A double-blind, placebo-controlled study of remacemide hydrochloride in patients with refractory epilepsy following pre-surgical assessment
| Autor: | Steven C. Schachter, B. Vazquez, Ilo E. Leppik, John M. Pellock, V Alderfer, Edward Faught, T.A.H Holdich, Orrin Devinsky |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Adult
Male Phenytoin Clinical Neurology Placebo-controlled study add-on therapy Placebo Neurosurgical Procedures Epilepsy chemistry.chemical_compound Double-Blind Method Acetamides Humans Medicine antiepileptic drugs Adverse effect Remacemide business.industry General Medicine Carbamazepine Middle Aged controlled trial medicine.disease Combined Modality Therapy dose-ranging Discontinuation remacemide Neurology chemistry Anesthesia Anticonvulsants Female Neurology (clinical) business medicine.drug |
| Zdroj: | Seizure. (6):371-376 |
| ISSN: | 1059-1311 |
| DOI: | 10.1053/seiz.2001.0669 |
| Popis: | This multicentre, randomised, double-blind, placebo-controlled, parallel-group study investigated the efficacy, safety and pharmacokinetics of remacemide hydrochloride in adult patients ( n= 59) with refractory epilepsy, undergoing reduced or discontinued antiepileptic drug (AED) usage, as part of an evaluation for epilepsy surgery. On discontinuation or reduction of maintenance AEDs, patients received remacemide hydrochloride, up to 600 mg daily, or placebo, for up to ten days or until they experienced a fourth complex partial (CPS) or a generalised tonic–clonic (GTC) seizure. Pre- and post-study blood and urine samples were taken for analysis. Remacemide hydrochloride showed a significantly ( P= 0.045) longer median time to fourth seizure compared with placebo (6.8 vs. 3.8 days). Median nine-day seizure counts were significantly ( P= 0.0327) lower with remacemide hydrochloride than placebo (6.2 vs. 12.8). Eleven remacemide hydrochloride patients and six placebo patients completed ten days’ treatment. Remacemide and desglycinyl metabolite levels were lower in patients receiving concomitant carbamazepine or phenytoin than in those receiving non-inducing AEDs or remacemide hydrochloride alone. No serious adverse events occurred; all patients receiving remacemide hydrochloride completed the study. Remacemide hydrochloride was well tolerated and showed significant therapeutic activity in this patient population. |
| Databáze: | OpenAIRE |
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