Elevating the patient voice and providing a clinical perspective at ICER’s review of new migraine treatments
AMF Executive Director Nim Lalvani testified on a panel at the Institute for Clinical and Economic Review’s January 23rd public meeting in Chicago on the effectiveness of gepants and ditans. ICER is an entity that brings together key stakeholders to review the clinical and economic value of therapies and sets recommendations for policy decisions. As someone who is impacted by migraine, Nim thinks it’s important that patients and advocates join providers in this process.
“Oftentimes in the ICER review process, there isn’t a lot known about the therapeutic area besides what’s available through articles and research, which is all credible information,” she said, “But the patient perspective, the real-world experience of the disease is often lost in those types of reviews and meta-analysis.”
— Headache Migraine (@headachepolicy) January 22, 2020
A Multidisciplinary Approach
AMF leadership worked closely with leaders of the American Headache Society to put together a moving, clinically valid testimonial that targeted the effects of new therapies and the experience of existing therapies on patients. It was through this approach that the Foundation could effectively speak on behalf of the broader migraine community.
The AMF would like to thank the other four panelists, Jamie Sanders, Eileen Brewer, Angie Glaser and Sharol Klise for bravely sharing the impact that migraine has had on their lives. We would also like to thank AHS leadership, including Dr. Kathleen Digre, Dr. Amaal Starling, Dr. Lawrence Newman, Dr. David Dodick, and Howard Rosen for helping put together this testimony.
— Eileen Brewer (@eileenbunny) January 23, 2020
The Foundation’s testimony focused largely on how the new acute treatments were significant to populations for whom the currently available acute medications were contraindicated.
“Although the currently available acute medications are effective for some patients, they are ineffective, poorly tolerated and/or contraindicated in a great majority of other patients,” Nim testified.
“Both AHS and AMF believe that the currently available acute meds are effective for some patients, but poorly tolerated by others. CVD patients also have serious contraindications.” @LalvaniNim of @amfmigraine pic.twitter.com/VaE0Jz5obk
— Headache Migraine (@headachepolicy) January 23, 2020
The unmet need in this vulnerable population results in pain, disability, and high individual, family, societal and economic burden. Another risk of these highly contraindicated acute treatments is that patients might have to rely on medications such as opioids or medications containing butalbital or caffeine.
“One in seven prescriptions for opioids are written for headache and we know that opioids are not effective treatments for patients with migraine and headache disorders,” Nim says. “Considering the opioid epidemic, there needs to be better therapies available for patients who are living with chronic pain.”
A heartfelt THANKS to all the people with #migraine who shared their lived experience throughout our 8-month assessment of acute therapies & who eloquently spoke at today's public meeting. Your perspective is critical to achieve fair pricing, fair access & better future options.
— ICER (@icer_review) January 23, 2020
The American Migraine Foundation is committed to improving the lives of those living with this debilitating disease. For more of the latest news and information on migraine, visit the AMF Resource Library.
Reviewed for accuracy by the American Migraine Foundation’s subject matter experts, headache specialists and medical advisers with deep knowledge and training in headache medicine. Click here to read about our editorial board members.