Fremanezumab in the treatment of migraines: evidence to date.

Abstract:

:Calcitonin gene-related peptide (CGRP) is a major player in migraine pathophysiology, and CGRP monoclonal antibodies including fremanezumab may be a safe effective preventive therapy. Phase IIb studies in episodic migraine (EM) and chronic migraine (CM) demonstrated efficacy at both the monthly 225 mg and quarterly 675 mg doses. The Phase III trials for EM and CM both showed a reduction in the primary endpoint of monthly migraine days (MMD). In the EM trial, the baseline MMD of 8.9 days was reduced to 5.3 at 12 weeks and to 4.0 days in the 6-month open-label extension (OLE) for monthly dosing. In the quarterly dosing, the baseline was 9.2 days reduced to 5.3 at 12 weeks and to 4.2 days in the OLE. In the CM data for monthly dosing, the baseline was 16.2 days decreased to 11.4 at 12 weeks then to 8.3 in the OLE. In the CM quarterly dosing, the baseline of 16.4 days was reduced to 11.9 at 12 weeks and 9.9 days in the OLE. Randomized controlled trials of fremanezumab in both episodic cluster and post-traumatic headache are underway, but the trial for chronic cluster headache was stopped for futility. The most common adverse events are injection site pain (24% vs 22% for placebo), induration (17% vs 13% for placebo), and erythema (16% vs 12% for placebo). Severe adverse events were reported in 3.9% of the fremanezumab vs 3.7% of the placebo. No changes in vitals or ECG were reported. The long-term effects are not known, but the American Headache Society recommends that CGRP monoclonal antibodies be considered in EM or CM depending on previous medication trials and headache disability/frequency. Further, post-market studies are required, but for EM and CM fremanezumab is a new option for migraine preventive treatment.

journal_name

J Pain Res

journal_title

Journal of pain research

authors

Robblee J,VanderPluym J

doi

10.2147/JPR.S166427

subject

Has Abstract

pub_date

2019-08-22 00:00:00

pages

2589-2595

issn

1178-7090

pii

166427

journal_volume

12

pub_type

杂志文章
  • Peripheral and spinal TRPA1 channels contribute to formalin-induced long-lasting mechanical hypersensitivity.

    abstract:Background:Transient receptor potential ankyrin 1 (TRPA1) is a non-selective cation channel expressed by a subset of nociceptive neurons that acts as a multimodal receptor. Its activity contributes to modulate nociceptive transmission in acute inflammatory pain. However, the role of this channel in chronic pain has bee...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S153671

    authors: Martínez-Rojas VA,García G,Noriega-Navarro R,Guzmán-Priego CG,Torres-López JE,Granados-Soto V,Murbartián J

    更新日期:2017-12-27 00:00:00

  • Current and future options for the management of phantom-limb pain.

    abstract::Phantom-limb pain (PLP) belongs among difficult-to-treat chronic pain syndromes. Treatment options for PLP are to a large degree implicated by the level of understanding the mechanisms and nature of PLP. Research and clinical findings acknowledge the neuropathic nature of PLP and also suggest that both peripheral as w...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S16733

    authors: Knotkova H,Cruciani RA,Tronnier VM,Rasche D

    更新日期:2012-01-01 00:00:00

  • Reproducibility of the heat/capsaicin skin sensitization model in healthy volunteers.

    abstract:INTRODUCTION:Heat/capsaicin skin sensitization is a well-characterized human experimental model to induce hyperalgesia and allodynia. Using this model, gabapentin, among other drugs, was shown to significantly reduce cutaneous hyperalgesia compared to placebo. Since the larger thermal probes used in the original studie...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S53437

    authors: Cavallone LF,Frey K,Montana MC,Joyal J,Regina KJ,Petersen KL,Gereau RW 4th

    更新日期:2013-11-07 00:00:00

  • The impact of intravenous dexamethasone on the efficacy and duration of analgesia of paravertebral block in breast cancer surgery: a randomized controlled trial.

