Efficacy, tolerability and barriers to the use of anti-CGRP medications among migraine patients in Egypt: real world experience - Report - MDSpire

Efficacy, tolerability and barriers to the use of anti-CGRP medications among migraine patients in Egypt: real world experience

  • By

  • Taha, Nourhan Abdelmohsen

  • Gomaa, Manar Abdelazeem

  • Helmy, Shahinaz Mohamed

  • Farag, Sherien Mohamed

  • Moustafa, Ramez Reda

  • June 3, 2026

  • 0 min

Share

Clinical Report: Real-World Assessment of Anti-CGRP Therapy in Egypt

Overview

This study evaluates the effectiveness and tolerability of anti-CGRP therapies among migraine patients in Egypt, revealing a 68% favorable response rate. It also identifies significant barriers to access and adherence to treatment.

Background

Anti-CGRP therapies have been introduced in Egypt since 2019, yet their real-world effectiveness and tolerability remain underexplored. Understanding these factors is crucial for optimizing migraine management and improving patient outcomes. This study provides valuable insights into the challenges faced by patients in accessing and adhering to these therapies.

Data Highlights

OutcomeResults
Favorable response rate (≥50% improvement)68% (54 patients)
Reduction in monthly migraine daysClinically significant (p < 0.001)
Reduction in headache severityClinically significant (p < 0.001)
Reduction in HIT-6 and MIDAS scoresClinically significant (p < 0.001)
Discontinuation rate35 patients
Relapse rate after discontinuation42.1%

Key Findings

  • 68% of patients experienced a favorable response with ≥50% improvement.
  • Significant reductions in monthly migraine days, headache severity, and MIDAS/HIT-6 scores were observed.
  • Tolerability of anti-CGRP therapies was generally favorable.
  • 35 patients discontinued treatment, primarily due to cost or lack of improvement.
  • 42.1% of patients who discontinued treatment experienced a relapse.

Clinical Implications

Suggest specific strategies for healthcare providers to improve access and adherence.

Conclusion

The findings underscore the effectiveness of anti-CGRP therapies in real-world settings while highlighting significant challenges in treatment access and adherence. Further studies are needed to explore these issues in greater depth.

Related Resources & Content

  1. Frontiers in Neurology, 2026 -- Three-year real-world effectiveness, treatment persistence, and planned discontinuation of anti-calcitonin gene-related peptide monoclonal antibodies for migraine prevention: a single-center cohort from Japan
  2. Frontiers in Neurology, 2026 -- Systematic review and meta-analysis on the efficacy and safety of rimegepant for migraine
  3. Frontiers in Neurology, 2026 -- Evaluating the efficacy of rimegepant as a preventive treatment for chronic and episodic migraine: a three-month longitudinal retrospective cohort study
  4. AHS Consensus Statement CGRP-Targeting Therapies for Prevention of Migraine Guideline Summary 2024 - Guideline Central
  5. Frontiers in Neurology — Clinical improvement of photophobia with galcanezumab in episodic and chronic migraine
  6. NICE Guidance on Eptinezumab for Preventing Migraine
  7. AHS Consensus Statement CGRP-Targeting Therapies for Prevention of Migraine Guideline Summary 2024 - Guideline Central
  8. Comparative Efficacy and Safety of Calcitonin Gene-Related Peptide Monoclonal Antibodies Versus Oral Gepants for Episodic Migraine Prevention: A Bayesian Network Meta-Analysis of Randomized Controlled Trials | medRxiv

Original Source(s)

Related Content