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perampanel

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Description

perampanel : A member of the class of bipyridines that is 2,3'-bipyridin-6'-one substituted at positions 1' and 5' by phenyl and 2-cyanophenyl groups respectively. Used as an adjunctive therapy for the treatment of partial-onset seizures in patients with epilepsy. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID9924495
CHEMBL ID1214124
CHEBI ID71013
SCHEMBL ID194370
MeSH IDM0549034

Synonyms (52)

Synonym
perampanel
er-155055-90
CHEMBL1214124
e2007
chebi:71013 ,
e-2007 ,
D08964
perampanel (usan)
380917-97-5
perampanel [usan:inn]
e 2007
h821664npk ,
unii-h821664npk
benzonitrile, 2-(1',6'-dihydro-6'-oxo-1'-phenyl(2,3'-bipyridin)-5'-yl)-
3-(2-cyanophenyl)-5-(2-pyridyl)-1-phenyl-1,2-dihydropyridin-2-one
fycompa
AM806751
benzonitrile, 2-(1',6'-dihydro-6'-oxo-1'-phenyl[2,3'-bipyridin]-5'-yl)-
HY-14745
CS-1160
perampanelum
2-(6'-oxo-1'-phenyl-1',6'-dihydro-2,3'-bipyridin-5'-yl)benzonitrile
AKOS016340421
2-(2-oxo-1-phenyl-5-pyridin-2-ylpyridin-3-yl)benzonitrile
gtpl7050
perampanel [orange book]
5'-(2-cyanophenyl)-1'-phenyl-2,3'-bipyridinyl-6'(1'h)-one
perampanel [who-dd]
perampanel [inn]
perampanel [mi]
perampanel [usan]
perampanel [vandf]
3-(2-cyanophenyl)-1-phenyl-5-(2-pyridyl)-1,2-dihydropyridin-2-one
PRMWGUBFXWROHD-UHFFFAOYSA-N
SCHEMBL194370
CH-0056
AC-27375
2-(6'-oxo-1'-phenyl[1',6'-dihydro[2,3'-bipyridine]]-5'-yl)benzonitrile
6zp ,
DTXSID80191501 ,
NCGC00378863-02
bdbm50184410
perampanel(e2007
DB08883
BCP06505
EX-A2128
1174302-51-2
Q868658
SB16816
dtxcid50113992
n03ax22
ae4 - newer anti-epileptic drug mixtures 4

Research Excerpts

Overview

Perampanel (PER) is a new antiepileptic used to treat partial-onset seizures and generalized tonic-clonic seizures in people older than 12 years old. It is a noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA) receptor antagonist. Its mechanism of action is not completely clear.

