RT info:eu-repo/semantics/article T1 Real-world evaluation of the tolerability to onabotulinum toxin A: The RETO study A1 García Azorín, David A1 Martínez, Blanca A1 Gutiérrez, María A1 Ruiz Piñero, Marina A1 Echavarría, Ana A1 Sierra, Álvaro A1 Guerrero Peral, Angel Luis K1 Botulinum toxin - Therapeutic use K1 Toxina botulínica K1 Neurology K1 Migraine K1 Migraña K1 Chronic pain K1 Dolor crónico K1 Pain medicine K1 Pain - Treatment K1 Dolor - Tratamiento K1 Médicaments - Effets secondaires K1 Medicamentos - Efectos secundarios K1 Toxicology K1 3205.07 Neurología K1 3214 Toxicología AB Onabotulinumtoxin A (onabotA) has shown efficacy in chronic migraine (CM), with good tolerability and a low rate of adverse effects, most of them not severe. The aim of this study is to evaluate tolerability and adverse effects of onabotA in clinical practice and to analyze if there is a relationship between tolerability to treatment administration, adverse effects’ (AEs) occurrence and clinical response. We included patients with CM that received treatment with onabotA for the first time. Tolerability to treatment was evaluated by a 0–10 numeric rating scale (0: worst possible, 10: optimal tolerability). We assessed the presence of AEs by using a standardized questionnaire. Treatment response was based on the 50 and 75% responder rate between weeks 20 and 24, compared with the baseline, according to headache diaries. We analyzed whether the tolerability was associated with a higher frequency of AEs or a higher probability of clinical response. We included 105 patients, 87.7% female, with an age of 43.9 ± 10.7 years. Mean tolerability was 7.8/10 and 7.2/10 in the first and second onabotA administration, respectively. AEs were reported by (first-second) 71.4–68.6% patients. The percentage of patients with a 50% response was 56.3%. There was no association between tolerability and AEs’ occurrence or clinical response. PB MDPI SN 2072-6651 YR 2022 FD 2022 LK https://uvadoc.uva.es/handle/10324/60398 UL https://uvadoc.uva.es/handle/10324/60398 LA eng NO Toxins, 2022, Vol. 14, Nº. 12, 850 NO Producción Científica DS UVaDOC RD 01-jun-2024