PMID- 32006159 OWN - NLM STAT- MEDLINE DCOM- 20210623 LR - 20240402 IS - 1432-1459 (Electronic) IS - 0340-5354 (Print) IS - 0340-5354 (Linking) VI - 268 IP - 7 DP - 2021 Jul TI - Efficacy and safety of galcanezumab for preventive treatment of migraine: a systematic review and meta-analysis. PG - 2364-2376 LID - 10.1007/s00415-020-09707-5 [doi] AB - OBJECTIVE: This meta-analysis aimed to systematically evaluate the effectiveness and safety of galcanezumab in the prophylactic treatment of adult migraine. METHODS: A systematic literature search was performed to identity randomized-controlled trials (RCTs). The primary outcome was the decline in the number of monthly migraine days (MMDs). Secondary outcomes included the reduction of monthly acute migraine‑specific medication days (MSMDs), the number of participants showing a reduction in MMDs from baseline of >/= 50%, >/= 75%, and 100%, the incidence of adverse events (AEs), and the number of participants developing anti-drug antibodies (ADAs) to galcanezumab. We calculated the mean difference (MD), relative risk (RR), and 95% confidence intervals (CIs) for these outcomes. RESULTS: Among the five included trials, galcanezumab given at doses of 120, 150, 240, and 300 mg was superior to placebo for both MMDs and secondary outcomes. The degree of AEs in all group was mild. Notably, no significant differences were found in the occurrence of AEs and ADAs between the galcanezumab and placebo groups. CONCLUSION: Galcanezumab is a safe and effective treatment for adult patients with episodic and chronic migraine. FAU - Zhao, Xiuyuan AU - Zhao X AD - Tianjin Medical University, Tianjin, China. FAU - Xu, Xiaolin AU - Xu X AD - Neurology, Tianjin Huanhu Hospital, Tianjin, China. hhyyxxl@163.com. FAU - Li, Qingyun AU - Li Q AD - Neurology, Tianjin Huanhu Hospital, Tianjin, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20200131 PL - Germany TA - J Neurol JT - Journal of neurology JID - 0423161 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 55KHL3P693 (galcanezumab) SB - IM EIN - J Neurol. 2021 Feb 8;:. PMID: 33555421 MH - Adult MH - *Antibodies, Monoclonal, Humanized MH - Double-Blind Method MH - Humans MH - *Migraine Disorders/drug therapy/prevention & control MH - Treatment Outcome PMC - PMC8217057 OTO - NOTNLM OT - Galcanezumab OT - Meta-analysis OT - Migraine OT - Prophylaxis COIS- The authors declare that they have no conflict of interest. EDAT- 2020/02/02 06:00 MHDA- 2021/06/24 06:00 PMCR- 2020/01/31 CRDT- 2020/02/02 06:00 PHST- 2019/11/14 00:00 [received] PHST- 2020/01/10 00:00 [accepted] PHST- 2020/01/08 00:00 [revised] PHST- 2020/02/02 06:00 [pubmed] PHST- 2021/06/24 06:00 [medline] PHST- 2020/02/02 06:00 [entrez] PHST- 2020/01/31 00:00 [pmc-release] AID - 10.1007/s00415-020-09707-5 [pii] AID - 9707 [pii] AID - 10.1007/s00415-020-09707-5 [doi] PST - ppublish SO - J Neurol. 2021 Jul;268(7):2364-2376. doi: 10.1007/s00415-020-09707-5. Epub 2020 Jan 31.