ExcerptReferenceRelevance
"Perampanel is a new antiepileptic used to treat partial-onset seizures and generalized tonic-clonic seizures in people older than 12 years old. "( Severe Perampanel Toxicity in a Pediatric Patient With Prolonged Symptoms.
Kreshak, AA; Minns, AB; Winkler, GA, 2021
)
2.52
"Perampanel (PER) is an antiepileptic drug approved in Europe as add-on therapy for patients with focal onset seizures (with or without secondary generalisation) from the age of 4 years, and for primary generalised tonic-clonic seizures from 7 years of age."( [Treatment of epilepsy with perampanel: conversion from add-on therapy to monotherapy].
Gil-Nagel, A; Toledano, R, 2021
)
2.36
"Perampanel (PER) is a noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA) receptor antagonist, which is used clinically for the treatment of partially refractory epilepsy, but its mechanism of action is not completely clear."( Effects of perampanel on cognitive behavior and GluR1 expression in immature mice of temporal lobe epilepsy.
Li, L; Liu, X; Ma, L; Wang, L; Wang, T, 2022
)
1.83
"Perampanel is a once-daily oral anti-seizure medication for focal-onset seizures, with or without focal to bilateral tonic-clonic seizures (FBTCS), and generalized tonic-clonic seizures. "( A post-approval observational study to evaluate the safety and tolerability of perampanel as an add-on therapy in adolescent, adult, and elderly patients with epilepsy.
Ben-Menachem, E; Maguire, M; Malhotra, M; Ngo, LY; Patten, A, 2022
)
2.39
"Perampanel (PER) is a novel selective, noncompetitive alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic (AMPA) receptor antagonist that demonstrated efficacy and safety in lithium-pilocarpine models of SE; however, data in humans are limited."( Perampanel in achieving status epilepticus cessation: A systematic review.
Espiritu, AI; Jamora, RDG; Perez, DQ, 2022
)
2.89
"Perampanel was observed to be an effective add on drug for treating pharmacoresistant focal seizures. "( Efficacy, tolerability and safety of perampanel in population with pharmacoresistant focal seizures: A systematic review and meta-analysis.
Bhattacharyya, A; Mahajan, SS; Medhi, B; Niraj, N; Prakash, A; Sarma, P, 2022
)
2.44
"Perampanel (PER) is a non-competitive agonist of the AMPA receptor."( Perampanel enhances the cardiovagal tone and heart rate variability (HRV) in patients with drug-resistant temporal lobe epilepsy.
Anzellotti, F; Carrarini, C; Consoli, S; De Angelis, MV; Di Iorio, A; Di Pietro, M; Dono, F; Evangelista, G; Faustino, M; Frazzini, V; Onofrj, M; Rodorigo, D; Russo, M; Sensi, SL; Vollono, C, 2022
)
2.89
"Perampanel is a favorable candidate for initial or first adjunctive therapy due to its favorable efficacy and safety/tolerability as monotherapy and adjunctive therapy, its long half-life and ease of use, and its limited drug-drug interactions. "( Safety evaluation of perampanel as monotherapy or first adjunctive therapy in patients with epilepsy.
Chourasia, N; Wheless, J, 2022
)
2.48
"Perampanel is an antiepileptic drug. "( Adjunctive perampanel therapy for patients with epileptic spasms.
Daida, A; Hamano, SI; Hirata, Y; Horiguchi, A; Ikemoto, S; Kikuchi, K; Koichihara, R; Matsuura, R; Takeda, R, 2022
)
2.55
"Perampanel (PER) is an oral antiepileptic drug and its concomitant use with carbamazepine (CBZ) leads to decreased PER concentrations. "( Population Pharmacokinetic Analysis of Drug-Drug Interactions Between Perampanel and Carbamazepine Using Enzyme Induction Model in Epileptic Patients.
Fujita, Y; Hirota, T; Ieiri, I; Matsunaga, N; Murai, M; Muraki, S; Suetsugu, K; Tsuchiya, Y, 2023
)
2.59
"Perampanel (PER) is a novel antiepileptic drug. "( Efficacy, tolerability and safety of perampanel in children and adolescents with epilepsy: Systematic review and meta-analysis.
Li, X; Liu, X; Sun, S, 2023
)
2.63
"Perampanel is a newer antiepileptic drug that has been investigated as add-on therapy for drug-resistant focal epilepsy."( Perampanel add-on for drug-resistant focal epilepsy.
Bresnahan, R; Hill, RA; Wang, J, 2023
)
3.07
"Perampanel is a non-competitive, selective AMPAR antagonist that is FDA-approved for focal onset seizures (FOS) or primary generalized tonic-clonic seizures (PGTC) in children and adults."( Anti-seizure efficacy of perampanel in two established rodent models of early-life epilepsy.
Handy, MJ; Hashimoto, K; Ito, Y; Jensen, FE; Roberts, NS; Talos, DM, 2023
)
1.93
"Perampanel (PER) is a non-competitive AMPA glutamate receptor antagonist used as an anti-seizure medication. "( Mining and analysis of adverse drug reactions associated with perampanel based on FAERS database.
Fei, Y; Liu, P; Xu, X; Zhang, L; Zhang, Y; Zhou, M, 2023
)
2.59
"Perampanel (PER) is a potent third-generation antiepileptic drug only available for oral administration. "( Nose-to-brain delivery of perampanel formulated in a self-microemulsifying drug delivery system improves anticonvulsant and anxiolytic activity in mice.
Alves, G; Falcão, A; Meirinho, S; Rodrigues, M; Santos, AO, 2023
)
2.65
"Perampanel is an oral anti-seizure medication, which is approved in Japan for focal-onset seizures, with/without focal to bilateral tonic-clonic seizures, as monotherapy/adjunctive therapy in patients aged 4 years and older. "( Intravenous perampanel as an alternative to the oral formulations in Japanese patients with epilepsy.
Fujimoto, A; Fukuda, M; Hanaya, R; Iida, K; Inoue, Y; Iwasaki, M; Kondo, A; Kubota, Y; Mizobuchi, M; Motooka, H; Nakano, N; Ngo, LY; Onishi, K; Ono, T; Uruno, K; Yamaguchi, K; Yamamuro, S, 2023
)
2.73
"Perampanel is a well-tolerated ASM that should be widely used as an adjunctive. "( Efficacy and safety of adjunctive treatment with perampanel in epilepsy patients.
Khoo, CS; Lim, KY; Rajah, R; Tajurudin, FW; Tan, HJ, 2023
)
2.61
"Perampanel (PER) is a novel anti-seizure medication useful in different types of epilepsy. "( An Italian multicentre study of perampanel in progressive myoclonus epilepsies.
Aguglia, U; Avolio, C; Barbella, G; Beccaria, F; Bisulli, F; Canafoglia, L; Costa, C; d'Orsi, G; Di Bonaventura, C; Fanella, M; Ferlazzo, E; Franceschetti, S; Freri, E; Gambardella, A; Giuliano, L; Granata, T; Licchetta, L; Magaudda, A; Martino, T; Michelucci, R; Nardi Cesarini, E; Ragona, F; Riguzzi, P; Rossi Sebastiano, D; Sofia, V; Striano, P; Sueri, C; Tinuper, P; Visani, E; Zibordi, F, 2019
)
2.24
"Perampanel is a recently introduced pharmaceutical molecule with no prior reports of hair changes as a side effect."( Perampanel-induced hair curling in a patient with epilepsy associated with Pitt Hopkins syndrome.
Calle-Lopez, Y; Knight, EP; Kotagal, P, 2019
)
2.68
"Perampanel (PER) is a newly introduced antiepileptic drug (AED) and is used in over 50 countries. "( Effectiveness of perampanel as a first add-on antiepileptic drug for the treatment of partial epilepsy.
Hashimoto, S; Inaji, M; Maehara, T; Shimizu, K; Takahashi, S; Yamamoto, S, 2019
)
2.3
"Perampanel (PER) is a selective blocker of AMPA receptors showing efficacy in treating various epileptic disorders including brain tumor-related epilepsy and also potential in treating motor neuron disease. "( The Novel Direct Modulatory Effects of Perampanel, an Antagonist of AMPA Receptors, on Voltage-Gated Sodium and M-type Potassium Currents.
Huang, CW; Lai, MC; Tzeng, RC; Wu, SN, 2019
)
2.23
"Perampanel (PER) is a noncompetitive α-amino-3-hydroxy-5-methyl-4-isoaxazolepropionate acid receptor antagonist that has recently been approved for treating focal epilepsy as a secondary drug of choice."( Experience of Low Dose Perampanel to Add-on in Glioma Patients with Levetiracetam-uncontrollable Epilepsy.
Chonan, M; Kanamori, M; Nakasato, N; Osawa, SI; Saito, R; Suzuki, H; Tominaga, T; Watanabe, M, 2020
)
1.59
"Perampanel (PER) is a selective, non-competitive antagonist of the alpha-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid (AMPA) receptor. "( Efficacy and serum concentrations of perampanel for treatment of drug-resistant epilepsy in children, adolescents, and young adults: comparison of patients younger and older than 12 years.
Hamano, SI; Hirata, Y; Ikemoto, S; Koichihara, R; Matsuura, R, 2019
)
2.23
"Perampanel is a novel antiepileptic drug (an amino-3-hydroxy-5-methyl-4-isoxazlepropionic acid glutamate receptor antagonist) with a long half-life, which is used for the adjunctive treatment of epilepsy."( Prolonged unconsciousness in perampanel overdose.
Bailey, F; Bailey, J; Brzezicki, M; Parsons, G, 2019
)
1.53
"Perampanel (PER) is a noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) glutamate receptor antagonist recently approved for focal and generalized epilepsies as an add-on therapy. "( Perampanel tolerability in children and adolescents with focal epilepsy: Effects on behavior and executive functions.
Carotenuto, M; Coppola, G; Di Bonaventura, C; Elia, M; Matricardi, S; Mazza, R; Operto, FF; Pastorino, GMG; Verrotti, A; Viggiano, A, 2020
)
3.44
"Perampanel is a selective, noncompetitive inhibitor of the AMPA receptor and used clinically as an antiepileptic drug."( Intrathecally administered perampanel alleviates neuropathic and inflammatory pain in rats.
Hara, K; Haranishi, Y; Terada, T, 2020
)
1.58
"Perampanel is an antiepileptic also effective on the structure of sleep, and in restless legs syndrome."( Perampanel in chronic insomnia.
Abenza-Abildúa, MJ; Andreu-Vazquez, C; Suárez-Gisbert, E; Thuissard-Vasallo, IJ, 2020
)
2.72
"Perampanel (PER) is a highly selective, noncompetitive, alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA)-type glutamate receptor antagonist."( Perampanel in brain tumor-related epilepsy: Observational pilot study.
Giannarelli, D; Koudriavtseva, T; Maialetti, A; Maschio, M; Villani, V; Zannino, S; Zarabla, A, 2020
)
2.72
"Perampanel (PER) is a non-competitive AMPAR antagonist, and pre-clinical studies have shown the AMPAR-mediated anticonvulsant effects of decanoic acid (DEC), a major medium-chain fatty acid provided in the medium-chain triglyceride ketogenic diet."( Abolishing spontaneous epileptiform activity in human brain tissue through AMPA receptor inhibition.
Agrawal, S; Greenhill, SD; Lo, WB; Mundil, N; Philip, S; Seri, S; Walsh, R; Wilson, MA; Woodhall, GL; Wright, SK, 2020
)
1.28
"Perampanel (PER) is a novel antiepileptic drug approved as an add-on therapy for focal onset seizures with or without generalization and primary generalized tonic-clonic seizures. "( The efficacy of perampanel as adjunctive therapy in drug-resistant focal epilepsy in a "real world" context: focus on temporal lobe epilepsy.
Aguglia, U; Bonanni, P; D'Aniello, A; De Sarro, G; Di Gennaro, G; Ferlazzo, E; Gagliostro, N; Gambardella, A; Iannone, LF; Labate, A; Paciello, N; Pascarella, A; Romigi, A; Russo, E; Ursini, F, 2020
)
2.35
"Perampanel (PER) is a new-generation antiepileptic drug that has an occasional but significant shortcoming, psychiatric adverse effects (PAEs). "( HLAs associated with perampanel-induced psychiatric adverse effects in a Korean population.
Chu, K; Jang, Y; Jun, JS; Jung, KH; Jung, KY; Kim, KT; Kim, TJ; Lee, SK; Lee, ST; Lim, JA; Moon, J; Park, BS; Park, KI; Yang, TW, 2020
)
2.32
"Perampanel is an approved anti-seizure drug. "( Bioequivalence of perampanel fine granules and tablets in healthy Japanese subjects.
Inoue, S; Ishiba, K; Kotaka, K; Reyderman, L; Sekino, H; Shiba, S; Uchida, N; Yasuda, S, 2020
)
2.33
"Perampanel is a newly approved anticonvulsant uniquely targeting AMPA receptors, which mediate the most abundant form of excitatory synaptic transmission in the brain. "( Perampanel reduces paroxysmal depolarizing shift and inhibitory synaptic input in excitatory neurons to inhibit epileptic network oscillations.
Chuang, AY; Hsueh, SW; Wang, GH; Yang, YC, 2020
)
3.44
"Perampanel is a highly selective and non-competitive α-amino-3-hydroxy- 5 -methyl-4-isoxazole propionate (AMPA) receptor (AMPAR) antagonist, which has been licensed as an orally administered antiepileptic drug in more than 55 countries. "( The AMPAR Antagonist Perampanel Regulates Neuronal Necroptosis via Akt/GSK3β Signaling After Acute Traumatic Injury in Cortical Neuron.
Chen, T; Hang, CH; Wang, YH; Yang, LK; Zhu, J, 2021
)
2.38
"Perampanel is a new antiepileptic drug with unique mechanism of action - antagonism of AMPA receptors. "( Perampanel exhibits anticonvulsant action against pentylentetrazol-induced seizures in immature rats.
Kubová, H; Mareš, P, 2021
)
3.51
"Perampanel is an α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor antagonist that has been marked as an antiepileptic drug for partial-onset and primary generalized tonic-clonic seizures. "( [A case of the successful treatment of severe myoclonus with Lance-Adams syndrome by add-on perampanel showing long term effects].
Ikeda, A; Inaba, A; Kobayashi, M; Oi, K; Saito, K; Wada, Y, 2021
)
2.28
"Perampanel is an antiepilepsy reagent, which has been recently reported to exert neuroprotective effects."( Perampanel Stimulates Mitochondrial Biogenesis in Neuronal Cells through Activation of the SIRT1/PGC-1α Signaling Pathway.
Du, Z; Jiang, Y; Li, D; Li, J; Lu, R; Wang, Q; Zhou, Q; Zhu, H, 2021
)
2.79
"Perampanel is a highly selective and noncompetitive α-amino-3 -hydroxy-5-methyl-4-isoxazole propionate receptor (AMPAR) antagonist, which has been used as an orally administered antiepileptic drug in more than 55 countries. "( The AMPAR antagonist perampanel protects the neurovascular unit against traumatic injury via regulating Sirt3.
Chen, T; Liu, WB; Qian, X; Wang, YH; Xie, KL, 2021
)
2.38
"Perampanel (PER) is an effective adjunctive therapy for controlling focal-onset seizures (FOS), but few studies have examined its effects as an early add-on for the treatment of FOS in daily clinical practice."( Perampanel effectiveness and safety as early add-on treatment for focal-onset seizures: PEREAGAL study.
Abella-Corral, J; Castro-Vilanova, MD; Corredera, E; Lema-Facal, T; López-Ferreiro, A; López-González, FJ; Pato-Pato, A; Puy-Núñez, A; Rodríguez-Osorio, X; Rubio-Nazábal, E, 2021
)
3.51
"Perampanel (PER) is a novel antiepileptic drug (AED) which employs a completely different mechanism of action compared to existing medications. "( Perampanel overdose in low body mass index patients with epilepsy: a case report and review of the literature.
Koonalintip, P; Phabphal, K, 2021
)
3.51
"Perampanel is a third-generation ASM and the first and only non-competitive alfa-amino-3-hydroxyl-5-methyl-4-isoxazole-propionate receptor antagonist."( Adjunctive Perampanel in Older Patients With Epilepsy: A Multicenter Study of Clinical Practice.
Bartolini, E; Bonanni, P; Cagnetti, C; Canevini, MP; Chiesa, V; Ciuffini, R; Dainese, F; Dono, F; Evangelista, G; Foschi, N; Lattanzi, S; Marino, D; Marrelli, A; Nilo, A; Osanni, E; Paladin, F; Pauletto, G; Ranzato, F; Rosati, E, 2021
)
1.73
"Perampanel is a potent noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazole propionate receptor (AMPAR) antagonist with good oral bioavailability and favorable pharmacokinetic properties."( The Orally Active Noncompetitive AMPAR Antagonist Perampanel Attenuates Focal Cerebral Ischemia Injury in Rats.
Li, H; Liu, W; Liu, ZG; Miao, JJ; Niu, HX; Wang, DL; Wang, JZ; Yuan, X; Zhou, JR, 2018
)
1.46
"Perampanel (PER) is a new antiseizure medication that inhibits the α-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid (AMPA) class of glutamate receptors. "( Clinical Experience With Perampanel for Refractory Pediatric Epilepsy in One Canadian Center.
Boelman, C; Connolly, MB; Datta, AN; Huh, L; Sachedina, S; Xu, Q, 2017
)
2.2
"Perampanel is a selective, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor (AMPA) antagonist that has been approved for the treatment of partial seizures. "( Treatment of restless legs syndrome with the selective AMPA receptor antagonist perampanel.
Cano, I; Garcia-Borreguero, D; Granizo, JJ, 2017
)
2.12
"Perampanel is a welcome addition to the armamentarium of the existing AEDs, as it represents a new approach in the management of epilepsy, with a novel mechanism of action and a potential to have a considerable impact on the treatment of adolescents with epilepsy."( Current role of perampanel in pediatric epilepsy.
