Clinical Edge Journal Scan

Switching Between Anti-CGRP mAb Worsens Disease Burden in Migraine


 

Key clinical point: Patients with migraine who switched one or multiple times among available anti-calcitonin gene-related peptide (CGRP) monoclonal antibody (mAb) treatments showed lower treatment response and higher disease burden than those who adhered to one anti-CGRP mAb treatment.

Major finding: Overall, 73.1% patients did not switch their anti-CGRP mAb, while 20.6% switched once, 5.4% switched twice, and 0.9% switched three or more times. The ≥50% response rate for monthly migraine days was 64.7% in patients who did not switch among anti-CGRP mAb, but it worsened in those who switched once (50.7%) or twice (25.0%) during their last treatment cycle.

Study details: This real-world retrospective study used data from the Neuro TransData registry and included 655 patients with migraine who received at least one anti-CGRP mAb.

Disclosures: The authors did not disclose any source of funding. The authors declared no competing interests.

Source: Hong JB, Israel-Willner H, Peikert A, et al, and the NTD Study Group. Therapeutic patterns and migraine disease burden in switchers of CGRP-targeted monoclonal antibodies — insights from the German NeuroTransData registry. J Headache Pain. 2024;25:90 (Jun 3). doi: 10.1186/s10194-024-01790-7 Source

Recommended Reading

Commentary: Looking at Migraine Treatment in a Comprehensive Way, June 2024
Migraine ICYMI
Interictal Burden, Disability, Allodynia Linked to Increased Likelihood of Seeking Migraine Care
Migraine ICYMI
Measuring Cognition in Migraine, One Patient at a Time
Migraine ICYMI
Prior Non-response to Anti-CGRP mAb Curbs Efficacy of Eptinezumab
Migraine ICYMI
Healthy Lifestyle and Good Cardiovascular Health Can Ward Off Migraine
Migraine ICYMI
Rimegepant Reduces Need for Analgesics and Antiemetics in Adults With Migraine
Migraine ICYMI
Atogepant Shows Sustained Efficacy in Episodic Migraine
Migraine ICYMI
Predictors for Anti-CGRP mAb Response in Migraine
Migraine ICYMI
Migraine Not Linked to Atrial Fibrillation Risk
Migraine ICYMI
Meta-Analysis Shows Erenumab Is an Excellent Treatment Option in Migraine
Migraine ICYMI