Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2024 > Vol 5, №5 (2024) > The course of headache after the end of treatment with erenumab in patients with episodic and chronic migraine

The course of headache after the end of treatment with erenumab in patients with episodic and chronic migraine

Anna A. Garmanova , Anna V. Berdnikova , Nina V. Latysheva

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  • Abstract
  • About the Author
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Abstract

Background. Migraine is the second most incapacitating disease and is accompanied by multiple comorbidities, especially in chronic migraines. Migraine treatment and improvement of the patients’ quality of life are an important clinical issue. The calcitonin gene-related peptide (CGRP) monoclonal antibodies (mAbs) are the first target therapy for migraine. To date, there are no published data on the duration of effect after using mAbs.
Aim. To determine the effect duration after cessation of erenumab treatment in patients with migraine.
Methods. The study included 64 patients with migraine, who received at least three doses of erenumab; treatment was stopped when reduction of the headache frequency by at least 30% was achieved. The frequency of headache and migraine were assessed 1, 3 and 6 months after the end of treatment.
Results. There was a significant increase in the frequency of headache compared to the values reported at the end of treatment, however, the rates were still significantly lower compared to the baseline values. In some patients, no increase in headache frequency following discontinuation of treatment was observed.
Keywords:  migraine, therapy, monoclonal antibodies, erenumab, quality of life.

About the Author

Anna A. Garmanova 1 , Anna V. Berdnikova 2 , Nina V. Latysheva 2

1 Polyclinic No. 1, Department of the President of the Russian Federation Moscow, Russia

2 Alexander Vein Headache Clinic, Moscow, Russia; I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

References

1. GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;385(9963):117-71.
2. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-21.
3. Steiner TJ, Stovner LJ, Jensen R et al. Migraine remains second among the world’s causes of disability, and first among young women: findings from GBD2019. J Headache Pain. 2020;21(1):137.
4. Ayzenberg I, Katsarava Z, Sborowski A et al. The prevalence of primary headache disorders in Russia: a countrywide survey. Cephalalgia. 2012;32(5):373-81.
5. Sacco S, Bendtsen L, Ashina M, Reuter U et al. European headache federation guideline on the use of monoclonal antibodies acting on the calcitonin gene related peptide or its receptor for migraine prevention. J Headache Pain. 2019;20(1):
6. Филатова Е.Г., Осипова В.В., Табеева Г.Р. и др. Диагностика и лечение мигрени: рекомендации российских экспертов. Неврология, нейропсихиатрия, психосоматика. 2020;12(4):4-14.
Filatova E.G., Osipova V.V., Tabeeva G.R. et al. Diagnosis and treatment of migraine: recommendations of Russian experts. Neurology, neuropsychiatry, psychosomatics. 2020;12(4):4-14 (in Russian).
7. Амелин А.В., Соколов А.Ю., Ваганова Ю.С. Пятилетний опыт применения нового класса препаратов для таргетной профилактической терапии мигрени. Российский неврологический журнал. 2021;26(3):4-14.
Amelin A.V., Sokolov A.Yu., Vaganova Yu.S. Five-year experience in the use of a new class of drugs for targeted preventive therapy of migraine. Russian Neurological Journal. 2021;26(3):4-14 (in Russian).
8. Zhang Q, Shao A, Jiang Z et al. The exploration of mechanisms of comorbidity between migraine and depression. J Cell Mol Med. 2019;23(7):42505-4513.
9. Ashina S, Serrano D, Lipton RB et al. Depression and risk of transformation of episodic to chronic migraine. J Headache Pain. 2012;13(8):615-24.
10. Peres MFP, Mercante JPP et al. Anxiety and depression symptoms and migraine: a symptom-based approach research. J Headache Pain. 2017;18(1):37.
11. Smitherman TA, Kolivas ED, Bailey JR. Panic disorder and migraine: comorbidity, mechanisms, and clinical implications. Headache. 2013;53(1):23-45.
12. Hamelsky SW, Lipton RB. Psychiatric comorbidity of migraine. Headache. 2006;46(9):1327-33.
13. Jette N, Patten S, Williams J et al. Comorbidity of migraine and psychiatric disorders—a national population-based study. Headache. 2008;48(4):501-16.
14. Buse DC, Manack A, Serrano D et al. Sociodemographic and comorbidity profiles of chronic migraine and episodic migraine sufferers. J Neurol Neurosurg Psychiatry. 2010;81(4):428-32.
15. Blumenfeld AM, Varon SF, Wilcox TK et al. Disability, HRQoL and resource use among chronic and episodic migraineurs: results from the International Burden of Migraine Study (IBMS). Cephalalgia. 2011;31(3):301-15.
16. Артеменко А.Р., Куренков А.Л., Антипова О.С. Диагностика и лечение хронической мигрени. М.: Горячая линия – Телеком, 2014.
Artemenko A.R., Kurenkov A.L., Antipova O.S. Diagnostics and treatment of chronic migraine. Moscow: Goryachaya liniya – Telekom, 2014 (in Russian).
17. Frediani F, Villani V. Migraine and depression. Neurol Sci. 2007;28 (Suppl. 2):S161-5.
18. Сергеев А.В., Табеева Г.Р., Филатова Е.Г. и др. Применение новой биологической патогенетической терапии мигрени в клинической практике: консенсус экспертов Российского общества по изучению головной боли. Неврология, нейропсихиатрия, психосоматика. 2022;14(5):109-16.
Sergeev A.V., Tabeeva G.R., Filatova E.G. et al. Application of a new biological pathogenetic therapy of migraine in clinical practice: consensus of experts of the Russian Society for the Study of Headache. Neurology, neuropsychiatry, psychosomatics. 2022;14(5):109-16 (in Russian).
19. Ashina M, Goadsby PJ, Reuter U et al. Long-term efficacy and safety of erenumab in migraine prevention: Results from a 5-year, open-label treatment phase of a randomized clinical trial. Eur J Neurol. 2021;28(5):1716-25.
20. De Matteis E, Affaitati G, Frattale I, Caponnetto V, Pistoia F, Giamberardino MA, Sacco S, Ornello R. Early outcomes of migraine after erenumab discontinuation: data from a real-life setting. Neurol Sci. 2021;42(8):3297-303.
21. Nsaka M, Scheffler A, Wurthmann S et al. Real-world evidence following a mandatory treatment break after a 1-year prophylactic treatment with calcitonin gene-related peptide (pathway) monoclonal antibodies. Brain Behav. 2022;12(7):e2662.

For citation:Garmanova A.A., Berdnikova A.V., Latysheva N.V. The course of headache after the end of treatment with erenumab in patients with episodic and chronic migraine. Clinical review for general practice. 2024; 5 (5): 6–12. (In Russ.). DOI: 10.47407/ kr2023.5.5.00398


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