PMID- 37409024 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230718 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 14 DP - 2023 TI - Clinical efficacy and safety of rimegepant in the treatment of migraine: a meta-analysis of randomized controlled trials. PG - 1205778 LID - 10.3389/fneur.2023.1205778 [doi] LID - 1205778 AB - BACKGROUND: This study aims to evaluate the clinical efficacy and safety of rimegepant for the treatment of migraine in adult patients using a meta-analysis. METHODS: The PubMed, EMBASE, and Cochrane Library were searched up to March 2022. Only randomized controlled trials (RCTs) that evaluated migraine and other comparator treatments in adult patients were included. The clinical response at the post-treatment evaluation, including acute pain free and relief effect, whereas the secondary outcomes were the risk of adverse events (AEs). RESULTS: A total of 4 RCTs involving 4,230 patients with episodic migraine were included. Outcome indicators for the number of pain free and relief patients at 2 h, 2-24 h, 2-48 h post-dose showed that rimegepant had better effects relative to the placebo [free at 2 h: OR = 1.84, 95% CI (1.55, 2.18), P < 0.00001; relief at 2 h: OR = 1.80, 95% CI (1.59, 2.04), P < 0.00001]. And there was no significant difference between the occurrence of adverse events in the experimental and control groups [OR = 1.29, 95% CI (0.99, 1.67), P = 0.06]. CONCLUSION: Rimegepant has better therapeutic effects compared to placebo and no significant difference in adverse events. CI - Copyright (c) 2023 Wang, Wang, Zhu and Lin. FAU - Wang, Qinghui AU - Wang Q AD - Department of Pharmacy, Chengdu Jinniu District People's Hospital, Chengdu, Sichuan, China. FAU - Wang, Shuangmei AU - Wang S AD - Department of Pharmacy, Chengdu Jinniu District People's Hospital, Chengdu, Sichuan, China. FAU - Zhu, Yi AU - Zhu Y AD - Department of Pharmacy, Chengdu Jinniu District People's Hospital, Chengdu, Sichuan, China. FAU - Lin, Fei AU - Lin F AD - Department of Pharmacy, The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China. LA - eng PT - Systematic Review DEP - 20230620 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC10318539 OTO - NOTNLM OT - efficacy OT - meta-analysis OT - migraine OT - rimegepant OT - safety COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/07/06 06:42 MHDA- 2023/07/06 06:43 PMCR- 2023/06/20 CRDT- 2023/07/06 04:18 PHST- 2023/04/19 00:00 [received] PHST- 2023/06/06 00:00 [accepted] PHST- 2023/07/06 06:43 [medline] PHST- 2023/07/06 06:42 [pubmed] PHST- 2023/07/06 04:18 [entrez] PHST- 2023/06/20 00:00 [pmc-release] AID - 10.3389/fneur.2023.1205778 [doi] PST - epublish SO - Front Neurol. 2023 Jun 20;14:1205778. doi: 10.3389/fneur.2023.1205778. eCollection 2023.