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Volumn 22, Issue 11, 2008, Pages 917-938

Designing clinical trials to assess antiepileptic drugs as monotherapy: Difficulties and solutions

Author keywords

Antiepileptic drugs, therapeutic use; Clinical trial design; Epilepsy, treatment; Ethics; European Medicines Agency; Food and Drug Administration; Regulatory process

Indexed keywords

ANTICONVULSIVE AGENT; CARBAMAZEPINE; DIAZEPAM; ETIRACETAM; FELBAMATE; GABAPENTIN; GANAXOLONE; LAMOTRIGINE; LOSIGAMONE; OXCARBAZEPINE; PLACEBO; PREGABALIN; REMACEMIDE; RUFINAMIDE; TIAGABINE; TOPIRAMATE; VALPROIC ACID;

EID: 53549106359     PISSN: 11727047     EISSN: None     Source Type: Journal    
DOI: 10.2165/00023210-200822110-00003     Document Type: Review
Times cited : (35)

References (88)
  • 2
    • 0018622931 scopus 로고
    • Reduction in polypharmacy for epilepsy
    • Shorvon SD, Reynolds EH. Reduction in polypharmacy for epilepsy. Br Med J 1979; 2: 1023-5
    • (1979) Br Med J , vol.2 , pp. 1023-1025
    • Shorvon, S.D.1    Reynolds, E.H.2
  • 3
    • 0034598762 scopus 로고    scopus 로고
    • Early identification of refractory epilepsy
    • Kwan P, Brodie MJ. Early identification of refractory epilepsy. N Engl J Med 2000; 342: 314-9
    • (2000) N Engl J Med , vol.342 , pp. 314-319
    • Kwan, P.1    Brodie, M.J.2
  • 4
    • 33846850154 scopus 로고    scopus 로고
    • Comparison of levetiracetam and controlled-release carbamazepine in newly diagnosed epilepsy
    • Brodie MJ, Perucca E, Ryvlin P, et al. Comparison of levetiracetam and controlled-release carbamazepine in newly diagnosed epilepsy. Neurology 2007; 68: 402-8
    • (2007) Neurology , vol.68 , pp. 402-408
    • Brodie, M.J.1    Perucca, E.2    Ryvlin, P.3
  • 5
    • 9144222215 scopus 로고    scopus 로고
    • Adjunctive therapy versus alternative monotherapy in patients with partial epilepsy failing on a single drug: A multicentre, randomized, pragmatic, controlled trial
    • Beghi E, Gatti G, Tonini C, et al. Adjunctive therapy versus alternative monotherapy in patients with partial epilepsy failing on a single drug: a multicentre, randomized, pragmatic, controlled trial. Epilepsy Res 2003; 57: 1-13
    • (2003) Epilepsy Res , vol.57 , pp. 1-13
    • Beghi, E.1    Gatti, G.2    Tonini, C.3
  • 6
    • 27644448562 scopus 로고    scopus 로고
    • Overtreatment in epilepsy: How does it occur and how it can be avoided
    • Perucca E, Kwan P. Overtreatment in epilepsy: how does it occur and how it can be avoided. CNS Drugs 2005; 19: 897-908
    • (2005) CNS Drugs , vol.19 , pp. 897-908
    • Perucca, E.1    Kwan, P.2
  • 7
    • 33644909875 scopus 로고    scopus 로고
    • Clinically relevant drug interactions with antiepileptic drugs
    • Perucca E. Clinically relevant drug interactions with antiepileptic drugs. Br J Clin Pharmacol 2006; 61: 246-55
    • (2006) Br J Clin Pharmacol , vol.61 , pp. 246-255
    • Perucca, E.1
  • 8
    • 26844486733 scopus 로고    scopus 로고
    • Birth defects after prenatal exposure to antiepileptic drugs
    • Perucca E. Birth defects after prenatal exposure to antiepileptic drugs. Lancet Neurology 2005; 4: 781-6
    • (2005) Lancet Neurology , vol.4 , pp. 781-786
    • Perucca, E.1
  • 9
    • 0033883581 scopus 로고    scopus 로고
    • Assessing risk to benefit ratio in antiepileptic drug therapy
    • Perucca E, Beghi E, Shorvon S, et al. Assessing risk to benefit ratio in antiepileptic drug therapy. Epilepsy Res 2000; 41: 107-39
    • (2000) Epilepsy Res , vol.41 , pp. 107-139
    • Perucca, E.1    Beghi, E.2    Shorvon, S.3
  • 10
    • 53549134360 scopus 로고    scopus 로고
    • Arroyo S, Chadwick DW, French J, et al. Epilepsies and convulsive disorders. In: Du Souich P, Erill S, Orme M, editors. The IUPHAR compendium of basic principles for pharmacological research in humans. Irvine (CA): IUPHAR, 2004: 165-82
    • Arroyo S, Chadwick DW, French J, et al. Epilepsies and convulsive disorders. In: Du Souich P, Erill S, Orme M, editors. The IUPHAR compendium of basic principles for pharmacological research in humans. Irvine (CA): IUPHAR, 2004: 165-82
  • 11
    • 11144353969 scopus 로고    scopus 로고
    • Efficacy and tolerability of the new antiepileptic drugs: II. Treatment of refractory epilepsy. Report of the Therapeutics and Technology Assessment Subcommittee and Quality Standards Subcommittee the American Academy of Neurology and the American Epilepsy Society
