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Abstract Details

Understanding Real-world Perspectives of Healthcare Providers on Short-term Prevention for Migraine and Rimegepant Treatment Use by Patients: Findings from Cross-sectional Surveys
Headache
P8 - Poster Session 8 (11:45 AM-12:45 PM)
15-017

To understand short-term prevention (STP) of migraine from the perspective of healthcare providers (HCPs) and rimegepant patient STP users.

STP is a time-limited treatment before migraine onset for patients with known triggers/situations where avoiding migraine is preferred. Rimegepant, indicated for acute and preventive migraine treatment, potentially provides patients with a flexible option for STP.

Perspectives of US HCPs who treated patients with migraine, prescribed migraine medications in the past 3 months, and aware of STP were collected through an online survey. A separate online survey collected perspectives of rimegepant STP users — US adults with migraine who used rimegepant for STP in the past 3 months, regardless if they also took rimegepant for long-term prevention and/or acute treatment.

Among 277 HCPs, 86% discussed STP with their patients with migraine. Over 90% of HCPs agreed that STP should be discussed with patients who have reliable triggers or specific situations when migraine avoidance is preferred. HCPs considered efficacy and side effects/tolerability as the most important treatment considerations when discussing STP with patients. HCPs mostly prescribed gepants for STP, with rimegepant as the preferred gepant. Among 152 STP users, 88% were informed about the use of rimegepant for STP by their prescriber physician and 61% received their first rimegepant prescription from a primary care provider. Patients had taken rimegepant for STP once (36%), daily (38%), or every other day (QOD, 42%). Patients last used rimegepant as STP for 1 (24%), 2-3 (52%), 4-10 (16%), or >10 (9%) days. Most patients were satisfied/extremely satisfied with rimegepant for STP after taking it once (80%), daily (77%), or QOD (77%).

HCPs support discussing STP with patients who have predictable triggers/specific situations to prevent a migraine attack. Findings suggest that both HCPs and patients perceive the potential benefits of STP and flexible use of rimegepant for STP.

Authors/Disclosures
Teshamae Monteith, MD, FAAN (University of Miami)
PRESENTER
Dr. Monteith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for American Headache Society . Dr. Monteith has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Pfizer. Dr. Monteith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Abbvie. Dr. Monteith has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Merz. Dr. Monteith has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Axsome. Dr. Monteith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Lundbeck. Dr. Monteith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Amneal. Dr. Monteith has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Teva . Dr. Monteith has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN . Dr. Monteith has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN. Dr. Monteith has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN . Dr. Monteith has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Cephalalgia. Dr. Monteith has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for New England Journal of Medicine JW. The institution of Dr. Monteith has received research support from AbbVie. The institution of Dr. Monteith has received research support from lilly. The institution of Dr. Monteith has received research support from Ipsen. Dr. Monteith has received personal compensation in the range of $500-$4,999 for serving as a 好色先生 with Medscape. Dr. Monteith has received personal compensation in the range of $500-$4,999 for serving as a 好色先生 with Massachusetts Medical Society . Dr. Monteith has a non-compensated relationship as a President Elect with Florida Society of Neurology that is relevant to AAN interests or activities. Dr. Monteith has a non-compensated relationship as a Editorial Board /Board Member with American Migraine Foundation that is relevant to AAN interests or activities. Dr. Monteith has a non-compensated relationship as a Board Member with International Headache Society that is relevant to AAN interests or activities. Dr. Monteith has a non-compensated relationship as a author with Pfizer that is relevant to AAN interests or activities. Dr. Monteith has a non-compensated relationship as a author with Abbvie that is relevant to AAN interests or activities. Dr. Monteith has a non-compensated relationship as a author with Theranica that is relevant to AAN interests or activities.
Jessica Ailani, MD, FAAN (Medstar Georgetown Neurology) Dr. Ailani has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Abbvie. Dr. Ailani has received personal compensation in the range of $0-$499 for serving as a Consultant for Eli Lilly. Dr. Ailani has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Lundbeck. Dr. Ailani has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Pfizer. Dr. Ailani has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Ipsen. Dr. Ailani has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Merz. Dr. Ailani has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Aspya. Dr. Ailani has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Axsome. Dr. Ailani has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Bausch. Dr. Ailani has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Amneal. Dr. Ailani has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Satsuma. Dr. Ailani has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Kallyope. Dr. Ailani has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Self Magazine. The institution of Dr. Ailani has received research support from Ipsen. The institution of Dr. Ailani has received research support from Parema. The institution of Dr. Ailani has received research support from Lundbeck. The institution of Dr. Ailani has received research support from Merz. The institution of Dr. Ailani has received research support from Pfizer. Dr. Ailani has received research support from Mi-Helper. The institution of Dr. Ailani has received research support from ShiraTronic. Dr. Ailani has a non-compensated relationship as a Executive Board Member with American Headache Society that is relevant to AAN interests or activities.
Karina Nakajima, PhD Mrs. Nakajima has received personal compensation for serving as an employee of Pfizer. An immediate family member of Mrs. Nakajima has received personal compensation for serving as an employee of Bayer. An immediate family member of Mrs. Nakajima has received personal compensation for serving as an employee of Instituto Butantan.
Martine C. Maculaitis, PhD Dr. Maculaitis has received personal compensation for serving as an employee of Oracle Life Sciences. Dr. Maculaitis has stock in Oracle.
Elizabeth M. Brighton Ms. Brighton has received personal compensation in the range of $100,000-$499,999 for serving as a Evidence Generation Lead with Oracle Life Sciences.
Nemin Chen, PhD Ms. Chen has received personal compensation in the range of $100,000-$499,999 for serving as a Biostatistician with Oracle Life Sciences.
Meghan Fajardo, PharmD (Pfizer) Dr. Fajardo has nothing to disclose.
Feng Dai, PhD Dr. Dai has received personal compensation for serving as an employee of Pfizer.
Karin Hygge Blakeman Karin Hygge Blakeman has received personal compensation for serving as an employee of Pfizer. Karin Hygge Blakeman has stock in Pfizer.
Lucy Abraham (Pfizer R&D UK Ltd) Lucy Abraham has received personal compensation for serving as an employee of Pfizer R&D UK Ltd. Lucy Abraham has stock in Pfizer R&D UK Ltd.
Jessica Cirillo (Pfizer) Mrs. Cirillo has received personal compensation for serving as an employee of Pfizer. Mrs. Cirillo has stock in Pfizer.