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 |