    • French JA, Kanner AM, Bautista J, et al. Efficacy and tolerability of the new antiepileptic drugs: II. Treatment of refractory epilepsy. Report of the Therapeutics and Technology Assessment Subcommittee and Quality Standards Subcommittee the American Academy of Neurology and the American Epilepsy Society. Neurology 2004; 62: 1261-73
    • (2004) Neurology , vol.62 , pp. 1261-1273
    • French, J.A.1    Kanner, A.M.2    Bautista, J.3
  • 12
    • 0038679493 scopus 로고    scopus 로고
    • Limitations of monotherapy trials in epilepsy
    • Gilliam FG. Limitations of monotherapy trials in epilepsy. Neurology 2003; 60 Suppl. 4: S26-30
    • (2003) Neurology , vol.60 , Issue.SUPPL. 4
    • Gilliam, F.G.1
  • 13
    • 0242522185 scopus 로고    scopus 로고
    • Translating monotherapy trials into clinical practice: A look into the abyss
    • Arroyo S, Perucca E. Translating monotherapy trials into clinical practice: a look into the abyss. Epilepsy Behav 2003; 4: 457-63
    • (2003) Epilepsy Behav , vol.4 , pp. 457-463
    • Arroyo, S.1    Perucca, E.2
  • 14
    • 0035160282 scopus 로고    scopus 로고
    • Effectiveness of first antiepileptic drug
    • Kwan P, Brodie MJ. Effectiveness of first antiepileptic drug. Epilepsia 2001; 42: 1255-60
    • (2001) Epilepsia , vol.42 , pp. 1255-1260
    • Kwan, P.1    Brodie, M.J.2
  • 15
    • 0034847383 scopus 로고    scopus 로고
    • Harnessing the clinical potential of antiepileptic drug therapy: Dosage optimisation
    • Perucca E, Dulac O, Shorvon S, et al. Harnessing the clinical potential of antiepileptic drug therapy: dosage optimisation. CNS Drugs 2001; 15: 609-21
    • (2001) CNS Drugs , vol.15 , pp. 609-621
    • Perucca, E.1    Dulac, O.2    Shorvon, S.3
  • 16
    • 0029978025 scopus 로고    scopus 로고
    • The impact of new antiepileptic drugs on the prognosis of epilepsy: Seizure freedom should be ultimate goal
    • Walker MC, Sander JW. The impact of new antiepileptic drugs on the prognosis of epilepsy: seizure freedom should be ultimate goal. Neurology 1996; 46: 912-4
    • (1996) Neurology , vol.46 , pp. 912-914
    • Walker, M.C.1    Sander, J.W.2
  • 17
    • 0034535755 scopus 로고    scopus 로고
    • Long-term retention rates of lamotrigine, gabapentin, and topiramate in chronic epilepsy
    • Lhatoo SD, Wong IC, Polizzi G, et al. Long-term retention rates of lamotrigine, gabapentin, and topiramate in chronic epilepsy. Epilepsia 2000; 41: 1592-6
    • (2000) Epilepsia , vol.41 , pp. 1592-1596
    • Lhatoo, S.D.1    Wong, I.C.2    Polizzi, G.3
  • 18
    • 0036370370 scopus 로고    scopus 로고
    • What can we learn from clinical trials of anticonvulsant drugs in epilepsy?
    • Perucca E. What can we learn from clinical trials of anticonvulsant drugs in epilepsy? Eur J Pain 2002; 5 Suppl. A: 35-44
    • (2002) Eur J Pain , vol.5 , Issue.SUPPL. A , pp. 35-44
    • Perucca, E.1
  • 19
    • 0033066534 scopus 로고    scopus 로고
    • Monotherapy trials with the new antiepileptic drugs: Study designs, practical relevance and ethical implications
    • Perucca E, Tomson T. Monotherapy trials with the new antiepileptic drugs: study designs, practical relevance and ethical implications. Epilepsy Res 1999; 33: 247-62
    • (1999) Epilepsy Res , vol.33 , pp. 247-262
    • Perucca, E.1    Tomson, T.2
  • 20
    • 33746124186 scopus 로고    scopus 로고
    • ILAE treatment guidelines: Evidence-based analysis of antiepileptic drug efficacy and effectiveness as initial monotherapy for epileptic seizures and syndromes
    • Glauser T, Ben-Menachem E, Bourgeois B, et al. ILAE treatment guidelines: evidence-based analysis of antiepileptic drug efficacy and effectiveness as initial monotherapy for epileptic seizures and syndromes. Epilepsia 2006; 47: 1094-120
    • (2006) Epilepsia , vol.47 , pp. 1094-1120
    • Glauser, T.1    Ben-Menachem, E.2    Bourgeois, B.3
  • 21
    • 0000581604 scopus 로고    scopus 로고
    • The ethical and scientific shortcomings of current monotherapy epilepsy trials in newly diagnosed patients
    • Karlawish JHT, French J. The ethical and scientific shortcomings of current monotherapy epilepsy trials in newly diagnosed patients. Epilepsy Behav 2001; 2: 193-200
    • (2001) Epilepsy Behav , vol.2 , pp. 193-200
    • Karlawish, J.H.T.1    French, J.2
  • 22
    • 0036445260 scopus 로고    scopus 로고
    • A workshop on antiepileptic drug monotherapy indications
    • French JA, Schachter S. A workshop on antiepileptic drug monotherapy indications. Epilepsia 2002; 43 Suppl. 10: 3-27
    • (2002) Epilepsia , vol.43 , Issue.SUPPL. 10 , pp. 3-27
    • French, J.A.1    Schachter, S.2
  • 23
