Evidence map›Paper›PMID 39376092›Full record

ArticleJournal of child neurology2025

The Initial Experience of Eslicarbazepine in Children at Three Canadian Tertiary Pediatric Care Centers.

Yvonne Nyakeri, Qi Xu, Maryam Nouri, Denait Haile, Anita N Datta

Abstract readMulticenter Study
In one paragraph

Article in Journal of child neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Yvonne NyakeriDepartment of Pediatrics, Division of Neurology, BC Children's Hospital, Vancouver, BC, Canada.
Qi XuDepartment of Pediatrics, Division of Neurology, Health Sciences Centre Children's Hospital, Winnipeg, MB, Canada.
Maryam NouriDepartment of Pediatrics, Division of Neurology, Western University, London, ON. Canada.
Denait HaileDepartment of Pediatrics, Division of Neurology, Western University, London, ON. Canada.
Anita N DattaDepartment of Pediatrics, Division of Neurology, BC Children's Hospital, Vancouver, BC, Canada.ORCID 0000-0001-7620-4868

Funding

AHRQ HHS R13 HS024660
6 · The paper itself

Abstract

introductionEslicarbazepine (ESL) is a once-daily, third-generation antiseizure medication for focal-onset seizures. The primary mechanism of action is enhancing the slow inactivation of voltage-gated sodium channels. The study objective was to review real-world experience regarding retention rate, efficacy, and tolerability of eslicarbazepine, soon after it became available for children in Canada.

methodsA retrospective review was performed on all patients prescribed eslicarbazepine from September 2017 to June 2020, with at least 3 years of follow-up data, at 3 Canadian tertiary care pediatric centers.

resultsFifty patients were identified, and the mean age of eslicarbazepine initiation was 12.4 years (range 3-19 years). Most patients had drug-resistant epilepsy, trying a mean of 5.04 (range 0-14) antiseizure medications before the initiation of eslicarbazepine. Twenty-four patients (48.0%) experienced adverse effects, including dizziness (n = 10), drowsiness (n = 6), dizziness and drowsiness (n = 1), nausea and abdominal pain (n = 4), transient unsteadiness and diplopia (n = 1), and negative mood changes (n = 2). None had serious adverse effects, including rash. The retention rate of eslicarbazepine at last follow-up was 70%. Fifteen (30%) had ≥50% seizure reduction, with 2 of these patients becoming seizure free. Ten (20%) had 25% to 50% reduction, 2 (4%) had worsening of seizures, and 17 (34%) had no change in seizure frequency.

conclusionThe study results support the long-term effectiveness and tolerability of eslicarbazepine in a cohort of children with predominantly drug-resistant epilepsy in a real-life setting from 3 Canadian centers with initial use after approval. Adverse effects were nonserious, infrequently leading to eslicarbazepine discontinuation.

Indexed as

AnticonvulsantsDibenzazepinesAdolescentCanadaChildChild, PreschoolDrug Resistant EpilepsyFemaleHumansMaleRetrospective StudiesTertiary Care CentersTreatment OutcomeYoung AdultAnticonvulsantsDibenzazepineseslicarbazepineAntiepileptic drugsantiseizure drugsepilepsypediatric

Identifiers

PMID39376092
PMCPMC11590393

What OpenQuestion holds

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Registered trials

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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.