    abstract:Purpose:The study aimed at the evaluation of the impact of intravenous (IV) dexamethasone on efficacy and duration of analgesia of paravertebral block (PVB) in patients undergoing modified radical mastectomy (MRM). Patients and methods:This randomized, double-blind controlled trial included 50 patients with breast can...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S181788

    authors: Bakeer AH,Abdallah NM,Kamel MA,Abbas DN,Ragab AS

    更新日期:2018-12-19 00:00:00

  • Estimated risk for chronic pain determined using the generic STarT Back 5-item screening tool.

    abstract:OBJECTIVE:The generic STarT Back 5-item screening tool (STarT-G) is used to manage chronic pain in the lower back and elsewhere. This study evaluated the validity of the Japanese version of this generic screening tool. MATERIALS AND METHODS:Japanese participants between the ages of 20 and 64 years completed online sur...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S129585

    authors: Oka H,Matsudaira K,Fujii T,Kikuchi N,Haga Y,Sawada T,Katsuhira J,Yoshimoto T,Kawamata K,Tonosu J,Sumitani M,Kasahara S,Tanaka S

    更新日期:2017-02-24 00:00:00

  • Bilateral Erector Spinae Plane Blocks for Open Posterior Lumbar Surgery.

    abstract:Purpose:Erector spinae plane block (ESPB) is a newly reported interfascial plane block in pain management, and it can block the nerves exactly in line with the area of the posterior lumbar surgery. The objective of this research was to determine the effectiveness of pre-operative ESPB in enhancing recovery of posterior...

    journal_title:Journal of pain research

    pub_type:

    doi:10.2147/JPR.S248171

    authors: Zhang TJ,Zhang JJ,Qu ZY,Zhang HY,Qiu Y,Hua Z

    更新日期:2020-04-05 00:00:00

  • Cervical sagittal alignment as a predictor of adjacent-level ossification development.

    abstract:Purpose:To explore the role of cervical sagittal alignment in the occurrence of adjacent-level ossification development (ALOD) in patients who underwent anterior cervical discectomy fusion with self-locking stand-alone polyetheretherketone cage, and the relationship between cervical sagittal alignment and clinical outc...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S160472

    authors: Liu W,Rong Y,Chen J,Luo Y,Tang P,Zhou Z,Fan J,Cai W

    更新日期:2018-07-20 00:00:00

  • Erector Spinae Plane Block for Lumbar Spinal Surgery: A Systematic Review.

    abstract:Background:Erector spinae plane block (ESPB) as a new trunk fascia block technique was proposed in 2016. ESPB has aroused the interest of many nerve block experts. However, there are few clinical studies on ESPB for lumbar surgery, and its effectiveness and safety are controversial. The goal of this review is to summar...

    journal_title:Journal of pain research

    pub_type: 杂志文章,评审

    doi:10.2147/JPR.S256205

    authors: Qiu Y,Zhang TJ,Hua Z

    更新日期:2020-07-01 00:00:00

  • Thoracic epidural analgesia reduces myocardial injury in ischemic patients undergoing major abdominal cancer surgery.

    abstract:BACKGROUND AND OBJECTIVES:Major abdominal cancer surgeries are associated with significant perioperative mortality and morbidity due to myocardial ischemia and infarction. This study examined the effect of perioperative patient controlled epidural analgesia (PCEA) on occurrence of ischemic cardiac injury in ischemic pa...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S122918

    authors: Mohamad MF,Mohammad MA,Hetta DF,Ahmed EH,Obiedallah AA,Elzohry AAM

    更新日期:2017-04-12 00:00:00

  • Liposome bupivacaine for improvement in economic outcomes and opioid burden in GI surgery: IMPROVE Study pooled analysis.

    abstract:UNLABELLED:Postsurgical pain management remains a significant challenge. Liposome bupivacaine, as part of a multimodal analgesic regimen, has been shown to significantly reduce postsurgical opioid consumption, hospital length of stay (LOS), and hospitalization costs in gastrointestinal (GI) surgery, compared with intra...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S63764

    authors: Cohen SM,Vogel JD,Marcet JE,Candiotti KA

    更新日期:2014-06-24 00:00:00

  • Therapeutic effect of epidural hyaluronic acid in a rat model of foraminal stenosis.