    • 20444401893 scopus 로고    scopus 로고
    • Immediate versus deferred antiepileptic drug treatment for early epilepsy and single seizures: A randomised controlled trial
    • Marson A, Jacoby A, Johnson A, et al. Immediate versus deferred antiepileptic drug treatment for early epilepsy and single seizures: a randomised controlled trial. Lancet 2005;365: 2007-13
    • (2005) Lancet , vol.365 , pp. 2007-2013
    • Marson, A.1    Jacoby, A.2    Johnson, A.3
  • 24
    • 53549084429 scopus 로고    scopus 로고
    • Trileptal: Summary basis for approval
    • Committee for Proprietary Medicinal Products CPMP
    • Committee for Proprietary Medicinal Products (CPMP). Trileptal: summary basis for approval. London: European Medicines Agency, 2002
    • (2002) London: European Medicines Agency
  • 25
    • 0001051787 scopus 로고    scopus 로고
    • Safety and efficacy of oxcarbazepine 1200 mg/day in patients with recent onset partial epilepsy
    • Sachdeo R, Edwards K, Hasegawa H, et al. Safety and efficacy of oxcarbazepine 1200 mg/day in patients with recent onset partial epilepsy. Neurology 1999; 52 Suppl. 2: A391
    • (1999) Neurology , vol.52 , Issue.SUPPL. 2
    • Sachdeo, R.1    Edwards, K.2    Hasegawa, H.3
  • 26
    • 0032861821 scopus 로고    scopus 로고
    • Monotherapy trials with gabapentin for partial epilepsy
    • discussion S73-4
    • Beydoun A. Monotherapy trials with gabapentin for partial epilepsy. Epilepsia 1999; 40 Suppl. 6: S13-6; discussion S73-4
    • (1999) Epilepsia , vol.40 , Issue.SUPPL. 6
    • Beydoun, A.1
  • 27
    • 0031775386 scopus 로고    scopus 로고
    • A double-blind trial of gabapentin monotherapy for newly diagnosed partial seizures. International Gabapentin Monotherapy Study Group 945-77
    • Chadwick DW, Anhut H, Greiner MJ, et al. A double-blind trial of gabapentin monotherapy for newly diagnosed partial seizures. International Gabapentin Monotherapy Study Group 945-77. Neurology 1998; 51: 1282-8
    • (1998) Neurology , vol.51 , pp. 1282-1288
    • Chadwick, D.W.1    Anhut, H.2    Greiner, M.J.3
  • 28
    • 33644967929 scopus 로고    scopus 로고
    • Prediction of risk of seizure recurrence after a single seizure and early epilepsy: Further results from the MESS trial
    • Kim LG, Johnson TL, Marson AG, et al. Prediction of risk of seizure recurrence after a single seizure and early epilepsy: further results from the MESS trial. Lancet Neurol 2006; 5:317-22
    • (2006) Lancet Neurol , vol.5 , pp. 317-322
    • Kim, L.G.1    Johnson, T.L.2    Marson, A.G.3
  • 29
    • 0031794085 scopus 로고    scopus 로고
    • The misdiagnosis of epilepsy: Findings of a population study
    • Scheepers B, Clough P, Pickles C. The misdiagnosis of epilepsy: findings of a population study. Seizure 1998; 7: 403-6
    • (1998) Seizure , vol.7 , pp. 403-406
    • Scheepers, B.1    Clough, P.2    Pickles, C.3
  • 30
    • 0026744139 scopus 로고
    • The syndromic classification of the International League Against Epilepsy applied to epilepsy in a general population. The National General Practice Study of Epilepsy
    • Manford M, Hart YM, Sander JW, et al. The syndromic classification of the International League Against Epilepsy applied to epilepsy in a general population. The National General Practice Study of Epilepsy. Arch Neurol 1992; 49: 801-8
    • (1992) Arch Neurol , vol.49 , pp. 801-808
    • Manford, M.1    Hart, Y.M.2    Sander, J.W.3
  • 31
    • 0030055473 scopus 로고    scopus 로고
    • Patient awareness of seizures
    • Blum DE, Eskola J, Bortz JJ, et al. Patient awareness of seizures. Neurology 1996; 47: 260-4
    • (1996) Neurology , vol.47 , pp. 260-264
    • Blum, D.E.1    Eskola, J.2    Bortz, J.J.3
  • 32
    • 34547828792 scopus 로고    scopus 로고
    • Development of new antiepileptic drugs: Challenges, incentives, and recent advances
    • Perucca E, French J, Bialer M. Development of new antiepileptic drugs: challenges, incentives, and recent advances. Lancet Neurol 2007; 6: 793-804
    • (2007) Lancet Neurol , vol.6 , pp. 793-804
    • Perucca, E.1    French, J.2    Bialer, M.3
  • 33
    • 0034687072 scopus 로고    scopus 로고
    • Placebo-controlled trials and active-control trials in the evaluation of new treatments: Part 1. Ethical and scientific issues
    • Temple R, Ellenberg SS. Placebo-controlled trials and active-control trials in the evaluation of new treatments: part 1. Ethical and scientific issues. Ann Intern Med 2000; 133: 455-63
    • (2000) Ann Intern Med , vol.133 , pp. 455-463
    • Temple, R.1    Ellenberg, S.S.2
