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Updated: Jul 1, 2025

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Published on: June 2, 2014
How early can we treat migraine attacks? A perspective based on prodrome
Hsiangkuo Yuan1, Stephen D Silberstein1
1Jefferson Headache Center, Department of Neurology, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Migraine prodrome treatment with ubrogepant can prevent headache attacks. This strategy also reduces functional disability, offering new hope for migraine management.
Area of Science:
- Neurology
- Clinical Trials
- Migraine Research
Background:
- Early treatment of migraine attacks at headache onset is a standard strategy.
- The efficacy of treating migraine during the prodrome phase (before headache onset) remains less understood.
Purpose of the Study:
- To investigate the effectiveness of ubrogepant when administered during the prodrome phase of a migraine attack.
- To determine if treating migraine during prodrome can prevent the development of headache and reduce associated functional disability.
Main Methods:
- The PRODROME trial was conducted to evaluate the efficacy of ubrogepant.
- Participants received ubrogepant during the prodrome phase of their migraine attacks.
Main Results:
- Ubrogepant administration during the prodrome phase was shown to prevent headache attacks.
- Treatment during prodrome also resulted in a significant reduction in functional disability.
Conclusions:
- Treating migraine during the prodrome phase with ubrogepant is a viable strategy.
- This approach offers a novel method for migraine attack prevention and improving patient function.
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