Evidence map›Paper›PMID 40586768›Full record

ArticleEpilepsia2025

Development of a preclinical testing platform for clinically relevant therapy for Dravet syndrome.

Jeffrey A Mensah, Kyle E Thomson, Jennifer L Huff, Tia Freeman, Christopher A Reilly, Joseph E Rower, Cameron S Metcalf, Karen S Wilcox

Abstract read
In one paragraph

Article in Epilepsia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

8 authors.

Jeffrey A MensahDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0001-7026-9329
Kyle E ThomsonDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0003-2345-4526
Jennifer L HuffDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, USA.
Tia FreemanCenter for Human Toxicology, Salt Lake City, Utah, USA.
Christopher A ReillyDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0002-5006-1982
Joseph E RowerDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0003-3629-7902
Cameron S MetcalfDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0002-1510-0405
Karen S WilcoxDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0003-2660-8826

Funding

SCREENING OF INVESTIGATIONAL THERAPEUTICS TO TREAT, MODIFY OR PREVENT EPILEPSY FOR THE NINDS EPILEPSY THERAPY SCREENING PROGRAM (ETSP)75N95022C00007 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI WILCOX, KAREN · 2022 to 2025
$20.9M
Donald R. Gehlert Fellowship, University of UtahNational Institute of Neurological Disorders and Stroke Epilepsy Therapy Screening Program, National Institutes of Health, and Department of Health and Human Services HHS 75N95022C00007NIDA NIH HHS 75N95022C00007
6 · The paper itself

Abstract

objectivePatients with drug-resistant epilepsy, including Dravet syndrome, are frequently prescribed multiple antiseizure medications. Nevertheless, people with Dravet syndrome often have inadequate seizure control, and there is an ongoing unmet clinical need to identify novel therapeutics. As a proof-of-principle study to further validate and characterize the Scn1a

methodsFollowing a 14-day treatment, we evaluated the efficacy of stiripentol add-on to clobazam and valproic acid using hyperthermia-induced (n = 6) and video-electroencephalography (EEG) monitoring of spontaneous seizure tests (n = 13). Valproic acid was delivered via osmotic minipump, whereas stiripentol and clobazam were administered via food pellets delivered through automatic feeders. Bioanalytical assays were performed to evaluate drug concentrations in plasma and brain using liquid chromatography-tandem mass spectrometry.

resultsStiripentol, clobazam, N-desmethylclobazam, and valproic acid all yielded plasma concentrations within the therapeutic plasma concentration range for humans. Stiripentol added to clobazam and valproic acid significantly elevated the seizing temperatures in the hyperthermia-induced seizure assay (**p = 0.0018; Log-rank test). Clobazam, valproic acid, and stiripentol co-administration significantly reduced spontaneous seizure frequency compared to clobazam and valproic acid combined (***p = 0.0003, Mann-Whitney test). SIGNIFICANCE: This research lays the groundwork for exploring effective add-on compounds to clobazam and valproic acid in treating Dravet syndrome. The study further highlights the utility of the Scn1a

Indexed as

AnticonvulsantsDioxolanesEpilepsies, MyoclonicAnimalsClobazamDisease Models, AnimalDrug Evaluation, PreclinicalDrug Therapy, CombinationElectroencephalographyFemaleMaleMiceNAV1.1 Voltage-Gated Sodium ChannelValproic AcidAnticonvulsantsClobazamDioxolanesNAV1.1 Voltage-Gated Sodium ChannelScn1a protein, mousestiripentolValproic Acidantiseizure medicationsDravet syndromehyperthermia‐induced seizurespolytherapyspontaneous recurrent seizures

Identifiers

PMID40586768
PMCPMC12313240

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.