  • 34
    • 0024443991 scopus 로고
    • Hazards of inference: The active control investigation
    • discussion S64-8
    • Leber PD. Hazards of inference: the active control investigation. Epilepsia 1989; 30 Suppl. 1: S57-63; discussion S64-8
    • (1989) Epilepsia , vol.30 , Issue.SUPPL. 1
    • Leber, P.D.1
  • 36
    • 0004177253 scopus 로고    scopus 로고
    • World Medical Association, Tokyo: World Medication Association, Oct 9
    • World Medical Association. Declaration of Helsinki. Tokyo: World Medication Association, 2004 Oct 9
    • (2004) Declaration of Helsinki
  • 37
    • 0027408868 scopus 로고
    • Randomized clinical trial on the efficacy of antiepileptic drugs in reducing the risk of relapse after a first unprovoked tonic-clonic seizure
    • First Seizure Trial Group
    • First Seizure Trial Group. Randomized clinical trial on the efficacy of antiepileptic drugs in reducing the risk of relapse after a first unprovoked tonic-clonic seizure. Neurology 1993; 43: 478-83
    • (1993) Neurology , vol.43 , pp. 478-483
  • 38
    • 0033775187 scopus 로고    scopus 로고
    • Sulthiame as monotherapy in children with benign childhood epilepsy with centrotemporal spikes: A 6-month randomized, double-blind, placebo-controlled study. Sulthiame Study Group
    • Rating D, Wolf C, Bast T. Sulthiame as monotherapy in children with benign childhood epilepsy with centrotemporal spikes: a 6-month randomized, double-blind, placebo-controlled study. Sulthiame Study Group. Epilepsia 2000; 41: 1284-8
    • (2000) Epilepsia , vol.41 , pp. 1284-1288
    • Rating, D.1    Wolf, C.2    Bast, T.3
  • 39
    • 0029803259 scopus 로고    scopus 로고
    • Gabapentin in naive childhood absence epilepsy: Results from two double-blind, placebo-controlled, multicenter studies
    • Trudeau V, Myers S, LaMoreaux L, et al. Gabapentin in naive childhood absence epilepsy: results from two double-blind, placebo-controlled, multicenter studies. J Child Neurol 1996; 11: 470-5
    • (1996) J Child Neurol , vol.11 , pp. 470-475
    • Trudeau, V.1    Myers, S.2    LaMoreaux, L.3
  • 40
    • 0033051765 scopus 로고    scopus 로고
    • Lamictal (lamotrigine) monotherapy for typical absence seizures in children
    • Frank LM, Enlow T, Holmes GL, et al. Lamictal (lamotrigine) monotherapy for typical absence seizures in children. Epilepsia 1999; 40: 973-9
    • (1999) Epilepsia , vol.40 , pp. 973-979
    • Frank, L.M.1    Enlow, T.2    Holmes, G.L.3
  • 41
    • 0032703827 scopus 로고    scopus 로고
    • Randomised, placebo-controlled study of vigabatrin as first-line treatment of infantile spasms
    • Appleton RE, Peters AC, Mumford JP, et al. Randomised, placebo-controlled study of vigabatrin as first-line treatment of infantile spasms. Epilepsia 1999; 40: 1627-33
    • (1999) Epilepsia , vol.40 , pp. 1627-1633
    • Appleton, R.E.1    Peters, A.C.2    Mumford, J.P.3
  • 42
    • 0842333061 scopus 로고    scopus 로고
    • Debus OM, Kurlemann G. Sulthiame in the primary therapy of West syndrome: a randomized double-blind placebo-controlled add-on trial on baseline pyridoxine medication. Epilepsia 2004; 45: 103-8
    • Debus OM, Kurlemann G. Sulthiame in the primary therapy of West syndrome: a randomized double-blind placebo-controlled add-on trial on baseline pyridoxine medication. Epilepsia 2004; 45: 103-8
  • 43
    • 0032566037 scopus 로고    scopus 로고
    • A comparison of rectal diazepam gel and placebo for acute repetitive seizures
    • Dreifuss FE, Rosman NP, Cloyd JC, et al. A comparison of rectal diazepam gel and placebo for acute repetitive seizures. N Engl J Med 1998; 338: 1869-75
    • (1998) N Engl J Med , vol.338 , pp. 1869-1875
    • Dreifuss, F.E.1    Rosman, N.P.2    Cloyd, J.C.3
  • 44
    • 0025992079 scopus 로고
    • Clinical trials of investigational antiepileptic drugs: Monotherapy designs
    • Pledger G, Kramer LD. Clinical trials of investigational antiepileptic drugs: monotherapy designs. Epilepsia 1991; 32: 716-31
    • (1991) Epilepsia , vol.32 , pp. 716-731
    • Pledger, G.1    Kramer, L.D.2
  • 45
    • 0027420062 scopus 로고
    • Felbamate: A double-blind controlled trial in patients undergoing presurgical evaluation of partial seizures
    • Bourgeois B, Leppik IE, Sackellares JC, et al. Felbamate: a double-blind controlled trial in patients undergoing presurgical evaluation of partial seizures. Neurology 1993; 43: 693-6
    • (1993) Neurology , vol.43 , pp. 693-696
    • Bourgeois, B.1    Leppik, I.E.2    Sackellares, J.C.3
  • 46
    • 0028848148 scopus 로고
