Efficacy of frovatriptan versus other triptans in the acute treatment of menstrual migraine: pooled analysis of three double-blind, randomized, crossover, multicenter studies

The objective of this study was to review the efficacy and safety of frovatriptan (F) versus rizatriptan (R), zolmitriptan (Z) and almotriptan (A), in women with menstrually related migraine (IHS criteria) through a pooled analysis of three individual studies. Subjects with a history of migraine with or without aura were randomized to F 2.5 mg or R 10 mg (study 1), F or Z 2.5 mg (study 2), and F or A 12.5 mg (study 3). The studies had an identical multicenter, randomized, double-blind, crossover design. After treating three episodes of migraine in no more than 3 months with the first treatment, patients had to switch to the next treatment for other 3 months. 346 subjects formed intention-to-treat population of the main study; 280 of them were of a female gender, 256 had regular menses and 187 were included in the menstrual migraine subgroup analysis. Rate of pain free at 2, 4 and 24 h was 23, 52 and 67 % with F and 30, 61 and 66 % with comparators (P = NS). Pain relief episodes at 2, 4 and 24 h were 37, 60 and 66 % for F and 43, 55 and 61 % for comparators (P = NS). Rate of recurrence was significantly (P < 0.05) lower under F either at 24 h (11 vs. 24 % comparators) or at 48 h (15 vs. 26 % comparators). Number of menstrual migraine attacks associated with drug-related adverse events was equally low (P = NS) between F (5 %) and comparators (4 %)

Discrepancy between simulated and observed ethane and propane levels explained by underestimated fossil emissions

Ethane and propane are the most abundant non-methane hydrocarbons in the atmosphere. However, their emissions, atmospheric distribution, and trends in their atmospheric concentrations are insufficiently understood. Atmospheric model simulations using standard community emission inventories do not reproduce available measurements in the Northern Hemisphere. Here, we show that observations of pre-industrial and present-day ethane and propane can be reproduced in simulations with a detailed atmospheric chemistry transport model, provided that natural geologic emissions are taken into account and anthropogenic fossil fuel emissions are assumed to be two to three times higher than is indicated in current inventories. Accounting for these enhanced ethane and propane emissions results in simulated surface ozone concentrations that are 5–13% higher than previously assumed in some polluted regions in Asia. The improved correspondence with observed ethane and propane in model simulations with greater emissions suggests that the level of fossil (geologic + fossil fuel) methane emissions in current inventories may need re-evaluation

A double-blind, randomized, multicenter, Italian study of frovatriptan versus almotriptan for the acute treatment of migraine

The objective of this study was to evaluate patients’ satisfaction with acute treatment of migraine with frovatriptan or almotriptan by preference questionnaire. One hundred and thirty three subjects with a history of migraine with or without aura (IHS 2004 criteria), with at least one migraine attack in the preceding 6 months, were enrolled and randomized to frovatriptan 2.5 mg or almotriptan 12.5 mg, treating 1–3 attacks. The study had a multicenter, randomized, double blind, cross-over design, with treatment periods lasting <3 months. At study end patients assigned preference to one of the treatments using a questionnaire with a score from 0 to 5 (primary endpoint). Secondary endpoints were pain free and pain relief episodes at 2 and 4 h, and recurrent and sustained pain free episodes within 48 h. Of the 133 patients (86%, intention-to-treat population) 114 of them expressed a preference for a triptan. The average preference score was not significantly different between frovatriptan (3.1 ± 1.3) and almotriptan (3.4 ± 1.3). The rates of pain free (30% frovatriptan vs. 32% almotriptan) and pain relief (54% vs. 56%) episodes at 2 h did not significantly differ between treatments. This was the case also at 4 h (pain free: 56% vs. 59%; pain relief: 75% vs. 72%). Recurrent episodes were significantly (P < 0.05) less frequent under frovatriptan (30% vs. 44%), also for the attacks treated within 30 min. No significant differences were observed in sustained pain free episodes (21% vs. 18%). The tolerability profile was similar between the two drugs. In conclusion, our study suggests that frovatriptan has a similar efficacy of almotriptan in the short-term, while some advantages are observed during long-term treatment

Air pollution trends in the EMEP region between 1990 and 2012

The present report synthesises the main features of the evolution over the 1990-2012 time period of the concentration and deposition of air pollutants relevant in the context of the Convention on Long-range Transboundary Air Pollution: (i) ozone, (ii) sulfur and nitrogen compounds and particulate matter, (iii) heavy metals and persistent organic pollutants. It is based on observations gathered in State Parties to the Convention within the EMEP monitoring network of regional background stations, as well as relevant modelling initiatives. Joint Report of: EMEP Task Force on Measurements and Modelling (TFMM), Chemical Co-ordinating Centre (CCC), Meteorological Synthesizing Centre-East (MSC-E), Meteorological Synthesizing Centre-West (MSC-W)

Unaccounted variability in NH3 agricultutral sources detected by IASI contributing to European spring haze episode

Ammonia (NH3), which main source is agriculture, is an important precursor gas for particulate matter concentrations. For the first time, we derived ammonia emissions from space, using NH3 total columns from the IASI instrument onboard Metop-A, at a high resolution (grid-cell of 0.5◦ x 0.5◦ , at a daily scale), for the European spring haze episode of March 2014, 8th to 15th. During this period, IASI reveals higher NH3 emissions than in the European reference EMEP inventory over Central Europe (especially over Germany, Czech Republic and eastern France), exhibiting in addition a large day-to-day variability. This suggests emissions due to punctual spreading practices, that are difficult to anticipate with an inventory-based approach. The increase or NH3 emissions, that could reach +300% locally, leads both to an increase of NH3 and PM25 surface concentrations and conducts to a better comparison with independent measurements (in terms of bias, root mean square error and correlation). The robustness of this preliminary study is promising for future quantification of NH3 emission estimates by atmospheric inversions

Unaccounted variability in NH₃ agricultutral sources detected by IASI contributing to European spring haze episode

International audienceAmmonia (NH3), which main source is agriculture, is an important precursor gas for particulate matter concentrations. For the first time, we derived ammonia emissions from space, using NH3 total columns from the IASI instrument onboard Metop-A, at a high resolution (grid-cell of 0.5◦ x 0.5◦ , at a daily scale), for the European spring haze episode of March 2014, 8th to 15th. During this period, IASI reveals higher NH3 emissions than in the European reference EMEP inventory over Central Europe (especially over Germany, Czech Republic and eastern France), exhibiting in addition a large day-to-day variability. This suggests emissions due to punctual spreading practices, that are difficult to anticipate with an inventory-based approach. The increase or NH3 emissions, that could reach +300% locally, leads both to an increase of NH3 and PM25 surface concentrations and conducts to a better comparison with independent measurements (in terms of bias, root mean square error and correlation). The robustness of this preliminary study is promising for future quantification of NH3 emission estimates by atmospheric inversions