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Gender Differences in 3-Month Outcomes of Erenumab Treatment-Study on Efficacy and Safety of Treatment With Erenumab in Men

R. Ornello, C. Baraldi, S. Guerzoni, G. Lambru, M. Fuccaro, B. Raffaelli, A. Gendolla, P. Barbanti, C. Aurilia, S. Cevoli, V. Favoni, F. Vernieri, C. Altamura, A. Russo, M. Silvestro, E. Dalla Valle, A. Mancioli, A. Ranieri, G. Alfieri, N....

. 2021 ; 12 (-) : 774341. [pub] 20211216

Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22010441

Objective: We reported gender-specific data on the efficacy and safety of erenumab, a monoclonal antibody antagonizing the calcitonin gene-related peptide (CGRP) receptor. Methods: Our pooled patient-level analysis of real-world data included patients treated with erenumab and followed up for 12 weeks. We considered the following outcomes at weeks 9-12 of treatment compared with baseline: 0-29%, 30-49%, 50-75%, and ≥75% responder rates, according to the decrease in monthly headache days (MHDs), rate of treatment stopping, change in MHDs, monthly migraine days (MMDs), monthly days of acute medication and triptan use, and Headache Impact Test-6 (HIT-6) score from baseline to weeks 9-12. Outcomes were compared between men and women by the chi-squared test or t-test, as appropriate. An analysis of covariance (ANCOVA) was performed to identify factors influencing the efficacy outcomes. Results: We included 1,410 patients from 16 centers, of which 256 (18.2%) were men. Men were older than women and had a lower number of MHDs at baseline. At weeks 9-12, compared with baseline, 46 (18.0%) men had a ≥75% response, 75 (29.3%) had a 50-74% response, 35 (13.7%) had a 30-49% response, and 86 (33.6%) had a 0-29% response, while 14 (5.5%) stopped the treatment. The corresponding numbers for women were 220 (19.1%), 314 (27.2%), 139 (12.0%), 402 (34.8%), and 79 (6.8%). No gender difference was found in any of the outcomes. The ANCOVA showed that gender did not influence the efficacy of outcomes. Conclusion: We found that erenumab is equally safe and effective in men compared with women after 12 weeks.

Department of Biomedical Metabolic and Neural Sciences School in Neurosciences University of Modena and Reggio Emilia Modena Italy

Department of Neurology Alfred Health Melbourne VIC Australia

Department of Neurology Charité Universitätsmedizin Berlin Berlin Germany

Department of Neurology F Renzetti Hospital Chieti Italy

Department of Neurology G Mazzini Hospital Teramo Italy

Department of Neurology Military University Hospital Prague 1st Faculty of Medicine Charles University Prague Czechia

Department of Neurology Motol University Hospital Prague 1st Faculty of Medicine Charles University Prague Czechia

Department of Neurology S Pio da Pietrelcina Hospital Chieti Italy

Department of Neurology West German Headache Center University Hospital Essen Essen Germany

Headache and Neurosonology Unit Policlinico Universitario Campus Bio Medico Rome Italy

Headache and Pain Unit Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele Rome Italy

Headache Center Department of Medical Surgical Neurological Metabolic and Aging Sciences University of Campania Luigi Vanvitelli Naples Italy

Headache Center Geriatrics Clinic Department of Medicine and Science of Aging and Center for Advanced Studies and Technology G D'Annunzio University Chieti Italy

Headache Centre Division of Neurology and Stroke Unit A Cardarelli Hospital Naples Italy

Headache Centre Ospedale S Antonio Abate ASST Valle Olona Gallarate Italy

Istituto di Ricovero e Cura a Carattere Scientifico Istituto delle Scienze Neurologiche di Bologna Bologna Italy

Medical Toxicology Headache and Drug Abuse Research Center Department of Biomedical Metabolic and Neural Sciences University of Modena and Reggio Emilia Modena Italy

Neuroscience Section Department of Applied Clinical Sciences and Biotechnology University of L'Aquila L'Aquila Italy

Praxis Gendolla Essen Germany

San Raffaele University Rome Italy

Sechenov 1st Moscow State Medical University Moscow Russia

Southwest Neurology Audit and Research Group Department of Neurology Derriford Hospital Plymouth United Kingdom

The Headache Service Guy's and St Thomas' National Health Service Foundation Trust London United Kingdom

Universitätsmedizin Greifswald Greifswald Germany

Citace poskytuje Crossref.org

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