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Table 6 Safety outcomes measured in the studies included

From: Treatment of resistant chronic migraine with anti-CGRP monoclonal antibodies: a systematic review

Study

Main adverse events

Serious adverse events

Adverse events leading to treatment discontinuation

Ashina et al. NCT 02,066,415 [67]

Nasopharyngitis

 placeboa: 5.67%

 70 mga, d: 3.16%

 140 mga, d: 1.60%

2.5% with placebo (pancreatitis, vomiting, cholecystitis, parotitis, urinary tract infection, intervertebral disc protrusion)

3.2% with 70 mg (non−cardiac chest pain, appendicitis, radius fracture, costochondritis, intervertebral disc protrusion, fibroma)

1.1% with 140 mg (abdominal adhesions, abdominal pain)

0% mortality

0,7% with placebo

0% with 70 mg

1.1% with 140 mg

Ferrari et al. FOCUS (NCT03308968) [68]

Injection−site erythema

 placeboa: 5%

 quarterlyb: 7%

 monthlyc: 6%

Injection site induration

 4%, 4%, 5%, respectivelye

Nasopharyngitis

 4%, 5%, 2%, respectivelye

1% with placebo

 < 1% with quarterly

1% with monthly

Atrial fibrillation, cholelithiasis, clavicle fracture, foot fracture, respiratory fume inhalation, rib fracture, road traffic accident, back pain, nephrolithiasis and vocal cord thickening. None considered treatment related

0% mortality

1% with placebo (chest discomfort, injection−site pain and vulvar cancer)

 < 1%) with quarterly

1% with monthly

(palpitations, fatigue, cholelithiasis, road traffic accidents and temporal arteritis)

Ruff et al. REGAIN (NCT02614261) [69]

Injection site pain

 placeboa: 4.30%

 120 mga: 6.23%

 240 mga: 7.09%

Injection site reaction

 2%, 3%, 5%, respectivelyf

Nasopharyngitis

 5%, 6%, 3%, respectivelyf

1.25% with placebo (iron deficiency anaemia, myocardial infarction, alcoholic pancreatitis, gastritis, cellulitis, osteomyelitis, epistaxis)

1.83% with 120 mg (cholelithiasis, pyelonephritis, laceration, road traffic accident, colon cancer, squamous cell carcinoma, seizure)

2.84% with 240 mg (acute myocardial infarction, unstable angina, cardiac failure congestive, acute pancreatitis, hypokalaemia, seizure, nephrolithiasis, renal colic, pulmonary embolism, urticaria)

0% mortality

No data

Mulleners et al. CONQUER (NCT03559257) [70]

Injection site reaction

 placeboa: 10%

 120 mga: 7%

Constipation

 2%, 2%, respectivelyg

Nasopharyngitis

 9%, 7%, respectivelyg

Influenza

 3%, 5%, respectivelyg

1% with placebo (lower limb fracture, Bechet’s syndrome)

1% with 120 mg (haemorrhoids, tonsillitis)

0% mortality

 < 1% hypersensitivity reaction

  1. Data are presented as the percentage of patients presenting any adverse effect
  2. aMonthly administration for 3 months
  3. bFirst dose consists of fremanezumab 675 mg and placebo in the remaining 2 months
  4. cFirst dose consists of fremanezumab 675 mg followed by monthly fremanezumab 225 mg for 2 months
  5. dErenumab
  6. e Placebo, fremanezumab quarterly treatment, fremanezumab monthly treatment
  7. fPlacebo, 120 mg galcanezumab, 240 mg galcanezumab
  8. gPlacebo, galcanezumab 120 mg