Evidence map›Paper›PMID 27231140›Full record

Observational studyActa neurologica Scandinavica2017

Audit of use of stiripentol in adults with Dravet syndrome.

S Balestrini, S M Sisodiya

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Acta neurologica Scandinavica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Current practice in diagnostic genetic testing of the epilepsiesEpileptic disorders : international epilepsy journal with videotape · 2022
    Article
  9. Article
  10. Article
  11. Real-life survey of pitfalls and successes of precision medicine in genetic epilepsies.Journal of neurology, neurosurgery, and psychiatry · 2021
    Observational
  12. Review
  13. Review
  14. Review
  15. Genomic testing in pediatric epilepsy.Cold Spring Harbor molecular case studies · 2019
    Review
  16. Review
  17. Pharmacogenomics in epilepsy.Neuroscience letters · 2018
    Review
  18. Efficacy of Stiripentol in Dravet Syndrome with or without SCN1A Mutations.Journal of clinical neurology (Seoul, Korea) · 2018
    Article
  19. Review
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

S BalestriniDepartment of Clinical and Experimental Epilepsy, NIHR University College London Hospitals Biomedical Research Centre, UCL Institute of Neurology, London, UK.
S M SisodiyaDepartment of Clinical and Experimental Epilepsy, NIHR University College London Hospitals Biomedical Research Centre, UCL Institute of Neurology, London, UK.
Marche Polytechnic University · ITUniversity College London · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectivesThere are very few data available in the literature on the use of stiripentol in adults with Dravet syndrome (DS). DS cases are increasingly recognized in adulthood, and more children with DS now survive to adulthood. The aim of the study was to document the effectiveness and tolerability of stiripentol in adults with DS. MATERIAL AND

methodsWe conducted an observational clinical audit in the epilepsy service of the National Hospital for Neurology and Neurosurgery, London (UK).

resultsWe included 13 adult subjects with DS (eight females, five males). The responder (defined as more than 50% reduction in all seizure types) rate was 3/13 (23%) at 36 months. The following other outcomes were reported: seizure exacerbation (3/13, 23%), no change (3/13, 23%), less than 50% reduction in seizures (2/13, 15%), more than 50% reduction in generalized tonic-clonic seizures but no other seizure types (1/13, 8%), undefined response (1/13, 8%). The retention rate was 62% after 1 year and 31% after 5 years. Adverse effects were reported in 7/13 (54%): the most frequent were anorexia, weight loss, unsteadiness and tiredness. Withdrawal due to adverse effects occurred in 3/13 (23%).

conclusionsCompared with previous studies on children with DS, our results show a lower responder rate and a similar tolerability profile. Stiripentol can be effective with a good tolerability profile. Our audit is small, but supports the use of stiripentol in adults with DS when first-line treatments are ineffective or not tolerated, in keeping with published guidelines.

Indexed as

AdolescentAdultAnticonvulsantsChildChild, PreschoolDioxolanesEpilepsies, MyoclonicFemaleHumansMaleMutationNAV1.1 Voltage-Gated Sodium ChannelAnticonvulsantsDioxolanesNAV1.1 Voltage-Gated Sodium ChannelSCN1A protein, humanstiripentolantiepileptic drugsepilepsyseizuresstiripentol

Identifiers

PMID27231140
PMCPMC5157719
OpenAlexW2402833179

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.