Coppola, G; Curatolo, P; Cusmai, R; De Liso, P; De Sarro, G; Franzoni, E; Moavero, R; Verrotti, A; Vigevano, F, 2017
)
1.52
"Perampanel is a new antiepileptic drug (AED) that acts as a noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid (AMPA) receptor antagonist and is mainly metabolized by cytochrome P450 (CYP) 3A4. "( Therapeutic Drug Monitoring for Perampanel in Japanese Epilepsy Patients: Influence of Concomitant Antiepileptic Drugs.
Imai, K; Inoue, Y; Kagawa, Y; Nishida, T; Takahashi, Y; Usui, N; Yamamoto, Y, 2017
)
2.18
"Perampanel (PER) is a selective noncompetitive antagonist at α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors, the first of its class approved for the adjunctive treatment of partial onset seizures and generalized seizures. "( Anti-ictogenic and antiepileptogenic properties of perampanel in mature and immature rats.
Allorge, D; Auvin, S; Desnous, B; Dournaud, P; Dupuis, N; Enderlin, J; Thomas, J, 2017
)
2.15
"Perampanel is a first-in-class antiepileptic medication approved for the treatment of partial (focal) seizures, and as adjunctive treatment for primarily generalized tonic-clonic seizures. "( Spotlight on perampanel in the management of seizures: design, development and an update on place in therapy.
Faulkner, MA, 2017
)
2.27
"Perampanel is a novel adjunctive antiepileptic medication that is an effective option for adolescents and adults with partial seizures, and primarily generalized tonic-clonic seizures uncontrolled with other medications."( Spotlight on perampanel in the management of seizures: design, development and an update on place in therapy.
Faulkner, MA, 2017
)
2.27
"Perampanel is a recently introduced antiepileptic drug (AED) with a unique action mechanism of noncompetitive and selective α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid antagonist. "( One-Year Retention Study of Adjunctive Perampanel Treatment in Epilepsy Patients.
Kim, DW; Oh, J,
)
1.84
"Perampanel is a first-in-class non-competitive selective AMPA receptor antagonist with a unique mechanism of action."( Perampanel, an AMPA receptor antagonist: From clinical research to practice in clinical settings.
Dash, A; Desudchit, T; Leung, H; Lim, KS; Tiamkao, S; Tsai, JJ; Wu, T, 2018
)
2.64
"Perampanel (PER) is a third generation antiepileptic drug (AED), recently approved as add-on therapy in both focal and generalized seizures. "( Efficacy and tolerability of perampanel and levetiracetam as first add-on therapy in patients with epilepsy: A retrospective single center study.
D'Elia, A; Fabio, P; Izzi, F; Liguori, C; Manfredi, N; Mari, L; Mercuri, NB, 2018
)
2.21
"Perampanel is an antiepileptic drug (AED) approved for add-on treatment of focal seizures (with or without generalization) and primary generalized tonic-clonic (GTC) seizures. "( Retrospective study of perampanel efficacy and tolerability in myoclonic seizures.
Aparicio, J; Carreño, M; Domenech, G; Donaire, A; Falip, M; García, I; Gil-López, FJ; Gil-Nagel, A; López-González, FJ; Molins, A; Montoya, J; Serrano, P; Toledano, R; Torres, F, 2018
)
2.23
"Perampanel is a novel noncompetitive selective antagonist at the postsynaptic ionotropic alpha-amino-3-hydroxy-5-methyl-4-isoxazoleproprionic acid (AMPA) glutamate receptor, which is approved as an adjunctive agent for the treatment of partial-onset seizure with or without secondary generalization and for primary generalized tonic-clonic seizure in patients with epilepsy who are at least 12 years of age. "( A Liquid Chromatography-Mass Spectrometry Assay for Determination of Perampanel and Concomitant Antiepileptic Drugs in the Plasma of Patients With Epilepsy Compared With a Fluorescent HPLC Assay.
Billo, G; Contarato, G; de Grazia, U; De Riva, V; DʼUrso, A; Galloni, E; Perini, F; Ranzato, F, 2018
)
2.16
"Perampanel (PER) is a selective non-competitive α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA) receptor antagonist, licensed as adjunctive therapy in focal epilepsy and primary generalized tonic-clonic seizures (pGTCSs). "( Perampanel as adjunctive therapy in highly refractory epilepsies: Real-world data from an Italian tertiary care epilepsy centre.
Albini, M; Basili, LM; Casciato, S; Di Bonaventura, C; Fanella, M; Fattouch, J; Giallonardo, AT; Manfredi, M; Morano, A; Viganò, A, 2018
)
3.37
"Perampanel is a highly selective, orally active, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor antagonist that has been approved in many countries as a treatment for partial-onset seizures and primary generalized tonic-clonic seizures. "( Pharmacokinetics of Perampanel in Healthy Korean, White, and Japanese Adult Subjects.
Ohnishi, A; Shiba, S; Shin, JG; Tabuchi, H; Yasuda, S, 2018
)
2.25
"Perampanel is a potentially broad-spectrum antiepileptic drug with a novel mechanism of action that may be a useful addition for patients with epilepsy with various seizure types."( Perampanel: Does it have broad-spectrum potential?
Potschka, H; Trinka, E, 2019
)
2.68
"Perampanel (PER) is a noncompetitive β-amino-3-(5-methyl-3-oxo-1,2-oxazol-4-yl)propionic acid (AMPA) receptor antagonist with demonstrated efficacy in animal models of status epilepticus (SE). "( Perampanel in the treatment of status epilepticus: A systematic review of the literature.
Brigo, F; Grillo, E; Lattanzi, S; Meletti, S; Rohracher, A; Russo, E; Trinka, E, 2018
)
3.37
"Perampanel is an adjunctive treatment for epilepsy that works through the direct inhibition of AMPA receptors. "( Perampanel and decanoic acid show synergistic action against AMPA receptors and seizures.
Augustin, K; Chen, PE; Cunningham, M; Devlin, AM; Friedrich, M; Holliman, D; Hussain, MA; Jayasekera, A; Jenkins, A; Mitchell, P; Walker, MC; Williams, RSB; Williams, S, 2018
)
3.37
"Perampanel is a novel antiepileptic drug acting via non-competitive antagonism on glutamatergic AMPA receptors, and the subsequent inhibition of ion calcium influx. "( Perampanel inhibits calcitonin gene-related peptide release from rat brainstem in vitro.
Currò, D; Navarra, P; Tringali, G, 2018
)
3.37
"Perampanel is a once-daily oral anti-seizure drug for focal seizures and primary generalized tonic-clonic seizures."( Potential protein-binding displacement interactions with perampanel: An in vitro analysis.
Ferry, J; Gidal, BE; Laurenza, A; Ueno, T, 2019
)
1.48
"Perampanel is an approved adjunctive treatment for focal seizures with or without focal to bilateral tonic-clonic (FBTC) seizures and generalized tonic-clonic (GTC) seizures. "( Efficacy and safety of perampanel in generalized and focal to bilateral tonic-clonic seizures: A comparative study of Asian and non-Asian populations.
Dash, A; Lee, SK; Nishida, T; Tiamkao, S; Wu, T, 2019
)
2.27
"Perampanel is a novel anti-epileptic drug (AED) which acts as a non-competitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor antagonist to reduce glutamate-mediated postsynaptic excitation. "( Perampanel Treatment for Refractory Status Epilepticus in a Neurological Intensive Care Unit.
Ho, CJ; Hsu, CW; Lin, CH; Lu, YT; Shih, FY; Tsai, MH; Tsai, WC, 2019
)
3.4
"Perampanel (PER) is a new antiepileptic drug (AED) with a novel mechanism of action. "( Clinical profiles associated with serum perampanel concentrations in children with refractory epilepsy.
Ishikawa, N; Kobayashi, M; Kobayashi, Y; Tani, H; Tateishi, Y, 2019
)
2.22
"Perampanel is a noncompetitive antagonist of AMPA (α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid) receptors and is considered a new generation AED (antiepileptic drug) with limited impact on cognitive functions.The aims of this study were to evaluate the efficacy of perampanel as first add-on therapy and its impact on cognitive functions and quality of life in patients with epilepsy followed for 6 months at the Neurology Division of "A."( Efficacy and impact on cognitive functions and quality of life of perampanel as first add-on therapy in patients with epilepsy: A retrospective study.
Pagliuca, F; Pagliuca, M; Pezzella, M; Rea, R; Renna, R; Traini, E, 2019
)
1.47
"Perampanel is a first-in-class antiepileptic drug approved for adjunctive treatment of partial-onset seizure in patients aged 12 years or older. "( Systematic review and meta-analysis of the efficacy and safety of perampanel in the treatment of partial-onset epilepsy.
Chan, EW; He, Y; Hsu, WW; Sing, CW; Wong, IC; Worsley, AJ, 2013
)
2.07
"Perampanel is a newly licensed antiepileptic medication for the adjunctive treatment of patients (age 12 and older) with partial epilepsy with or without secondary generalization."( Adverse effects and safety profile of perampanel: a review of pooled data.
Rugg-Gunn, F, 2014
)
1.39
"Perampanel is a novel antiepileptic agent specifically designed to exhibit selective noncompetitive antagonist activity at AMPA receptors. "( Perampanel: a new agent for adjunctive treatment of partial seizures.
Faulkner, MA, 2014
)
3.29
"Perampanel is a novel AMPA receptor antagonist, approved in over 35 countries as an adjunctive therapy for the treatment of partial-onset seizures with or without secondarily generalized seizures in patients with epilepsy aged 12 years and older (18 years and older in Canada). "( The discovery and development of perampanel for the treatment of epilepsy.
Hanada, T, 2014
)
2.13
"Perampanel is a novel drug recently approved as adjunctive therapy in epileptic patients aged 12 years and older who have drug-resistant partial epilepsy with and without secondary generalization. "( The AMPA receptor antagonist perampanel is a new hope in the treatment for epilepsy.
El Desoky, ES, 2014
)
2.14
"Perampanel is a selective AMPA receptor antagonist approved for adjunctive therapy in patients with refractory partial-onset seizures. "( The practical impact of altered dosing on perampanel plasma concentrations: pharmacokinetic modeling from clinical studies.
Fain, R; Ferry, J; Gidal, BE; Hussein, Z; Laurenza, A; Majid, O; Yang, H; Zhu, J, 2014
)
2.11
"Perampanel is an aryl substituted 2-pyridone AMPA receptor antagonist that was recently approved as a treatment for epilepsy. "( Perampanel inhibition of AMPA receptor currents in cultured hippocampal neurons.
Chen, CY; Hell, JW; Matt, L; Rogawski, MA, 2014
)
3.29
"Perampanel (PER) is a novel antiepileptic drug that inhibits the AMPA class of glutamate receptors. "( Clinical experience with perampanel: focus on psychiatric adverse effects.
Clough, P; Cooper, P; Coyle, H; Mohanraj, R, 2014
)
2.15
"Perampanel (Fycompa(®)) is a novel α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptor antagonist registered for the adjunctive treatment of patients (≥12 years) with refractory partial onset seizures. "( High-performance liquid chromatography-tandem mass spectrometry method for the determination of perampanel, a novel α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor antagonist in human plasma.
Kusano, K; Mano, Y; Takenaka, O, 2015
)
2.08
"Perampanel (PER) is a novel noncompetitive AMPA-receptor antagonist approved in over 40 countries for treatment of partial seizures. "( Perampanel in the treatment of partial seizures: Time to onset and duration of most common adverse events from pooled Phase III and extension studies.
Ko, D; Laurenza, A; Williams, B; Xing, D; Yang, H, 2015
)
3.3
"Perampanel is a selective, noncompetitive AMPA receptor antagonist approved as adjunctive treatment for partial seizures. "( Lack of effect of perampanel on QT interval duration: Results from a thorough QT analysis and pooled partial seizure Phase III clinical trials.
Ferry, J; Hussein, Z; Laurenza, A; Patten, A; Williams, B; Yang, H, 2015
)
2.19
"Perampanel is a selective, noncompetitive AMPA receptor antagonist with demonstrated efficacy and tolerability in partial seizures in patients aged ≥ 12 years in Phase III studies. "( Efficacy and tolerability of adjunct perampanel based on number of antiepileptic drugs at baseline and baseline predictors of efficacy: A phase III post-hoc analysis.
Fain, R; Glauser, T; Laurenza, A; Ma, T; Williams, B; Yang, H, 2016
)
2.15
"Perampanel (PER) is an antagonist of AMPA receptors that has been approved for adjunctive treatment of partial-onset seizures."( Perampanel as add-on treatment in refractory focal epilepsy. The Dianalund experience.
Juhl, S; Rubboli, G, 2016
)
3.32
"Perampanel is a novel α-amino-3-hydroxy-5-methyl-4-isoxazole propionate receptor (AMPAR) antagonist, approved in over 35 countries as an adjunctive therapy for the treatment of seizures. "( The AMPAR Antagonist Perampanel Attenuates Traumatic Brain Injury Through Anti-Oxidative and Anti-Inflammatory Activity.
Chen, T; Dai, SH; Fei, Z; Gui, SB; Jiang, XF; Jiang, ZQ; Luo, P; Qi, YL, 2017
)
2.22
"Perampanel is a selective, non-competitive 2-amino-3-(3-hydroxy-5-methyl-isoxazol-4-yl)propanoic acid receptor antagonist, which reduces neuronal excitation."( New antiepileptic drugs: focus on ezogabine, clobazam, and perampanel.
Gedzelman, ER; Karakis, I; Mauricio, EA; Rudzinski, LA; Shih, JJ; Vélez-Ruiz, NJ, 2016
)
1.4
"Perampanel is an AMPA receptor antagonist recently approved for the treatment of partial and generalized epilepsies with tonic-clonic seizures as an add-on therapy."( Safety and efficacy of perampanel in children and adults with various epilepsy syndromes: A single-center postmarketing study.
Devinsky, O; Friedman, D; Kothare, SV; Luciano, D; Shah, YD; Singh, K, 2016
)
2.19
"Perampanel is an antiepileptic drug that is used to treat partial-onset seizures and generalized tonic-clonic seizures. "( Inhibition of calcium-permeable and calcium-impermeable AMPA receptors by perampanel in rat brain neurons.
Barygin, OI, 2016
)
2.11
"Perampanel is a non-competitive antagonist of AMPA glutamate receptors on post synaptic neurons. "( Perampanel: An audit of clinical experience using the epilepsy electronic patient record.
Colleran, N; Cullinane, P; Delanty, N; Fitzsimons, M; Flynn, F; Hennessy, M; Ryan, E, 2016
)
3.32
"Perampanel is a selective, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid receptor antagonist. "( Perampanel, an AMPA antagonist, found to have no benefit in reducing "off" time in Parkinson's disease.
Eggert, KM; Fahn, S; Jankovic, J; Kumar, D; Lang, A; Lees, A; Micheli, F; Mouradian, MM; Oertel, WH; Olanow, CW; Poewe, W; Rascol, O; Squillacote, D; Tolosa, E, 2012
)
3.26
"Perampanel is a selective and noncompetitive α-amino-3-hydroxy-5-methylisoxazole propionic acid-type glutamate receptor antagonist that improves motor symptoms in animal models of Parkinson disease (PD). "( Perampanel in Parkinson disease fluctuations: a double-blind randomized trial with placebo and entacapone.
Barone, P; Behari, M; Bibbiani, F; Emre, M; Giladi, N; Olanow, CW; Patten, A; Rascol, O; Ruzicka, E; Squillacote, D; Tolosa, E,
)
3.02
"Perampanel is a non-competitive AMPA receptor antagonist that is under development as an anti-epileptic therapy. "( A novel anti-epileptic agent, perampanel, selectively inhibits AMPA receptor-mediated synaptic transmission in the hippocampus.
Bannister, N; Bortolotto, ZA; Ceolin, L; Collingridge, GL; Lodge, D; Volianskis, A, 2012
)
2.11
"Perampanel is a novel antiepileptic drug (AED) used as adjunctive therapy in adolescents and adults with partial-onset seizures (with or without secondarily generalized seizures). "( Perampanel: as adjunctive therapy in patients with partial-onset seizures.
Plosker, GL, 2012
)
3.26
"Perampanel is a selective, non-competitive AMPA receptor antagonist. "( Perampanel, a novel, non-competitive, selective AMPA receptor antagonist as adjunctive therapy for treatment-resistant partial-onset seizures.
Rektor, I, 2013
)
3.28
"Perampanel is a new chemical entity recently approved in the United States (US) and European Union (EU) as adjunctive treatment of partial-onset seizures with and without secondary generalization in patients with epilepsy aged 12 years and older. "( Novel treatment options for epilepsy: focus on perampanel.
Crema, F; Franco, V; Grillo, E; Iudice, A; Zaccara, G, 2013
)
2.09
"Perampanel is a selective noncompetitive AMPA-type glutamate receptor antagonist which has demonstrated anticonvulsant activity in experimental seizure models and antiepileptic activity in clinical trials. "( Perampanel: a novel antiepileptic for the adjunctive treatment of refractory partial onset seizures.
Owen, RT, 2013
)
3.28

