Safety, efficacy and outcome-related factors of perampanel over 12 months in a real-world setting: The FYDATA study
Autor: | J.B. Gómez, Rosa Querol, Mar Carreño, Mercedes Garcés, A. Castillo, J.J. Baiges, José M. Serratosa, Javier Salas-Puig, Julieta Gertrudis Estrada Flores, Vicente Villanueva, J.L. Camacho, Juan José Poza, J. Rodríguez-Uranga, Manuel Toledo, Beatriz González-Giráldez, Dulce Campos, J. López-Trigo, Albert Molins, J. Montoya, R. Saiz-Diaz, P. Esteve, Ana Suller, Xiana Rodríguez-Osorio, Joaquín Ojeda, Pau Giner, José Ángel Mauri, J. González-de la Aleja, Francisco Javier López-González, M. González-Cuevas |
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Rok vydání: | 2016 |
Předmět: |
Male
Pediatrics Comorbidity Perampanel Epilepsy chemistry.chemical_compound 0302 clinical medicine 030212 general & internal medicine Child Aged 80 and over education.field_of_study Mental Disorders Middle Aged Treatment Outcome Neurology Anesthesia Anticonvulsants Female medicine.symptom Antiepileptic drug Somnolence Adult medicine.medical_specialty Adolescent Pyridones Population Irritability Young Adult 03 medical and health sciences Seizures Nitriles medicine Humans education Adverse effect Aged Retrospective Studies business.industry medicine.disease Clinical trial Logistic Models Real-world chemistry Observational study Epilepsies Partial Neurology (clinical) business 030217 neurology & neurosurgery Follow-Up Studies |
Zdroj: | EPILEPSY RESEARCH r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname r-FISABIO. Repositorio Institucional de Producción Científica |
ISSN: | 0920-1211 |
Popis: | Background: Real-world data of current antiepileptic drugs (AEDs) used to treat focal seizures is of importance to understand the efficacy and safety outside of the clinical trial setting. Here we report real-world data from a large series of patients treated with perampanel for 1 year. Methods: FYDATA was a multicentre, retrospective, 1-year observational study assessing the efficacy and safety of adjuvant perampanel in patients >= 12 years of age with focal epilepsy in a real-world setting. At 12 months, the proportion of patients who were seizure free, median percentage seizure reduction, proportion of responders, retention rate and proportion of patients with adverse events (AEs) were assessed. Analyses were also performed to identify any patient-, medication-and disease-related factors associated with a large clinical response or carry a risk for AEs. Results: A total of 464 patients were included in the study with a retention rate of 60.6% at 1 year. The mean number of prior AEDs was 7.8. The median percentage reduction in overall seizures was 33.3% (75% for secondary generalised seizures) after 1 year, with 7.2% of patients achieving seizure freedom. Furthermore, patients on non-enzyme-inducing AEDs were more likely to achieve seizure freedom, and logistic regression revealed that patients aged >= 65 years, those with epilepsy due to a vascular aetiology and those who had received fewer prior AEDs showed a better clinical response to perampanel. A total of 62.9% of the patients experienced AEs at 12 months; dizziness, somnolence and irritability were the most frequent AEs. Patients with prior psychiatric comorbidities (hyperactivity and personality disorder) were more likely to experience psychiatric AEs with perampanel, and slower titration schedules were associated with less AEs overall. Conclusion: Perampanel, for the treatment of focal epilepsy in a real-world setting in a refractory population, over 1 year, demonstrates a similar efficacy and safety profile to that observed in clinical trials. Our results have implications for the optimisation of perampanel use in a clinical setting. (C) 2016 Elsevier B.V. All rights reserved. |
Databáze: | OpenAIRE |
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