Evidence map›Paper›PMID 28181220›Full record

ArticleActa neurologica Scandinavica2017

Eslicarbazepine acetate as adjunctive therapy in clinical practice: ESLADOBA study.

J Chaves, P Breia, J Pimentel, R Pelejão, M Carvalho, P Mateus, H Grebe, A Mestre, H Fernandes, R Sousa and 1 more

Open access · hybridAbstract read
In one paragraph

Article 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Eslicarbazepine acetate add-on therapy for drug-resistant focal epilepsy.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Review
  3. Article
  4. Review
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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

11 authors at 7 institutions in 1 country.

J ChavesDepartment of Neurology, Hospital Santo António, Centro Hospitalar Porto, Porto, Portugal.
P BreiaDepartment of Neurology, Hospital Garcia de Orta, Almada, Portugal.
J PimentelDepartment of Neurosciences, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.
R PelejãoDepartment of Neurology, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal.
M CarvalhoDepartment of Neurology, Centro Hospitalar São João, Porto, Portugal.
P MateusDepartment of Neurology, Hospital de Santo André, Centro Hospitalar de Leiria, Leiria, Portugal.
H GrebeDepartment of Neurology, Hospital de S. Sebastião, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
A MestreDepartment of Neurology, Clinicoimbra, Coimbra, Portugal.
H FernandesDepartment of Research and Development, BIAL, Coronado, Portugal.ORCID http://orcid.org/0000-0003-0898-932X
R SousaDepartment of Research and Development, BIAL, Coronado, Portugal.
A GalaDepartment of Research and Development, BIAL, Coronado, Portugal.
Bial (Portugal) · PTHospitais da Universidade de Coimbra · PTHospital de Egas Moniz · PTHospital de São Sebastião · PTHospital Garcia de Orta · PTUniversidade do Porto · PTUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess seizure control and tolerability of eslicarbazepine acetate (ESL) as adjunctive therapy to one baseline antiepileptic drug (AED), in adults with partial-onset seizures (POS) with or without secondary generalization.

methodsMulticenter, non-interventional, prospective cohort study conducted between March 2012 and September 2014 at 12 neurology departments in Portugal. Adults with POS not controlled with one AED who had initiated ESL as adjunctive treatment were enrolled. Retention rate was defined at the final visit (Vfinal) 6-9 months of follow-up. Proportion of responders, seizure-free, changes in seizure frequency were evaluated using patients' diaries. Clinical Global Impression of Change (CGI-C) and Clinical Global Impression of Severity (CGI-S) were assessed by the neurologist.

resultsFifty-two patients (48.1% male) were included with mean age 41.5±13.3 years. Mean epilepsy duration was 18.5±14.8 years; mean seizure frequency in the four previous weeks to baseline was 7.5±12.7. At Vfinal, retention rate was 73.0%; responder rate and seizure-free rates were 71.1% and 39.5%, respectively. The median relative reduction in seizure frequency between baseline and Vfinal was 82.2%. A reduction in epilepsy severity (CGI-S) was observed in 42.1%. According to CGI-C, 73.6% patients had their epilepsy "much improved" or "very much improved". Twelve patients (23.1%) had at least one adverse event (AE), two (3.9%) had one serious AE, and five (9.6%) discontinued due to AE.

conclusionsEslicarbazepine acetate showed good retention rates, elicited a significant reduction in seizure frequency, and was well tolerated when used in the clinical practice.

Indexed as

AdultAnticonvulsantsDibenzazepinesDrug Therapy, CombinationEpilepsies, PartialFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAnticonvulsantsDibenzazepineseslicarbazepine acetateadjunctive therapyadultseslicarbazepine acetatepartial seizuresrefractory epilepsyretention rate

Identifiers

PMID28181220
PMCPMC5811795
OpenAlexW2586493575

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Registered trials

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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.