Evidence map›Paper›PMID 39034358›Full record

ArticleBrain and behavior2024

Reversion of chronic to episodic migraine in working age and botulinum toxin-resistant patients treated with fremanezumab: A real-life study.

Juan Tudela-Tomas, Rosa-Maria Ramos-Guerrero, Maria-Eugenia Rodriguez-Mateos

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Article in Brain and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Juan Tudela-TomasServicio de Farmacia Hospitalaria, Hospital Universitario Puerta del Mar, Cadiz, Spain.ORCID 0009-0002-6911-1342
Rosa-Maria Ramos-GuerreroServicio de Farmacia Hospitalaria, Hospital Universitario Puerta del Mar, Cadiz, Spain.
Maria-Eugenia Rodriguez-MateosServicio de Farmacia Hospitalaria, Hospital Universitario Puerta del Mar, Cadiz, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objectives of this real-life study were to analyze the reversion of chronic migraine (CM) to episodic migraine (EM) with fremanezumab, evaluate its benefit on the symptomatology, and determine the influence of possible clinical features on the reversion.

backgroundThe clinical manifestations of CM have a high impact on the quality of life of patients, and monoclonal antibodies such as fremanezumab are used as prophylactic treatment.

methodsDiagnosed CM patients treated for at least 3 months with monthly fremanezumab were interviewed. The data to assess efficacy were before treatment and at the time of the interview: monthly headache days (MHDs), daily headache hours (DHHs), monthly symptomatic medication days (MSMDs), percentage of patients with symptomatic medication overuse (SMO), and pain intensity with the numerical rating scale (NRS) score. Possible predictors of reversion were analyzed: percentage of patients treated for at least 12 months, hypertension, diabetes mellitus, depression, anxiety, symptomatic control with non-steroidal anti-inflammatory drugs (NSAIDs), triptans or both, and amitriptyline prophylaxis.

resultsA total of 54 patients were included, of whom 40 (74.1%) were converters to EM. There were significant improvements in converters compared to pre-treatment in MHDs (28.0 vs. 5.0 days), as well as on the variables DHHs, MSMDs, and SMO. The percentage of erenumab failures was significantly higher in non-converters than in converters, as was the percentage of patients with anxiety.

conclusionsHigh reversion from CM to EM was achieved with fremanezumab and notable symptomatological improvement, establishing previous failure to erenumab and anxiety as possible detrimental factors for reversion.

Indexed as

Migraine DisordersAdultAntibodies, MonoclonalBotulinum Toxins, Type AChronic DiseaseDrug ResistanceFemaleHumansMaleMiddle AgedQuality of LifeTreatment OutcomeAntibodies, MonoclonalBotulinum Toxins, Type Afremanezumabcalcitonin gene‐related peptidechronic migrainefremanezumab (Thermo Fisher Scientific Cat# MA5‐42117, RRID:AB_2911260)migraine reversionreal‐life study

Identifiers

PMID39034358
PMCPMC11260548

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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.