Evidence mapPaperPMID 42323558Full record

Observational studyThe journal of headache and pain2026

Atogepant reduces triptan use: a pharmacoeconomic analysis in migraine prevention.

Simona Guerzoni, Lanfranco Pellesi, Lisa Giannessi, Flavia Lo Castro, Maria Chiara Olivieri, Luca Degli Esposti, Francesca Gandolfi

Abstract readObservational Study
In one paragraph

Observational study in The journal of headache and pain, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Simona Guerzoni *Digital and Predictive Medicine, Pharmacology and Clinical Metabolic Toxicology, Headache Center and Drug Abuse, Laboratory of Clinical Pharmacology and Pharmacogenomics, AOU Policlinico Di Modena, 41124, Modena, Italy.ORCID http://orcid.org/0000-0001-9589-2782
Lanfranco Pellesi *Clinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, 5230, Denmark. lpellesi@health.sdu.dk.ORCID http://orcid.org/0000-0003-4137-5039
Lisa GiannessiCliCon S.r.l. Società Benefit, Health, Economics & Outcomes Research, Bologna, Italy.
Flavia Lo CastroDigital and Predictive Medicine, Pharmacology and Clinical Metabolic Toxicology, Headache Center and Drug Abuse, Laboratory of Clinical Pharmacology and Pharmacogenomics, AOU Policlinico Di Modena, 41124, Modena, Italy.ORCID http://orcid.org/0000-0002-8572-3421
Maria Chiara OlivieriDigital and Predictive Medicine, Pharmacology and Clinical Metabolic Toxicology, Headache Center and Drug Abuse, Laboratory of Clinical Pharmacology and Pharmacogenomics, AOU Policlinico Di Modena, 41124, Modena, Italy.
Luca Degli EspostiCliCon S.r.l. Società Benefit, Health, Economics & Outcomes Research, Bologna, Italy.
Francesca GandolfiDistribuzione Diretta AUSL Modena, Dipartimento Farmaceutico Interaziendale, Modena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMigraine is a leading cause of disability worldwide, impairing quality of life and productivity. Preventive therapies aim to reduce attack frequency, severity and the need for acute medications. Oral atogepant (60 mg), a calcitonin gene-related peptide (CGRP) receptor antagonist, has recently expanded migraine prevention options. This study evaluated changes in triptan use after atogepant initiation using real-world data.

methodsThis retrospective observational study used administrative healthcare databases from the Local Health Unit of Modena (Italy). Adults with chronic or high-frequency episodic migraine initiating atogepant between November 2023 and December 2024 were identified. Triptan use and related costs were assessed in the 6 months before and after treatment initiation (index date), measured as dispensed dosage units.

resultsAmong 95 patients (86% female; mean age 53.5 years), 55 triptan users were included in the analysis. Triptan use decreased in 45 patients (82%), with ≥ 60% reduction in 27 (49%) and complete discontinuation in 10. Median consumption decreased from 76 to 24 dosage units, and mean consumption from 88.1 to 45.2. This reduction was statistically significant (Wilcoxon signed-rank test, p < 0.001). This reduction corresponded to a decrease of €2,591 in triptan-related pharmaceutical expenditure within the study cohort.

conclusionAtogepant preventive treatment may substantially reduce acute migraine medication use in real-world practice, with potential clinical and economic benefits.

Indexed as

Calcitonin Gene-Related Peptide Receptor AntagonistsMigraine DisordersTryptaminesAdultAgedEconomics, PharmaceuticalFemaleHumansItalyMaleMiddle AgedRetrospective StudiesCalcitonin Gene-Related Peptide Receptor AntagonistsTryptaminesCGRPGepantsHeadacheMedication-overuse headachePain

Identifiers

PMID42323558
PMCPMC13292513

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.