PMID- 28741673 OWN - NLM STAT- MEDLINE DCOM- 20180608 LR - 20220316 IS - 1600-0404 (Electronic) IS - 0001-6314 (Linking) VI - 137 IP - 1 DP - 2018 Jan TI - Eslicarbazepine acetate as adjunctive treatment in partial-onset epilepsy. PG - 29-32 LID - 10.1111/ane.12803 [doi] AB - OBJECTIVE: The aim of the study was to assess the clinical response to eslicarbazepine acetate (ESL) as add-on therapy in adult patients with partial-onset epilepsy by means of the time-to-baseline seizure count method. METHODS: We retrospectively identified consecutive patients with partial-onset seizures, with or without secondary generalization, prescribed to ESL add-on therapy. The primary endpoint was the time-to-baseline monthly seizure count. Subgroup analysis was performed according to carbamazepine (CBZ)/oxcarbazepine (OXC) status (prior vs never use). Secondary outcomes were the rate of treatment-related adverse events (AEs) and the AEs affecting >/=5% of patients. RESULTS: One-hundred and eighteen patients were included. The median time-to-baseline monthly seizure count was 46 (35-101) days in the overall study cohort. The number of concomitant anti-epileptic drugs (AEDs) was associated with the time-to-endpoint (adjusted hazard ratio [(adj) HR]=2.22, 95% CI 1.18-4.14, P=.013 for two AEDs vs one; (adj) HR=3.65, 95% CI 1.66-8.06, P=.001 for three or more AEDs vs one). Groupwise, the median times-to-baseline seizure count were 47 (35-97) and 43 (34-103) in patients with prior and never exposure to CBZ/OXC, respectively (P for log-rank test=.807). Adverse events occurred in 53.4% (63 of 118) of patients; the most frequently reported were dizziness (13.6%), somnolence (11.9%), nausea (6.8%), and fatigue (5.1%). CONCLUSIONS: Add-on ESL improved seizure control and was overall well-tolerated in adult patients with partial-onset epilepsy. CI - (c) 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Lattanzi, S AU - Lattanzi S AUID- ORCID: 0000-0001-8748-0083 AD - Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy. FAU - Cagnetti, C AU - Cagnetti C AD - Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy. FAU - Foschi, N AU - Foschi N AD - Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy. FAU - Lorusso, A AU - Lorusso A AD - Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy. FAU - Provinciali, L AU - Provinciali L AD - Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy. FAU - Silvestrini, M AU - Silvestrini M AD - Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy. LA - eng PT - Journal Article DEP - 20170725 PL - Denmark TA - Acta Neurol Scand JT - Acta neurologica Scandinavica JID - 0370336 RN - 0 (Anticonvulsants) RN - 0 (Dibenzazepines) RN - 33CM23913M (Carbamazepine) RN - BEA68ZVB2K (eslicarbazepine acetate) RN - VZI5B1W380 (Oxcarbazepine) SB - IM MH - Adult MH - Anticonvulsants/*administration & dosage/adverse effects MH - Carbamazepine/administration & dosage/analogs & derivatives MH - Dibenzazepines/*administration & dosage/adverse effects MH - Drug Therapy, Combination/methods MH - Epilepsies, Partial/*drug therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Oxcarbazepine MH - Retrospective Studies MH - Seizures/drug therapy MH - Young Adult OTO - NOTNLM OT - anti-epileptic drugs OT - epilepsy OT - eslicarbazepine acetate EDAT- 2017/07/26 06:00 MHDA- 2018/06/09 06:00 CRDT- 2017/07/26 06:00 PHST- 2017/07/03 00:00 [accepted] PHST- 2017/07/26 06:00 [pubmed] PHST- 2018/06/09 06:00 [medline] PHST- 2017/07/26 06:00 [entrez] AID - 10.1111/ane.12803 [doi] PST - ppublish SO - Acta Neurol Scand. 2018 Jan;137(1):29-32. doi: 10.1111/ane.12803. Epub 2017 Jul 25.