Evidence map›Paper›PMID 39923248›Full record

ArticleDevelopmental medicine and child neurology2025

Safety and effectiveness of stiripentol in patients with Dravet syndrome: A prospective, 3-year, postmarketing surveillance study.

Yuki Kitamura, Hiroaki Ohyabu, Tatsuo Miura, Naomi Takei-Masuda, Daisuke Matsui, Yushi Inoue, Yoko Ohtsuka

Abstract read
In one paragraph

Article in Developmental medicine and child neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

7 authors.

Yuki KitamuraSafety Vigilance & Management Department, Reliability & Quality Assurance Division, Meiji Seika Pharma Co., Ltd., Tokyo, Japan.ORCID 0009-0001-8875-2244
Hiroaki OhyabuSafety Vigilance & Management Department, Reliability & Quality Assurance Division, Meiji Seika Pharma Co., Ltd., Tokyo, Japan.
Tatsuo MiuraSafety Vigilance & Management Department, Reliability & Quality Assurance Division, Meiji Seika Pharma Co., Ltd., Tokyo, Japan.
Naomi Takei-MasudaSafety Vigilance & Management Department, Reliability & Quality Assurance Division, Meiji Seika Pharma Co., Ltd., Tokyo, Japan.
Daisuke MatsuiSafety Vigilance & Management Department, Reliability & Quality Assurance Division, Meiji Seika Pharma Co., Ltd., Tokyo, Japan.
Yushi InoueDepartment of Clinical Research, National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka, Japan.
Yoko OhtsukaDepartment of Child Neurology, Asahigawaso Rehabilitation and Medical Center, Okayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo conduct a postmarketing surveillance study of patients with Dravet syndrome in Japan to investigate the safety and effectiveness of long-term, real-world, clinical use of stiripentol (STP).

methodThis prospective study was conducted over 156 weeks in all patients with Dravet syndrome who started STP treatment from its launch in Japan in November 2012 until August 2017. Adverse drug reactions (ADRs) were investigated by degree of seriousness. Effectiveness was determined based on a comprehensive assessment by the physician in charge as well as on the percentage change in the number of seizures from the pretreatment period.

resultsIn total, 520 patients (266 males, 254 females; mean age [SD] 10 years 6 months [9 years 10 months]; age range 0-50 years) were included in the safety analysis set, and 515 patients in the effectiveness analysis set. ADRs occurred in 69.2%, including somnolence, decreased appetite, dizziness, in order of frequency. Twelve deaths occurred, the rate of which was not higher than the reported rates. No new safety concerns were identified. The rate of overall improvement (marked or moderate) after 156 weeks or at treatment discontinuation was 37.7%. Decreases in the number of all seizure types over the long term were confirmed.

interpretationIn real-world clinical settings, long-term STP treatment can be safe and effective in patients with Dravet syndrome.

Indexed as

AnticonvulsantsDioxolanesEpilepsies, MyoclonicProduct Surveillance, PostmarketingAdolescentAdultChildChild, PreschoolFemaleHumansInfantInfant, NewbornJapanMaleMiddle AgedProspective StudiesAnticonvulsantsDioxolanesstiripentol

Identifiers

PMID39923248
PMCPMC12237224

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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.