Safety and Tolerability of Rufinamide in Children With Epilepsy: A Pooled Analysis of 7 Clinical Studies

Abstract

Rufinamide is a novel antiepileptic agent recently approved in the United States for adjunctive treatment of seizures associated with Lennox-Gastaut syndrome. To help inform clinical decision making, the authors analyzed safety and tolerability data from the entire pediatric population in the rufinamide epilepsy clinical development program. The analysis population comprised 212 rufinamide-treated (age range 3-16 years) and 197 placebo patients (age range 4-17 years) in the double-blind studies, and 391 patients receiving rufinamide in the double-blind and/or open-label extensions. The most common adverse effects observed in rufinamide-treated patients in the double-blind studies were somnolence, vomiting, and headache. Changes in laboratory values, vital signs, and weight were generally clinically insignificant. This pooled analysis of data from pediatric patients in clinical studies of rufinamide for the treatment of seizures, mainly as adjunctive therapy, suggests a favorable safety and tolerability profile in this patient population.

Safety and Tolerability of Antiepileptic Drug Treatment in Children with Epilepsy

“…Unauthorised copying and distribution is prohibited. + [33] + [34] + [35] + [36,37] + [38] Insomnia + [39] + [40] + [41][42][43] Somnolence + [39] + [30,31] + [40] + [32] + [33,44,45] + [46] + [34,47,48] + [41][42][43] + [35] + [36,49] + [50] Sedation + [51] Concentration problems + [36] Aphasia/dysarthria…”

“…+ [59,62] + [44] + [34,48] + [41] Dyskinesia/choreoathetosis Myoclonus + [64] + [59,65] Tics + [53] + [66] Paraesthesia + [37] Headache + [32] + [33,44] + [47,48] + [41] + [36,49,52] + [50] Constipation + [38,50] Diarrhoea + [52] + [50] Abdominal pain…”

“…+ [50] Nausea + [51] + [53] + [62] + [44] + [34,47] + [41][42][43] + [37] + [38] Vomiting + [39] + [32] + [44] + [34,47,48] + [41,42] + [50] Continued next page…”

Rufinamide Use in Refractory Epilepsies

“…Tüm bu yan etkilere karşın tolerabilite profili genel olarak olumlu olup, yavaş titrasyonla azalan hafif semptomlar şeklindedir. [7][8][9] Epilepsi polikliniğimizde…”

Rufinamide (Inovelon) in the Treatment of Lennox–gastaut Syndrome (A Review of Literature and Clinical Case)

“…Увеличения частоты клини-чески значимых изменений лабораторных показателей функции щитовидной железы и печени в группе ру-финамида по сравнению с плацебо не выявлено. Дан-ный анализ продемонстрировал хорошую перено-симость и безопасность руфинамида у детей с резистентной к лечению эпилепсией [33].…”