دورية أكاديمية

Real‐world efficacy, tolerability, and safety of ubrogepant

التفاصيل البيبلوغرافية
العنوان: Real‐world efficacy, tolerability, and safety of ubrogepant
المؤلفون: Chiang, Chia‐Chun, Arca, Karissa N., Dunn, Rachel B., Girardo, Marlene E., Quillen, Jaxon K., Dodick, David W., Starling, Amaal J.
المصدر: Headache: The Journal of Head and Face Pain ; volume 61, issue 4, page 620-627 ; ISSN 0017-8748 1526-4610
بيانات النشر: Wiley
سنة النشر: 2021
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Objective To assess the real‐world efficacy, tolerability, and safety of ubrogepant in a tertiary headache center. Background The efficacy and safety of ubrogepant for the acute treatment of migraine were established in phase 3 randomized controlled trials. However, there is no real‐world data of patient experience with ubrogepant in a population in which the majority of patients have chronic migraine, multiple prior unsuccessful treatments, complex medical comorbidities, and concurrent use of other migraine‐specific medications. Method This was a post‐market cohort study conducted at Mayo Clinic Arizona. All patients prescribed ubrogepant were tracked and contacted 1–3 months after the prescription to answer a list of standardized questions. Demographic information and additional headache history were obtained from chart review. Results We obtained eligible questionnaire responses from 106 patients. Chronic migraine accounted for 92/106 (86.8%) of the population. Complete headache freedom (from mild/moderate/severe to no pain) and headache relief (from moderate/severe to mild/no pain or mild to no pain) for ≥75% of all treated attacks at 2 hours after taking ubrogepant were achieved in 20/105 (19.0%) and 50/105 (47.6%) patients, respectively. A total of 33/106 (31.1%) patients reported being “very satisfied” with ubrogepant. Adverse events were reported in 42/106 (39.6%) patients, including fatigue in 29/106 (27.4%), dry mouth in 8/106 (7.5%), nausea/vomiting in 7/106 (6.6%), constipation in 5/106 (4.7%), dizziness in 3/106 (2.8%), and other adverse events in 7/106 (6.6%). Predictive factors for being a “good responder” to ubrogepant, defined as headache relief for ≥75% of all treated attacks at 2 hours after taking ubrogepant, included migraine with aura, episodic migraine, <5 prior unsuccessful preventive or acute treatment trials. Additionally, prior treatment responses to a CGRP monoclonal antibody and onabotulinumtoxinA injections are predictive of treatment responses and patient satisfaction ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/head.14062
الإتاحة: https://doi.org/10.1111/head.14062Test
حقوق: http://onlinelibrary.wiley.com/termsAndConditions#vorTest
رقم الانضمام: edsbas.74C6C2D3
قاعدة البيانات: BASE