Effects

Perampanel has a 2,3'-bipyridin-6'-one core structure, distinguishing it chemically from other AMPA receptor antagonist classes. It has a long mean elimination half-life of 105 hours but may be reduced in the presence of enzyme-inducing antiepileptic drugs.

Perampanel (PER) has been shown to be effective as an adjunctive therapy for controlling refractory focal-onset seizures (FOS) The drug has been associated with relatively more tolerable cognitive effects in patients with epilepsy.

ExcerptReferenceRelevance
"Perampanel (PER) has a unique pharmacological mechanism and marked efficacy in both focal and generalized epilepsy, but may cause adverse events similar to those of other antiepileptic drugs (AEDs). "( Effects of perampanel add-on therapy on immunoglobulin levels in pediatric patients with epilepsy.
Ishikawa, N; Kobayashi, Y; Okada, S; Tani, H; Tateishi, Y, 2020
)
2.39
"Perampanel has a unique antiglutamatergic mechanism of action and may have antiepileptogenic properties."( Study protocol for a phase II randomised, double-blind, placebo-controlled trial of perampanel as an antiepileptogenic treatment following acute stroke.
Chen, Z; Cloud, G; Glarin, R; Kwan, P; Moffat, B; Neal, A; Nicolo, JP; O'Brien, TJ; Seneviratne, U; Sinclair, B; Thijs, V; Wright, DK; Yan, B, 2021
)
1.57
"Perampanel has a 2,3'-bipyridin-6'-one core structure, distinguishing it chemically from other AMPA receptor antagonist classes."( Preclinical pharmacology of perampanel, a selective non-competitive AMPA receptor antagonist.
Hanada, T; Rogawski, MA, 2013
)
1.41
"Perampanel has an elimination half-life of approximately 52-129h, allowing once daily dosing, with peak plasma levels observed 0.25-2h post-dose."( Novel treatment options for epilepsy: focus on perampanel.
Crema, F; Franco, V; Grillo, E; Iudice, A; Zaccara, G, 2013
)
1.37
"Perampanel has a long mean elimination half-life of 105 hours but this may be reduced in the presence of enzyme-inducing antiepileptic drugs."( Perampanel: a novel antiepileptic for the adjunctive treatment of refractory partial onset seizures.
Owen, RT, 2013
)
2.55
"Perampanel (PER) has been used clinically as monotherapy and adjunctive therapy for focal seizures and as adjunctive therapy for generalized tonic-clonic seizures in epilepsy patients in Japan. "( [Optimal Use of Perampanel in the Treatment of Patients with Epilepsy Based on the Clinical Evidence and Characteristics].
Akamatsu, N; Kanemoto, K; Maehara, T, 2022
)
2.51
"Perampanel efficacy has been reported in LGS but further real-world evidence is needed in DEEs."( Perampanel as adjuvant treatment in epileptic encephalopathies: A multicenter study in routine clinical practice.
Aguilar-Amat Prior, MJ; Aledo-Serrano, Á; Alonso-Singer, P; Bermejo, P; DeToledo-Heras, M; Giráldez, BG; López-Sobrino, G; Martínez-Cayuelas, E; Massot-Tarrús, A; Ojeda, J; Oliva-Navarro, J; Tirado-Requero, P; Velázquez-Fragua, R, 2022
)
2.89
"Perampanel has been widely used in the Western countries as an adjunctive therapy for both generalized and focal seizures."( Efficacy and safety of adjunctive treatment with perampanel in epilepsy patients.
Khoo, CS; Lim, KY; Rajah, R; Tajurudin, FW; Tan, HJ, 2023
)
1.89
"Perampanel (PER) has been shown to be effective as an adjunctive therapy for controlling refractory focal-onset seizures (FOS). "( Effectiveness and safety of perampanel as early add-on treatment in patients with epilepsy and focal seizures in the routine clinical practice: Spain prospective study (PERADON).
Abril Jaramillo, J; Calzado Rivas, ME; Chamorro-Muñoz, M; De la Fuente, C; Estévez María, JC; García Martín, G; Girón Úbeda, JM; Peláez, N; Pérez Díaz, H; Redondo, L; Rodríguez Uranga, JJ; Santágueda, P; Vázquez, F; Vega López, Ó; Vila Herrero, E, 2020
)
2.29
"Perampanel (PER) has been associated with relatively more tolerable cognitive effects in patients with epilepsy."( Perampanel Increases Cortical EEG Fast Activity in Child and Adult Patients Affected by Epilepsy: A Quantitative EEG Study.
Guerra, A; Izzi, F; Liguori, C; Mercuri, NB; Placidi, F; Russo, A; Spanetta, M, 2021
)
2.79
"Perampanel has been extensively studied in real-world clinical practice, with similar efficacy and safety results to the RCTs (≥50% responder rate 12.8%-75.0%; adverse events of somnolence/sedation, dizziness, ataxia, and behavioral changes)."( Perampanel, an AMPA receptor antagonist: From clinical research to practice in clinical settings.
Dash, A; Desudchit, T; Leung, H; Lim, KS; Tiamkao, S; Tsai, JJ; Wu, T, 2018
)
2.64
"Perampanel (Fycompa(®)) has been approved in the EU and the United States for adjunctive treatment of partial-onset seizures."( Development of perampanel in epilepsy.
Kramer, LD; Laurenza, A; Satlin, A, 2013
)
1.46
"Perampanel (PER) has been tested in three randomized placebo-controlled prospective phase III trials as an adjunctive antiepileptic drug (AED) in adult and adolescent patients age 12 years and older who had ongoing focal epileptic seizures despite receiving one to three AEDs. "( Efficacy of perampanel: a review of pooled data.
Steinhoff, BJ, 2014
)
2.22
"Perampanel (PER) has been approved for adjunctive treatment of partial-onset seizures in patients age 12 years and older. "( First clinical experiences with perampanel--the Kork experience in 74 patients.
Bacher, M; Bast, T; Kornmeier, R; Kurth, C; Scholly, J; Staack, AM; Steinhoff, BJ; Wisniewski, I, 2014
)
2.13
"Perampanel (PER) has been approved by the European Medicines Agency (EMA) for adjunctive treatment of patients with partial-onset seizures from age 12 years on. "( A multicenter survey of clinical experiences with perampanel in real life in Germany and Austria.
Baumgartner, C; Bien, C; Hamer, H; Lerche, H; Mayer, T; Noachtar, S; Schulze-Bonhage, A; Steinhoff, BJ; Trinka, E, 2014
)
2.1
"Perampanel has shown antiepileptic properties in several animal models of seizures and epilepsy, and in clinical studies significantly reducing partial-onset seizures in a dose range from 4 to 12 mg/day both in blinded short-term and in open-label long-term extension trials even in highly pharmacoresistant patients."( Perampanel for epilepsy with partial-onset seizures: a pharmacokinetic and pharmacodynamic evaluation.
Schulze-Bonhage, A, 2015
)
2.58

