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Table 8 Summary of findings for erenumab versus topiramate for migraine prevention

From: European Headache Federation guideline on the use of monoclonal antibodies targeting the calcitonin gene related peptide pathway for migraine prevention – 2022 update

Outcomes

Anticipated absolute effects (95% CI)

Relative effect (95% CI)

№ of participants (studies)

Certainty of the evidence (GRADE)

Comments

Risk with Topiramate

Risk with Erenumab

Monthly migraine days

The mean monthly migraine days was −4.02 days

Mean 1.84 days fewer (2.43 fewer to 1.25 fewer)

776 (1 RCT)

Lowa,b

Erenumab likely results in a slight reduction in monthly migraine days.

 > 50% reduction in migraine days per month

31 per 100

56 per 100 (48 to 63)

RR 1.78 (1.50 to 2.11)

776 (1 RCT)

Lowa,b

Erenumab likely results in an increase in > 50% reduction in migraine days per month.

Medication discontinuation

39 per 100

11 per 100 (8 to 15)

RR 0.27 (0.20 to 0.37)

776 (1 RCT)

Moderatea

Erenumab likely results in a reduction in medication discontinuation.

  1. CI confidence interval, RR relative risk
  2. Explanations: aOnly 1 study performed in a single country, no replication; bnot the primary outcome of the study