Evidence map›Paper›PMID 39160284›Full record

ReviewNature reviews. Neurology2024

Insights from 25 years of onabotulinumtoxinA in migraine - mechanisms and management.

Patricia Pozo-Rosich, Alicia Alpuente, Stephen D Silberstein, Rami Burstein

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Patricia Pozo-RosichHeadache & Neurological Pain Clinic, Neurology Department, Vall d'Hebron University Hospital, Barcelona, Spain. patricia.pozo@vhir.org.ORCID 0000-0003-0796-4702
Alicia AlpuenteHeadache & Neurological Pain Clinic, Neurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.
Stephen D SilbersteinJefferson Headache Center, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0001-9467-5567
Rami BursteinDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Funding

Photophobia during migraine: sensory, autonomic and emotional responses to lightR37NS079678 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BURSTEIN, RAMI · 2012 to 2018
$3.1M
Post-Traumatic Headache (PTH) in Children: Alterations of Brain Function, Blood Flow and Inflammatory ProcessesR01NS095655 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI HOLMES, SCOTT · 2015 to 2019
$2.7M
Pathophysiology of Occipital MigraineR01NS104296 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI NOSEDA, RODRIGO · 2018 to 2022
$1.9M
Cortical Mechanisms of Headache: Beyond CSDR01NS094198 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BURSTEIN, RAMI · 2016 to 2020
$1.9M
Characterization of sleep behavior in a rodent model of headacheR21NS106345 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STRASSMAN, ANDREW MARK · 2018 to 2019
$498k
NINDS NIH HHS R01 NS094198NINDS NIH HHS R01 NS095655NINDS NIH HHS R01 NS104296NINDS NIH HHS R21 NS106345NINDS NIH HHS R37 NS079678
6 · The paper itself

Abstract

OnabotulinumtoxinA (BTX-A) was first linked to beneficial effects in migraine 25 years ago and was approved by the FDA for preventive treatment of chronic migraine in 2010. The treatment has since had a major impact on the well-being of people with chronic migraine. The clinical development programme for BTX-A and research since its approval have provided insights into the neuromodulatory sensory effect of BTX-A, how it can control chronic migraine despite its peripheral action, and the underlying biology of migraine as a disease. In this Review, we consider the impact that BTX-A has had on the management of chronic migraine and on the research field. We discuss the insights provided by clinical research, encompassing the clinical trials and subsequent real-world evidence, and the mechanistic insights provided by preclinical and translational research. We also provide an overview of future directions of research in the field BTX-A in migraine and the clinical translation of this research.

Indexed as

Botulinum Toxins, Type AMigraine DisordersHumansNeuromuscular AgentsBotulinum Toxins, Type ANeuromuscular Agentsonabotulinum toxin A

Identifiers

PMID39160284

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.