Evidence map›Paper›PMID 41220849›Full record

ArticleNeuropsychiatric disease and treatment2025

Cenobamate for Difficult-to-Treat Epilepsy - Selected Case Vignettes.

Flavio Villani, Fedele Dono, Francesca Felicia Operto, Pietro Pignatta, Monica Puligheddu, Carlotta Stipa, Tiziano Zanoni

Abstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Beyond efficacy: defining the cenobamate response profile.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    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

7 authors.

Flavio VillaniDivision of Clinical Neurophysiology and Epilepsy Center, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID 0000-0002-2762-4599
Fedele DonoDepartment of Neuroscience, Imaging and Clinical Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy.
Francesca Felicia OpertoDepartment of Health Sciences, University of Catanzaro, Catanzaro, Italy.
Pietro PignattaNeurology and Epilepsy Unit, Humanitas Gradenigo Hospital, Turin, Italy.
Monica PulighedduDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.ORCID 0000-0002-6837-6608
Carlotta StipaReference Center for Rare and Complex Epilepsies (EpiCARE), IRCCS Istituto Delle Scienze Neurologiche di Bologna, Bologna, Italy.
Tiziano ZanoniNeurology Unit, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Epilepsy affects millions worldwide, presenting unique challenges in specific populations such as the elderly, children, and patients with comorbidities or drug-resistant forms. Tailored approaches addressing unmet needs in these subgroups are critical to improving outcomes. Areas Covered: This research uniquely integrates real-world evidence and detailed case vignettes from the EPI CONNECT project to evaluate the role of cenobamate in managing these complex cases, providing practical insights beyond traditional clinical trials. The article explores the potential of cenobamate, a novel antiseizure medication with dual mechanisms of action, in improving seizure control, simplifying polytherapy, and enhancing tolerability across various subpopulations. Case-based narratives illustrate its practical use in challenging scenarios. Expert Opinion: Cenobamate offers important advantages for underserved epilepsy populations, including seizure improvement, polypharmacy reduction, and improved adherence and quality of life. This review seeks to bridge current clinical practice with ongoing research efforts, fostering improved personalized treatment approaches and advancing understanding of cenobamate's long-term role in managing difficult-to-treat epilepsy populations. It aims to provide practical guidance for clinicians and to highlight future research directions, encouraging ongoing investigation into long-term efficacy, safety, and personalized care strategies.

Indexed as

antiseizure medicationcenobamatecognitive comorbiditiesDEEsdevelopmental and epileptic encephalopathiesdrug-resistant epilepsyepilepsy managementLennox-Gastaut syndromepharmacoresistanceseizure controlvagus nerve stimulation

Identifiers

PMID41220849
PMCPMC12597835

What OpenQuestion holds

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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.