Evidence map›Paper›PMID 29542107›Full record

ArticleActa neurologica Scandinavica2018

Lacosamide monotherapy in clinical practice: A retrospective chart review.

V Villanueva, B G Giráldez, M Toledo, G J De Haan, E Cumbo, A Gambardella, M De Backer, L Joeres, M Brunnert, P Dedeken and 1 more

Abstract read
In one paragraph

Article in Acta neurologica Scandinavica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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.

V VillanuevaRefractory Epilepsy Unit, Neurology Service, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
B G GiráldezEpilepsy Unit, Neurology Service, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
M ToledoEpilepsy Unit, Neurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID http://orcid.org/0000-0003-3208-2496
G J De HaanStichting Epilepsie Instellingen Nederland-SEIN, Heemstede, The Netherlands.
E CumboNeurodegenerative Disorders Unit, Azienda Sanitaria Provinciale di Caltanissetta, Caltanissetta, Italy.
A GambardellaInstitute of Neurology, University Magna Graecia, Catanzaro, Italy.
M De BackerUCB Pharma, Brussels, Belgium.
L JoeresUCB Pharma, Monheim am Rhein, Germany.
M BrunnertUCB Pharma, Monheim am Rhein, Germany.
P DedekenUCB Pharma, Brussels, Belgium.
J SerratosaEpilepsy Unit, Neurology Service, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess effectiveness and tolerability of first-line and conversion to lacosamide monotherapy for focal seizures. MATERIALS AND

methodsRetrospective, non-interventional chart review of lacosamide monotherapy patients aged ≥16 years in Europe. Outcomes included retention rate at observational point (OP) 3 (12 ± 3 months), seizure freedom rates at OP2 (6 ± 3 months) and OP3 and adverse drug reactions (ADRs).

resultsA total of 439 patients were included (98 first-line and 341 conversion to monotherapy; 128 aged ≥65 years [25 first-line and 103 conversion to monotherapy]). First-line and conversion to monotherapy retention rates were 60.2% (59/98; 95% confidence interval [CI] 49.8%-70.0%) and 62.5% (213/341; 57.1%-67.6%), respectively. Kaplan-Meier estimates of 12-month retention rates were 81.2% and 91.4% for first-line and conversion to monotherapy, respectively. First-line and conversion to monotherapy retention rates in patients aged ≥65 years were 60.0% (38.7%-78.9%) and 68.9% (59.1%-77.7%), respectively. At OP2, 66.3% of first-line and 63.0% of conversion to monotherapy patients were seizure free. At OP3, 60.2% of first-line and 52.5% of conversion to monotherapy patients were seizure free. In the ≥65 years subgroup, seizure freedom rates at OP2 were 72.0% and 68.0% for first-line and converted to monotherapy, respectively, and at OP3, 68.0% and 56.3%, respectively. Overall, 52 of 439 (11.8%) patients reported ADRs (16.4% in ≥65 years subgroup), most commonly dizziness (5.0%), headache (2.1%) and somnolence (1.6%).

conclusionsLacosamide was effective and well tolerated as first-line or conversion to monotherapy in a clinical setting in adult and elderly patients with focal seizures.

Indexed as

AcetamidesAdolescentAdultAgedAnticonvulsantsEuropeFemaleHumansLacosamideMaleMiddle AgedRetrospective StudiesSeizuresAcetamidesAnticonvulsantsLacosamideantiepileptic drugclinical practiceepilepsyfocal seizuresmonotherapypartialpartial-onset

Identifiers

PMID29542107
PMCPMC6099342

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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.