Botulinum toxin as preventive treatment for migraine: A randomized double-blind study

Susanne Petri, Thomas Tölle, Andreas Straube, Volker Pfaffenrath, Ulrich Stefenelli, Andres Ceballos-Baumann

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


Aim: To determine if botulinum toxin type A (BoNT-A) injections can reduce the frequency and severity of migraines. Methods: Patients (n = 127) were randomized to receive placebo or two doses of BoNT-A (Dysport®). The primary endpoint was reduction in number of migraine attacks up to week 8 and between weeks 8 and 12 after injection. Patient diaries were used to record secondary endpoints, including frequency, severity and duration of migraine attacks. Results: There was a mean reduction of 0.54 and 0.94 attacks/month with placebo and BoNT-A, respectively, and absolute attack count was less in the verum group (3.6 vs. 4.2 attacks/month), but this was not statistically significant. The patients' global assessment of efficacy was significantly better than placebo in the high-dose group (p = 0.02) but no effects were seen for the other secondary efficacy parameters. Conclusion: Our study showed a trend towards a reduced attack rate with verum but did not show any statistically significant efficacy of BoNT-A in the prophylactic treatment of migraine.

Original languageEnglish
Pages (from-to)204-211
Number of pages8
JournalEuropean Neurology
Issue number4
StatePublished - Sep 2009


  • Botulinum toxin type A
  • Dysport®
  • Migraine
  • Randomized controlled trial


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