Biblioteca Hospital 12 de Octubre

Early add-on lacosamide in a real-life setting: results of the REALLY study. (Registro nro. 16944)

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Campo de control de longitud fija nab a22 7a 4500
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Campo de control PC16944
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Campo de control 20220712131813.0
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Campo de control de longitud fija 220712b xxu||||| |||| 00| 0 eng d
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Centro transcriptor H12O
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Código de lengua del texto/banda sonora o título independiente eng
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9 (RLIN) 1764
Nombre de persona Saiz Díaz, Rosa Ana
Término indicativo de función Neurología
245 00 - MENCIÓN DE TÍTULO
Título Early add-on lacosamide in a real-life setting: results of the REALLY study.
Tipo de material [artículo]
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Nombre del editor distribuidor etc. Clinical drug investigation,
Fecha de publicación distribución etc. 2015
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Extensión 35(2):121-31.
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Nota general Formato Vancouver:
Villanueva V, Garcés M, López Gomáriz E, Serratosa JM, González Giráldez B, Parra J et al; REALLY Study Group. Early add-on lacosamide in a real-life setting: results of the REALLY study. Clin Drug Investig. 2015 Feb;35(2):121-31.
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Nota de "Con" PMID: 25488477
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Nota de bibliografía etc. Contiene 34 referencias
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Sumario etc. Background and objectives: Many patients with epilepsy are treated with antiepileptic drug (AED) polytherapy. Several factors influence the choice of early add-on therapy, and deciding on the most appropriate drug can be difficult. This study aimed to assess the efficacy and tolerability of lacosamide as early add-on therapy in patients with partial-onset seizures.
Methods: REALLY (REtrospective study of lAcosamide as earLy add-on aLong one Year) was a multicenter, retrospective, 1-year, real-life study. Patients included were aged older than 16 years, had partial-onset seizures, and were treated with lacosamide as add-on therapy after one or two prior AEDs. Data were collected retrospectively from clinical records. The primary study objective was to assess the efficacy of lacosamide over 12 months (seizure-free and responder rates), and the secondary objective was to assess the tolerability of lacosamide at 3, 6, and 12 months [adverse events (AEs) and discontinuation].
Results: One hundred and ninety-nine patients were enrolled in the study; 89 patients (44.7 %) had tried one AED and 110 patients (55.3 %) had tried two AEDs before lacosamide. At 12 months, the proportion of patients who were seizure free was 44.9 %, and 76 % of patients were responders. The seizure-free rate at 12 months for patients who had previously received one or two AEDs was 58 and 34.3 %, and the responder rate at 12 months was 83.0 and 70.4 %, respectively. The AE rate was 21.5 % at 3 months, 27.1 % at 6 months, and 31.2 % at 12 months, with 7.0 % of patients discontinuing treatment because of an AE. The most common AE reported was dizziness (11.6 %). Cryptogenic epilepsy, a higher number of prior AEDs, and the use of a sodium channel blocker at onset were associated with a worse outcome. The number of concomitant AEDs decreased over 1 year (Z = 5.89; p < 0.001). Twenty-two patients were converted to lacosamide monotherapy with at least one evaluation ≥6 months from the beginning of monotherapy conversion.
Conclusions: Lacosamide was effective and well tolerated as early add-on treatment in patients who had received one or two previous AEDs.
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9 (RLIN) 267
Nombre de entidad o nombre de jurisdicción como elemento inicial Servicio de Neurología-Neurofisiología
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Identificador Uniforme del Recurso (URI) http://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16944.pdf
Acceso Solicitar documento
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          Hospital Universitario 12 de Octubre Hospital Universitario 12 de Octubre 2022-07-12 PC16944 2022-07-12 2022-07-12 Artículo

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