    • Felbamate monotherapy: Implications for antiepileptic drug development
    • Theodore WH, Albert P, Stertz B, et al. Felbamate monotherapy: implications for antiepileptic drug development. Epilepsia 1995; 36: 1105-10
    • (1995) Epilepsia , vol.36 , pp. 1105-1110
    • Theodore, W.H.1    Albert, P.2    Stertz, B.3
  • 47
    • 0028911352 scopus 로고
    • Efficacy of felbamate monotherapy in patients undergoing presurgical evaluation of partial seizures
    • Devinsky O, Faught RE, Wilder BJ, et al. Efficacy of felbamate monotherapy in patients undergoing presurgical evaluation of partial seizures. Epilepsy Res 1995; 20: 241-6
    • (1995) Epilepsy Res , vol.20 , pp. 241-246
    • Devinsky, O.1    Faught, R.E.2    Wilder, B.J.3
  • 48
    • 0030870483 scopus 로고    scopus 로고
    • Gabapentin monotherapy: I. An 8-day, double-blind, dose-controlled, multicenter study in hospitalized patients with refractory complex parpartial or secondarily generalized seizures
    • Bergey GK, Morris HH, Rosenfeld W, et al. Gabapentin monotherapy: I. An 8-day, double-blind, dose-controlled, multicenter study in hospitalized patients with refractory complex parpartial or secondarily generalized seizures. Neurology 1997; 49: 739-45
    • (1997) Neurology , vol.49 , pp. 739-745
    • Bergey, G.K.1    Morris, H.H.2    Rosenfeld, W.3
  • 49
    • 0033541097 scopus 로고    scopus 로고
    • Oxcarbazepine: Double-blind, randomized, placebo-control, monotherapy trial for partial seizures
    • Schachter SC, Vazquez B, Fisher RS, et al. Oxcarbazepine: double-blind, randomized, placebo-control, monotherapy trial for partial seizures. Neurology 1999; 52: 732-7
    • (1999) Neurology , vol.52 , pp. 732-737
    • Schachter, S.C.1    Vazquez, B.2    Fisher, R.S.3
  • 50
    • 0000081769 scopus 로고    scopus 로고
    • Pregabalin in-patient monotherapy trial: Study results and impact of seizure frequency on efficacy evaluations [abstract]
    • Abu-Khalil BW, Vazquez BR, Beydoun AA, et al. Pregabalin in-patient monotherapy trial: study results and impact of seizure frequency on efficacy evaluations [abstract]. Epilepsia 1999; 40 Suppl. 7: 109
    • (1999) Epilepsia , vol.40 , Issue.SUPPL. 7 , pp. 109
    • Abu-Khalil, B.W.1    Vazquez, B.R.2    Beydoun, A.A.3
  • 51
    • 0033821412 scopus 로고    scopus 로고
    • Assessment of ganaxolone's anticonvulsant activity using a randomized, double-blind, presurgical trial design. Ganaxolone Presurgical Study Group
    • Laxer K, Blum D, Abou-Khalil BW, et al. Assessment of ganaxolone's anticonvulsant activity using a randomized, double-blind, presurgical trial design. Ganaxolone Presurgical Study Group. Epilepsia 2000; 41: 1187-94
    • (2000) Epilepsia , vol.41 , pp. 1187-1194
    • Laxer, K.1    Blum, D.2    Abou-Khalil, B.W.3
  • 52
    • 0034855866 scopus 로고    scopus 로고
    • Therapeutic intensive seizure analysis (TISA) in presurgical evaluation of losigamone
    • Stefan H, Wang Y, Kerling F, et al. Therapeutic intensive seizure analysis (TISA) in presurgical evaluation of losigamone. Acta Neurol Scand 2001; 104: 195-201
    • (2001) Acta Neurol Scand , vol.104 , pp. 195-201
    • Stefan, H.1    Wang, Y.2    Kerling, F.3
  • 53
    • 0028820383 scopus 로고
    • Monotherapy antiepileptic drug trials in patients undergoing presurgical assessment: Methodological problems and possibilities
    • Alarcon G, Binnie CD, Elwes RDC, et al. Monotherapy antiepileptic drug trials in patients undergoing presurgical assessment: methodological problems and possibilities. Seizure 1995; 4: 293-301
    • (1995) Seizure , vol.4 , pp. 293-301
    • Alarcon, G.1    Binnie, C.D.2    Elwes, R.D.C.3
  • 54
    • 0038340915 scopus 로고    scopus 로고
    • Conversion to monotherapy: Clinical trials in patients with refractory partial seizures
    • Beydoun A, Kutluay E. Conversion to monotherapy: clinical trials in patients with refractory partial seizures. Neurology 2003; 60 Suppl. 4: S13-25
    • (2003) Neurology , vol.60 , Issue.SUPPL. 4
    • Beydoun, A.1    Kutluay, E.2
  • 55
    • 0031970401 scopus 로고    scopus 로고
    • Innovative monotherapy trial designs for the assessment of antiepileptic drugs: A critical appraisal
    • Perucca E. Innovative monotherapy trial designs for the assessment of antiepileptic drugs: a critical appraisal. Eur J Clin Pharmacol 1998; 54: 1-5
    • (1998) Eur J Clin Pharmacol , vol.54 , pp. 1-5
    • Perucca, E.1
  • 56
    • 0033541095 scopus 로고    scopus 로고
    • Placebo-controlled studies in neurology: Where do they stop?
