Bialer Meir, Johannessen Svein I, Levy René H, Perucca Emilio, Tomson Torbjörn, White H Steve
Faculty of Medicine, School of Pharmacy and David R. Bloom Center for Pharmacy, Institute for Drug Research, The Hebrew University of Jerusalem, Jerusalem, Israel.
The National Center for Epilepsy, Sandvika, Norway.
Epilepsia. 2017 Feb;58(2):181-221. doi: 10.1111/epi.13634. Epub 2017 Jan 23.
The Thirteenth Eilat Conference on New Antiepileptic Drugs and Devices (EILAT XIII) took place in Madrid, Spain, on June 26-29, 2016, and was attended by >200 delegates from 31 countries. The present Progress Report provides an update on experimental and clinical results for drugs presented at the Conference. Compounds for which summary data are presented include an AED approved in 2016 (brivaracetam), 12 drugs in phase I-III clinical development (adenosine, allopregnanolone, bumetanide, cannabidiol, cannabidivarin, 2-deoxy-d-glucose, everolimus, fenfluramine, huperzine A, minocycline, SAGE-217, and valnoctamide) and 6 compounds or classes of compounds for which only preclinical data are available (bumetanide derivatives, sec-butylpropylacetamide, FV-082, 1OP-2198, NAX 810-2, and SAGE-689). Overall, the results presented at the Conference show that considerable efforts are ongoing into discovery and development of AEDs with potentially improved therapeutic profiles compared with existing agents. Many of the drugs discussed in this report show innovative mechanisms of action and many have shown promising results in patients with pharmacoresistant epilepsies, including previously neglected rare and severe epilepsy syndromes.
第十三届埃拉特新型抗癫痫药物与设备会议(EILAT XIII)于2016年6月26日至29日在西班牙马德里举行,来自31个国家的200多名代表出席了会议。本进展报告提供了在该会议上展示的药物的实验和临床结果的最新情况。报告总结数据的化合物包括2016年获批的一种抗癫痫药物(布瓦西坦)、12种处于I - III期临床开发阶段的药物(腺苷、别孕烯醇酮、布美他尼、大麻二酚、大麻二酚酸、2 - 脱氧 - D - 葡萄糖、依维莫司、芬氟拉明、石杉碱甲、米诺环素、SAGE - 217和缬诺酰胺)以及6种仅提供临床前数据的化合物或化合物类别(布美他尼衍生物、仲丁基丙基乙酰胺、FV - 082、1OP - 2198、NAX 810 - 2和SAGE - 689)。总体而言,会议上展示的结果表明,与现有药物相比,人们正在为发现和开发具有潜在更好治疗效果的抗癫痫药物付出巨大努力。本报告中讨论的许多药物显示出创新的作用机制,并且许多在药物难治性癫痫患者中已显示出有希望的结果,包括以前被忽视的罕见和严重癫痫综合征。