Evidence map›Paper›PMID 39266962›Full record

ArticleThe journal of headache and pain2024

Genetic variants associated with response to anti-CGRP monoclonal antibody therapy in a chronic migraine Han Chinese population.

Yu-Chin An, Kuo-Sheng Hung, Chih-Sung Liang, Chia-Kuang Tsai, Chia-Lin Tsai, Sy-Jou Chen, Yu-Kai Lin, Guan-Yu Lin, Po-Kuan Yeh, Fu-Chi Yang

Abstract read
In one paragraph

Article in The journal of headache and pain, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 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

10 authors.

Yu-Chin AnSchool of Medicine, National Defense Medical Center, Taipei, Taiwan.
Kuo-Sheng HungCenter for Precision Medicine and Genomics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Chih-Sung LiangSchool of Medicine, National Defense Medical Center, Taipei, Taiwan.
Chia-Kuang TsaiSchool of Medicine, National Defense Medical Center, Taipei, Taiwan.
Chia-Lin TsaiSchool of Medicine, National Defense Medical Center, Taipei, Taiwan.
Sy-Jou ChenSchool of Medicine, National Defense Medical Center, Taipei, Taiwan.
Yu-Kai LinSchool of Medicine, National Defense Medical Center, Taipei, Taiwan.
Guan-Yu LinSchool of Medicine, National Defense Medical Center, Taipei, Taiwan.
Po-Kuan YehSchool of Medicine, National Defense Medical Center, Taipei, Taiwan.
Fu-Chi YangSchool of Medicine, National Defense Medical Center, Taipei, Taiwan. fuji-yang@yahoo.com.tw.

Funding

Tri-Service General Hospital TSGH-D-113092Tri-Service General Hospital TSGH-D-113108
6 · The paper itself

Abstract

backgroundAnti-calcitonin gene-related peptide (CGRP) monoclonal antibodies have emerged as promising therapeutic options for the treatment of chronic migraine. However, treatment response varies considerably among individuals, suggesting a potential role for genetic factors. This study aimed to identify genetic variants affecting the efficacy of anti-CGRP monoclonal antibody therapy in chronic migraine among the Han Chinese population in Taiwan to enhance treatment precision and to understand the genetic architecture of migraine.

methodsWe conducted a quantitative trait locus (QTL) association study in patients with chronic migraines from a tertiary medical center in Taiwan using the Taiwan Precision Medicine Array Chip. The patients received fremanezumab or galcanezumab for at least 12 weeks. Treatment efficacy was assessed based on the improvement rate in monthly migraine days. Genetic variants were identified, and their associations with treatment efficacy were examined through quantitative trait loci analysis, linkage disequilibrium studies, and functional annotations using the Gene Ontology database.

resultsSix single nucleotide polymorphisms (SNPs) relative variants were significantly associated with anti-CGRP therapy response (p < 1 × 10

conclusionThe identification of key genetic markers associated with response to anti-CGRP therapy emphasizes the importance of genetic variability in treatment efficacy. This could lead to more personalized chronic migraine management strategies and tailored therapeutic approaches based on individual genetic profiles. Further research in larger, diverse populations is warranted to validate these findings and refine our understanding of the role of CGRP in chronic migraine pathophysiology.

trial registrationNot applicable.

Indexed as

Antibodies, MonoclonalMigraine DisordersPolymorphism, Single NucleotideAdultAntibodies, Monoclonal, HumanizedCalcitonin Gene-Related PeptideChronic DiseaseEast Asian PeopleFemaleHumansMaleMiddle AgedQuantitative Trait LociTaiwanTreatment OutcomeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCalcitonin Gene-Related Peptidefremanezumabgalcanezumabanti-CGRP monoclonal antibodiesChronic migraineGenetic variantsPersonalized medicineSNP genotypingTreatment response

Identifiers

PMID39266962
PMCPMC11391721

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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.