    • Chadwick D, Privitera M. Placebo-controlled studies in neurology: where do they stop? Neurology 1999; 52: 682-5
    • (1999) Neurology , vol.52 , pp. 682-685
    • Chadwick, D.1    Privitera, M.2
  • 57
    • 0034914576 scopus 로고    scopus 로고
    • Monotherapy trials: Presurgical studies
    • discussion 73-4
    • Pledger G. Monotherapy trials: presurgical studies. Epilepsy Res 2001; 45: 67-71; discussion 73-4
    • (2001) Epilepsy Res , vol.45 , pp. 67-71
    • Pledger, G.1
  • 58
    • 0031684166 scopus 로고    scopus 로고
    • An active control trial of lamotrigine monotherapy for partial seizures
    • Gilliam F, Vazquez B, Sackellares JC, et al. An active control trial of lamotrigine monotherapy for partial seizures. Neurology 1998; 51: 1018-25
    • (1998) Neurology , vol.51 , pp. 1018-1025
    • Gilliam, F.1    Vazquez, B.2    Sackellares, J.C.3
  • 59
    • 0034720870 scopus 로고    scopus 로고
    • Oxcarbazepine monotherapy for partial-onset seizures: A multicenter, double-blind, clinical trial
    • Beydoun A, Sachdeo RC, Rosenfeld WE, et al. Oxcarbazepine monotherapy for partial-onset seizures: a multicenter, double-blind, clinical trial. Neurology 2000; 54: 2245-51
    • (2000) Neurology , vol.54 , pp. 2245-2251
    • Beydoun, A.1    Sachdeo, R.C.2    Rosenfeld, W.E.3
  • 60
    • 0035845665 scopus 로고    scopus 로고
    • Oxcarbazepine (Trileptal) as monotherapy in patients with partial seizures
    • Sachdeo R, Beydoun A, Schachter S, et al. Oxcarbazepine (Trileptal) as monotherapy in patients with partial seizures. Neurology 2001; 57: 864-71
    • (2001) Neurology , vol.57 , pp. 864-871
    • Sachdeo, R.1    Beydoun, A.2    Schachter, S.3
  • 61
    • 0026662642 scopus 로고
    • Felbamate monotherapy: Controlled trial in patients with partial onset seizures
    • Sachdeo R, Kramer LD, Rosenberg A, et al. Felbamate monotherapy: controlled trial in patients with partial onset seizures. Ann Neurol 1992; 32: 386-92
    • (1992) Ann Neurol , vol.32 , pp. 386-392
    • Sachdeo, R.1    Kramer, L.D.2    Rosenberg, A.3
  • 62
    • 0027536726 scopus 로고
    • Felbamate monotherapy for partial-onset seizures: An active control trial
    • Faught E, Sachdeo RC, Remler MP, et al. Felbamate monotherapy for partial-onset seizures: an active control trial. Neurology 1993; 43: 688-92
    • (1993) Neurology , vol.43 , pp. 688-692
    • Faught, E.1    Sachdeo, R.C.2    Remler, M.P.3
  • 63
    • 0030938774 scopus 로고    scopus 로고
    • Topiramate monotherapy for partial onset seizures
    • Sachdeo RC, Reife RA, Lim P, et al. Topiramate monotherapy for partial onset seizures. Epilepsia 1997; 38: 294-300
    • (1997) Epilepsia , vol.38 , pp. 294-300
    • Sachdeo, R.C.1    Reife, R.A.2    Lim, P.3
  • 64
    • 0030776298 scopus 로고    scopus 로고
    • Gabapentin monotherapy: II. A 26-week, double-blind, dose-controlled, multicenter study of conversion from polytherapy in outpatients with refractory complex partial or secondarily generalized seizures
    • Beydoun A, Fischer J, Labar DR, et al. Gabapentin monotherapy: II. A 26-week, double-blind, dose-controlled, multicenter study of conversion from polytherapy in outpatients with refractory complex partial or secondarily generalized seizures. Neurology 1997; 49: 746-52
    • (1997) Neurology , vol.49 , pp. 746-752
    • Beydoun, A.1    Fischer, J.2    Labar, D.R.3
  • 65
    • 0029942451 scopus 로고
    • Tiagabine monotherapy in the treatment of partial epilepsy
    • Schachter SC. Tiagabine monotherapy in the treatment of partial epilepsy. Epilepsia 1995; 36 Suppl. 6: 2-6
    • (1995) Epilepsia , vol.36 , Issue.SUPPL. 6 , pp. 2-6
    • Schachter, S.C.1
  • 66
    • 37349030124 scopus 로고    scopus 로고
    • Monotherapy clinical trial design
    • Sachdeo R. Monotherapy clinical trial design. Neurology 2007; 69 Suppl. 3: S23-7
    • (2007) Neurology , vol.69 , Issue.SUPPL. 3
    • Sachdeo, R.1
  • 67
    • 30144445554 scopus 로고    scopus 로고
    • Historical control withdrawal to monotherapy
    • French J. Historical control withdrawal to monotherapy. Epilepsy Res 2006; 68: 74-7
    • (2006) Epilepsy Res , vol.68 , pp. 74-77
    • French, J.1
  • 68
    • 25144453313 scopus 로고    scopus 로고
    • Randomized dose-controlled study of topiramate as first-line therapy in epilepsy
    • Arroyo S, Dodson WE, Privitera MD, et al. Randomized dose-controlled study of topiramate as first-line therapy in epilepsy. Acta Neurol Scand 2005; 112: 214-22
    • (2005) Acta Neurol Scand , vol.112 , pp. 214-222
    • Arroyo, S.1    Dodson, W.E.2    Privitera, M.D.3
