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奥卡西平口服混悬液治疗儿童部分性发作和/或全面性强直-阵挛发作:中国多中心、单臂、观察性研究。

Oxcarbazepine oral suspension in pediatric patients with partial seizures and/or generalized tonic-clonic seizures: a multi-center, single arm, observational study in China.

机构信息

Department of Neurology, Children's Hospital of Fudan University, Shanghai, China.

Department of Pediatric Neurology, The First Bethune Hospital of Jilin University, Changchun, China.

出版信息

World J Pediatr. 2017 Dec;13(6):551-559. doi: 10.1007/s12519-017-0045-2. Epub 2017 Jun 22.

Abstract

BACKGROUND

To assess efficacy and safety of oxcarbazepine (OXC) oral suspension in pediatric patients aged 2-16 years with partial seizures (PS) and/or generalized tonic-clonic seizures (GTCS) in real-world clinical practice in China.

METHODS

This 26-week, single arm, multicenter and observational study recruited patients aged 2-16 years with PS or GTCS suitable for OXC oral suspension treatment. Enrolled patients received OXC oral suspension treatment for 26 weeks. Primary endpoints included mean seizure frequency at the end of the treatment and mean seizure frequency reduction at the end of the treatment vs. baseline. Secondary efficacy-related endpoints and safety parameters were also assessed.

RESULTS

Nine hundred and eighty-seven pediatric patients were enrolled and 912 (92.4%) completed the study. The mean seizure frequencies at baseline and the end of week 26 were 13.40±64.92 and 1.62±19.47 times/ month, respectively. The mean seizure frequency reduction was 10.03±63.67 times/month and the mean seizure frequency reduction percentage was 90.02%±5127.0% (P<0.0001). After 26 weeks of treatment, 82.36%, 7.24% and 3.86% of the patients became controlled, significantly improved and improved, respectively. Adverse events (AEs) were reported in 74 (7.65%) patients. Rash was the most common AE. The efficacy of OXC was not affected by seizure types, age or gender.

CONCLUSIONS

This study confirms the efficacy and good safety profile of OXC oral suspension in Chinese pediatric patients aged 2-16 years with PS and/or GTCS.

摘要

背景

评估奥卡西平(OXC)口服液在 2-16 岁部分性发作(PS)和/或全面性强直-阵挛发作(GTCS)的儿科患者中的疗效和安全性。

方法

这是一项为期 26 周、单臂、多中心和观察性研究,共招募了适合奥卡西平口服液治疗的 2-16 岁 PS 或 GTCS 患儿。入组患者接受奥卡西平口服液治疗 26 周。主要终点包括治疗结束时的平均发作频率和治疗结束时与基线相比的平均发作频率降低。还评估了次要疗效相关终点和安全性参数。

结果

共纳入 987 例儿科患者,912 例(92.4%)完成研究。基线和第 26 周末的平均发作频率分别为 13.40±64.92 和 1.62±19.47 次/月。平均发作频率降低 10.03±63.67 次/月,降低百分比为 90.02%±5127.0%(P<0.0001)。治疗 26 周后,82.36%、7.24%和 3.86%的患者分别达到控制、显著改善和改善。74 例(7.65%)患者出现不良事件(AE)。皮疹是最常见的 AE。OXC 的疗效不受发作类型、年龄或性别影响。

结论

本研究证实了奥卡西平口服液在 2-16 岁中国儿科患者 PS 和/或 GTCS 中的疗效和良好安全性。

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