc University Medical School, Istanbul, Turkey.
Tuba Erdogan SoyukibarSchool of Medicine, Neurology Department, Acibadem University, Büyükdere Caddesi. No: 40, Istanbul, 34390, Turkey.
Nevra ÖksüzFaculty of Medicine, School of Medicine, Neurology Department, Mersin University, Mersin, Turkey.
Mustafa ErtaşIstanbul Faculty of Medicine, School of Medicine, Neurology Department, Istanbul University, Istanbul, Turkey.
Acıbadem University · TRIstanbul University · TRMersin Üniversitesi · TRSağlık Bilimleri Üniversitesi · TRBalıkesir University · TRBayındır Hastanesi · TRBursa Uludağ Üni̇versi̇tesi̇ · TREge University · TRIstanbul Medipol University · TRKoç University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe complexity of clinical practice extends far beyond the controlled settings of trials, and there is a need for real-world studies aimed at identifying which patients will respond to anti-CGRP monoclonal antibodies in different countries. This study aimed to investigate the efficacy and safety of galcanezumab in treating migraine in a real-life setting in Turkey, as well as identify predictors of treatment response.

methodsA total of 476 patients who diagnosed with migraine according to ICHD-3 criteria and treated with galcanezumab by headache specialists were voluntarily participated in this cross-sectional study. Galcanezumab is indicated for the prevention of migraine in adults who have at least 4 monthly migraine days in Turkey. All patients filled out a survey on Google Form that comprised 54 questions, addressing various aspects such as demographics, migraine characteristics, previous use of acute symptomatic medication, failures with preventive drug classes, comorbidities, most bothersome symptoms, as well as the interictal burden of migraine.

resultsAmong the participants, 89.3% reported that galcanezumab treatment was beneficial for them. A decrease in the frequency (80.0%), severity (85.7%), and acute medication usage for migraine attacks (71.4%) was reported with galcanezumab treatment. An adverse effect related to galcanezumab was reported in 16.3% of cases, but no serious adverse reactions were observed. Remarkably, 14.3% of participants reported no longer experiencing any headaches, and 18.9% did not require any acute treatment while receiving galcanezumab treatment. A logistic regression model showed that male gender, lack of ictal nausea, and previous failure of more than 2 prophylactic agents may predict the non-responders.

conclusionsThe first large series from Turkey showed that galcanezumab treatment is safe and effective in most of the patients diagnosed with migraine by headache experts in the real-life setting. Patients reported a significant decrease in both ictal and interictal burden of migraine and expressed satisfaction with this treatment.

Indexed as

Migraine DisordersAdultAntibodies, Monoclonal, HumanizedCross-Sectional StudiesDouble-Blind MethodHeadacheHumansMaleTreatment OutcomeTurkeyAntibodies, Monoclonal, HumanizedgalcanezumabAnti-CGRPCalcitonin gene-related peptideCGRPGalcanezumabmAbsMigraineMigraine preventionMonoclonal antibody

Identifiers

PMID37996793
PMCPMC10666377
OpenAlexW4388930668

What OpenQuestion holds

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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.