Evidence map›Paper›PMID 41868415›Full record

ArticleTherapeutics and clinical risk management2026

Real-World Clinical Effectiveness and Migraine-Related Healthcare Resource Utilization in Patients Initiating Fremanezumab in Germany and the United Kingdom.

Axel Heinze, Shazia K Afridi, Todor I Totev, Lynda J Krasenbaum, Emi Terasawa, Hasan Akcicek, Joachim Hipp, Dalbir Dhiraj, Rochelle Sun, Erica Yim and 2 more

Abstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

12 authors.

Axel HeinzeMigraine and Headache Center, Pain Clinic Kiel, Kiel, Germany.ORCID 0000-0002-4925-1260
Shazia K AfridiDepartment of Neurology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Todor I TotevAnalysis Group, Inc., Boston, MA, USA.ORCID 0000-0003-0253-325X
Lynda J KrasenbaumGlobal Medical Affairs, Teva Branded Pharmaceutical Products R&D, Inc., West Chester, PA, USA.
Emi TerasawaAnalysis Group, Inc., New York, NY, USA.
Hasan AkcicekMedical Affairs, Teva Pharmaceuticals B.V., Haarlem, Netherlands.
Joachim HippTeva GmbH, Ulm, Germany.ORCID 0000-0002-6840-4066
Dalbir DhirajGlobal Medical Affairs, Teva UK Ltd, Castleford, UK.
Rochelle SunAnalysis Group, Inc., Boston, MA, USA.
Erica YimAnalysis Group, Inc., New York, NY, USA.
Binyam YilmaAnalysis Group, Inc., New York, NY, USA.
Maurice T DriessenGlobal Health Economics, Value and Outcomes, Teva Pharmaceuticals B.V., Haarlem, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Fremanezumab, a humanized monoclonal antibody targeting calcitonin gene-related peptide, is approved in Germany and the United Kingdom (UK) for patients experiencing migraine ≥4 days per month, and it is reimbursed for patients where ≥4-5 (Germany) or ≥3 (UK) prior migraine preventive treatments have failed. We evaluated real-world clinical effectiveness and healthcare resource utilization (HCRU) in patients initiating fremanezumab in Germany and the UK. Methods: This non-interventional, retrospective, physician panel-based, online, multicenter chart review study included adult patients with chronic migraine (CM) or episodic migraine (EM) with first fremanezumab treatment initiation (index date) from June 2019 or later (Germany), and from June 2020 or later (UK). Changes in monthly migraine days (MMD), monthly headache days (MHD), and disability outcomes (Migraine Disability Assessment [MIDAS] and Headache Impact Test-6 [HIT-6]) were evaluated from baseline (pre-index) to 3 months post-index, and changes in HCRU were evaluated from 6 months pre-index to 6 months post-index. Results: The study population included 207 German and 183 UK patients (CM, 48.3% and 95.1%; monthly dosing, 59.4% and 51.9%, respectively). Reductions in MMD and MHD were observed in the German cohort (percent reductions: 60.2% and 55.1%, respectively) and the UK cohort (51.9% and 47.3%, respectively; all Conclusion: Fremanezumab demonstrated real-world clinical effectiveness in German and UK cohorts and may decrease the burden of migraine for patients and providers.

Indexed as

burden of migrainecalcitonin gene-related peptidecost effectivenessmigraine-related disability

Identifiers

PMID41868415
PMCPMC13003645

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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.