    abstract:PURPOSE:Since receiving a warning from the US Food and Drug Administration (FDA) about injection of corticosteroids into the epidural space having serious adverse events, we have sought alternative medications for injection at this site. Hyaluronic acid (HA) has anti-adhesive, anti-inflammatory, and lubricating propert...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S122861

    authors: Nahm FS,Lee PB,Choe GY,Lim YJ,Kim YC

    更新日期:2017-01-25 00:00:00

  • The impact of multisite pain on functional outcomes in older adults: biopsychosocial considerations.

    abstract::Multisite pain, or pain that occurs simultaneously at >1 anatomical site, is more prevalent than single-site pain. While multisite pain affects over half of older adults, it remains an understudied pain entity that may have important functional implications in an aging population. Greater understanding of this complex...

    journal_title:Journal of pain research

    pub_type: 杂志文章,评审

    doi:10.2147/JPR.S192755

    authors: Butera KA,Roff SR,Buford TW,Cruz-Almeida Y

    更新日期:2019-03-29 00:00:00

  • A comparison between the administration of oral prolonged-release oxycodone-naloxone and transdermal fentanyl in patients with moderate-to-severe cancer pain: a propensity score analysis.

    abstract:BACKGROUND:Opioids are the most important pharmacological treatment for moderate-to-severe cancer pain, but side effects limit their use. Transdermal fentanyl (TDF) and oral prolonged-release oxycodone-naloxone (OXN-PR) are effective in controlling chronic pain, with less constipation compared to other opioids. However...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S141928

    authors: Roberto A,Greco MT,Legramandi L,Galli F,Galli M,Corli O

    更新日期:2017-09-04 00:00:00

  • Nurses' Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study.

    abstract:Purpose:The aim of this prospective study was to assess the behavior of emergency department (ED) nurses with regard to pain and their role in pain management in a real-life clinical setting. Methods:A total of 509 consecutive patients were enrolled during a 6-week period. A case-report form was used to collect data o...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S266087

    authors: Sardo S,Galletta M,Coni E,Aviles Gonzalez CI,Piras I,Pia G,Evangelista M,Musu M,Finco G

    更新日期:2020-09-22 00:00:00

  • Pain aversion and anxiety-like behavior occur at different times during the course of chronic inflammatory pain in rats.

    abstract::Pain is considered a multidimensional conscious experience that includes a sensory component and a negative affective-motivational component. The negative affective-motivational component of pain is different from the sensory component and amplifies the pain experience. Nowadays, a significant number of preclinical re...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S139679

    authors: Wu Y,Yao X,Jiang Y,He X,Shao X,Du J,Shen Z,He Q,Fang J

    更新日期:2017-11-06 00:00:00

  • The prevalence of probable neuropathic pain in the US: results from a multimodal general-population health survey.

    abstract:Background:The prevalence of neuropathic pain (NeP) has been estimated within specific health conditions; however, there are no published data on its broad prevalence in the US. The current exploratory study addresses this gap using the validated PainDetect questionnaire as a screener for probable NeP in a general-popu...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S127014

    authors: DiBonaventura MD,Sadosky A,Concialdi K,Hopps M,Kudel I,Parsons B,Cappelleri JC,Hlavacek P,Alexander AH,Stacey BR,Markman JD,Farrar JT

    更新日期:2017-11-01 00:00:00

  • Post-Cesarean Delivery Analgesic Outcomes in Patients Maintained on Methadone and Buprenorphine: A Retrospective Investigation.

    abstract:Background:Despite the increasing prevalence of opioid use disorder (OUD) in pregnant women, there are limited studies on their anesthesia care and analgesic outcomes after cesarean delivery (CD). Methods:Patients with OUD on either buprenorphine or methadone maintenance therapy who underwent CD at our institution fro...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S284874

    authors: Reno JL,Kushelev M,Coffman JH,Prasad MR,Meyer AM,Carpenter KM,Palettas MS,Coffman JC

