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  1. Article ; Online: Treatment satisfaction with calcitonin gene-related peptide monoclonal antibodies as a new patient-reported outcome measure: A real-life experience in migraine.

    López-Bravo, Alba / Oliveros-Cid, Antonio / Sevillano-Orte, Laura

    Acta neurologica Scandinavica

    2022  Volume 145, Issue 6, Page(s) 669–675

    Abstract: Background: To evaluate treatment satisfaction with galcanezumab as a patient-reported outcome measure (PROM) in migraine.: Methods: Patients with ≥8 headache days/month that had failed at ≥3 medications were included. Demographic and medical history ...

    Abstract Background: To evaluate treatment satisfaction with galcanezumab as a patient-reported outcome measure (PROM) in migraine.
    Methods: Patients with ≥8 headache days/month that had failed at ≥3 medications were included. Demographic and medical history were collected. Patient´s satisfaction (effectiveness, safety, convenience, and global satisfaction [GS]) was assessed by the Treatment Satisfaction Questionnaire for Medication version 1.4 (TSQM-1.4©).
    Results: We included 30 patients with migraine (76.7% chronic migraine). After 12 weeks of galcanezumab treatment, median monthly headache days (MHDs) decreased 11.5 (IQR 14.0) and median monthly migraine days (MMDs) 9.0 (IQR 7.5); at 24 weeks, the change was 15.0 (IQR 12.0) and 8.0 days (IQR 6.0). HIT-6 score decreased from 68.0 (IQR 7.5) to 54.0 (IQR 9.5) at 12 weeks (p < .001) and to 52.0 (IQR12.0) at 24 weeks (p < .001) and MIDAS from 60.0 (IQR 62.7) to 25.5 (IQR 41.2, p = .004) and 7.0 (IQR 18.5, p < .001), respectively. TSQM-1.4© at 12 weeks was higher compared to other preventive therapy in effectiveness (80.6/50.4, p < .001), convenience (83.3/66.7, p = .001), and GS (78.6/50.0, p < .001). These rates of satisfaction were similar at 24 weeks of galcanezumab treatment. Reductions in HIT-6 (r = -.444, p = .014), MIDAS (r = -.423, p = .020), MMDs (r = -.515, p = .004), and MHDs (r = -.477, p = .008) were associated significantly with GS at 12 weeks. This correlation was significantly associated with changes in HIT-6 and MHDs at 24 weeks.
    Conclusions: The results of this study suggest that migraine patients receiving galcanezumab are significantly more satisfied compared to other preventive therapies, associating treatment GS with meaningful reductions in frequency, impact, and disability caused by migraine.
    MeSH term(s) Antibodies, Monoclonal/therapeutic use ; Calcitonin Gene-Related Peptide ; Headache ; Humans ; Migraine Disorders/drug therapy ; Patient Reported Outcome Measures ; Patient Satisfaction ; Personal Satisfaction
    Chemical Substances Antibodies, Monoclonal ; Calcitonin Gene-Related Peptide (JHB2QIZ69Z)
    Language English
    Publishing date 2022-03-03
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 90-5
    ISSN 1600-0404 ; 0001-6314
    ISSN (online) 1600-0404
    ISSN 0001-6314
    DOI 10.1111/ane.13599
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Nummular headache responsive to anti-calcitonin gene-related peptide monoclonal antibodies in a patient with migraine.

    López-Bravo, Alba / Oliveros-Cid, Antonio / Mínguez-Olaondo, Ane / Cuadrado, María Luz

    Headache

    2022  Volume 62, Issue 8, Page(s) 1063–1066

    Abstract: Background: Nummular headache (NH) is defined by the presence of localized pain circumscribed to a round or elliptical area of the scalp, with a well-defined contour and a diameter of 1-6 cm. Although some evidence supports a peripheral mechanism, its ... ...

    Abstract Background: Nummular headache (NH) is defined by the presence of localized pain circumscribed to a round or elliptical area of the scalp, with a well-defined contour and a diameter of 1-6 cm. Although some evidence supports a peripheral mechanism, its etiopathogenesis remains unclear.
    Case: We report the case of a 64-year-old man with high-frequency episodic migraine who has used topiramate, beta-blockers, flunarizine, and amitriptyline without effect. In the last 8 years he also had continuous pain in an oval area of the scalp, consistent with NH. Triptans were ineffective for this new pain, and preventive therapy with gabapentin and onabotulinumtoxinA in the painful area had no effect. NH remitted when the patient received monthly treatment with subcutaneous galcanezumab for his migraine.
    Conclusions: Monoclonal antibodies against calcitonin gene-related peptide (CGRP), in particular galcanezumab, might be an effective therapy in some patients with NH. CGRP may have a role in the etiopathogenesis of this headache, which warrants further investigation.
    MeSH term(s) Antibodies, Monoclonal/therapeutic use ; Calcitonin Gene-Related Peptide ; Headache ; Humans ; Male ; Middle Aged ; Migraine Disorders/drug therapy ; Migraine Disorders/prevention & control ; Pain ; Treatment Outcome
    Chemical Substances Antibodies, Monoclonal ; Calcitonin Gene-Related Peptide (JHB2QIZ69Z)
    Language English
    Publishing date 2022-08-26
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 410130-3
    ISSN 1526-4610 ; 0017-8748
    ISSN (online) 1526-4610
    ISSN 0017-8748
    DOI 10.1111/head.14372
    Database MEDical Literature Analysis and Retrieval System OnLINE

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