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Table 3 Assessment of CGRPmAbs' suitability and efficacy

From: CGRP-monoclonal antibodies in Japan: insights from an online survey of physician members of the Japanese headache society

Item

Answer

frequency, % (n = 312)

The MMD threshold for recommending CGRPmAbs

 ≥ 4

71, 22.8%

 ≥ 6

68, 21.8%

 ≥ 8

76, 24.4%

 ≥ 10

81, 26.0%

 ≥ 12

4, 1.3%

 ≥ 15

12, 3.8%

The number of migraine preventives you usually try before prescribing a CGRPmAb

1

64, 20.5%

2

170, 54.5%

3

62, 19.9%

4

11, 3.5%

 ≥ 5

5, 1.6%

When to assess the response to a CGRPmAb in patients with EM

After 1 month

46, 14.7%

After 2 months

30, 9.6%

After 3 months

217, 69.6%

After 4–6 months

19, 6.1%

After 7–9 months

0, 0%

After 10–12 months

0, 0%

When to assess the response to a CGRPmAb in patients with CM

After 1 month

34, 10.9%

After 2 months

30, 9.6%

After 3 months

188, 60.3%

After 4–6 months

55, 17.6%

After 7–9 months

5, 1.6%

After 10–12 months

0, 0%

The percentage of EM patients whose MMDs have decreased ≥ 50%

 < 20%

7, 2.2%

 ≥ 20% and < 40%

11, 3.5%

 ≥ 40% and < 60%

85, 27.2%

 ≥ 60% and < 80%

102, 32.7%

 ≥ 80%

107, 34.3%

The percentage of CM patients whose MMDs have decreased ≥ 50%

 < 20%

16, 5.1%

 ≥ 20% and < 40%

53, 17.0%

 ≥ 40% and < 60%

104, 33.3%

 ≥ 60% and < 80%

66, 21.2%

 ≥ 80%

73, 23.4%

The most frequently reported reason for responders to discontinue CGRPmAbs

Cost

76, 24.4%

Adverse effects, safety (including injection site reaction, constipation, pregnancy)

39, 12.5%

Frequency of hospital visits

6, 1.9%

Enough improvement of migraine

169, 54.2%

  1. CM Chronic migraine, EM Episodic migraine, M Months, MMD Monthly migraine day, CGRPmAb Anti-calcitonin gene-related peptide monoclonal antibody