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Abstract Details

Tolerability and Effectiveness of Adjunctive Lacosamide in Patients with Cerebrovascular Epilepsy Etiology: Exploratory Post-hoc Analysis of A Non-interventional Trial
Epilepsy/Clinical Neurophysiology (EEG)
P3 - Poster Session 3 (5:30 PM-6:30 PM)
6-021
To assess tolerability and effectiveness of lacosamide (LCM) when added to antiepileptic drug (AED) monotherapy in patients with epilepsy of cerebrovascular etiology.
Cerebrovascular disease (specifically stroke) has been reported as the most common cause of late-onset epilepsy amongst older adults with identified epilepsy etiology.
Post-hoc analysis included patients with cerebrovascular epilepsy etiology treated with LCM as adjunctive therapy to one baseline AED in a 6-month non-interventional study (VITOBA; NCT01098162) that enrolled patients (≥16 years) with focal (partial-onset) seizures. The decision to prescribe LCM was made by the physician prior to and independently of patient enrollment, and dosing was at the physician’s discretion.

571 patients received ≥1 LCM dose; 83 (14.5%) were reported to have epilepsy of cerebrovascular etiology (mean age: 62.6 years [≥65 years: 56.6%]; 50.6% female; mean age at diagnosis: 55.9 years; median baseline [3-month retrospective] seizure frequency/28 days: 2.0). Mean LCM exposure and maintenance dose were 172 days and 289 mg/day, respectively. Treatment-emergent adverse events (TEAE) were reported in 43.4% patients; most commonly (≥5%) fatigue (14.5%) and dizziness (7.2%); 9.6% patients discontinued due to TEAE. Effectiveness was assessed for 71 patients with evaluable seizure records and in-label LCM dosages (up to 400 mg/day). During the last 3 months, 56.3% of patients were seizure-free, 76.1% had a ≥75% reduction in seizure-frequency from baseline, and 81.7% had a ≥50% reduction. The physician-assessed Clinical Global Impression of Change indicated 83.1% patients were improved and 42.3% were “very much improved” compared to baseline.

This exploratory post-hoc analysis suggested that, in the sub-population of patients with cerebrovascular epilepsy, LCM was generally well tolerated and efficacious when added to one baseline AED. Overall incidences of TEAEs, most common TEAEs, and discontinuations due to TEAEs were similar to that observed in the overall study population.
Authors/Disclosures
Christian Brandt, MD (Bethel Epilepsy Center, Mara Hospital)
PRESENTER
Dr. Brandt has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Idorsia. Dr. Brandt has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for GW. Dr. Brandt has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for Desitin. Dr. Brandt has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Arvelle. Dr. Brandt has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for UCB. Dr. Brandt has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Eisai. Dr. Brandt has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Zogenix. Dr. Brandt has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for GW. Dr. Brandt has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Arvelle. The institution of Dr. Brandt has received research support from Rubin-Stiftung. Dr. Brandt has received publishing royalties from a publication relating to health care.
Ali Bozorg, MD (UCB BioSciences, Inc) Dr. Bozorg has received personal compensation for serving as an employee of UCB Biosciences. Dr. Bozorg has stock in UCB.
No disclosure on file
Ying Zhang (UCB Biosciences Inc) No disclosure on file
Bjorn Steiniger Brach No disclosure on file
No disclosure on file