PMID- 28382109 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240324 IS - 1756-2856 (Print) IS - 1756-2864 (Electronic) IS - 1756-2856 (Linking) VI - 10 IP - 2 DP - 2017 Feb TI - The efficacy of lacosamide as monotherapy and adjunctive therapy in focal epilepsy and its use in status epilepticus: clinical trial evidence and experience. PG - 103-126 LID - 10.1177/1756285616675777 [doi] AB - Lacosamide (LCM) is approved for anticonvulsive treatment in focal epilepsy and exhibits its function through the slow inactivation of voltage-gated sodium channels (VGSCs). LCM shows comparable efficacy with other antiepileptic drugs (AEDs) licensed in the last decade: in three randomized placebo-controlled trials, significant median seizure reduction rates of 35.2% for 200 mg/day, 36.4-39% for 400 mg/day and 37.8-40% for 600 mg/day were reported. Likewise, 50% responder rates were 38.3-41.1% for 400 mg/day and 38.1-41.2% for 600 mg/day. Similar rates were reported in post-marketing studies. The main adverse events (AEs) are dizziness, abnormal vision, diplopia and ataxia. Overall, LCM is well tolerated and has no clinically-relevant drug-drug interactions. Due to the drug's intravenous availability, its use in status epilepticus (SE) is increasing, and the available data are promising. FAU - Bauer, Sebastian AU - Bauer S AD - Epilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University, Frankfurt am Main, Germany Epilepsy Center Hessen and Department of Neurology, Philipps-University, Marburg, Germany. FAU - Willems, Laurent M AU - Willems LM AD - Epilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University, Frankfurt am Main, Germany. FAU - Paule, Esther AU - Paule E AD - Epilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University, Frankfurt am Main, Germany. FAU - Petschow, Christine AU - Petschow C AD - Epilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University, Frankfurt am Main, Germany. FAU - Zollner, Johann Philipp AU - Zollner JP AD - Epilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University, Frankfurt am Main, Germany. FAU - Rosenow, Felix AU - Rosenow F AD - Epilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University, Frankfurt am Main, Germany Epilepsy Center Hessen and Department of Neurology, Philipps-University, Marburg, Germany. FAU - Strzelczyk, Adam AU - Strzelczyk A AD - Epilepsy Center Frankfurt Rhine-Main and Department of Neurology, Goethe-University, Frankfurt am Main, Germany Epilepsy Center Hessen and Department of Neurology, Philipps-University, Marburg, Germany. LA - eng PT - Journal Article PT - Review DEP - 20161129 PL - England TA - Ther Adv Neurol Disord JT - Therapeutic advances in neurological disorders JID - 101480242 PMC - PMC5367645 OTO - NOTNLM OT - epilepsy OT - lacosamide OT - monotherapy OT - partial-onset OT - seizure COIS- Conflict of interest statement: Dr Bauer, E. Paule, C. Petschow and J.P. Zollner have nothing to disclose. Dr Willems reports travel support from Eisai, outside the submitted work. Dr Rosenow reports personal fees from Eisai, grants and personal fees from UCB, grants and personal fees from Desitin Pharma, personal fees and other from Novartis, personal fees from Medtronic, personal fees from Cerbomed, personal fees from ViroPharma and Shire, grants from European Union, grants from Deutsche Forschungsgemeinschaft, outside the submitted work. Dr Strzelczyk reports personal fees and grants from Bayer HealthCare, Boehringer Ingelheim, Desitin Arzneimittel, Eisai, Pfizer, Sage Therapeutics, and UCB Pharma, outside the submitted work. We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. EDAT- 2017/04/07 06:00 MHDA- 2017/04/07 06:01 PMCR- 2017/02/01 CRDT- 2017/04/07 06:00 PHST- 2017/04/07 06:00 [entrez] PHST- 2017/04/07 06:00 [pubmed] PHST- 2017/04/07 06:01 [medline] PHST- 2017/02/01 00:00 [pmc-release] AID - 10.1177_1756285616675777 [pii] AID - 10.1177/1756285616675777 [doi] PST - ppublish SO - Ther Adv Neurol Disord. 2017 Feb;10(2):103-126. doi: 10.1177/1756285616675777. Epub 2016 Nov 29.