    更新日期:2020-12-30 00:00:00

  • Duloxetine in the treatment of chronic pain due to fibromyalgia and diabetic neuropathy.

    abstract::Duloxetine is a serotonin-norepinephrine reuptake inhibitor approved by the US Food and Drug Administration for the treatment of fibromyalgia and painful diabetic neuropathy at doses of 60 mg daily. Duloxetine has been shown to significantly improve the symptoms of chronic pain associated with these disorders, as meas...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S12866

    authors: Wright A,Luedtke KE,Vandenberg C

    更新日期:2010-12-16 00:00:00

  • A randomized, double-blind study of hydromorphone hydrochloride extended-release tablets versus oxycodone hydrochloride extended-release tablets for cancer pain: efficacy and safety in Japanese cancer patients (EXHEAL: a Phase III study of EXtended-releas

    abstract:BACKGROUND:In Japan, there are limited options for switching opioid analgesics. Hydromorphone is an opioid analgesic that is routinely used instead of morphine for cancer pain; however, it is not yet available in Japan. The aim of this study was to assess the efficacy and safety of hydromorphone (DS-7113b) extended-rel...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S136937

    authors: Inoue S,Saito Y,Tsuneto S,Aruga E,Ide A,Kakurai Y

    更新日期:2017-08-18 00:00:00

  • The impact of anxiety and catastrophizing on interleukin-6 responses to acute painful stress.

    abstract:Objective:To examine the influence of anxiety and pain-related catastrophizing on the time course of acute interleukin-6 (IL-6) responses to standardized noxious stimulation among patients with chronic pain. Methods:Data were collected from 48 participants in the following demographically matched groups: patients with...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S147735

    authors: Lazaridou A,Martel MO,Cahalan CM,Cornelius MC,Franceschelli O,Campbell CM,Haythornthwaite JA,Smith M,Riley J,Edwards RR

    更新日期:2018-03-28 00:00:00

  • Imaging-guided hyperstimulation analgesia in low back pain.

    abstract::Low back pain in patients with myofascial pain syndrome is characterized by painful active myofascial trigger points (ATPs) in muscles. This article reviews a novel, noninvasive modality that combines simultaneous imaging and treatment, thus taking advantage of the electrodermal information available from imaged ATPs ...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S47540

    authors: Gorenberg M,Schwartz K

    更新日期:2013-06-25 00:00:00

  • Co-crystals as a new approach to multimodal analgesia and the treatment of pain.

    abstract::Pain is highly prevalent, but frequently untreated or under-treated, and health care professionals are faced with a range of treatment challenges. Multimodal therapy is recommended and can be achieved using open combinations (ie, concomitant administration) of individual agents, fixed-dose combinations (FDCs), or mult...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S208082

    authors: Almansa C,Frampton CS,Vela JM,Whitelock S,Plata-Salamán CR

    更新日期:2019-09-04 00:00:00

  • Ovine model of neuropathic pain for assessing mechanisms of spinal cord stimulation therapy via dorsal horn recordings, von Frey filaments, and gait analysis.

    abstract:Background:It is becoming increasingly important to understand the mechanisms of spinal cord stimulation (SCS) in alleviating neuropathic pain as novel stimulation paradigms arise. Purpose:Additionally, the small anatomic scale of current SCS animal models is a barrier to more translational research. Methods:Using ch...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S139843

    authors: Reddy CG,Miller JW,Abode-Iyamah KO,Safayi S,Wilson S,Dalm BD,Fredericks DC,Gillies GT,Howard MA 3rd,Brennan TJ

    更新日期:2018-06-15 00:00:00

  • Vitellaria paradoxa Nut Triterpene-Rich Extract Ameliorates Symptoms of Inflammation on Post-Traumatic Osteoarthritis in Obese Rats.

