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. 2026 Mar 6;123(5):119–126. doi: 10.3238/arztebl.m2025.0234

Table 2. Changes in migraine days per month after preventive drug treatment for chronic migraine compared to placebo (original data).

Active ingredient, dose, publication Trial acronym Phase T, months Placebo, N Active, N MD [95% CI]
Atogepant, 60 mg/day PROGRESS 3 3 246 256 −1.8 [−2.9; −0.8]
  Pozo-Rosich et al., 2023 (e13)
Eptinezumab, 100 mg/quarter -/- 2b 3 116 118 −2.1 [−3.8; −0.4]
  Dodick et al., 2019 (e38)
  Lipton et al., 2020 (e39) PROMISE-2 3 3 366 356 −2.0 [−2.9; −1.2]
Eptinezumab, 300 mg/quarter -/- 2b 3 116 114 −2.7 [−4.4; −0.9]
  Dodick et al., 2019 (e38)
  Lipton et al., 2020 (e39) PROMISE-2 3 3 366 350 −2.6 [−3.4; −1.7]
Erenumab, 70 mg/month -/- 2 3 281 188 −2.5 [−3.5; −1.4]
  Tepper et al., 2017 (e40)
  Takeshima et al., 2021 (e25) -/- 3 6 50 52 −1.6 [−3.4; 0.2]
  Yu et al., 2022 (e41) DRAGON 3 3 274 270 −1.6 [−2.8; −0.3]
Erenumab, 140 mg/month -/- 2 3 281 187 −2.5 [−3.5; −1.4]
  Tepper et al., 2017 (e40)
Fremanezumab, 225 mg/month -/- 2b 3 89 87 −1.7 [−3.7; 0.2]
  Bigal et al., 2015 (e42)
  Silberstein et al., 2017 (e43)*1 HALO CM 3 3 371 375 −1.8 [−2.6; −1.1]
  Sakai et al., 2021 (e29) -/- 2/3 3 190 187 −2.1 [−3.1; −1.1]
  Ferrari et al., 2019 (e30)*2 FOCUS 3b 3 111 173 −3.8 [−4.8; −2.8]
Fremanezumab, 675 mg/quarter HALO CM 3 3 371 375 −1.7 [−2.5; −1.0]
  Silberstein et al., 2017 (e43)*1
  Sakai et al., 2021 (e29) -/- 2/3 3 190 189 −1.3 [−2.3; −0.3]
  Ferrari et al., 2019 (e30)*2 FOCUS 3b 3 167 169 −3.2 [−4.2; −2.2]
Galcanezumab, 120 mg/month REGAIN 3 3 538 273 −2.1 [−2.9; −1.3]
  Detke et al., 2018 (e44)
  Mulleners et al., 2020 (e35) CONQUER 3b 3 98 95 −3.7 [−5.2; −2.2]
Galcanezumab, 240 mg/month REGAIN 3 3 538 274 −1.9 [−2.7; −1.1]
  Detke et al., 2018 (e44)

In patients receiving preventive treatment with fremanezumab 225 mg/month and galcanezumab 120 mg/month, increased doses of 675 mg and 240 mg, respectively, are administered in the first month. The information from the trial by Bigal et al., 2015, is based on the analysis of moderate to severe headache days. Please refer to the referenced original publications for the statistical models underlying the various values.

*1

Missing information was completed using values from the Clinical Trials Registry https://clinicaltrials.gov/ (data as of 11 July 2025).

*2

The placebo group sizes were supplemented based on the following publication: MaassenVanDenBrink et al., 2021 (e37).

CI, confidence interval; MD, mean difference (migraine days/month), active versus placebo; N, sample size; T, study period