PMID- 34526963 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210917 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 12 DP - 2021 TI - Efficacy and Tolerability of Perampanel as Adjunctive Therapy in Chinese Patients With Focal-Onset Seizures: An Observational, Prospective Study. PG - 731566 LID - 10.3389/fneur.2021.731566 [doi] LID - 731566 AB - Purpose: To evaluate the efficacy and tolerability of adjunctive perampanel (PER) in Chinese patients with focal-onset seizures, with or without secondarily generalized tonic-clonic seizures. Methods: Fifty-six patients aged 14-72 years were recruited consecutively in this single-center prospective observational study. All patients received PER as add-on treatment on the basis of clinical judgment. Seizure frequency, adverse events (AEs), and retention rates were obtained at 3 and 6 months after PER introduction. Results: The overall response rates were 60 and 71.1% after 3 and 6 months, respectively, and the freedom of seizures at the same points were reached in 8 and 15.8%. The retention rates were 89.3% at the 3-month follow-up and 67.9% at the 6-month follow-up. The overall incidence of adverse events was 55.4%. The leading reported AEs were dizziness (39.3%) and somnolence (25%). Conclusions: Our study confirmed the efficacy and tolerability of adjunctive PER in Chinese patients in real-life conditions. Based on our treatment experience, a lower maintenance dose of PER would be needed in Chinese patients. CI - Copyright (c) 2021 Zhang, Qiao, Fang, Wang, Shi, Du, Yang and Liu. FAU - Zhang, Ranran AU - Zhang R AD - Department of Neurology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Qiao, Shan AU - Qiao S AD - Department of Neurology, The First Affiliated Hospital of Shandong First Medical University, Jinan, China. FAU - Fang, Xiqin AU - Fang X AD - Department of Neurology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Wang, Kemo AU - Wang K AD - Department of Neurology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Shi, Yanting AU - Shi Y AD - Department of Neurology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Du, Qianwen AU - Du Q AD - Department of Neurology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Yang, Tingting AU - Yang T AD - Department of Neurology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Liu, Xuewu AU - Liu X AD - Department of Neurology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. AD - Institute of Epilepsy, Shandong University, Jinan, China. LA - eng PT - Journal Article DEP - 20210830 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC8435584 OTO - NOTNLM OT - anti-seizure medication OT - epilepsy OT - focal seizures OT - perampanel OT - seizure freedom COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/09/17 06:00 MHDA- 2021/09/17 06:01 PMCR- 2021/08/30 CRDT- 2021/09/16 07:05 PHST- 2021/06/27 00:00 [received] PHST- 2021/07/19 00:00 [accepted] PHST- 2021/09/16 07:05 [entrez] PHST- 2021/09/17 06:00 [pubmed] PHST- 2021/09/17 06:01 [medline] PHST- 2021/08/30 00:00 [pmc-release] AID - 10.3389/fneur.2021.731566 [doi] PST - epublish SO - Front Neurol. 2021 Aug 30;12:731566. doi: 10.3389/fneur.2021.731566. eCollection 2021.