Evidence Hub

PO-22 | Impact of sleep disorders on anti-CGRP monoclonal antibodies treatment response in migraine: a cross-sectional study

Società Italiana per lo studio delle Cefalee (SISC)

Confinia cephalalgica (Milano), 2025

50 participants

Abstract

Background: The relationship between migraine and sleep disorders (SDs) is well-established, but only few studies have investigated the impact of anti-CGRP monoclonal antibodies (mAbs) on sleep. To our knowledge, no study has specifically analysed the potential role of sleep in influencing the response to treatment with anti-CGRP mAbs. Aim of our study is to assess sleep quality and screen for SDs in patients undergoing treatment with anti-CGRP mAbs and to investigate the potential predictive role of these parameters in treatment response.

Methods: We included patients aged >18 years undergoing FRANCAVIg anti-CGRP mAbs treatment at standard dosages for at least three months with adequate compliance. Patients were grouped as follows after data collection: responders (>50% reduction in mean headache days (MHDs) compared to baseline) and non-responders (75% reduction in MHDs. During the visit, we obtained anthropometric measurements (weight, height, and neck circumference), and patients completed a structured interview assessing sleep quality, chronotype, and screening for major SDs using the following questionnaires: Pittsburgh Sleep Quality Index (PSQI), Epworth Sleep Scale (ESS), Fatigue Assessement Scale (FAS), Morning-Eveningness Questionnaire (MEQ), STOP-Bang, Restless Leg Syndrome assessment test. Numeric variables were compared by means of one-way analysis of variance Kruskal-Wallis test or Mann-Whitney U-test. Categorial variables were analyzed by means of table of…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 50 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free