Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/222960
Title: Monthly Versus Quarterly Fremanezumab in Real Life: A Comparison of Effectiveness, Tolerability, and Adherence
Author: Muñoz-vendrell, Albert
Campoy, Sergio
Miguel Cano Sánchez, Luis
Campdelacreu, Jaume
Prat, Joan
María García-sánchez, Sonia
Huerta-villanueva, Mariano
Muñoz-vendrell, Albert
Campoy, Sergio
Miguel Cano Sánchez, Luis
Campdelacreu, Jaume
Prat, Joan
María García-sánchez, Sonia
Huerta-villanueva, Mariano
Issue Date: 1-Jan-2025
Publisher: Wiley
Abstract: Background: While clinical trials have shown no differences between monthly and quarterly regimens of fremanezumab, limited real-life data exist for comparison. This study is aimed at comparing treatment regimens in real life.Methods: This observational, multicentre study conducted a retrospective analysis of patients initiating monthly or quarterly fremanezumab. Primary endpoints were the comparison of monthly migraine days' reduction, adverse effects, and treatment discontinuation rates at 3 and 6 months. Secondary endpoints included changes in headache and medication intake frequencies, response rates, and patient-reported outcomes.Results: One hundred and eleven patients were included, with a median age of 48.5 years, 91% women, and 54.1% with chronic migraine. Sixty-four patients received a monthly regimen and 47 a quarterly. Baseline characteristics were similar. Reductions in monthly migraine days did not differ between treatment regimens (-5 [IQR -9, -1] for monthly versus -6 [IQR -8, -3] for quarterly at 3 months, p = 0.867, and -5 [IQR -10, -2] versus -5.5 [IQR -8.5, -3] at 6 months, p = 0.666, respectively). Adverse effects and discontinuation rates were similar between groups. Secondary endpoints were comparable, except for a higher PGIC scale for the quarterly group at 6 months (6 [IQR 4-6] versus 4 [IQR 2-6], p = 0.007). No differences were observed in the subgroup analysis of episodic or chronic migraine.Conclusions: Monthly and quarterly fremanezumab demonstrated comparable effectiveness, tolerability, and adherence in real life. Quarterly regimen may result in a more favorable global impression of change.
Note: Reproducció del document publicat a: https://doi.org/10.1155/ane/6650009
It is part of: Acta Neurologica Scandinavica, 2025, vol. 2025, issue. 1
URI: https://hdl.handle.net/2445/222960
Related resource: https://doi.org/10.1155/ane/6650009
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))



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