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800毫克和1200毫克醋酸艾司利卡西平作为难治性部分性发作成年患者辅助治疗的疗效和安全性。

Efficacy and safety of 800 and 1200 mg eslicarbazepine acetate as adjunctive treatment in adults with refractory partial-onset seizures.

作者信息

Gil-Nagel A, Lopes-Lima J, Almeida L, Maia J, Soares-da-Silva P

机构信息

Hospital Ruber Internacional, Mirasierra, Madrid, Spain.

出版信息

Acta Neurol Scand. 2009 Nov;120(5):281-7. doi: 10.1111/j.1600-0404.2009.01218.x.

Abstract

OBJECTIVES

To evaluate the efficacy and safety of eslicarbazepine acetate (ESL) as adjunctive therapy in adults with partial-onset seizures.

MATERIAL AND METHODS

Double-blind, placebo-controlled, parallel-group, multicenter study consisting of an 8-week baseline period, after which patients were randomized to placebo (n = 87) or once-daily ESL 800 mg (n = 85) or 1200 mg (n = 80). Patients received half dose during 2 weeks preceding a 12-week maintenance period.

RESULTS

Seizure frequency over the maintenance period was significantly (P < 0.05) lower than placebo in both ESL groups. Responder rate was 23% (placebo), 35% (800 mg), and 38% (1200 mg). Median relative reduction in seizure frequency was 17% (placebo), 38% (800 mg), and 42% (1200 mg). The most common adverse events (AEs) (>10%) were dizziness, somnolence, headache, and nausea. The majority of AEs were of mild or moderate severity.

CONCLUSIONS

Once-daily treatment with ESL 800 and 1200 mg was effective and generally well tolerated.

摘要

目的

评估醋酸艾司利卡西平(ESL)作为辅助治疗药物用于成人部分性发作癫痫的疗效和安全性。

材料与方法

双盲、安慰剂对照、平行组、多中心研究,包括为期8周的基线期,之后患者被随机分为安慰剂组(n = 87)、每日一次800 mg ESL组(n = 85)或1200 mg ESL组(n = 80)。在为期12周的维持期前2周,患者接受半剂量治疗。

结果

在两个ESL组中,维持期的癫痫发作频率均显著低于安慰剂组(P < 0.05)。有效率分别为23%(安慰剂组)、35%(800 mg组)和38%(1200 mg组)。癫痫发作频率的中位数相对降低率分别为17%(安慰剂组)、38%(800 mg组)和42%(1200 mg组)。最常见的不良事件(>10%)为头晕、嗜睡、头痛和恶心。大多数不良事件为轻度或中度。

结论

每日一次服用800 mg和1200 mg的ESL有效且总体耐受性良好。

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