Actions

ExcerptReferenceRelevance
"Perampanel was stopped because of inefficacy or paradoxical effects in 28.6% of cases and because of AEs in 7.1%."( The impact of perampanel treatment on quality of life and psychiatric symptoms in patients with drug-resistant focal epilepsy: An observational study in Italy.
Canevini, MP; Chiesa, V; de Curtis, M; Deleo, F; Didato, G; Pappalardo, I; Pastori, C; Quintas, R; Turner, K; Villani, F; Zambrelli, E, 2019
)
1.6

Treatment

Perampanel and LEV treatments have been associated with the occurrence of similar adverse events (AEs) (sleepiness, irritability, depression, anxiety, aggressiveness). Perampanels was considered effective when seizure frequency had been reduced by more than 50%. More perampanEL-treated patients had ≥ 75% reductions in SG seizure frequency.

ExcerptReferenceRelevance
"Perampanel treated patients showed higher 50% responder rates than those treated with placebo."( Efficacy, tolerability and safety of perampanel in population with pharmacoresistant focal seizures: A systematic review and meta-analysis.
Bhattacharyya, A; Mahajan, SS; Medhi, B; Niraj, N; Prakash, A; Sarma, P, 2022
)
1.72
"Perampanel treatment was considered effective when the seizure frequency was reduced by >50%."( Use of perampanel in children with refractory epilepsy of genetic aetiology
Chen, X; Dai, Y; Li, Y; Qu, R; Qu, X; Shao, X; Zhou, R; Zhu, Y, 2022
)
1.9
"Perampanel and LEV treatments have been associated with the occurrence of similar adverse events (AEs) (sleepiness, irritability, depression, anxiety, aggressiveness)."( Efficacy and tolerability of perampanel and levetiracetam as first add-on therapy in patients with epilepsy: A retrospective single center study.
D'Elia, A; Fabio, P; Izzi, F; Liguori, C; Manfredi, N; Mari, L; Mercuri, NB, 2018
)
1.49
"Perampanel treatment was considered effective when seizure frequency had been reduced by more than 50%."( Efficacy and tolerability of perampanel in pediatric patients with Dravet syndrome.
Hirose, S; Imai, K; Inoue, Y; Ishii, A; Takahashi, Y; Yamaguchi, T; Yoshitomi, S, 2019
)
1.53
"More perampanel-treated patients had ≥ 75% reductions in SG seizure frequency, and seizure-freedom rates improved, compared with placebo."( Perampanel: expanding therapeutic options for patients with medically refractory secondary generalized convulsive seizures.
Ko, D; Ramsay, RE, 2013
)
2.29
"Perampanel treatment during the extension study reduced total seizure frequency/28 days relative to the double-blind prerandomization baseline regardless of prior perampanel or placebo treatment in the core studies. "( Efficacy and safety of perampanel in patients with drug-resistant partial seizures after conversion from double-blind placebo to open-label perampanel.
Fain, R; Laurenza, A; Montouris, G; Williams, B; Yang, H; Zhou, S, 2015
)
2.17
"Perampanel treatment did not alter the expression and surface distribution of various glutamate receptors."( The Noncompetitive AMPAR Antagonist Perampanel Abrogates Brain Endothelial Cell Permeability in Response to Ischemia: Involvement of Claudin-5.
Chen, B; Guo, XM; Lei, Q; Lv, JM; Pan, YJ; Yang, Q, 2016
)
1.43
"Perampanel, for the treatment of focal epilepsy in a real-world setting in a refractory population, over 1year, demonstrates a similar efficacy and safety profile to that observed in clinical trials. "( Safety, efficacy and outcome-related factors of perampanel over 12 months in a real-world setting: The FYDATA study.
Baiges, JJ; Camacho, JL; Campos, D; Carreño, M; Castillo, A; Esteve, P; Flores, J; Garcés, M; Giner, P; Gómez, JB; González-Cuevas, M; González-de la Aleja, J; González-Giráldez, B; López-González, FJ; López-Trigo, J; Mauri, JA; Molins, A; Montoya, J; Ojeda, J; Poza, JJ; Querol, R; Rodriguez-Osorio, X; Rodríguez-Uranga, J; Saiz-Diaz, R; Salas-Puig, J; Serratosa, JM; Suller, A; Toledo, M; Villanueva, V, 2016
)
2.13
"Perampanel treatment was well tolerated and safe, but failed to achieve statistical significance in primary and secondary endpoints."( Safety and efficacy of perampanel in advanced Parkinson's disease: a randomized, placebo-controlled study.
Barone, P; Dodel, R; Eggert, K; Emre, M; Katzenschlager, R; Kostic, V; Lees, AJ; Nappi, G; Oertel, W; Onofrj, M; Poewe, W; Potic, J; Rascol, O; Ruzicka, E; Squillacote, D; Stocchi, F; Tolosa, E; Trenkwalder, C, 2010
)
1.39
"Pretreatment with perampanel conferred dose-dependent protection against early-life seizures in both experimental models."( Anti-seizure efficacy of perampanel in two established rodent models of early-life epilepsy.
Handy, MJ; Hashimoto, K; Ito, Y; Jensen, FE; Roberts, NS; Talos, DM, 2023
)
1.54
"Treatment with perampanel is associated with reduced epilepsy-related inpatient admissions and accident and emergency contacts."( Healthcare utilization and associated costs following initiation of perampanel in patients with epilepsy.
Holden, S; Jenkins-Jones, S; Morgan, CL; Tsong, W; Varga, S, 2020
)
1.15
"Pretreatment with perampanel dose-dependently attenuated the induction of scratching, a behavior typically associated with pruritus, by intradermal administration of the pruritogen chloroquine."( Perampanel attenuates scratching behavior induced by acute or chronic pruritus in mice.
Funahashi, H; Haruta-Tsukamoto, A; Ishida, Y; Miyahara, Y; Nishimori, T, 2020
)
2.32
"Treatment with perampanel attenuated lipid peroxidation and expression of inflammatory cytokines."( The AMPAR antagonist perampanel protects the neurovascular unit against traumatic injury via regulating Sirt3.
Chen, T; Liu, WB; Qian, X; Wang, YH; Xie, KL, 2021
)
1.28
"Treatment with perampanel also resulted in an improvement in the mean (±SD) periodic leg movement index from 27.8 ± 6.9 to 4.36 ± 2.0."( Treatment of restless legs syndrome with the selective AMPA receptor antagonist perampanel.
Cano, I; Garcia-Borreguero, D; Granizo, JJ, 2017
)
1.02
"Treatment with perampanel 6 mg and 12 mg for 7 days did not delay cardiac repolarization in healthy volunteers. "( Lack of effect of perampanel on QT interval duration: Results from a thorough QT analysis and pooled partial seizure Phase III clinical trials.
Ferry, J; Hussein, Z; Laurenza, A; Patten, A; Williams, B; Yang, H, 2015
)
1.1
"Treatment with perampanel markedly reduced the paracellular permeability of mBECs after OGD in different time points, as measured by transepithelial electrical resistance assay."( The Noncompetitive AMPAR Antagonist Perampanel Abrogates Brain Endothelial Cell Permeability in Response to Ischemia: Involvement of Claudin-5.
Chen, B; Guo, XM; Lei, Q; Lv, JM; Pan, YJ; Yang, Q, 2016
)
1.05

Toxicity

This is the first prospective study on the efficacy and safety of perampanel monotherapy in treating Chinese patients with FOS. 11 adverse events (aggression, ataxia, balance disorder, dizziness, fall, fatigue, irritability, rash, somnolence, vertigo, and weight increase) were statistically significantly associated with perampAnel. 4 of them showed a clear dose-response relationship. These analyses suggest that psychiatric adverse effects are associated with use of perampsanel.

