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Eslicarbazepine acetate as monotherapy in clinical practice: Outcomes from Euro-Esli

dc.contributor.authorHoltkamp, M
dc.contributor.authorDelanty, N
dc.contributor.authorSales, F
dc.contributor.authorSerratosa, J
dc.contributor.authorMcMurray, R
dc.contributor.authorVillanueva, V
dc.date.accessioned2019-10-01T16:13:45Z
dc.date.available2019-10-01T16:13:45Z
dc.date.issued2019-01
dc.description.abstractOBJECTIVES: To assess the effectiveness and safety/tolerability of eslicarbazepine acetate (ESL) monotherapy in clinical practice in Europe. MATERIALS AND METHODS: Euro-Esli was a pooled analysis of 14 European clinical practice studies. Responder rate (≥50% seizure frequency reduction) and seizure freedom rate (seizure freedom at least since prior visit) were assessed after 3, 6 and 12 months of ESL treatment and at last visit. Adverse events (AEs) and AEs leading to ESL discontinuation were assessed throughout follow-up. A subanalysis was conducted to assess outcomes for patients treated initially with ESL monotherapy and for patients treated at the last visit with ESL monotherapy. RESULTS: ESL was used as monotherapy in 88/2045 (4.3%) patients initially and in 229/1340 (17.1%) patients at the last visit. At 12 months, responder and seizure freedom rates were 94.1% and 88.2%, respectively, in patients treated initially with ESL monotherapy, and 93.2% and 77.4%, respectively, in patients treated at the last visit with ESL monotherapy. Corresponding values for patients treated initially with ESL adjunctive therapy were 74.8% and 39.0%, respectively; and for patients treated at the last visit with ESL adjunctive therapy, corresponding values were 70.4% and 25.9%, respectively. Safety and tolerability were generally comparable in patients treated with ESL as monotherapy or adjunctive therapy. The most commonly reported AEs (≥5% of patients in any group) were dizziness, somnolence, instability/ataxia, and fatigue. CONCLUSIONS: These clinical practice data support the use of ESL as monotherapy, as well as adjunctive therapy, for focal-onset seizures, complementing evidence from clinical trials.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Neurol Scand. 2019 Jan;139(1):49-63.pt_PT
dc.identifier.doi10.1111/ane.13023pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.4/2267
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectAnticonvulsivantespt_PT
dc.subjectDibenzazepinaspt_PT
dc.subjectConvulsõespt_PT
dc.titleEslicarbazepine acetate as monotherapy in clinical practice: Outcomes from Euro-Eslipt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage63pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage49-63pt_PT
oaire.citation.volume139pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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