  • 69
    • 0037469199 scopus 로고    scopus 로고
    • A dose-comparison trial of topiramate as monotherapy in recently diagnosed parpartial tial epilepsy
    • Gilliam FG, Veloso F, Bomhof MA, et al. A dose-comparison trial of topiramate as monotherapy in recently diagnosed parpartial tial epilepsy. Neurology 2003; 60: 196-202
    • (2003) Neurology , vol.60 , pp. 196-202
    • Gilliam, F.G.1    Veloso, F.2    Bomhof, M.A.3
  • 70
    • 34447123109 scopus 로고    scopus 로고
    • Topiramate monotherapy in newly diagnosed epilepsy in children and adolescents
    • Glauser TA, Dlugos DJ, Dodson WE, et al. Topiramate monotherapy in newly diagnosed epilepsy in children and adolescents. J Child Neurol 2007; 22: 693-9
    • (2007) J Child Neurol , vol.22 , pp. 693-699
    • Glauser, T.A.1    Dlugos, D.J.2    Dodson, W.E.3
  • 71
    • 2342512221 scopus 로고    scopus 로고
    • Efficacy and tolerability of the new antiepileptic drugs: I. Treatment of new-onset epilepsy. Report of the TTA and QSS Subcommittees of the American Academy of Neurology and the American Epilepsy Society
    • French JA, Kanner AM, Bautista J, et al. Efficacy and tolerability of the new antiepileptic drugs: I. Treatment of new-onset epilepsy. Report of the TTA and QSS Subcommittees of the American Academy of Neurology and the American Epilepsy Society. Epilepsia 2004; 45: 401-9
    • (2004) Epilepsia , vol.45 , pp. 401-409
    • French, J.A.1    Kanner, A.M.2    Bautista, J.3
  • 72
    • 0036554690 scopus 로고    scopus 로고
    • Efficacy and safety of remacemide versus carbamazepine in newly diagnosed epilepsy: Comparison by sequential analysis
    • Brodie MJ, Wroe SJ, Dean AD, et al. Efficacy and safety of remacemide versus carbamazepine in newly diagnosed epilepsy: comparison by sequential analysis. Epilepsy Behav 2002; 3: 140-6
    • (2002) Epilepsy Behav , vol.3 , pp. 140-146
    • Brodie, M.J.1    Wroe, S.J.2    Dean, A.D.3
  • 73
    • 0038679502 scopus 로고    scopus 로고
    • Clinical trials of antiepileptic medications in newly diagnosed patients with epilepsy
    • Kwan P, Brodie MJ. Clinical trials of antiepileptic medications in newly diagnosed patients with epilepsy. Neurology 2003; 60 Suppl. 4: S2-12
    • (2003) Neurology , vol.60 , Issue.SUPPL. 4
    • Kwan, P.1    Brodie, M.J.2
  • 74
    • 34447319721 scopus 로고    scopus 로고
    • An international multicenter randomized double-blind controlled trial of lamotrigine and sustained-release carbamazepine in the treatment of newly diagnosed epilepsy in the elderly
    • Saetre E, Perucca E, Isojärvi J, et al. An international multicenter randomized double-blind controlled trial of lamotrigine and sustained-release carbamazepine in the treatment of newly diagnosed epilepsy in the elderly. Epilepsia 2007; 48: 1292-302
    • (2007) Epilepsia , vol.48 , pp. 1292-1302
    • Saetre, E.1    Perucca, E.2    Isojärvi, J.3
  • 75
    • 0021887675 scopus 로고    scopus 로고
    • Mattson RH, Cramer JA, Collins JF, et al. Comparison of carbamazepine, phenobarbital, phenytoin, and primidone in partial and secondarily generalized tonic-clonic seizures. N Engl J Med 1985; 313: 145-51
    • Mattson RH, Cramer JA, Collins JF, et al. Comparison of carbamazepine, phenobarbital, phenytoin, and primidone in partial and secondarily generalized tonic-clonic seizures. N Engl J Med 1985; 313: 145-51
  • 76
    • 20444407159 scopus 로고    scopus 로고
    • New onset geriatric epilepsy: A study of gabapentin, lamotrigine, and carbamazepine
    • Rowan AJ, Ramsay RE, Collins JF, et al. New onset geriatric epilepsy: a study of gabapentin, lamotrigine, and carbamazepine. Neurology 2005; 64: 1868-73
    • (2005) Neurology , vol.64 , pp. 1868-1873
    • Rowan, A.J.1    Ramsay, R.E.2    Collins, J.F.3
  • 77
    • 0026794763 scopus 로고
    • A comparison of valproate with carbamazepine for the treatment of complex partial seizures and secondary generalised tonic-clonic seizures in adults
    • Mattson RH, Cramer JA, Collins JF, et al. A comparison of valproate with carbamazepine for the treatment of complex partial seizures and secondary generalised tonic-clonic seizures in adults. N Engl J Med 1992; 327: 765-71
    • (1992) N Engl J Med , vol.327 , pp. 765-771
    • Mattson, R.H.1    Cramer, J.A.2    Collins, J.F.3
  • 78
    • 33947241772 scopus 로고    scopus 로고
    • Marson AG, Al-Kharusi AM, Alwaidh M, et al. The SANAD study of effectiveness of carbamazepine, gabapentin, lamotrigine, oxcarbazepine, or topiramate for treatment of partial epilepsy: an unblinded randomized comparison. Lancet 2007; 369: 1000-15
