Background : The efficacy of sumatriptan(SMN) in acute management of migrane has
been well established. In Korea, however, a clinical study comparing the utility of
oral(PO) and subcutaneous(SQ) regimen had not been conducted yet. This study was
directed to compare the two regimens of SMN in terms of the efficacy as well as the
adverse events in a singed-out Korean patient group.
Methods : The 91 migrane patients were recruited and randomly assigned to either
PO or SQ regimen as the initial treatment of acute migrane attack. Then, they were
forwarded to the other regimen as an open cross-over trial. The treatment responses
and adverse events were assessed and rated by the subjects.
Results : Eighty one patient successfully tried at least one regimen of SMN. Overall,
the proportion of excellent treatment response was 90.7% (PO) and 94.1% (SQ), with the occurrence of adverse events being 67.4% (PO) and 76.5%(SQ) respectively. In 18
patients who were able to complete cross-over procedure, the efficacy was 94.4% both
in PO and SQ regimen, with the occurrence of adverse events 72.2% in both of two
regimen. Although the SQ regimen tends to induce faster treatment response regardless
of the cross-over completion, it bears no statistical significance.
Conclusions : We conclude that the PO and SQ regimens of SMN show very comparable clinical utility in achieving therapeutic responses as well as in producing
adverse events. The treatment efficacy was excellent but hight occurrence of side
effects in this study, mostly in moderate to severe degree, suggests that optimal dose
adjustment strategy needs to be elaborated in Korea.