Evidence map›Paper›PMID 40650804›Full record

ArticleNeurology and therapy2025

Retrospective Multicenter Chart Review Study of Adjunctive Cannabidiol for Seizures Associated with Lennox-Gastaut Syndrome, Dravet Syndrome and Tuberous Sclerosis Complex.

Adam Strzelczyk, Kerstin Alexandra Klotz, Thomas Mayer, Felix von Podewils, Susanne Knake, Gerhard Kurlemann, Luise Herold, Ilka Immisch, Elisa Buhleier, Felix Rosenow and 1 more

Abstract read
In one paragraph

Article in Neurology and therapy, 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. Article
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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

11 authors.

Adam StrzelczykGoethe-University Frankfurt, Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, University Medicine Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany. strzelczyk@med.uni-frankfurt.de.ORCID http://orcid.org/0000-0001-6288-9915
Kerstin Alexandra KlotzDepartment of Pediatric Neurology, University Hospital Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0002-1601-5384
Thomas MayerEpilepsy Center Kleinwachau, Radeberg, Germany.
Felix von PodewilsDepartment of Neurology, Epilepsy Center, University Hospital Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0002-3134-8697
Susanne KnakeEpilepsy Center Hessen, Department of Neurology, Philipps-University Marburg, Marburg, Germany.ORCID http://orcid.org/0000-0002-6298-0513
Gerhard KurlemannSt. Bonifatius Hospital, Lingen, Germany.
Luise HeroldDepartment of Neurology, Epilepsy Center, University Hospital Greifswald, Greifswald, Germany.
Ilka ImmischEpilepsy Center Hessen, Department of Neurology, Philipps-University Marburg, Marburg, Germany.
Elisa BuhleierGoethe-University Frankfurt, Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, University Medicine Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Felix RosenowGoethe-University Frankfurt, Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, University Medicine Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.ORCID http://orcid.org/0000-0002-3989-7471
Susanne Schubert-BastGoethe-University Frankfurt, Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, University Medicine Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.ORCID http://orcid.org/0000-0003-1545-7364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEffectiveness and tolerability of plant-derived highly purified cannabidiol (CBD) in patients with Lennox-Gastaut syndrome (LGS), Dravet syndrome (DS), or tuberous sclerosis complex (TSC)-associated epilepsy in clinical practice in Germany were evaluated.

methodsThis multicenter, retrospective, chart review study analyzed patients with LGS, DS, or TSC-associated epilepsy receiving ≥ 1 dose of adjunctive CBD (Epidyolex

resultsAmong 202 patients identified (159 LGS; 34 DS; 9 TSC), median (interquartile range; range) age was 18.0 (7.9-32.0; 0.3-72.0) years, and median (range) number of prior and concomitant antiseizure medications was 6 (1-24) and 3 (1-7), respectively. Median target CBD dose was 11.1 mg/kg/day (17.6, 15.2, and 9.9 mg/kg/day in the < 6, 6-17, and ≥ 18 years subgroups, respectively). Responder rates (≥ 50% seizure reduction) for total seizures at 3 (n = 194) and 12 (n = 168) months were 43.3% (37.0-50.0% across ages) and 44.0% (37.0-52.5% across ages), respectively, and for generalized tonic-clonic seizures 54.3% (n = 94) (50.0-66.7% across ages) and 47.7% (n = 88) (37.8-66.7% across ages), respectively. Median (range) number of seizure days per month significantly decreased from 30 (0.3-30) to 18 (0-30) in the 3 months before the last 3 months of CBD treatment (p < 0.001). Any improvement in CGI-C was observed in 62% of patients. Of those with available data at 3 and 12 months, 89.6% and 67.1% remained on CBD, respectively. Retention was similar across age groups. AEs reported in ≥ 5% of patients were sedation and diarrhea.

conclusionsIn patients with LGS, DS, or TSC-associated epilepsy, adjunctive CBD was associated with a reduction in seizure frequency across age groups. CBD demonstrated tolerability consistent with its known profile, and 67% of patients remained on treatment at 12 months.

Indexed as

CannabidiolClinical Global Impression of ChangeDevelopmental and epileptic encephalopathiesDravet syndromeEpilepsyLennox–Gastaut syndromeResponder rateTuberous sclerosis complex

Identifiers

PMID40650804
PMCPMC12450151

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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.