Evidence map›Paper›PMID 38742048›Full record

ArticleFrontiers in neurology2024

Safety considerations in the treatment with anti-CGRP(R) monoclonal antibodies in patients with migraine.

Britt W H Van Der Arend, Nancy Van Veelen, Joëlle E T De Ruijter, Michael H Olsen, Antoinette MaassenVanDenBrink, Gisela M Terwindt

Abstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Britt W H Van Der Arend *Department of Neurology, Leiden University Medical Center, Leiden, Netherlands.
Nancy Van Veelen *Department of Neurology, Leiden University Medical Center, Leiden, Netherlands.
Joëlle E T De RuijterDepartment of Neurology, Leiden University Medical Center, Leiden, Netherlands.
Michael H OlsenDepartment of Internal Medicine, Holbaek Hospital, Holbæk, Denmark.
Antoinette MaassenVanDenBrinkDepartment of Internal Medicine, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Gisela M TerwindtDepartment of Neurology, Leiden University Medical Center, Leiden, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anti-CGRP-(receptor-)monoclonal antibodies (anti-CGRP(R)-mAbs) represent a novel class of drugs for migraine treatment, but their long-term cerebrovascular and cardiovascular (CV) safety warrants further examination. Methods: In this observational cohort study we assessed the CV safety for erenumab and fremanezumab in a real-world setting during a follow-up period of at least 1 year. Patients with hypertension or CV history were excluded. We conducted ECGs and collected clinical data at treatment initiation and thereafter every 3 months, including liver and kidney function, lipid-, electrolyte-and glucose levels. Results: Among patients receiving erenumab ( Discussion: We observed CV events in 1.6% of patients with 1.5-year follow-up of anti-CGRP(R)-mAbs treatment. We advise awareness regarding CV events in patients with migraine undergoing CGRP-targeted treatment, not as a confirmation of increased risk but as a proactive measure to address potential multifactorial influences.

Indexed as

adverse eventscardiovascular riskCGRPheadachemigrainemonoclonalssafetytreatment

Identifiers

PMID38742048
PMCPMC11089895

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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.