Evidence map›Paper›PMID 37483446›Full record

ReviewFrontiers in neurology2023

The broad-spectrum activity of perampanel: state of the art and future perspective of AMPA antagonism beyond epilepsy.

Fabio Perversi, Cinzia Costa, Angelo Labate, Simona Lattanzi, Claudio Liguori, Marta Maschio, Stefano Meletti, Lino Nobili, Francesca Felicia Operto, Andrea Romigi and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2023. 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
4.3field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 29 citations in OpenAlex.

  1. Observational
  2. Review
  3. Review
  4. Article
  5. Article
  6. Sleep effects in drug-resistant epileptic patients taking perampanel: an observational study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Observational
  7. Frontiers in cellular neuroscience · 2026
    Review
  8. Article
  9. The pathogenic factor of ZC4H2-associated rare disorder is a postsynaptic regulator for synaptic activity and cognitive function.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Observational
  11. Review
  12. [Efficacy and safety of perampanel add-on therapy in children with epilepsy of genetic etiology].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  13. Article
  14. Review
  15. Brivaracetam use in clinical practice: a Delphi consensus on its role as first add-on therapy in focal epilepsy and beyond.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review
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

12 authors at 11 institutions in 1 country.

Fabio PerversiPolistudium s.r.l., Milan, Italy.
Cinzia CostaSection of Neurology, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Angelo LabateNeurophysiopatology and Movement Disorders Clinic, University of Messina, Messina, Italy.
Simona LattanziNeurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.
Claudio LiguoriDepartment of Systems Medicine, University of Rome 'Tor Vergata", Rome, Italy.
Marta MaschioCenter for Tumor-Related Epilepsy, UOSD Neuro-Oncology, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Stefano MelettiNeurology Department, University Hospital of Modena, Modena, Italy.
Lino NobiliChild Neuropsychiatry Unit, IRCCS Istituto G. Gaslini, Genova, Italy.
Francesca Felicia OpertoChild and Adolescent Neuropsychiatry Unit, Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
Andrea RomigiSleep Medicine Center, Neurological Mediterranean Institute IRCCS Neuromed, Pozzilli, Italy.
Emilio RussoDepartment of Science of Health, School of Medicine, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Carlo Di BonaventuraEpilepsy Unit, Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITMagna Graecia University · ITMarche Polytechnic University · ITSapienza University of Rome · ITUniNettuno University · ITUniversity of Genoa · ITUniversity of Messina · ITUniversity of Modena and Reggio Emilia · ITUniversity of Perugia · ITUniversity of Rome Tor Vergata · ITUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glutamate is the brain's main excitatory neurotransmitter. Glutamatergic neurons primarily compose basic neuronal networks, especially in the cortex. An imbalance of excitatory and inhibitory activities may result in epilepsy or other neurological and psychiatric conditions. Among glutamate receptors, AMPA receptors are the predominant mediator of glutamate-induced excitatory neurotransmission and dictate synaptic efficiency and plasticity by their numbers and/or properties. Therefore, they appear to be a major drug target for modulating several brain functions. Perampanel (PER) is a highly selective, noncompetitive AMPA antagonist approved in several countries worldwide for treating different types of seizures in various epileptic conditions. However, recent data show that PER can potentially address many other conditions within epilepsy and beyond. From this perspective, this review aims to examine the new preclinical and clinical studies-especially those produced from 2017 onwards-on AMPA antagonism and PER in conditions such as mesial temporal lobe epilepsy, idiopathic and genetic generalized epilepsy, brain tumor-related epilepsy, status epilepticus, rare epileptic syndromes, stroke, sleep, epilepsy-related migraine, cognitive impairment, autism, dementia, and other neurodegenerative diseases, as well as provide suggestions on future research agenda aimed at probing the possibility of treating these conditions with PER and/or other AMPA receptor antagonists.

Indexed as

AMPA antagonistsAMPA receptorsepilepsyglutamatemigraineperampanelsleep

Identifiers

PMID37483446
PMCPMC10359664
OpenAlexW4383466215

What OpenQuestion holds

Textmetadata
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.