PMID- 34521726 OWN - NLM STAT- MEDLINE DCOM- 20230626 LR - 20230821 IS - 2047-9956 (Print) IS - 2047-9964 (Electronic) IS - 2047-9956 (Linking) VI - 30 IP - 4 DP - 2023 Jul TI - Switching of monoclonal antibodies against calcitonin gene-related peptide in chronic migraine in clinical practice: a case series. PG - e19 LID - 10.1136/ejhpharm-2021-002946 [doi] AB - A multicentre case series of patients with chronic migraine (CM) treated with monoclonal antibodies directed against calcitonin gene-related peptide (CGRP-mAbs) switching were developed. The effectiveness and safety of CGRP-mAbs switching as a preventive treatment for CM in clinical practice were recorded. Effectiveness was measured by >/=50% reduction of monthly migraine days in respect to baseline and reduction in pain intensity. Safety was analysed through adverse events (AEs) and treatment discontinuations. Seven patients were included. The reason for switching was non-response in all cases. Two patients presented a response to the first CGRP-mAb, but the effect was lost after 3 months. The remaining five patients were non-responders. Response to the second CGRP-mAb was observed in three patients, one of them for >3 months. Less than half of the patients previously treated with a CGRP-mAb responded to switching with a second CGRP-mAb. AEs were rare, with no treatment discontinuations. CI - (c) European Association of Hospital Pharmacists 2023. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Briceno-Casado, Maria Del Pilar AU - Briceno-Casado MDP AUID- ORCID: 0000-0002-4251-2843 AD - Pharmacy, Hospital General Nuestra Senora del Prado, Talavera de la Reina, Castilla-La Mancha, Spain pilarbricenocasado@gmail.com. FAU - Gil-Sierra, Manuel David AU - Gil-Sierra MD AD - Department of Pharmacology, Universidad de Sevilla, Sevilla, Spain. AD - Pharmacy, Hospital Doctor Jose Molina Orosa, Lanzarote, Las Palmas, Spain. FAU - De-La-Calle-Riaguas, Beatriz AU - De-La-Calle-Riaguas B AD - Pharmacy, Hospital General Nuestra Senora del Prado, Talavera de la Reina, Castilla-La Mancha, Spain. LA - eng PT - Journal Article DEP - 20210914 PL - England TA - Eur J Hosp Pharm JT - European journal of hospital pharmacy : science and practice JID - 101578294 RN - JHB2QIZ69Z (Calcitonin Gene-Related Peptide) RN - 0 (Antibodies, Monoclonal) SB - IM MH - Humans MH - *Calcitonin Gene-Related Peptide/therapeutic use MH - Antibodies, Monoclonal/adverse effects MH - *Migraine Disorders/drug therapy/prevention & control PMC - PMC10359803 OTO - NOTNLM OT - drug substitution OT - neurology OT - pain management OT - quality of health care OT - safety COIS- Competing interests: MDG-S: membership of an advisory board (consultation fees) and lecture for Janssen Pharmaceutica (reimbursement for attending symposia) of another cancer drug. EDAT- 2021/09/16 06:00 MHDA- 2023/06/26 06:41 PMCR- 2024/07/01 CRDT- 2021/09/15 06:14 PHST- 2021/07/03 00:00 [received] PHST- 2021/08/31 00:00 [accepted] PHST- 2024/07/01 00:00 [pmc-release] PHST- 2023/06/26 06:41 [medline] PHST- 2021/09/16 06:00 [pubmed] PHST- 2021/09/15 06:14 [entrez] AID - ejhpharm-2021-002946 [pii] AID - 10.1136/ejhpharm-2021-002946 [doi] PST - ppublish SO - Eur J Hosp Pharm. 2023 Jul;30(4):e19. doi: 10.1136/ejhpharm-2021-002946. Epub 2021 Sep 14.