    abstract:Purpose:To investigate the ameliorative effects of Vitellaria paradoxa (VP) nut extract for an anterior cruciate ligament transection with medial meniscectomy (ACLT+MMx)-induced osteoarthritis (OA) in high-fat diet (HFD)-induced obese rats. Methods:The rats were fed by HFD for 5 weeks before surgery-induced OA. Rats w...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S228766

    authors: Sudirman S,Chen CK,Long BT,Chang HW,Tsou D,Kong ZL

    更新日期:2020-01-30 00:00:00

  • Pain reduction and improved vascular health associated with daily consumption of an anti-inflammatory dietary supplement blend.

    abstract::Purpose: The objective for this clinical pilot study was to evaluate changes to chronic pain, vascular health, and inflammatory markers when consuming a dietary supplement blend (DSB, CytoQuel®), containing curcumin, resveratrol, tocotrienols, N-Acetylcysteine, and epigallocatechin gallate. Materials and methods: An o...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S189064

    authors: Hamilton DE,Jensen GS

    更新日期:2019-05-15 00:00:00

  • Wnt3a Inhibitor Attenuates Remifentanil-Induced Hyperalgesia via Downregulating Spinal NMDA Receptor in Rats.

    abstract:Purpose:The upregulation of spinal NMDA receptor is a crucial mechanism in remifentanil-induced hyperalgesia (RIH). Wnt3a/β-catenin pathway plays an important role in neuropathic pain. We hypothesized that wnt3a inhibitor (iwp-2) could downregulate the expression of NR2B subunit in NMDA receptor, in order to relieve R...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S250663

    authors: Gao Y,Zhou S,Pan Y,Gu L,He Y,Sun J

    更新日期:2020-05-19 00:00:00

  • G Protein-Gated Inwardly Rectifying Potassium Channel Subunit 3 is Upregulated in Rat DRGs and Spinal Cord After Peripheral Nerve Injury.

    abstract:Background:G protein-gated inwardly rectifying potassium (GIRK) channels are involved in the regulation of neuronal excitability. Four GIRK subunits (GIRK1-4) are expressed in rat dorsal root ganglia (DRGs). Recently, we have characterized the expression of GIRK1 and -2, and both are downregulated in rat DRGs and spina...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S233744

    authors: Lyu C,Lyu GW,Mulder J,Martinez A,Shi TS

    更新日期:2020-02-17 00:00:00

  • Muscle injections with lidocaine improve resting fatigue and pain in patients with chronic fatigue syndrome.

    abstract:OBJECTIVE:Patients with chronic fatigue syndrome (CFS) complain of long-lasting fatigue and pain which are not relieved by rest and worsened by physical exertion. Previous research has implicated metaboreceptors of muscles to play an important role for chronic fatigue and pain. Therefore, we hypothesized that blocking ...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S139466

    authors: Staud R,Kizer T,Robinson ME

    更新日期:2017-06-26 00:00:00

  • A retrospective study on analgesic requirements for thoracoscopic surgery postoperative pain.

    abstract:Background:Thoracoscopic surgery (TS) has been performed as a minimally invasive procedure since the beginning of the 1990s. This has led to a dramatic change in the postoperative condition of these patients, facilitating early ambulation and easier management of postoperative pain. However, empirical evidence on posto...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S147691

    authors: Kuroda H,Mizuno H,Dejima H,Watanabe K,Yoshida T,Naito Y,Sakao Y

    更新日期:2017-11-15 00:00:00

  • The effect of pregabalin or duloxetine on arthritis pain: a clinical and mechanistic study in people with hand osteoarthritis.

    abstract::Osteoarthritis (OA) is the most prevalent arthritis worldwide and is characterized by chronic pain and impaired physical function. We hypothesized that heightened pain in hand OA could be reduced with duloxetine or pregabalin. In this prospective, randomized clinical study, we recruited 65 participants, aged 40-75 yea...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S147640

    authors: Sofat N,Harrison A,Russell MD,Ayis S,Kiely PD,Baker EH,Barrick TR,Howe FA

    更新日期:2017-10-10 00:00:00