Patients attending clinics at the Danish Headache Center, Copenhagen, will be invited to undergo CGRP provocation testing to try and identify those most likely to respond to anti-CGRP therapies. Describing plans to investigate the potential of CGRP provocation testing as a predictive biomarker, Professor Messoud Ashina explained that previous research has shown that about 66% …
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Treating migraine attacks with ubrogepant when headaches are mild rather than moderate/severe doubles the likelihood of pain freedom at 2 hours, according to data from a Phase 3, open label, 52-week extension trial of patients who had completed the ACHIEVE I or II trials. Other symptoms – phonophobia, photophobia and nausea – were also more …
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Clinicians need to be aware of the potential consequences of COVID-19 infection in patients with migraine, particularly in relation to their increased risk of cardiovascular disease (CVD). In her review of migraine issues during the COVID-19 pandemic, Dr Antoinette Maassen van den Brink, from Erasmus MC, Rotterdam, The Netherlands, highlighted two newly published studies that …
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Hypersensitivity to CGRP infusion has been demonstrated in patients with post-traumatic headache (PTH) and suggests a role for anti-CGRP therapies in this population. Dr Håkan Ashina from the Danish Headache Center, Copenhagen, reported results of a randomised, double-blind, placebo-controlled, 2-way crossover study of 34 patients with persistent PTH. Following intravenous infusion of 1.5 µg/min of …
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Women with both migraine and endometriosis show menstrual cycle-dependent changes in CGRP plasma levels, with higher concentrations during menstruation. Dr Bianca Raffaelli from Charité Universitätsmedizin Berlin, Germany, explained that these findings suggest a common epidemiological background for both diseases with a prominent role for CGRP in comorbid patients. As CGRP plays a role in the …
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Erenumab may significantly reduce monthly migraine days (MMDs) and monthly headache days (MHDs) in patients with idiopathic intracranial hypertension (IIH) in ocular remission, with chronic migraine-like headaches, according to results of a prospective, open label study. In the real world study of 55 patients, erenumab 70 mg reduced MMDs at six months by 10.3±4.8 (P<0.001) …
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A 120 mg sc monthly dose of fremanezumab for paediatric patients <45 kg in weight has been selected for Phase 3 trials based on the results of a pharmacokinetic model and simulation approach. A virtual population of 2400 paediatric patients aged 6-17 was generated and used together with a refinement of the adult fremanezumab population …
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