ExcerptReferenceRelevance
" Adverse events were similar across treatment groups."( Safety and efficacy of perampanel in advanced Parkinson's disease: a randomized, placebo-controlled study.
Barone, P; Dodel, R; Eggert, K; Emre, M; Katzenschlager, R; Kostic, V; Lees, AJ; Nappi, G; Oertel, W; Onofrj, M; Poewe, W; Potic, J; Rascol, O; Ruzicka, E; Squillacote, D; Stocchi, F; Tolosa, E; Trenkwalder, C, 2010
)
0.67
" In both studies, the most common adverse events were CNS-related; most were of mild/moderate severity."( Tolerability and safety of perampanel: two randomized dose-escalation studies.
Bar, M; Biton, V; Klapper, JA; Krauss, GL; Kumar, D; Rektor, I; Squillacote, D; Vaiciene-Magistris, N, 2012
)
0.68
" An analysis of the pooled Phase III data indicated that the frequency of adverse events reported with perampanel generally increased in a dose-dependent manner, and the most common adverse events were dizziness and somnolence."( Safety and tolerability of perampanel: a review of clinical trial data.
Kasper, BS; Kerling, F; Serratosa, JM; Villanueva, V, 2013
)
0.9
"To identify adverse events (AEs) significantly associated with perampanel treatment in double-blind clinical studies (RCTs)."( The adverse event profile of perampanel: meta-analysis of randomized controlled trials.
Cincotta, M; Giovannelli, F; Grillo, E; Verrotti, A; Zaccara, G, 2013
)
0.92
" The most frequent treatment-emergent adverse events (TEAEs) were dizziness, somnolence, and headache."( Efficacy and safety of adjunctive perampanel for the treatment of refractory partial seizures: a pooled analysis of three phase III studies.
Ben-Menachem, E; Kramer, L; Laurenza, A; Ryvlin, P; Satlin, A; Shorvon, S; Squillacote, D; Steinhoff, BJ; Yang, H; Zhu, J, 2013
)
0.67
"Central nervous system effects are predominant within the adverse event profiles of both ezogabine and perampanel."( Safety profile of two novel antiepileptic agents approved for the treatment of refractory partial seizures: ezogabine (retigabine) and perampanel.
Burke, RA; Faulkner, MA, 2013
)
0.81
" Outcomes of interest were 50 % responder rates, seizure freedom, treatment-emergent adverse events (TEAEs) and incidence of withdrawal."( Systematic review and meta-analysis of the efficacy and safety of perampanel in the treatment of partial-onset epilepsy.
Chan, EW; He, Y; Hsu, WW; Sing, CW; Wong, IC; Worsley, AJ, 2013
)
0.63
" Incidences of withdrawal due to adverse events were significantly higher in the 8 mg and 12 mg perampanel groups versus placebo."( Systematic review and meta-analysis of the efficacy and safety of perampanel in the treatment of partial-onset epilepsy.
Chan, EW; He, Y; Hsu, WW; Sing, CW; Wong, IC; Worsley, AJ, 2013
)
0.84
"Quality of life is directly related to the number and severity of adverse effects, and a successful antiepileptic medication must demonstrate a good balance between efficacy and tolerability."( Adverse effects and safety profile of perampanel: a review of pooled data.
Rugg-Gunn, F, 2014
)
0.67
" Efficacy, as measured by responder rates (>50% reduction in seizure frequency), retention rates, and adverse effects, was analyzed."( Clinical experience with perampanel: focus on psychiatric adverse effects.
Clough, P; Cooper, P; Coyle, H; Mohanraj, R, 2014
)
0.71
" Twenty-one (45%) patients had withdrawn from PER during the study period, with 16 (76%) of them withdrawing due to intolerable adverse effects, 4 due to inadequate seizure control, and 1 due to the combination of both."( Clinical experience with perampanel: focus on psychiatric adverse effects.
Clough, P; Cooper, P; Coyle, H; Mohanraj, R, 2014
)
0.71
" Psychiatric adverse effects, including suicidal ideation, were the most common reasons for withdrawal."( Clinical experience with perampanel: focus on psychiatric adverse effects.
Clough, P; Cooper, P; Coyle, H; Mohanraj, R, 2014
)
0.71
" Adverse event rates were also largely similar, with some exceptions."( Efficacy and safety of perampanel in the subgroup of elderly patients included in the phase III epilepsy clinical trials.
Laurenza, A; Leppik, IE; Wechsler, RT; Williams, B; Yang, H; Zhou, S, 2015
)
0.73
" Most commonly reported adverse events in adolescents during the core studies were dizziness (20."( Efficacy and safety of perampanel in adolescent patients with drug-resistant partial seizures in three double-blind, placebo-controlled, phase III randomized clinical studies and a combined extension study.
Conry, J; Fain, R; Kumar, D; Lagae, L; Laurenza, A; Rosenfeld, W; Rozentals, G; Williams, B; Yang, H; Zhu, J, 2015
)
0.73
" Treatment-emergent markedly abnormal values (an increase in NCI-CTC grade relative to baseline and a grade ≥2) and treatment-emergent adverse events (TEAEs) related to hepatobiliary parameters were also recorded."( Absence of Liver Toxicity in Perampanel-Treated Subjects: Pooled results from partial seizure phase III perampanel clinical studies.
Ferry, J; Laurenza, A; Williams, B; Yang, H; Zhou, S, 2015
)
0.71
" This post hoc analysis evaluated the occurrence and characteristics of the most common treatment-emergent adverse events (TEAEs) associated with PER."( Perampanel in the treatment of partial seizures: Time to onset and duration of most common adverse events from pooled Phase III and extension studies.
Ko, D; Laurenza, A; Williams, B; Xing, D; Yang, H, 2015
)
1.86
" Perampanel was well tolerated, with the most common treatment-emergent adverse events being dizziness, somnolence, weight increase, irritability, fatigue, and headache."( Efficacy and safety of perampanel in patients with drug-resistant partial seizures after conversion from double-blind placebo to open-label perampanel.
Fain, R; Laurenza, A; Montouris, G; Williams, B; Yang, H; Zhou, S, 2015
)
1.64
" Tolerability was similar between groups, although common adverse events such as dizziness and headache occurred more frequently in female subjects."( Perampanel efficacy and safety by gender: Subanalysis of phase III randomized clinical studies in subjects with partial seizures.
Laurenza, A; Vazquez, B; Williams, B; Yang, H; Zhou, S, 2015
)
1.86
" Prescribing Information includes a boxed warning for serious psychiatric and behavioral adverse reactions."( Psychiatric and behavioral adverse events in randomized clinical studies of the noncompetitive AMPA receptor antagonist perampanel.
Ettinger, AB; Fain, R; Laurenza, A; LoPresti, A; Williams, B; Yang, H; Zhou, S, 2015
)
0.63
" Psychiatric and behavioral treatment-emergent adverse events (TEAEs) were evaluated according to Medical Dictionary for Regulatory Activities (MedDRA) terms, using "narrow" and "narrow-and-broad" standardized MedDRA queries (SMQs) for TEAEs suggestive of hostility/aggression."( Psychiatric and behavioral adverse events in randomized clinical studies of the noncompetitive AMPA receptor antagonist perampanel.
Ettinger, AB; Fain, R; Laurenza, A; LoPresti, A; Williams, B; Yang, H; Zhou, S, 2015
)
0.63
" These analyses suggest that psychiatric adverse effects are associated with use of perampanel."( Psychiatric and behavioral adverse events in randomized clinical studies of the noncompetitive AMPA receptor antagonist perampanel.
Ettinger, AB; Fain, R; Laurenza, A; LoPresti, A; Williams, B; Yang, H; Zhou, S, 2015
)
0.85
" The overall safety profile was similar to that reported previously for perampanel; most frequently reported adverse events (AEs) were dizziness (26 patients [30."( Adjunctive perampanel in adolescents with inadequately controlled partial-onset seizures: A randomized study evaluating behavior, efficacy, and safety.
Bagul, M; Kumar, D; Lagae, L; Laurenza, A; Meador, KJ; Villanueva, V; Yang, H, 2016
)
1.06
" Most common adverse events were sleepiness/fatigue (35%), behavioral problems (30%), and dizziness (22%)."( Safety and efficacy of perampanel in children and adults with various epilepsy syndromes: A single-center postmarketing study.
Devinsky, O; Friedman, D; Kothare, SV; Luciano, D; Shah, YD; Singh, K, 2016
)
0.74
" At 12 months, the proportion of patients who were seizure free, median percentage seizure reduction, proportion of responders, retention rate and proportion of patients with adverse events (AEs) were assessed."( Safety, efficacy and outcome-related factors of perampanel over 12 months in a real-world setting: The FYDATA study.
Baiges, JJ; Camacho, JL; Campos, D; Carreño, M; Castillo, A; Esteve, P; Flores, J; Garcés, M; Giner, P; Gómez, JB; González-Cuevas, M; González-de la Aleja, J; González-Giráldez, B; López-González, FJ; López-Trigo, J; Mauri, JA; Molins, A; Montoya, J; Ojeda, J; Poza, JJ; Querol, R; Rodriguez-Osorio, X; Rodríguez-Uranga, J; Saiz-Diaz, R; Salas-Puig, J; Serratosa, JM; Suller, A; Toledo, M; Villanueva, V, 2016
)
0.69
" The following outcomes were assessed: changes from baseline to final efficacy visit in total daily OFF time, activities of daily living during OFF time and motor function during ON time, incidence of adverse events (AEs), and treatment withdrawal."( Efficacy and safety of perampanel in Parkinson's disease. A systematic review with meta-analysis.
Brigo, F; Grillo, E; Lattanzi, S; Silvestrini, M, 2018
)
0.79
" Safety findings were generally similar to those of pivotal trials, with no major safety risks identified and with several specific adverse drug effects, such as hyponatremia, reported."( Comparing Safety and Efficacy of "Third-Generation" Antiepileptic Drugs: Long-Term Extension and Post-marketing Treatment.
Johnson, EL; Krauss, GL; Kwok, CS, 2017
)
0.46
" Treatment-emergent adverse events (TEAEs) leading to discontinuation in >1% of patients were dizziness, irritability, and fatigue; TEAEs of clinical interest were stable for 4 years."( Final safety, tolerability, and seizure outcomes in patients with focal epilepsy treated with adjunctive perampanel for up to 4 years in an open-label extension of phase III randomized trials: Study 307.
Ben-Menachem, E; Krauss, GL; Kwan, P; Laurenza, A; Patten, A; Perucca, E; Shih, JJ; Wang, XF; Williams, B; Yang, H, 2018
)
0.69
" We analyzed acute electroencephalographic changes, neurological outcome at 3 months, and adverse effects in consecutive postanoxic patients with super-refractory NCSE treated with add-on oral loading of perampanel."( Efficacy and safety of perampanel oral loading in postanoxic super-refractory status epilepticus: A pilot study.
Avalli, L; Beretta, S; Bogliun, G; Coppo, A; Ferrarese, C; Padovano, G; Stabile, A, 2018
)
0.98
" Assessments included monitoring of treatment-related treatment-emergent adverse events (TEAEs), median percent change in seizure frequency per 28 days, 50% responder and seizure-freedom rates."( Long-term tolerability, safety and efficacy of adjunctive perampanel in the open-label, dose-ascending Study 231 and extension Study 233 in Japanese patients with epilepsy.
Akamatsu, N; Hiramatsu, H; Inoue, Y; Kaneko, S; Miyagishi, H; Nakasato, N; Ohnishi, A; Saeki, K; Usui, N, 2018
)
0.73
" The most frequently reported treatment-emergent adverse events (TEAEs) across both populations were dizziness, somnolence, irritability, headache, and fatigue."( Efficacy, safety, and tolerability of perampanel in Asian and non-Asian patients with epilepsy.
Dash, A; Hong, SB; Ikeda, A; Likasitwattanakul, S; Tsai, JJ, 2019
)
0.78
"9%) had treatment-emergent adverse events (TEAEs), most of which were mild to moderate in severity."( A post hoc analysis of the long-term safety and efficacy of perampanel in Asian patients with epilepsy.
Aziz, ZA; Dash, A; Hsieh, PF; Inoue, Y; Kaneko, S; Lee, SA; Meshram, C; Nabangchang, C, 2019
)
0.76
" The most frequent treatment-related adverse events were fatigue, irritability, dizziness, somnolence, and headache."( Efficacy and safety of perampanel in generalized and focal to bilateral tonic-clonic seizures: A comparative study of Asian and non-Asian populations.
Dash, A; Lee, SK; Nishida, T; Tiamkao, S; Wu, T, 2019
)
0.82
" The retention, responder, and seizure-free rate as well as the treatment emergent adverse events were assessed after 6 months of PER adjunctive treatment in this single-center postmarketing study."( Effectiveness and safety of perampanel in adults with mesial temporal epilepsy: A single-center postmarketing study in Taiwan.
Chang, CW; Cheng, MY; Chiangn, HI; Hsieh, HY; Li, HT; Lim, SN; Lin, CY; Tseng, WJ; Wu, T, 2019
)
0.81
" Drug-related adverse events (AEs), most mild or moderate, were reported in 30."( Effectiveness and safety of perampanel as early add-on treatment in patients with epilepsy and focal seizures in the routine clinical practice: Spain prospective study (PERADON).
Abril Jaramillo, J; Calzado Rivas, ME; Chamorro-Muñoz, M; De la Fuente, C; Estévez María, JC; García Martín, G; Girón Úbeda, JM; Peláez, N; Pérez Díaz, H; Redondo, L; Rodríguez Uranga, JJ; Santágueda, P; Vázquez, F; Vega López, Ó; Vila Herrero, E, 2020
)
0.85
" Adverse events were mild or moderate, with dizziness being the most frequent one."( Effectiveness and safety of perampanel as early add-on treatment in patients with epilepsy and focal seizures in the routine clinical practice: Spain prospective study (PERADON).
Abril Jaramillo, J; Calzado Rivas, ME; Chamorro-Muñoz, M; De la Fuente, C; Estévez María, JC; García Martín, G; Girón Úbeda, JM; Peláez, N; Pérez Díaz, H; Redondo, L; Rodríguez Uranga, JJ; Santágueda, P; Vázquez, F; Vega López, Ó; Vila Herrero, E, 2020
)
0.85
" The Core Study was completed by 146 patients (81%); the most common primary reason for discontinuation was adverse event (AE) (n = 14 [8%])."( Open-label study to investigate the safety and efficacy of adjunctive perampanel in pediatric patients (4 to <12 years) with inadequately controlled focal seizures or generalized tonic-clonic seizures.
Flamini, R; Fogarasi, A; Laurenza, A; Milh, M; Ngo, LY; Patten, A; Phillips, S; Takase, T; Yoshitomi, S, 2020
)
0.79
" Treatment-emergent adverse events (TEAEs) were assessed in patients receiving perampanel 4 mg/d at their TEAE onset."( Efficacy and safety of adjunctive perampanel 4 mg/d for the treatment of focal seizures: A pooled post hoc analysis of four randomized, double-blind, phase III studies.
Malhotra, M; Patten, A; Steinhoff, BJ; Williams, B, 2020
)
1.06
" Safety assessments (all seizure types combined) included monitoring of treatment-emergent adverse events (TEAEs)."( Efficacy and safety of adjunctive perampanel in adolescent patients with epilepsy: Post hoc analysis of six randomized studies.
Malhotra, M; Patten, A; Piña-Garza, JE; Rosenfeld, W; Saeki, K; Villanueva, V; Williams, B; Yoshinaga, H, 2020
)
0.84
" Treatment-emergent adverse events were reported in 76 (66."( Efficacy and safety of adjunctive perampanel in adolescent patients with epilepsy: Post hoc analysis of six randomized studies.
Malhotra, M; Patten, A; Piña-Garza, JE; Rosenfeld, W; Saeki, K; Villanueva, V; Williams, B; Yoshinaga, H, 2020
)
0.84
" Over the entire follow-up, PER monotherapy was generally well tolerated, and only 16% of patients discontinued PER due to adverse events (AEs)."( Effectiveness and safety of perampanel monotherapy for focal and generalized tonic-clonic seizures: Experience from a national multicenter registry.
Aguilar-Amat Prior, MJ; Ayuga Loro, F; Campos, D; Castro-Vilanova, MD; Estévez María, JC; García-Barragán, N; García-Morales, I; Gil-Nagel, A; Giner, P; Gómez-Ibañez, A; González-Hernández, A; Herrera-Ramirez, D; Huertas González, N; Jiménez-Huete, A; Mauri Llerda, JA; Molins, A; Ojeda, J; Parejo-Carbonell, B; Poza, JJ; Rodriguez-Uranga, J; Saiz-Diaz, RA; Sánchez-Larsen, Á; Santamarina, E; Toledano Delgado, R; Toledo, M; Zurita, J, 2020
)
0.85
" Exposure, seizure outcomes, and treatment-emergent adverse events (TEAEs) were analyzed."( Assessment of the long-term efficacy and safety of adjunctive perampanel in tonic-clonic seizures: Analysis of four open-label extension studies.
Inoue, Y; Kaneko, S; Krauss, GL; Laurenza, A; Malhotra, M; Patten, A; Rektor, I; Wechsler, RT; Williams, B, 2020
)
0.8
"Perampanel (PER) is a new-generation antiepileptic drug that has an occasional but significant shortcoming, psychiatric adverse effects (PAEs)."( HLAs associated with perampanel-induced psychiatric adverse effects in a Korean population.
Chu, K; Jang, Y; Jun, JS; Jung, KH; Jung, KY; Kim, KT; Kim, TJ; Lee, SK; Lee, ST; Lim, JA; Moon, J; Park, BS; Park, KI; Yang, TW, 2020
)
2.32
" Safety/tolerability assessments included monitoring of treatment-emergent adverse events (TEAEs)."( Efficacy, safety, and tolerability of adjunctive perampanel in patients from China with focal seizures or generalized tonic-clonic seizures: Post hoc analysis of phase III double-blind and open-label extension studies.
Dash, A; Dong, Z; Malhotra, M; Patten, A; Weiping, L; Zhen, H, 2021
)
0.88
" Drug-related adverse events (AEs) were reported in 40."( Perampanel effectiveness and safety as early add-on treatment for focal-onset seizures: PEREAGAL study.
Abella-Corral, J; Castro-Vilanova, MD; Corredera, E; Lema-Facal, T; López-Ferreiro, A; López-González, FJ; Pato-Pato, A; Puy-Núñez, A; Rodríguez-Osorio, X; Rubio-Nazábal, E, 2021
)
2.06
"PER is an effective and safe early add-on for patients with refractory FOS, especially for those with FBTCS."( Perampanel effectiveness and safety as early add-on treatment for focal-onset seizures: PEREAGAL study.
Abella-Corral, J; Castro-Vilanova, MD; Corredera, E; Lema-Facal, T; López-Ferreiro, A; López-González, FJ; Pato-Pato, A; Puy-Núñez, A; Rodríguez-Osorio, X; Rubio-Nazábal, E, 2021
)
2.06
" Treatment-emergent adverse events (TEAEs) were monitored."( Efficacy and safety of adjunctive perampanel in patients with focal seizures or generalized tonic-clonic seizures: Post hoc analysis of Phase II and Phase III double-blind and open-label extension studies in India.
Dash, A; Gulhane, M; Jabeen, SA; Malhotra, M; Mehndiratta, MM; Patten, A, 2021
)
0.9
" No cardiorespiratory adverse events or laboratory abnormalities were noted with perampanel treatment."( Efficacy and safety of perampanel in refractory and super-refractory status epilepticus: cohort study of 81 patients and literature review.
Cheng, MY; Chiang, HI; Lim, SN; Lin, CN; Lin, WR; Tseng, WJ; Wu, T, 2021
)
1.16
"To understand the currently available post-marketing real-world evidence of the incidences of and discontinuations due to the BAEs of irritability, anger, and aggression in people with epilepsy (PWE) treated with the anti-seizure medications (ASMs) brivaracetam (BRV), levetiracetam (LEV), perampanel (PER), and topiramate (TPM), as well as behavioral adverse events (BAEs) in PWE switching from LEV to BRV."( Behavioral adverse events with brivaracetam, levetiracetam, perampanel, and topiramate: A systematic review.
Klein, P; Klitgaard, H; Laloyaux, C; Moseley, BD; Ricchetti-Masterson, K; Rosenow, F; Sirven, JI; Smith, B; Steinhoff, BJ; Stern, JM; Toledo, M; Villanueva, V; Zipfel, PA, 2021
)
1.04
" Behavioral and psychiatric adverse events in PWE switching from LEV to BRV were summarized descriptively."( Behavioral adverse events with brivaracetam, levetiracetam, perampanel, and topiramate: A systematic review.
Klein, P; Klitgaard, H; Laloyaux, C; Moseley, BD; Ricchetti-Masterson, K; Rosenow, F; Sirven, JI; Smith, B; Steinhoff, BJ; Stern, JM; Toledo, M; Villanueva, V; Zipfel, PA, 2021
)
0.86
" Our primary outcome measure was tolerability, which was evaluated by monitoring adverse events."( An open label pilot study of the safety and tolerability of perampanel in amyotrophic lateral sclerosis.
Hotait, M; Ismail, HH; Saab, GE; Salameh, JS, 2021
)
0.86
" All had adverse events, mostly behavioral."( An open label pilot study of the safety and tolerability of perampanel in amyotrophic lateral sclerosis.
Hotait, M; Ismail, HH; Saab, GE; Salameh, JS, 2021
)
0.86
" Adverse events were also recorded."( Effectiveness and safety of perampanel in Chinese paediatric patients (2-14 years) with refractory epilepsy: a retrospective, observational study.
Chen, X; Dai, Y; Li, R; Liu, M; Qu, R; Zhu, Y, 2021
)
0.92
"The purpose of this study was to establish whether a past psychiatric history could play a role in the development of psychiatric treatment-emergent adverse events (PTEAEs) in patients randomized to perampanel (PER) or placebo."( Does a psychiatric history play a role in the development of psychiatric adverse events to perampanel… and to placebo?
Ettinger, AB; Helmstaedter, C; Kanner, AM; Malhotra, M; Meador, KJ; Patten, A, 2021
)
1.03
"3% of patients experienced at least one adverse event during the 3 years of extension (46 adverse events (AEs) in 35 patients)."( Long-term efficacy and safety of perampanel as a first add-on therapy in patients with focal epilepsy: Three-year extension study.
Im, K; Kim, DW; Kim, JH; Lee, JW; Lee, SA; Lee, SK; Seo, DW, 2021
)
0.9
" Especially at low perampanel doses (≤4 mg/day), sustained improvement in seizure control was achieved, which could potentially avoid adverse drug reactions."( Long-term efficacy and safety of perampanel as a first add-on therapy in patients with focal epilepsy: Three-year extension study.
Im, K; Kim, DW; Kim, JH; Lee, JW; Lee, SA; Lee, SK; Seo, DW, 2021
)
1.23
"Aggression is the most commonly encountered antiepileptic-drug (AED)-induced psychiatric adverse effects."( Differences in aggression as psychiatric side effect of levetiracetam and perampanel in patients with epilepsy.
Goji, H; Kanemoto, K; Kawai, M, 2022
)
0.95
" The practical outcome included a reduction in seizures frequency ≥50%, ≥75%, and ≥100% from baseline convulsive seizure frequency, and the safety outcome included the proportion of drug withdrawal and adverse reactions."( The efficacy and safety of adjunctive perampanel for the treatment of refractory focal-onset seizures in patients with epilepsy: A meta-analysis.
Li, Y; Mu, J; Zeng, Y; Zhou, D, 2022
)
0.99
"00001) and treatment-emergent adverse event (TEAE) resulting in dose reduction/discontinuation (18."( The efficacy and safety of adjunctive perampanel for the treatment of refractory focal-onset seizures in patients with epilepsy: A meta-analysis.
Li, Y; Mu, J; Zeng, Y; Zhou, D, 2022
)
0.99
" Study 402 (NCT02033902) collected safety information on clinically important treatment-emergent adverse events (TEAEs) from real-world clinical practice in patients aged ≥12 years with refractory epilepsy who were receiving perampanel as an add-on therapy."( A post-approval observational study to evaluate the safety and tolerability of perampanel as an add-on therapy in adolescent, adult, and elderly patients with epilepsy.
Ben-Menachem, E; Maguire, M; Malhotra, M; Ngo, LY; Patten, A, 2022
)
1.13
" The most common primary reason for discontinuation was adverse events (n = 130 [26."( A post-approval observational study to evaluate the safety and tolerability of perampanel as an add-on therapy in adolescent, adult, and elderly patients with epilepsy.
Ben-Menachem, E; Maguire, M; Malhotra, M; Ngo, LY; Patten, A, 2022
)
0.95
" Secondary outcomes assessed were Improvement in Clinical Global Improvement for Change (CGI-C), number of patients who experienced adverse events, number of patients who withdrew from trials, adverse drug reaction (ADR) profile from Vigibase, long term safety, quality of Life (QoL) assessment and cognitive assessment, especially in adolescents."( Efficacy, tolerability and safety of perampanel in population with pharmacoresistant focal seizures: A systematic review and meta-analysis.
Bhattacharyya, A; Mahajan, SS; Medhi, B; Niraj, N; Prakash, A; Sarma, P, 2022
)
0.99
" Number of patients who withdrew from the trials due to adverse events was statistically significant in only the 12 mg subgroup of perampanel in comparison to that with placebo group."( Efficacy, tolerability and safety of perampanel in population with pharmacoresistant focal seizures: A systematic review and meta-analysis.
Bhattacharyya, A; Mahajan, SS; Medhi, B; Niraj, N; Prakash, A; Sarma, P, 2022
)
1.2
" Across all studies, the incidence of adverse events (AEs) ranged from 18."( The real-world effectiveness and safety of perampanel in Europe: A scoping review.
Estévez-María, JC; Garamendi-Ruiz, I, 2022
)
0.98
" Exposure, retention, seizure outcomes, and treatment-emergent adverse events (TEAEs) were analyzed."( Assessment of the long-term efficacy and safety of adjunctive perampanel in adolescent patients with epilepsy: Post hoc analysis of open-label extension studies.
Malhotra, M; Patten, A; Piña-Garza, JE; Rosenfeld, W; Villanueva, V; Yoshinaga, H, 2022
)
0.96
" Included outcomes were 50% responder rate, seizure-free rate, discontinuation due to treatment-emergent adverse events (TEAE)s, having any TEAEs, and most reported TEAEs."( Efficacy and safety of perampanel in epilepsy: A systematic review and meta-analysis of randomised controlled trials.
Abou-Setta, AM; Aboulatta, L; Aloud, B; Askin, N; Eltonsy, S; Lavu, A; Rabbani, R; Shouman, W; Zarychanski, R, 2022
)
1.03
" The most-reported TEAEs were non-threatening, with the possibility of rare but serious adverse psychological outcomes."( Efficacy and safety of perampanel in epilepsy: A systematic review and meta-analysis of randomised controlled trials.
Abou-Setta, AM; Aboulatta, L; Aloud, B; Askin, N; Eltonsy, S; Lavu, A; Rabbani, R; Shouman, W; Zarychanski, R, 2022
)
1.03
" Drug-related adverse events (AEs) were reported in 37 % of patients, mostly mild or moderate, and the patients who experienced AEs had a higher daily dose of PER than those who did not (p = 0."( Effectiveness and safety of perampanel as adjunctive therapy among Chinese patients with focal-onset epilepsy: A real-world prospective observational study.
Chen, Y; Ge, Y; Wang, Q; Wu, X; Xu, Y; Zhu, G, 2022
)
1.02
" The proposed mitigation strategies for managing the risk of serious psychiatric adverse events are appropriate patient selection, use of low doses, and slow titration."( Safety evaluation of perampanel as monotherapy or first adjunctive therapy in patients with epilepsy.
Chourasia, N; Wheless, J, 2022
)
1.04
" Our results showed that 11 adverse events (aggression, ataxia, balance disorder, dizziness, fall, fatigue, irritability, rash, somnolence, vertigo, and weight increase) were statistically significantly associated with perampanel, and 4 of them (ataxia, dizziness, fatigue, and somnolence) showed a clear dose-response relationship."( The safety of perampanel in different disorders and doses: A meta-analysis.
Liu, P; Wu, H; Zhu, Z, 2023
)
1.46
" The risk of adverse events was statistically significantly higher, with doses exceeding 4 mg/day."( The safety of perampanel in different disorders and doses: A meta-analysis.
Liu, P; Wu, H; Zhu, Z, 2023
)
1.27
" The incidence of adverse events was 40."( Efficacy, tolerability and safety of perampanel in children and adolescents with epilepsy: Systematic review and meta-analysis.
Li, X; Liu, X; Sun, S, 2023
)
1.18
" Among the novel antiseizure medications (ASM), Perampanel (PER), Levetiracetam (LEV), and Topiramate (TPM) have been reported to have a relatively high frequency of psychiatric adverse events."( [Psychiatric Symptoms of Patients With Epilepsy: Characteristics of Psychiatric Adverse Events by Novel Antiepileptic Medications].
Hasegawa, N; Kanemoto, K; Nishida, T, 2023
)
1.17
"We retrospectively reviewed the records of 1065 patients who started perampanel therapy and compared the incidence of adverse events after standard titration (Group A: starting dose, 2 mg/day; titration speed, 2 mg/2 weeks or longer) and low-dose titration (Group B: starting dose, < 1 mg/day; titration speed, < 1 mg/2 weeks or longer)."( Effects of low-dose titration on the tolerability and safety of perampanel.
Imai, K; Kagawa, Y; Nishida, T; Shiratani, Y; Takahashi, Y; Usui, N; Yamamoto, Y, 2023
)
1.38
" At 90 days, the cumulative incidence of adverse events was significantly higher in Group A than in Group B (24."( Effects of low-dose titration on the tolerability and safety of perampanel.
Imai, K; Kagawa, Y; Nishida, T; Shiratani, Y; Takahashi, Y; Usui, N; Yamamoto, Y, 2023
)
1.15
"The aim of this study was to compare the safety profile of newer ASMs with older ASMs through an analysis of the US Food and Drug Administration Adverse Event Reporting System (FAERS) database, with a focus on suicidality."( Newer Antiseizure Medications and Suicidality: Analysis of the Food and Drug Administration Adverse Event Reporting System (FAERS) Database.
Doughty, BJ; Hurd, KL; Leppien, EE; McCall, KL; Piper, BJ; Strong, KN, 2023
)
0.91
" The results of this case control study of FDA adverse event reports spanning 10 years and 6309 cases of suicidality expand our understanding of the safety profile of newer ASMs."( Newer Antiseizure Medications and Suicidality: Analysis of the Food and Drug Administration Adverse Event Reporting System (FAERS) Database.
Doughty, BJ; Hurd, KL; Leppien, EE; McCall, KL; Piper, BJ; Strong, KN, 2023
)
0.91
" Therefore, knowledge about the typical adverse events (AEs) for ASMs and other coadministered drugs (CDs) is essential for practitioners and patients."( Adverse Event Profiles of Antiseizure Medications and the Impact of Coadministration on Drug Tolerability in Adults with Epilepsy.
Knake, S; Kovac, S; Rosenow, F; Strzelczyk, A; van der Goten, M; von Podewils, F; Willems, LM; Zöllner, JP, 2023
)
0.91
" The most common reason for discontinuation was adverse events (AEs) (n = 4 [6."( Open-label study to investigate the safety and efficacy of adjunctive perampanel in pediatric patients (aged 4 to <12 years) with inadequately controlled focal-onset seizures: Japanese subgroup analysis.
Ishiba, K; Kira, R; Ngo, LY; Omatsu, H; Patten, A; Takase, T; Watanabe, T, 2023
)
1.14
"6%), only reported during adjunctive therapy, was the most common treatment-emergent adverse event."( Safety and effectiveness of perampanel monotherapy after adjunctive therapy through retention rate in subjects with focal-onset seizures with or without focal to bilateral tonic-clonic seizures: A multicenter retrospective study in Korea.
Kim, DW; Kim, KK; Lee, WG; Lee, Y; Lim, SC; Park, J; Seo, DW; Shon, YM, 2023
)
1.2
" Outcomes included retention, seizure-free, and responder rates at 3, 6 and 12 months and adverse events (AEs) throughout the follow-up period."( Efficacy and safety of perampanel monotherapy in patients with focal-onset seizures:A real-world experience in eastern China.
Feng, J; Guo, Y; Miao, P; Xu, S; Xu, ZY; Zheng, Y, 2023
)
1.22
" The proportion of children/adolescents and adults reporting any treatment-related adverse effects was 29% and 41%, respectively."( Efficacy and safety of perampanel for epilepsy: a systematic review and meta-analysis of real-world studies.
Fan, PF; Huang, M; Zhuo, C, 2023
)
1.22
" The most common reason for discontinuation was adverse events (29."( Long-term efficacy and safety of adjunctive perampanel in pediatric patients aged 4-19 years with epilepsy: a real-world study.
Kang, HC; Kim, HD; Kim, SH; Lee, JS; Youn, SE, 2023
)
1.17
" Adverse events (AEs) were recorded."( Efficacy and safety of perampanel monotherapy in Chinese patients with focal-onset seizures: A single-center, prospective, real-world observational study.
Chen, F; Ma, H; Qu, X; Xu, H; Yang, L; Yang, Y; Zhang, R; Zhu, H, 2023
)
1.22
"This is the first prospective study on the efficacy and safety of perampanel monotherapy in treating Chinese patients with FOS, and perampanel monotherapy was effective and safe in treating Chinese patients aged ≥4 years with FOS up to 12 months."( Efficacy and safety of perampanel monotherapy in Chinese patients with focal-onset seizures: A single-center, prospective, real-world observational study.
Chen, F; Ma, H; Qu, X; Xu, H; Yang, L; Yang, Y; Zhang, R; Zhu, H, 2023
)
1.46

