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Effectiveness of Switching CGRP Monoclonal Antibodies in Non-Responder Patients in the UAE: A Retrospective Study.

Authors :
Suliman, Reem
Santos, Vanessa
Al Qaisi, Ibrahim
Aldaher, Batool
Al Fardan, Ahmed
Al Barrawy, Hajir
Bader, Yazan
Supena, Jonna Lyn
Alejandro, Kathrina
Alsaadi, Taoufik
Source :
Neurology International. Feb2024, Vol. 16 Issue 1, p274-288. 15p.
Publication Year :
2024

Abstract

Calcitonin gene-related peptide monoclonal antibodies (CGRP mAbs) have shown promising effectiveness in migraine management compared to other preventative treatment options. Many questions remain regarding switching between antibody classes as a treatment option in patients with migraine headaches. This preliminary retrospective real-world study explored the treatment response of patients who switched between CGRP mAb classes due to lack of efficacy or poor tolerability. A total of 53 patients with migraine headache switched between three of the CGRP mAbs types due to lack of efficacy of the original prescribed CGRP mAbs, specifically eptinezumab, erenumab, and galcanezumab. Fremanezumab was not included due to unavailability in the UAE. Galcanezumab and eptinezumab target the CGRP ligand (CGRP/L), while erenumab targets CGRP receptors (CGRP/R). The analysis of efficacy demonstrated that some improvements were seen in both class switch cohorts (CGRP/R to CGRP/L and CGRP/L to CGRP/R). The safety of switching between CGRP classes was well observed, as any adverse events presented before the class switch did not lead to the discontinuation of treatment following the later switch. The findings of this study suggest that switching between different classes of CGRP mAbs is a potentially safe and clinically viable practice that may have some applications for those experiencing side effects on their current CGRP mAb or those witnessing suboptimal response. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
20358377
Volume :
16
Issue :
1
Database :
Academic Search Index
Journal :
Neurology International
Publication Type :
Academic Journal
Accession number :
175645151
Full Text :
https://doi.org/10.3390/neurolint16010019