Real-World Open-Label Experience with Rimegepant for the Acute Treatment of Migraine Attacks: A Multicenter Pilot Study
2024

Rimegepant for Treating Migraine Attacks

Sample size: 54 publication Evidence: moderate

Author Information

Author(s): Dermitzakis Emmanouil V., Rikos Dimitrios, Vikelis Michail, Xiromerisiou Georgia, Zisopoulou Styliani, Rallis Dimitrios, Soldatos Panagiotis, Vlachos George S., Vasiliadis Georgios G., Argyriou Andreas A.

Primary Institution: Euromedica General Clinic, Thessaloniki, Greece

Hypothesis

The study aims to evaluate the efficacy and safety of rimegepant in treating migraine attacks.

Conclusion

Rimegepant is effective, safe, and well tolerated for treating acute migraine attacks.

Supporting Evidence

  • Pain freedom at 2 hours was achieved in 32.1% of rimegepant intakes.
  • Significant reductions in headache intensity were observed with a mean reduction of -4.8.
  • Freedom from the most bothersome symptoms was achieved in 43% for photophobia, 53% for phonophobia, and 57% for nausea.
  • 59% of instances allowed patients to return to everyday activities within 2 hours.

Takeaway

Rimegepant helps people with migraines feel better quickly and is safe to use.

Methodology

This was a multicenter, open-label pilot study where patients recorded their migraine symptoms before and after taking rimegepant.

Potential Biases

Potential bias due to the open-label design and lack of control group.

Limitations

The small sample size and open-label design limit the generalizability of the results.

Participant Demographics

Mean age of participants was 45.3 years, with 45 females and 9 males.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/brainsci14121169

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