Pharmacokinetics

Perampanel is metabolized primarily via CYP3A4, yet it has a relatively long half-life of 105h. It is, therefore, recommended that perampsanel be given once daily (preferably at bedtime)

ExcerptReferenceRelevance
" Perampanel is metabolized primarily via CYP3A4, yet it has a relatively long half-life of 105h; it is, therefore, recommended that perampanel be given once daily (preferably at bedtime)."( The practical impact of altered dosing on perampanel plasma concentrations: pharmacokinetic modeling from clinical studies.
Fain, R; Ferry, J; Gidal, BE; Hussein, Z; Laurenza, A; Majid, O; Yang, H; Zhu, J, 2014
)
1.58
"Pharmacokinetic simulations were performed using validated perampanel pharmacokinetic parameters, derived from 19 phase I studies in 606 subjects, to investigate the effect on perampanel plasma concentration of (1) missing a dose of perampanel followed by delayed replacement of the missed dose, (2) missing a dose followed by resumption of scheduled therapy, and (3) missing a dose in the presence/absence of carbamazepine."( The practical impact of altered dosing on perampanel plasma concentrations: pharmacokinetic modeling from clinical studies.
Fain, R; Ferry, J; Gidal, BE; Hussein, Z; Laurenza, A; Majid, O; Yang, H; Zhu, J, 2014
)
0.91
"Our results corroborate that given the pharmacokinetic characteristics of perampanel, a missed dose is unlikely to cause as much fluctuation in plasma concentration as would be expected for a drug with a short half-life."( The practical impact of altered dosing on perampanel plasma concentrations: pharmacokinetic modeling from clinical studies.
Fain, R; Ferry, J; Gidal, BE; Hussein, Z; Laurenza, A; Majid, O; Yang, H; Zhu, J, 2014
)
0.9
"These pharmacokinetic simulations suggest that the long half-life of perampanel may be advantageous in conferring a relatively smooth concentration-time profile with a once-daily or twice-daily dosing, even in the presence of concomitant EIAEDs."( The practical impact of altered dosing on perampanel plasma concentrations: pharmacokinetic modeling from clinical studies.
Fain, R; Ferry, J; Gidal, BE; Hussein, Z; Laurenza, A; Majid, O; Yang, H; Zhu, J, 2014
)
0.9
"This study explored the pharmacodynamic and pharmacokinetic effects of combining perampanel (PER) with commonly co-administered AEDs."( Pharmacodynamic and pharmacokinetic interactions of perampanel and other antiepileptic drugs in a rat amygdala kindling model.
Hanada, T; Nagaya, Y; Wu, T, 2014
)
0.88
" Seizure score, electroencephalography (EEG) seizure duration, and motor seizure duration were evaluated, with pharmacodynamic interactions determined by two-way analysis of variance (ANOVA)."( Pharmacodynamic and pharmacokinetic interactions of perampanel and other antiepileptic drugs in a rat amygdala kindling model.
Hanada, T; Nagaya, Y; Wu, T, 2014
)
0.65
" These pharmacodynamic interactions were statistically significant in some cases, but the same AED combinations were not associated with statistically significant neurotoxic interactions."( Pharmacodynamic and pharmacokinetic interactions of perampanel and other antiepileptic drugs in a rat amygdala kindling model.
Hanada, T; Nagaya, Y; Wu, T, 2014
)
0.65
"Preclinical and clinical data of the recently released antiepileptic drug perampanel are reviewed based on search in medical databases with special reference to its mechanism of action and to its pharmacokinetic properties relevant for clinical treatment."( Perampanel for epilepsy with partial-onset seizures: a pharmacokinetic and pharmacodynamic evaluation.
Schulze-Bonhage, A, 2015
)
2.09
"To characterize, in adolescents aged 12-17, the pharmacokinetic (PK) profile of perampanel, the impact of intrinsic and extrinsic factors on PK, and the relationships between perampanel exposure and cognitive function, seizure frequency, and responder status."( Pharmacokinetics, exposure-cognition, and exposure-efficacy relationships of perampanel in adolescents with inadequately controlled partial-onset seizures.
Ferry, J; Hussein, Z; Laurenza, A; Majid, O; Nabangchang, C; Villanueva, V; Yang, H, 2016
)
0.89
" The elimination was slow, with terminal elimination phase half-life values ranging from 63."( Pharmacokinetics of Perampanel in Healthy Korean, White, and Japanese Adult Subjects.
Ohnishi, A; Shiba, S; Shin, JG; Tabuchi, H; Yasuda, S, 2018
)
0.8
" It is focused on pharmacokinetic and clinical data of perampanel (PER) for the treatment of epilepsy."( Pharmacokinetic and pharmacodynamic considerations for the clinical efficacy of perampanel in focal onset seizures.
de Biase, S; Gigli, GL; Nilo, A; Romano, G; Valente, M, 2019
)
0.99
" Pharmacokinetic data were pooled with adolescent pharmacokinetic data from phase II/III studies."( Adjunctive Perampanel Oral Suspension in Pediatric Patients From ≥2 to <12 Years of Age With Epilepsy: Pharmacokinetics, Safety, Tolerability, and Efficacy.
Davis, R; Dispoto, S; Ferreira, J; Ferry, J; Hussein, Z; Laurenza, A; Majid, O; Mintz, M; Rege, B; Renfroe, JB; Umetsu, Y, 2019
)
0.9
"We present pharmacokinetic data during pregnancy and lactation for brivaracetam, lacosamide and perampanel based on two case studies."( Pharmacokinetic data on brivaracetam, lacosamide and perampanel during pregnancy and lactation.
Brodtkorb, E; Burns, ML; Johannessen, SI; Landmark, CJ; Rektorli, L; Revdal, E, 2021
)
1.09
" This study aimed to develop a population pharmacokinetic (PPK) model considering the dynamics of enzyme induction and evaluate the effect of CBZ on PER pharmacokinetics."( Population Pharmacokinetic Analysis of Drug-Drug Interactions Between Perampanel and Carbamazepine Using Enzyme Induction Model in Epileptic Patients.
Fujita, Y; Hirota, T; Ieiri, I; Matsunaga, N; Murai, M; Muraki, S; Suetsugu, K; Tsuchiya, Y, 2023
)
1.14

Compound-Compound Interactions

ExcerptReferenceRelevance
" Hence, their metabolic stability and potential involvement in relevant drug-drug interactions (DDI) are of great clinical interest, being HepaRG cells herein used as an in vitro human model."( Study of the metabolic stability profiles of perampanel, rufinamide and stiripentol and prediction of drug interactions using HepaRG cells as an in vitro human model.
Alves, G; Falcão, A; Fortuna, A; Meirinho, S; Rodrigues, M, 2022
)
0.98

Bioavailability

Perampanel is a potent noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazole propionate receptor (AMPAR) antagonist with good oral bioavailability and favorable pharmacokinetic properties.

ExcerptReferenceRelevance
"55 h and bioavailability of 46."( Perampanel: a novel, orally active, noncompetitive AMPA-receptor antagonist that reduces seizure activity in rodent models of epilepsy.
Hanada, T; Hashizume, Y; Hatakeyama, S; Kohmura, N; Nishizawa, Y; Ogasawara, A; Ohgoh, M; Takenaka, O; Tokuhara, N; Ueno, M, 2011
)
1.81
" In sum, perampanel is a selective, centrally acting, negative allosteric modulator of AMPA receptors with good oral bioavailability and favorable pharmacokinetic properties."( Preclinical pharmacology of perampanel, a selective non-competitive AMPA receptor antagonist.
Hanada, T; Rogawski, MA, 2013
)
1.1
" Its bioavailability is nearly complete."( Perampanel: a new agent for adjunctive treatment of partial seizures.
Faulkner, MA, 2014
)
1.85
"5 h later; its bioavailability is ~100%."( The clinical pharmacology profile of the new antiepileptic drug perampanel: A novel noncompetitive AMPA receptor antagonist.
Patsalos, PN, 2015
)
0.66
" Perampanel is a potent noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazole propionate receptor (AMPAR) antagonist with good oral bioavailability and favorable pharmacokinetic properties."( The Orally Active Noncompetitive AMPAR Antagonist Perampanel Attenuates Focal Cerebral Ischemia Injury in Rats.
Li, H; Liu, W; Liu, ZG; Miao, JJ; Niu, HX; Wang, DL; Wang, JZ; Yuan, X; Zhou, JR, 2018
)
1.64
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51

Dosage Studied

Perampanel was given at a maximum dosage of 4-12 mg daily. Simulations demonstrated that twice-daily dosing offered little advantage in further flattening the concentration-time profile of perampsanel in the adherent patient.

