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Analysis of retreatment with monoclonal antibodies in chronic/episodic migraine: Real world data.
García-Lloret, Patricia; Galván-Banqueri, Mercedes; Robustillo-Cortés, María de Las Aguas; Fernández-Recio, María.
Afiliación
  • García-Lloret P; Servicio de Farmacia, Hospital de Valme, Sevilla, Spain. Electronic address: patricia.garcia.lloret.sspa@juntadeandalucia.es.
  • Galván-Banqueri M; Servicio de Farmacia, Hospital de Valme, Sevilla, Spain.
  • Robustillo-Cortés MLA; Servicio de Farmacia, Hospital de Valme, Sevilla, Spain.
  • Fernández-Recio M; Servicio de Neurología, Hospital de Valme, Sevilla, Spain.
Farm Hosp ; 48(4): 176-179, 2024.
Article en En, Es | MEDLINE | ID: mdl-38461112
ABSTRACT

OBJECTIVE:

To analyze the response to retreatment in patients with chronic/episodic migraine who discontinued therapy with erenumab/fremanezumab after 1 year of treatment.

METHODS:

Observational, retrospective, single-center, multidisciplinary study in patients with chronic/episodic migraine who received therapy with erenumab/fremanezumab for at least 1 year and discontinued it after achieving an adequate response (optimization). The evaluation of the response after retreatment included the following variables DMM, MIDAS, and HIT-6 scales at the beginning of retreatment and 3 months later. The response was evaluated in different subgroups (episodic/chronic, erenumab/fremanezumab, and time until retreatment).

RESULTS:

48 patients were included. 70.8% (n=34) required retreatment with mAb, with a median of 3.9 (2.9-6.4) months until reintroduction. Clinical response after retreatment was achieved in 67.6% (n=23) of patients. No statistically significant differences were found in the analyzed subgroups.

CONCLUSION:

Interruption of treatment with erenumab/fremanezumab for chronic/episodic migraine produces a clinical worsening of the disease requiring retreatment in most cases, approximately after 4 months. Two out of three patients respond positively after restarting monoclonal therapy. This response does not appear to be related to the type of migraine, the specific monoclonal antibody prescribed, or the time to retreatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Retratamiento / Anticuerpos Monoclonales Humanizados / Trastornos Migrañosos / Anticuerpos Monoclonales Límite: Adult / Female / Humans / Male / Middle aged Idioma: En / Es Revista: Farm Hosp Asunto de la revista: FARMACIA / HOSPITAIS Año: 2024 Tipo del documento: Article Pais de publicación: España

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Retratamiento / Anticuerpos Monoclonales Humanizados / Trastornos Migrañosos / Anticuerpos Monoclonales Límite: Adult / Female / Humans / Male / Middle aged Idioma: En / Es Revista: Farm Hosp Asunto de la revista: FARMACIA / HOSPITAIS Año: 2024 Tipo del documento: Article Pais de publicación: España