Erenumab not efficient at decreasing ache in trigeminal neuralgia

October 14, 2022

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Disclosures:
Andersen studies no related monetary disclosures. Please see the research for all different authors’ related monetary disclosures.


Erenumab was not efficient in decreasing ache depth in sufferers with trigeminal neuralgia, researchers reported in Lancet Neurology.

Trigeminal neuralgia is a extreme facial ache dysfunction that’s tough to deal with. It’s the most typical facial ache neuralgia, and there are at present no therapies for the dysfunction, Anne Sofie Schott Andersen, MD, of the Danish Headache Heart at Copenhagen College in Denmark, and colleagues wrote.

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Andersen and colleagues carried out a randomized, double-blind, placebo-controlled trial in adults aged 18 to 85 years with idiopathic basic trigeminal neuralgia to guage the protection and efficacy of erenumab.

Individuals had been included in the event that they reported a ache depth rating of at the very least 4 on the 11-point Numeric Score Scale and had at the very least three day by day ache paroxysms. Individuals had been randomly assigned at a 1:1 ratio to obtain subcutaneous injections of both 140 mg of erenumab or placebo. Forty acquired erenumab and 40 acquired placebo.

The first final result was a discount of at the very least 30% within the imply common day by day ache depth rating.

After 4 weeks, there was no distinction between the 2 teams in imply common day by day ache depth rating or a lower within the variety of paroxysms (17 of 40 within the erenumab group [43%] vs. 21 of 40 within the placebo [53%]).

In each teams, 20 of the 40 members reported adversarial occasions. The most typical adversarial occasions had been constipation (28%) and headache (10%) within the erenumab group, and headache (13%), constipation (10%) and belly ache (10%) within the placebo group.

“Erenumab didn’t cut back ache depth or the variety of paroxysms in contrast with placebo in sufferers with trigeminal neuralgia,” the authors wrote. “[Calcitonin gene-related peptide] is unlikely to have a task within the transmission of the ache in trigeminal neuralgia.”

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