Treatment with eptinezumab for migraine prevention in people with chronic migraine and medication-overuse headache: a plain language summary

Pain Manag. 2023 Jun;13(6):317-327. doi: 10.2217/pmt-2023-0047. Epub 2023 Jun 26.

Abstract

What is this summary about?: This is a summary of three articles describing preventive treatment of migraine in participants with a diagnosis of both chronic migraine and medication-overuse headache in a study called PROMISE-2 (PRevention Of Migraine via Intravenous ALD403 Safety and Efficacy-2). People living with chronic migraine and medication-overuse headache have one of the most disabling, costly, and difficult-to-treat headache disorders.

What were the results?: After preventive migraine treatment with eptinezumab (trade name Vyepti), participants with chronic migraine and medication-overuse headache experienced fewer migraine days, a reduced severity of migraine attacks, and a reduced use of acute medication. More participants receiving eptinezumab treatment no longer met the definition of either chronic migraine or medication-overuse headache throughout the study when compared with those receiving placebo.

What do the results mean?: Eptinezumab is beneficial for people who often use acute medication(s) due to frequent headache episodes or migraine attacks.

Keywords: Acute medication; Headache; Migraine; lay summary; medication-overuse headache; plain language summary; preventive treatment.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / adverse effects
  • Double-Blind Method
  • Headache
  • Headache Disorders, Secondary* / prevention & control
  • Humans
  • Migraine Disorders* / drug therapy
  • Migraine Disorders* / prevention & control
  • Treatment Outcome

Substances

  • eptinezumab
  • Antibodies, Monoclonal, Humanized