Evidence map›Paper›PMID 32691850›Full record

ArticleActa neurologica Scandinavica2020

Eslicarbazepine acetate in post-stroke epilepsy: Clinical practice evidence from Euro-Esli.

Francisco Sales, João Chaves, Rob McMurray, Rui Loureiro, Hélder Fernandes, Vicente Villanueva

Open access · hybridAbstract read
In one paragraph

Article in Acta neurologica Scandinavica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Review
  8. Seizures and epilepsy in patients with ischaemic stroke.Neurological research and practice · 2021
    Review
  9. Review
  10. Article
  11. 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

6 authors at 5 institutions in 3 countries.

Francisco SalesCentro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0003-0834-066X
João ChavesDepartment of Neurology, Hospital Santo António, Centro Hospitalar Porto, Porto, Portugal.
Rob McMurrayEisai Europe Ltd, Hatfield, UK.
Rui LoureiroBial - Portela & Cª, S.A., Coronado, Portugal.
Hélder FernandesBial - Portela & Cª, S.A., Coronado, Portugal.ORCID https://orcid.org/0000-0003-0898-932X
Vicente VillanuevaHospital Universitario y Politécnico La Fe, Valencia, Spain.
Bial (Portugal) · PTEisai (United Kingdom) · GBHospitais da Universidade de Coimbra · PTHospital de Santo António · PTHospital Universitari i Politècnic La Fe · ES

Funding

Bial - Portela & Cª, S.A.Eisai
6 · The paper itself

Abstract

objectivesTo assess the effectiveness and safety/tolerability of eslicarbazepine acetate (ESL) in patients included in the Euro-Esli study who had focal seizures associated with post-stroke epilepsy (PSE). MATERIALS AND

methodsEuro-Esli was a pooled analysis of 14 European clinical practice studies. Effectiveness assessments (evaluated after 3, 6 and 12 months of ESL treatment and at final follow-up ["last visit"]) included rates of response (≥50% seizure frequency reduction), seizure freedom (no seizures since at least the prior visit) and retention. Safety/tolerability was assessed throughout ESL treatment by evaluating adverse events (AEs) and discontinuation due to AEs. A post hoc analysis was conducted of patients with PSE versus patients without PSE ("non-PSE").

resultsOf 1656 patients included in the analysis, 76 (4.6%) had PSE and 1580 (95.4%) had non-PSE. Compared with non-PSE patients, PSE patients were significantly older, had significantly shorter epilepsy duration, significantly lower total baseline seizure frequency, and were treated with significantly fewer prior and concomitant antiepileptic drugs (P < .001 for all). At the last visit, the responder rate was significantly higher in PSE versus non-PSE patients (72.9% vs 60.6%; P = .040), as was the seizure freedom rate (48.6% vs 31.7%; P = .003). After 12 months, retention was significantly higher in PSE versus non-PSE patients (87.8% vs 77.4%; P = .035). The incidence of AEs was similar for PSE versus non-PSE patients (36.0% vs 35.8%; P = .966).

conclusionsThese findings suggest that ESL may be an effective and well-tolerated treatment option for patients with focal seizures due to PSE.

Indexed as

AdolescentAdultAgedAged, 80 and overAnticonvulsantsDibenzazepinesEpilepsyFemaleHumansMaleMiddle AgedSeizuresStrokeTreatment OutcomeYoung AdultAnticonvulsantsDibenzazepineseslicarbazepine acetateEpilepsyeslicarbazepine acetateseizuresstroke

Identifiers

PMID32691850
PMCPMC7754143
OpenAlexW3044784302

What OpenQuestion holds

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LicenceCC BY-NC
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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.