    • Marson AG, Al-Kharusi AM, Alwaidh M, et al. The SANAD study of effectiveness of carbamazepine, gabapentin, lamotrigine, oxcarbazepine, or topiramate for treatment of partial epilepsy: an unblinded randomized comparison. Lancet 2007; 369: 1000-15
  • 79
    • 33947228816 scopus 로고    scopus 로고
    • The SANAD study of effectiveness of valproate, lamotrigine, or topiramate for treatment of generalised and unclassifiable epilepsy: An unblinded randomized controlled trial
    • Marson AG, Al-Kharusi AM, Alwaidh M, et al. The SANAD study of effectiveness of valproate, lamotrigine, or topiramate for treatment of generalised and unclassifiable epilepsy: an unblinded randomized controlled trial. Lancet 2007; 369: 1016-26
    • (2007) Lancet , vol.369 , pp. 1016-1026
    • Marson, A.G.1    Al-Kharusi, A.M.2    Alwaidh, M.3
  • 80
    • 34447638349 scopus 로고    scopus 로고
    • Old versus new antiepileptic drugs: The SANAD study [letter]
    • Perucca E, Alexandre Jr V, Tomson T. Old versus new antiepileptic drugs: the SANAD study [letter]. Lancet 2007; 370: 313
    • (2007) Lancet , vol.370 , pp. 313
    • Perucca, E.1    Alexandre Jr, V.2    Tomson, T.3
  • 81
    • 33646672000 scopus 로고    scopus 로고
    • Active control trials for epilepsy: Avoiding bias in head-to-head trials
    • French JA, Kryscio RJ. Active control trials for epilepsy: avoiding bias in head-to-head trials. Neurology 2006; 66: 1294-5
    • (2006) Neurology , vol.66 , pp. 1294-1295
    • French, J.A.1    Kryscio, R.J.2
  • 82
    • 0025180697 scopus 로고
    • Conventional vs controlled-release carbamazepine: A multicentre, double-blind, cross-over study
    • Canger R, Altamura AC, Belvedere O, et al. Conventional vs controlled-release carbamazepine: a multicentre, double-blind, cross-over study. Acta Neurol Scand 1990; 82: 9-13
    • (1990) Acta Neurol Scand , vol.82 , pp. 9-13
    • Canger, R.1    Altamura, A.C.2    Belvedere, O.3
  • 83
    • 23844508153 scopus 로고    scopus 로고
    • Improved tolerability and efficacy in epilepsy patients with extended-release carbamazepine
    • Ficker DM, Privitera M, Krauss G, et al. Improved tolerability and efficacy in epilepsy patients with extended-release carbamazepine. Neurology 2005; 65: 593-5
    • (2005) Neurology , vol.65 , pp. 593-595
    • Ficker, D.M.1    Privitera, M.2    Krauss, G.3
  • 84
    • 0025357857 scopus 로고
    • Differences in side-effects between a conventional and a slow-release preparation of carbamazepine
    • Persson L, Ben-Menachem E, Bengtsson E, et al. Differences in side-effects between a conventional and a slow-release preparation of carbamazepine. Epilepsy Res 1990; 6: 134-40
    • (1990) Epilepsy Res , vol.6 , pp. 134-140
    • Persson, L.1    Ben-Menachem, E.2    Bengtsson, E.3
  • 85
    • 0032877268 scopus 로고    scopus 로고
    • Multicentre, double-blind, randomized comparison between lamotrigine and carbamazepine in elderly patients with newly diagnosed epilepsy
    • Brodie M, Overstall PW, Giorgi L. Multicentre, double-blind, randomized comparison between lamotrigine and carbamazepine in elderly patients with newly diagnosed epilepsy. Epilepsy Res 1999; 37: 81-7
    • (1999) Epilepsy Res , vol.37 , pp. 81-87
    • Brodie, M.1    Overstall, P.W.2    Giorgi, L.3
  • 86
    • 0030754395 scopus 로고    scopus 로고
    • Difficulties in extrapolating from clinical trial data to clinical practice: The case for antiepileptic drugs
    • Walker MC, Sander JW. Difficulties in extrapolating from clinical trial data to clinical practice: the case for antiepileptic drugs. Neurology 1997; 49: 333-7
    • (1997) Neurology , vol.49 , pp. 333-337
    • Walker, M.C.1    Sander, J.W.2
  • 87
    • 0031468870 scopus 로고    scopus 로고
    • Vigabatrin versus ACTH as first-line treatment for infantile spasms: A randomized, prospective study
    • Vigevano F, Cilio MR. Vigabatrin versus ACTH as first-line treatment for infantile spasms: a randomized, prospective study. Epilepsia 1997; 38: 1270-4
    • (1997) Epilepsia , vol.38 , pp. 1270-1274
    • Vigevano, F.1    Cilio, M.R.2
  • 88
    • 0030931268 scopus 로고    scopus 로고
    • Randomized trial comparing vigabatrin and hydrocortisone in infantile spasms due to tuberous sclerosis
    • Chiron C, Dumas C, Jambaqué I, et al. Randomized trial comparing vigabatrin and hydrocortisone in infantile spasms due to tuberous sclerosis. Epilepsy Res 1997; 26: 389-95
    • (1997) Epilepsy Res , vol.26 , pp. 389-395
    • Chiron, C.1    Dumas, C.2    Jambaqué, I.3


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