To evaluate the real-world use of anti-CGRP therapies in terms of effectiveness, tolerability, barriers to access, and treatment adherence among migraine patients in Egypt.
Approach:
Key Findings:
68% of patients showed a favorable ≥50% response to treatment.
Clinically significant reductions in monthly migraine days, headache severity, duration, HIT-6, and MIDAS scores were observed (p < 0.001).
Tolerability of anti-CGRP therapies was generally favorable.
Treatment discontinuation occurred in 35 patients, primarily due to satisfactory improvement, lack of improvement, or cost.
Relapse occurred in 42.1% of cases after treatment discontinuation.
Interpretation:
The study provides insights into the effectiveness and tolerability of anti-CGRP therapies in an Egyptian cohort, while also highlighting challenges related to access and adherence.
Limitations:
Observational design limits the ability to establish causality.
Further controlled studies are warranted to validate findings.
Conclusion:
The study demonstrates consistent clinical improvement and good tolerability of anti-CGRP therapies among migraine patients in Egypt, alongside significant access challenges.