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pmid27800020
      Ther+Adv+Neurol+Disord 2016 ; 9 (6 ): 445-453
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  • Two-year real-world experience with perampanel in patients with refractory focal epilepsy: Austrian data #MMPMID27800020
  • Rohracher A ; Kalss G ; Leitinger M ; Granbichler C ; Deak I ; Dobesberger J ; Kuchukhidze G ; Thomschewski A ; Höfler J ; Trinka E
  • Ther Adv Neurol Disord 2016[Nov]; 9 (6 ): 445-453 PMID27800020 show ga
  • BACKGROUND: The aim of this study was to analyse registry data of seizure outcome and adverse events (AEs) for perampanel as add-on therapy in patients with focal epilepsy since its approval in 2012 for adjunctive treatment of focal epilepsy in patients ?12 years. METHOD: A retrospective 2-year chart review of all patients receiving perampanel was carried out. RESULTS: A total of 122 patients received perampanel [median treatment length: 20.1 (range: 3.4-26.8) months]; 71 (58%) remained on treatment at last follow up. Overall, 33 patients (27%) were seizure-free for ?3 months at last follow up; of these, eight were seizure free for ?3 times the longest interictal interval before perampanel therapy; 18 (15%) had reduced seizure frequency ?50%. A total of 58 (47%) had an AE and 34 (28%) withdrew from treatment because of AEs. AEs included dizziness (33%), fatigue (12%), psychiatric symptoms (8%), cognitive deficits (7%), speech problems (5%), nausea (4%) and gait problems (4%). AEs subsided in 17/18 patients (94%) following a 2 mg dose reduction. A total of 43 (35%) took a concomitant enzyme inducer. Patients not taking enzyme inducers were more likely to be seizure free (p = 0.002); there were no other between-group differences. CONCLUSIONS: Perampanel was well tolerated and improved seizure control in 42% of patients (50- 100% reduction), with higher rates in those not receiving a concomitant enzyme inducer. AEs, particularly dizziness, were common but often disappeared with a slight dose reduction. The results are consistent with those from randomized controlled trials.
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