New in Cephalalgia!
This study reports 48-month real-world eptinezumab outcomes in a highly refractory cohort.
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Multiple exposure-defined cohorts (all-initiator, on-treatment, continuation, discontinuation) were used to address the complexity of long-term real-world treatment trajectories.
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Symptom improvement was modest and most apparent among patients who remained on eptinezumab, while overall treatment persistence declined over time.
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Post-discontinuation pathways were heterogeneous, with frequent switching and re-engagement with anti-CGRP therapy, reflecting iterative preventive management in chronic migraine.
journals.sagepub.com/doi/10.…
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