Table 2.
Comparison between CGRP monoclonal antibodies, transcutaneous supraorbital nerve stimulation and current available oral treatments in the prevention of episodic migraine
Drug | LY2951742 [33] | ALD403 [32] | TEV48125 [35] | AMG334 [34] | tSNS [42] | Valproate [37] | Topiramate [37] | Propranolol [37] | Amitriptyline [37] |
---|---|---|---|---|---|---|---|---|---|
NNT | 4 | 4.7 | 3.2 | 5.9 | 3.8 | 4 | 3 | 4 | 4 |
NNH | 20 | 20 | ∞ | NA | ∞ | 7-14 | 2-17 | NA | NA |
Relative risk for AE | 1.07 | 1.09 | 1 | NA | 1 | 1.2 | 1.8 | 2.1 | 1.9 |
NNT for discontinuation due to AE | ∞ | ∞ | ∞ | NA | ∞ | NA | 16 | 16 | 19 |
tSNS: transcutaneous supraorbital nerve stimulation; NNT: number needed to treat; NNH: number needed to harm; AE: adverse event; NA: non applicable; ∞: NNH, same percentage of patients experienced any adverse event in both placebo and drug treated patients; NNTs for discontinuation due to adverse events, no patient treated with the drug discontinued because of adverse event