PMID- 38041905 OWN - NLM STAT- MEDLINE DCOM- 20240115 LR - 20240115 IS - 1873-5150 (Electronic) IS - 0887-8994 (Linking) VI - 151 DP - 2024 Feb TI - Role of Perampanel in the Management of Pediatric Epilepsies in Asia: Expert Opinion. PG - 5-16 LID - S0887-8994(23)00350-8 [pii] LID - 10.1016/j.pediatrneurol.2023.09.023 [doi] AB - Management of pediatric epilepsies poses unique challenges around diagnosis, treatment options, comorbidities, and the potential for these factors to interact with processes in the developing brain. In pediatric patients, broad-spectrum antiseizure medications (ASMs) with minimal potential for adverse events (AEs) and limited impact on cognition and behavior are preferred. Perampanel is a first-in-class ASM with broad-spectrum efficacy, a tolerable safety profile, minimal negative impact on cognitive function, and other features that make it a viable treatment option in this patient population. However, evidence and experience of its use in pediatric patients are less extensive than in adult patients. Experts in pediatric epilepsy across the region convened at a series of meetings to discuss the use of perampanel in pediatric patients, including dose optimization, AE prevention and management, and considerations in particular groups. This article summarizes key evidence for perampanel in the pediatric population and consolidates the experts' recommendations for using the ASM in managing pediatric epilepsies. CI - Copyright (c) 2023 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Lee, Wang-Tso AU - Lee WT AD - Department of Pediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan. FAU - Chan, Derrick Wei Shih AU - Chan DWS AD - Neurology Service, KK Women's and Children's Hospital, Singapore. FAU - Gulati, Sheffali AU - Gulati S AD - Center of Excellence and Advanced Research on Childhood Neurodevelopmental Disorders, Child Neurology Division, Department of Paediatrics, All India Institute of Medical Sciences, New Delhi, India. FAU - Likasitwattanakul, Surachai AU - Likasitwattanakul S AD - Division of Neurology, Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Lim, Byung Chan AU - Lim BC AD - Department of Pediatrics, Seoul National University Children's Hospital, Seoul, South Korea. FAU - Okumura, Akihisa AU - Okumura A AD - Department of Pediatrics, Aichi Medical University, Nagakute, Japan. FAU - Sanchez-Gan, Benilda AU - Sanchez-Gan B AD - Division of Pediatric Neurology, Departments of Pediatrics and Neurosciences, University of the Philippines, Philippine General Hospital, Manila, Philippines. FAU - Wang, Yi AU - Wang Y AD - Department of Neurology, Children's Hospital of Fudan University, Shanghai, China. FAU - Liu, Kam Tim AU - Liu KT AD - Department of Paediatrics and Adolescent Medicine, Pamela Youde Nethersole Eastern Hospital and Queen Mary Hospital, Hong Kong SAR, China. Electronic address: liuktn@gmail.com. LA - eng PT - Journal Article PT - Review DEP - 20231004 PL - United States TA - Pediatr Neurol JT - Pediatric neurology JID - 8508183 RN - H821664NPK (perampanel) RN - 0 (Anticonvulsants) RN - 0 (Nitriles) RN - 0 (Pyridones) SB - IM MH - Adult MH - Humans MH - Child MH - *Epilepsies, Partial/drug therapy MH - Anticonvulsants/adverse effects MH - Expert Testimony MH - Treatment Outcome MH - *Epilepsy/drug therapy MH - Asia MH - *Nitriles MH - *Pyridones OTO - NOTNLM OT - Antiseizure medication OT - Asia OT - Pediatric epilepsies OT - Perampanel OT - Real-world experience COIS- Declaration of competing interest Derrick Wei Shih Chan has participated in data safety monitoring and/or advisory boards for Singapore Health Services and Eisai and is President of the Singapore Epilepsy Society and the Singapore Epilepsy Foundation. Surachai Likasitwattanakul has received speaker's honoraria from GSK, Sanofi, Janssen, and Eisai. Akihisa Okumura has received speaker's honorarium from Eisai. Benilda Sanchez-Gan has received speaker's honoraria from Abbott, GlaxoSmithKline Philippines, HI-Eisai Pharmaceutical, Pediatrica, Sandoz Philippines, Sun Pharma Philippines, and Torrent Pharma Philippines and is a member of the Board of Trustees of the Child Neurology Society Philippines. Sheffali Gulati, Wang-Tso Lee, Byung Chan Lim, Kam Tim Liu, and Yi Wang declare no competing interests. EDAT- 2023/12/03 00:41 MHDA- 2024/01/15 12:43 CRDT- 2023/12/02 18:01 PHST- 2023/04/27 00:00 [received] PHST- 2023/09/08 00:00 [revised] PHST- 2023/09/29 00:00 [accepted] PHST- 2024/01/15 12:43 [medline] PHST- 2023/12/03 00:41 [pubmed] PHST- 2023/12/02 18:01 [entrez] AID - S0887-8994(23)00350-8 [pii] AID - 10.1016/j.pediatrneurol.2023.09.023 [doi] PST - ppublish SO - Pediatr Neurol. 2024 Feb;151:5-16. doi: 10.1016/j.pediatrneurol.2023.09.023. Epub 2023 Oct 4.