Evidence map›Paper›PMID 34270884›Full record

ArticleEpilepsia open2021

Antiepileptogenesis and disease modification: Clinical and regulatory issues.

Jacqueline A French, Martina Bebin, Marc A Dichter, Jerome Engel, Adam L Hartman, Sergiusz Jóźwiak, Pavel Klein, James McNamara, Roy Twyman, Paul Vespa

Abstract read
In one paragraph

Article in Epilepsia open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Microglial MS4A4A Protects against Epileptic Seizures in Alzheimer's Disease.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  8. Article
  9. Empagliflozin Mitigates PTZ-Induced Seizures in Rats: Modulating Npas4 and CREB-BDNF Signaling Pathway.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  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

10 authors.

Jacqueline A FrenchNYU Grossman School of Medicine and NYU Langone Health, New York, NY, USA.ORCID 0000-0003-2242-8027
Martina BebinUAB School of Medicine and UAB Epilepsy Center, Birmingham, AL, USA.ORCID 0000-0003-1264-3428
Marc A DichterUniversity of Pennsylvania, Philadelphia, PA, USA.
Jerome EngelDavid Geffen School of Medicine at, UCLA and the Brain Research Institute, Los Angeles, CA, USA.
Adam L HartmanDivision of Clinical Research, National Institute of Neurological Disorders and Stroke/NIH, Bethesda, MD, USA.ORCID 0000-0001-5672-3409
Sergiusz JóźwiakDepartment of Child Neurology, Medical University of Warsaw, Warsaw, Poland.
Pavel KleinMid-Atlantic Epilepsy and Sleep Center, Bethesda, MD, USA.ORCID 0000-0001-7244-3722
James McNamaraDepartment of Neurobiology, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-0995-6151
Roy TwymanAmron Neuroscience, LLC, Darby, MT, USA.ORCID 0000-0002-4208-6645
Paul VespaDepartments of Neurology and Neurosurgery, David Geffen School of Medicine UCLA, Los Angeles, CA, USA.

Funding

The Epilepsy Bioinformatics Study for Antiepileptogenic Therapy (EpiBioS4Rx) Public Engagement CoreU54NS100064 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ENGEL, JEROME NONE, GALANOPOULOU, ARISTEA S · 2017 to 2021
$21.7M
IN VIVO STUDIES OF THE EPILEPTIC HIPPOCAMPUSR01NS033310 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JEROME NONE ENGEL, Richard Staba · 1994 to 2026
$7.5M
Neurotrophins and EpileptogenesisR01NS056217 · NINDS · DUKE UNIVERSITY · PI MCNAMARA, JAMES O. · 2006 to 2023
$6.7M
IN VIVO STUDIES OF THE EPILEPTIC HIPPOCAMPUSR37NS033310 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ENGEL, JEROME NONE · 2004 to 2010
$3.2M
Cellular and Circuit Mechanisms of Temporal Lobe EpilepsyR01NS097717 · NINDS · DUKE UNIVERSITY · PI MCNAMARA, JAMES O. · 2017 to 2021
$2.2M
Inhibitors of TrkB SignalingUH3NS111708 · NINDS · DUKE UNIVERSITY · PI MCNAMARA, JAMES O. · 2020 to 2021
$1.6M
Inhibitors of TrkB SignalingUG3NS111708 · NINDS · DUKE UNIVERSITY · PI MCNAMARA, JAMES O. · 2019 to 2019
$623k
NINDS NIH HHS R01 NS033310NINDS NIH HHS R01 NS056217NINDS NIH HHS R01 NS097717NINDS NIH HHS R37 NS033310NINDS NIH HHS U54 NS100064NINDS NIH HHS UG3 NS111708NINDS NIH HHS UH3 NS111708
6 · The paper itself

Abstract

This is a summary report of clinical and regulatory issues discussed at the 2018 NINDS workshop, entitled "Accelerating Therapies for Antiepileptogenesis and Disease Modification." The intent of the workshop was to optimize and accelerate development of therapies for antiepileptogenesis (AEG) and disease modification in the epilepsies. The working group discussed nomenclature for antiepileptogenic therapies, subdividing them into "antiepileptogenic therapies" and "disease modifying therapies," both of which are urgently needed. We use the example of traumatic brain injury to explain issues and complexities in designing a trial for disease-preventing antiepileptogenic therapies, including identifying timing of intervention, selecting the appropriate dose, and the need for biomarkers. We discuss the recent trials of vigabatrin to prevent onset and modify epilepsy outcome in children with tuberous sclerosis (Epistop and PreVeNT). We describe a potential approach to a disease modification trial in adults, using patients with temporal lobe epilepsy. Finally, we discuss regulatory hurdles for antiepileptogenesis and disease-modifying trials.

Indexed as

Brain Injuries, TraumaticEpilepsyAdultAnticonvulsantsChildHumansNational Institute of Neurological Disorders and Stroke (U.S.)United StatesVigabatrinAnticonvulsantsVigabatrinantiepileptogenesisclinical trialsdisease modification

Identifiers

PMID34270884
PMCPMC8408600

What OpenQuestion holds

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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.