Evidence map›Paper›PMID 31878820›Full record

Trial reportJournal of child neurology2020

Safety and Tolerability of Adjunctive Eslicarbazepine Acetate in Pediatric Patients (Aged 4-17 Years) With Focal Seizures.

Mark Mintz, Jesus E Pina-Garza, Steven M Wolf, Patricia E McGoldrick, Sergiusz Józwiak, Todd Grinnell, David Cantu, Raquel Costa, Joana Moreira, Yan Li and 1 more

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Journal of child neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 24% 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.

NCT00988156 phase3completednot on this map

Efficacy and Safety Study of Eslicarbazepine Acetate (BIA 2 093) as Adjunctive Therapy for Refractory Partial Seizures in Children

TypeinterventionalSponsorBial - Portela C S.A.Ran2007 to 2017Enrolled304ConditionsPartial Epilepsy in Children and AdolescentsArmsEslicarbazepine acetate (BIA 2-093), Eslicarbazepine acetate
NCT01527513 phase2completednot on this map

Effects of Eslicarbazepine Acetate (Esl, Bia 2-093) on Cognitive Function in Children With Partial Onset Seizures: an add-on, Double-blind, Randomised, Placebo-controlled, Parallel Group, Multicentre Clinical Trial

TypeinterventionalSponsorBial - Portela C S.A.Ran2010 to 2013Enrolled123ConditionsPartial EpilepsyArmsEslicarbazepine acetate (BIA 2-093), Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Psychiatric Comorbidities in Pediatric Epilepsy.Current psychiatry reports · 2020
    Pooled it
  3. Anti-seizure Medications: Challenges and Opportunities.CNS & neurological disorders drug targets · 2024
    Review
  4. Article
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 6 institutions in 3 countries.

Mark MintzThe Center for Neurological and Neurodevelopmental Health (CNNH) and the Clinical Research Center of New Jersey (CRCNJ), Voorhees, NJ, USA.ORCID 0000-0002-1738-9644
Jesus E Pina-GarzaCentennial Children's Hospital, Nashville, TN, USA.
Steven M WolfDepartment of Neurology, Icahn School of Medicine, Mount Sinai Health System, New York, NY, USA.
Patricia E McGoldrickDepartment of Neurology, Icahn School of Medicine, Mount Sinai Health System, New York, NY, USA.
Sergiusz JózwiakDepartment of Pediatric Neurology, Medical University Warsaw, Warsaw, Poland.
Todd GrinnellSunovion Pharmaceuticals Inc, Marlborough, MA, USA.
David CantuSunovion Pharmaceuticals Inc, Marlborough, MA, USA.
Raquel CostaBIAL-Portela & Cª, SA, Coronado (São Romão e São Mamede), Portugal.
Joana MoreiraBIAL-Portela & Cª, SA, Coronado (São Romão e São Mamede), Portugal.
Yan LiSunovion Pharmaceuticals Inc, Marlborough, MA, USA.
David BlumSunovion Pharmaceuticals Inc, Marlborough, MA, USA.
Sunovion (United States) · USBial (Portugal) · PTMount Sinai Health System · USChildren’s Hospital at TriStar Centennial · USMedical University of Warsaw · PLNeuroDevelopment Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the safety and tolerability of adjunctive eslicarbazepine acetate (ESL) in pediatric patients (aged 4-17 years) with refractory focal seizures.

methodsPooled safety data from patients aged 4-17 years in Study 208 (NCT01527513) and Study 305 (NCT00988156) were analyzed. Both were randomized, double-blind, placebo-controlled studies of ESL as adjunctive treatment in pediatric patients with refractory focal seizures receiving 1 or 2 antiepileptic drugs. Incidences of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), TEAEs leading to discontinuation, and TEAEs of special interest were evaluated.

resultsThe safety population comprised 362 patients (placebo, n = 160; ESL, n = 202). The overall incidence of TEAEs was similar between the ESL (67.8%) and placebo groups (65.6%), with no clear dose-response relationship. The most frequently reported TEAEs with ESL were headache, somnolence, vomiting, and diplopia. Overall incidences of SAEs and TEAEs leading to discontinuation were higher with ESL versus placebo (9.9% vs 5.0% and 5.9% vs 2.5%, respectively). The majority of SAEs with ESL occurred in Study 305. Two deaths were reported, 1 with ESL (0.5%) due to cluster seizures (resulting in herniation of the cerebellar tonsils) and 1 with placebo (0.6%) due to asphyxia. TEAEs related to allergic reaction, hyponatremia, hypothyroidism, cytopenia, seizure exacerbation, cognitive dysfunction, psychiatric disorders, or suicide occurred infrequently (<9%).

conclusionAdjunctive ESL was generally well tolerated in children aged 4-17 years with focal seizures. The safety profile of ESL in children was comparable to that observed in adults.

Indexed as

AdolescentAnticonvulsantsChildChild, PreschoolDibenzazepinesDouble-Blind MethodEuropeFemaleHumansMaleSeizuresTreatment OutcomeAnticonvulsantsDibenzazepineseslicarbazepine acetateadolescentsantiepileptic drugsantiseizure drugschildrenepilepsypediatricrefractoryseizures

Identifiers

PMID31878820
PMCPMC7005936
OpenAlexW2997668738

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.