Evidence map›Paper›PMID 40016473›Full record

ArticleCNS drugs2025

Exploring the Effectiveness of Adjunctive Cenobamate in Focal Epilepsy: A Time-Based Analysis.

Roberta Roberti, Gianfranco Di Gennaro, Vittoria Cianci, Alfredo D'Aniello, Carlo Di Bonaventura, Giancarlo Di Gennaro, Francesco Fortunato, Edoardo Fronzoni, Alessandra Morano, Angelo Pascarella and 4 more

Abstract readMulticenter Study
In one paragraph

Article in CNS drugs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

14 authors.

Roberta Roberti *Department of Health Sciences, University of Catanzaro "Magna Græcia", Viale Europa, 88100, Catanzaro, Italy.
Gianfranco Di Gennaro *Department of Health Sciences, University of Catanzaro "Magna Græcia", Viale Europa, 88100, Catanzaro, Italy.
Vittoria CianciRegional Epilepsy Center, "Bianchi-Melacrino-Morelli" Great Metropolitan Hospital, Reggio Calabria, Italy.
Alfredo D'AnielloIRCCS Neuromed, Pozzilli, Italy.
Carlo Di BonaventuraDepartment of Human Neurosciences, Sapienza University, Rome, Italy.
Giancarlo Di GennaroIRCCS Neuromed, Pozzilli, Italy.
Francesco FortunatoInstitute of Neurology, Department of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Edoardo FronzoniNeurology 2, Careggi University Hospital, Florence, Italy.
Alessandra MoranoDepartment of Human Neurosciences, Sapienza University, Rome, Italy.
Angelo PascarellaRegional Epilepsy Center, "Bianchi-Melacrino-Morelli" Great Metropolitan Hospital, Reggio Calabria, Italy.
Eleonora RosatiNeurology 2, Careggi University Hospital, Florence, Italy.
Ilaria SammarraInstitute of Neurology, Department of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Emilio RussoDepartment of Health Sciences, University of Catanzaro "Magna Græcia", Viale Europa, 88100, Catanzaro, Italy. erusso@unicz.it.ORCID 0000-0002-1279-8123
Simona LattanziNeurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA growing body of evidence supports the effectiveness of cenobamate (CNB). This study aimed to assess the clinical response to add-on CNB through a time-to-event approach and explore the potential contribution of the concomitant classes of antiseizure medications (ASMs) to improve CNB clinical use. PATIENTS AND

methodsThis study is a subgroup analysis of a larger retrospective, multicenter study on adults with focal-onset seizures participating in the Italian Expanded Access Program at five pre-established centers. The primary endpoint was the time-to-baseline seizure count; secondary endpoints included the rates of seizure response, seizure freedom (defined as no seizures' occurrence since at least the previous follow-up visit), treatment discontinuation, and adverse events (AEs).

resultsData on 92 participants were extracted, with a median age of 44 (first quartile (Q

conclusionsThis time-to-event analysis added new insights to the currently available evidence about the real-world effectiveness of add-on CNB. Explorative estimates suggested favorable trends for subjects treated with concomitant GABAergics and without SCBs, who seemed to reach baseline seizure count and experience AEs less frequently and later than subjects treated with other concomitant ASMs. Further studies are needed to identify the best combinations of CNB with other ASMs to maximize seizure control and tolerability.

Indexed as

AnticonvulsantsCarbamatesChlorophenolsEpilepsies, PartialAdultDrug Therapy, CombinationFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesSeizuresTetrazolesTime FactorsTreatment OutcomeAnticonvulsantsCarbamatesCenobamateChlorophenolsTetrazoles

Identifiers

PMID40016473
PMCPMC11982142

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.