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  4. The Registry for Migraine (REFORM) study: methodology, demographics, and baseline clinical characteristics

The Registry for Migraine (REFORM) study: methodology, demographics, and baseline clinical characteristics

The Journal of Headache and Pain, 2023 · DOI: https://doi.org/10.1186/s10194-023-01604-2 · Published: June 1, 2023

NeurologyBioinformatics

Simple Explanation

This study, called REFORM, aims to find biomarkers that can predict how well erenumab works for migraine prevention. Erenumab is a costly migraine treatment, and not everyone responds to it. The study involves collecting clinical information, blood samples, MRI scans, and measuring response to a CGRP infusion to see if these factors can predict erenumab's effectiveness. This initial report describes the study's design, methods, and the basic characteristics of the participants involved.

Study Duration
48 Weeks
Participants
751 migraine participants, 155 healthy controls
Evidence Level
Not specified

Key Findings

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    The study population had a high migraine burden, with most participants diagnosed with chronic migraine and using multiple acute and preventive medications.
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    The baseline characteristics of the participants are similar to those seen in specialized headache clinics.
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    Future publications will report the results of the investigations presented in this article.

Research Summary

The REFORM study is designed to identify biomarkers that predict the efficacy of erenumab for migraine prevention. The study enrolled 751 participants with migraine and collected extensive clinical, biochemical, and neuroimaging data. The study population had a high burden of migraine and frequent use of medications, typical of tertiary headache clinics.

Practical Implications

Predicting Erenumab Response

Identify biomarkers to predict which patients will respond best to erenumab, improving treatment decisions.

Understanding Migraine Mechanisms

Gain insights into the pathophysiology of migraine and its subtypes through deep clinical phenotyping and biomarker analysis.

Optimizing Treatment Strategies

Inform the development of more effective and personalized treatment strategies for migraine patients based on biomarker profiles.

Study Limitations

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