Frovatriptan versus almotriptan for acute treatment of menstrual migraine: Analysis of a double-blind, randomized, cross-over, multicenter, Italian, comparative study

Marco Bartolini, Maria Adelaide Giamberardino, Carlo Lisotto, Paolo Martelletti, Davide Moscato, Biagio Panascia, Lidia Savi, Luigi Alberto Pini, Grazia Sances, Patrizia Santoro, Giorgio Zanchin, Stefano Omboni, Michel D. Ferrari, Brigida Fierro, Filippo Brighina

Research output: Contribution to journalArticle

Abstract

The objective of the study was to compare the efficacy and safety of frovatriptan and almotriptan in women with menstrually related migraine (IHS Classification of Headache disorders) enrolled in a multicenter, randomized, double-blind, cross-over study. Patients received frovatriptan 2.5 mg or almotriptan 12.5 mg in a randomized sequence: after treating 3 episodes of migraine in no more than 3 months with the first treatment, the patient was switched to the other treatment. 67 of the 96 female patients of the intention-to-treat population of the main study had regular menstrual cycles and were thus included in this subgroup analysis. 77 migraine attacks classified as related to menses were treated with frovatriptan and 78 with almotriptan. Rate of pain relief at 2 and 4 h was 36 and 53 % for frovatriptan and 41 and 50 % for almotriptan (p = NS between treatments). Rate of pain free at 2 and 4 h was 19 and 47 % with frovatriptan and 29 and 54 % for almotriptan (p = NS).At 24 h, 62 %of frovatriptan-treated and 67 %of almotriptan-treated patients had pain relief, while 60 versus 67 % were pain free (p = NS). Recurrence at 24 h was significantly (p

Original languageEnglish
Pages (from-to)401-406
Number of pages6
JournalJournal of Headache and Pain
Volume13
Issue number5
DOIs
Publication statusPublished - Jul 2012

Keywords

  • Almotriptan
  • Frovatriptan
  • Menstrually related migraine
  • Migraine

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology

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    Bartolini, M., Giamberardino, M. A., Lisotto, C., Martelletti, P., Moscato, D., Panascia, B., Savi, L., Pini, L. A., Sances, G., Santoro, P., Zanchin, G., Omboni, S., Ferrari, M. D., Fierro, B., & Brighina, F. (2012). Frovatriptan versus almotriptan for acute treatment of menstrual migraine: Analysis of a double-blind, randomized, cross-over, multicenter, Italian, comparative study. Journal of Headache and Pain, 13(5), 401-406. https://doi.org/10.1007/s10194-012-0455-4