ExcerptRelevanceReference
" The primary objective was to determine whether there was a dose-response relationship for efficacy among the 3 perampanel doses and placebo."( Safety and efficacy of perampanel in advanced Parkinson's disease: a randomized, placebo-controlled study.
Barone, P; Dodel, R; Eggert, K; Emre, M; Katzenschlager, R; Kostic, V; Lees, AJ; Nappi, G; Oertel, W; Onofrj, M; Poewe, W; Potic, J; Rascol, O; Ruzicka, E; Squillacote, D; Stocchi, F; Tolosa, E; Trenkwalder, C, 2010
)
0.88
" In study 206, patients were treated for 12 weeks (8-week dose-titration, 4-week dose-maintenance) with placebo or perampanel (up to 4 mg/day, dosed once- or twice-daily)."( Tolerability and safety of perampanel: two randomized dose-escalation studies.
Bar, M; Biton, V; Klapper, JA; Krauss, GL; Kumar, D; Rektor, I; Squillacote, D; Vaiciene-Magistris, N, 2012
)
0.89
" Drug interactions have been noted with agents that induce cytochrome P-450 hepatic enzymes, including other antiepileptics, and alterations in perampanel dosing may be necessary when these medications are used concurrently."( Perampanel: a new agent for adjunctive treatment of partial seizures.
Faulkner, MA, 2014
)
2.05
" This, coupled with the identification of an optimal dosing strategy for individual patients, may help to maximize the utility of perampanel in the treatment of epilepsy."( The discovery and development of perampanel for the treatment of epilepsy.
Hanada, T, 2014
)
0.89
" Simulations demonstrated that twice-daily dosing offered little advantage in further flattening the concentration-time profile of perampanel in the adherent patient."( The practical impact of altered dosing on perampanel plasma concentrations: pharmacokinetic modeling from clinical studies.
Fain, R; Ferry, J; Gidal, BE; Hussein, Z; Laurenza, A; Majid, O; Yang, H; Zhu, J, 2014
)
0.87
" At the first administration, PER was given in a dosage of 6mg to most of our patients (7 of 10)."( Efficacy of perampanel in refractory nonconvulsive status epilepticus and simple partial status epilepticus.
Benecke, R; Redecker, J; Rösche, J; Wittstock, M, 2015
)
0.8
" This supports the strategy of dosing perampanel to clinical effect."( Perampanel efficacy and tolerability with enzyme-inducing AEDs in patients with epilepsy.
Edelstein, J; Fain, R; Ferry, J; Gidal, BE; Hussein, Z; Kumar, D; Laurenza, A; Yang, H, 2015
)
2.13
" For severe AEs, no dose-response relationship was observed."( Perampanel in the treatment of partial seizures: Time to onset and duration of most common adverse events from pooled Phase III and extension studies.
Ko, D; Laurenza, A; Williams, B; Xing, D; Yang, H, 2015
)
1.86
" Modest elevations in perampanel exposure in female patients may result in meaningful between-gender differences in efficacy and safety; therefore, dosing should be individualized and clinical response monitored."( Perampanel efficacy and safety by gender: Subanalysis of phase III randomized clinical studies in subjects with partial seizures.
Laurenza, A; Vazquez, B; Williams, B; Yang, H; Zhou, S, 2015
)
2.17
" Treatment with enzyme-inducing AEDs had no effect on PER dosing in patients responding to PER or withdrawing due to side effects."( Prospective audit with adjunctive perampanel: Preliminary observations in focal epilepsy.
Brodie, MJ; Stephen, LJ, 2016
)
0.71
" Pronounced threshold increases were observed following administration of a constant zonisamide dosage combined with different doses of perampanel."( Synergism of perampanel and zonisamide in the rat amygdala kindling model of temporal lobe epilepsy.
Komori, T; Potschka, H; Rettenbeck, ML; Russmann, V; Salvamoser, JD, 2016
)
1.01
") dosing did not affect established absence seizures and behavior."( Perampanel effects in the WAG/Rij rat model of epileptogenesis, absence epilepsy, and comorbid depressive-like behavior.
Citraro, R; De Sarro, G; Franco, V; Leo, A; Marchiselli, R; Perucca, E; Russo, E, 2017
)
1.9
" Perampanel was given at a maximum dosage of 4-12 mg daily."( Behavioural changes in patients with intellectual disability treated with perampanel.
Andres, E; Hamer, H; Kasper, B; Kerling, F; Winterholler, M, 2017
)
1.6
" The optimal dosage should be comprised between 4 and 12 mg/day, with 8 mg/day being the most common dosage used."( Current role of perampanel in pediatric epilepsy.
Coppola, G; Curatolo, P; Cusmai, R; De Liso, P; De Sarro, G; Franzoni, E; Moavero, R; Verrotti, A; Vigevano, F, 2017
)
0.8
" All AEs became manageable after perampanel dosing was decreased."( Use of perampanel in children and adolescents with Lennox-Gastaut Syndrome.
Auvin, S; Delanoë, C; Dozieres, B; Ilea, A, 2017
)
1.19
" AED extension studies evaluate treatment retention, drug tolerability, and drug safety during individualized treatment with flexible dosing and thus provide information not available in rigid pivotal trials."( Comparing Safety and Efficacy of "Third-Generation" Antiepileptic Drugs: Long-Term Extension and Post-marketing Treatment.
Johnson, EL; Krauss, GL; Kwok, CS, 2017
)
0.46
"55-1 hour (median) after dosing in all 3 ethnic groups."( Pharmacokinetics of Perampanel in Healthy Korean, White, and Japanese Adult Subjects.
Ohnishi, A; Shiba, S; Shin, JG; Tabuchi, H; Yasuda, S, 2018
)
0.8
" Population pharmacokinetic analysis showed that perampanel pharmacokinetics was independent of age, weight, or liver function, suggesting age- or weight-based dosing is not required and that the same dose can be given to adults and children to achieve exposures shown to be efficacious."( Adjunctive Perampanel Oral Suspension in Pediatric Patients From ≥2 to <12 Years of Age With Epilepsy: Pharmacokinetics, Safety, Tolerability, and Efficacy.
Davis, R; Dispoto, S; Ferreira, J; Ferry, J; Hussein, Z; Laurenza, A; Majid, O; Mintz, M; Rege, B; Renfroe, JB; Umetsu, Y, 2019
)
1.16
" Although perampanel dosage did not differ between patients prescribed/not prescribed enzyme-inducing antiseizure drugs, serum concentrations were significantly lower in patients taking enzyme-inducing antiseizure drugs (average serum concentration for the enzyme-inducing antiseizure drug group was still above the previously reported efficacious serum concentration of 70 ng/mL)."( Perampanel Pharmacokinetics in Children: Correlation of Dose With Serum Concentrations.
Gaudio, E; Gienapp, AJ; Wheless, J, 2019
)
2.36
" Perampanel of 2 mg/day was additionally prescribed, and the dosage was increased to 4 mg/day."( Features of psychological reactions induced by perampanel: A case report.
Takaya, Y; Tomita, Y; Yamada, SM, 2020
)
1.73
"With an elimination half-life of 105 hours, perampanel (PER) allows a once-daily dosing regimen."( Clinical experience of abrupt discontinuation of perampanel: a case series.
Bacher, M; Blickhan, M; Intravooth, T; Kornmeier, R; Kurth, C; Mahn, P; Schneider, M; Staack, AM; Steinhoff, BJ; Stockinger, J, 2021
)
1.14
"To assess the retention rate, efficacy, safety, and dosing of perampanel administered to patients with epilepsy during routine clinical care in the retrospective phase IV, PROVE Study (NCT03208660)."( Perampanel in real-world clinical care of patients with epilepsy: Interim analysis of a phase IV study.
Aboumatar, S; Lancman, M; Malhotra, M; Patten, A; Wechsler, RT; Wheless, J, 2021
)
2.3
" fast dosage titration."( Effect and tolerability of perampanel in patients with drug-resistant epilepsy.
Johannessen Landmark, C; Kjeldstadli, K; Lossius, IMB; Lossius, MI; Nakken, KO; Svendsen, T; Sødal, HF, 2021
)
0.92
" Predictors of treatment success were generalized epilepsy and slow dosage titration."( Effect and tolerability of perampanel in patients with drug-resistant epilepsy.
Johannessen Landmark, C; Kjeldstadli, K; Lossius, IMB; Lossius, MI; Nakken, KO; Svendsen, T; Sødal, HF, 2021
)
0.92
" Twelve patients participated at 4 mg and 7 returned for dosing and retesting at 8 mg."( Cortical excitability threshold can be increased by the AMPA blocker Perampanel in amyotrophic lateral sclerosis.
Li, Z; Mauricio, EA; Oskarsson, B; Rogawski, MA; Shah, JS, 2021
)
0.86
" Motor Threshold increased at 2 h after dosing in the combined treatment group +7% of maximal stimulator output (P < ."( Cortical excitability threshold can be increased by the AMPA blocker Perampanel in amyotrophic lateral sclerosis.
Li, Z; Mauricio, EA; Oskarsson, B; Rogawski, MA; Shah, JS, 2021
)
0.86
" Adult patients had a higher final daily dosage of PER than underage patients."( Perampanel effectiveness and tolerability in patients with epilepsy at long-term follow-up.
Cesaroni, E; Dainese, F; Fernandes, M; Foschi, N; Lattanzi, S; Liguori, C; Matricardi, S; Mercuri, NB; Operto, F; Paladin, F; Pastorino, GMG; Placidi, F; Renna, R, 2021
)
2.06
" This method was also applied for assay and related substances determination of perampanel in bulk and pharmaceutical dosage form."( Evaluation of Perampanel in the Presence of its Degradation Products and Process-Related Impurities by Validated Stability-Indicating Reverse Phase High Performance Liquid Chromatography Method.
Mohanakishore, G; Ravi, TK; Varghese, SJ, 2022
)
1.31
" The median PER dosage was 4 mg (range 2-8 mg)."( A retrospective, real-world experience of perampanel monotherapy in patient with first new onset focal seizure: A Thailand experience.
Chinvarun, Y, 2022
)
0.99
" By starting with low dosage and slow titration of PER help to minimize the impact of adverse effects, maximize adherence, and increase patient retention."( A retrospective, real-world experience of perampanel monotherapy in patient with first new onset focal seizure: A Thailand experience.
Chinvarun, Y, 2022
)
0.99
"Report final data from adolescent (12-<18 years) and adult (≥18 years) patients from PROVE (NCT03208660), a multicenter, retrospective, non-interventional, Phase IV study to assess retention, efficacy, safety, and dosing of perampanel in patients with epilepsy during routine clinical care."( Perampanel in real-world clinical care of adolescent and adult patients with epilepsy: Results from the retrospective Phase IV PROVE Study.
Malhotra, M; Moretz, K; Patten, A; Penovich, P; Segal, E; Wheless, J, 2022
)
2.35
" Our results showed that 11 adverse events (aggression, ataxia, balance disorder, dizziness, fall, fatigue, irritability, rash, somnolence, vertigo, and weight increase) were statistically significantly associated with perampanel, and 4 of them (ataxia, dizziness, fatigue, and somnolence) showed a clear dose-response relationship."( The safety of perampanel in different disorders and doses: A meta-analysis.
Liu, P; Wu, H; Zhu, Z, 2023
)
1.46
" Safety, tolerability, plasma concentration, and maintenance of efficacy throughout the transition between IV and oral dosing of perampanel were assessed."( Intravenous perampanel as an alternative to the oral formulations in Japanese patients with epilepsy.
Fujimoto, A; Fukuda, M; Hanaya, R; Iida, K; Inoue, Y; Iwasaki, M; Kondo, A; Kubota, Y; Mizobuchi, M; Motooka, H; Nakano, N; Ngo, LY; Onishi, K; Ono, T; Uruno, K; Yamaguchi, K; Yamamuro, S, 2023
)
1.49
"In Study 240, the transition between 30-minute IV and oral perampanel dosing was associated with a ≤1."( Intravenous perampanel as an alternative to the oral formulations in Japanese patients with epilepsy.
Fujimoto, A; Fukuda, M; Hanaya, R; Iida, K; Inoue, Y; Iwasaki, M; Kondo, A; Kubota, Y; Mizobuchi, M; Motooka, H; Nakano, N; Ngo, LY; Onishi, K; Ono, T; Uruno, K; Yamaguchi, K; Yamamuro, S, 2023
)
1.53
" Chronic oral dosing was initiated in male rats with chronic epilepsy while monitoring 24/7 for videoEEG evidence of seizures during a 4-week placebo baseline and 4-week treatment phase."( Perampanel's forgiveness factor in a variable medication adherence paradigm in a rat model of chronic epilepsy.
Campbell, A; Guignet, M; Vuong, J; White, HS; Whittington, D, 2023
)
2.35
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (2)

RoleDescription
AMPA receptor antagonistAn antagonist at the AMPA receptor.
anticonvulsantA drug used to prevent seizures or reduce their severity.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (3)

ClassDescription
pyridone
nitrileA compound having the structure RC#N; thus a C-substituted derivative of hydrocyanic acid, HC#N. In systematic nomenclature, the suffix nitrile denotes the triply bound #N atom, not the carbon atom attached to it.
bipyridinesCompounds containing a bipyridine group.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (8)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
cytochrome P450 family 3 subfamily A polypeptide 4Homo sapiens (human)Potency11.98770.01237.983543.2770AID1645841
GVesicular stomatitis virusPotency13.45040.01238.964839.8107AID1645842
Interferon betaHomo sapiens (human)Potency13.45040.00339.158239.8107AID1645842
HLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)Potency13.45040.01238.964839.8107AID1645842
Inositol hexakisphosphate kinase 1Homo sapiens (human)Potency13.45040.01238.964839.8107AID1645842
cytochrome P450 2C9, partialHomo sapiens (human)Potency13.45040.01238.964839.8107AID1645842
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Replicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2IC50 (µMol)175.00000.00022.45859.9600AID1805294
Glutamate receptor 1Homo sapiens (human)IC50 (µMol)1.80820.01901.70836.5100AID1309746; AID1309747; AID1309748; AID1309749; AID1309750
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (79)

Processvia Protein(s)Taxonomy
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell activation involved in immune responseInterferon betaHomo sapiens (human)
cell surface receptor signaling pathwayInterferon betaHomo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to virusInterferon betaHomo sapiens (human)
positive regulation of autophagyInterferon betaHomo sapiens (human)
cytokine-mediated signaling pathwayInterferon betaHomo sapiens (human)
natural killer cell activationInterferon betaHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylation of STAT proteinInterferon betaHomo sapiens (human)
cellular response to interferon-betaInterferon betaHomo sapiens (human)
B cell proliferationInterferon betaHomo sapiens (human)
negative regulation of viral genome replicationInterferon betaHomo sapiens (human)
innate immune responseInterferon betaHomo sapiens (human)
positive regulation of innate immune responseInterferon betaHomo sapiens (human)
regulation of MHC class I biosynthetic processInterferon betaHomo sapiens (human)
negative regulation of T cell differentiationInterferon betaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIInterferon betaHomo sapiens (human)
defense response to virusInterferon betaHomo sapiens (human)
type I interferon-mediated signaling pathwayInterferon betaHomo sapiens (human)
neuron cellular homeostasisInterferon betaHomo sapiens (human)
cellular response to exogenous dsRNAInterferon betaHomo sapiens (human)
cellular response to virusInterferon betaHomo sapiens (human)
negative regulation of Lewy body formationInterferon betaHomo sapiens (human)
negative regulation of T-helper 2 cell cytokine productionInterferon betaHomo sapiens (human)
positive regulation of apoptotic signaling pathwayInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell differentiationInterferon betaHomo sapiens (human)
natural killer cell activation involved in immune responseInterferon betaHomo sapiens (human)
adaptive immune responseInterferon betaHomo sapiens (human)
T cell activation involved in immune responseInterferon betaHomo sapiens (human)
humoral immune responseInterferon betaHomo sapiens (human)
positive regulation of T cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
adaptive immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class I via ER pathway, TAP-independentHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of T cell anergyHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
defense responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
detection of bacteriumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-12 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-6 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protection from natural killer cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
innate immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of dendritic cell differentiationHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class IbHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of receptor recyclingGlutamate receptor 1Homo sapiens (human)
signal transductionGlutamate receptor 1Homo sapiens (human)
chemical synaptic transmissionGlutamate receptor 1Homo sapiens (human)
synapse assemblyGlutamate receptor 1Homo sapiens (human)
long-term memoryGlutamate receptor 1Homo sapiens (human)
response to xenobiotic stimulusGlutamate receptor 1Homo sapiens (human)
response to lithium ionGlutamate receptor 1Homo sapiens (human)
positive regulation of gene expressionGlutamate receptor 1Homo sapiens (human)
neuronal action potentialGlutamate receptor 1Homo sapiens (human)
calcium-mediated signalingGlutamate receptor 1Homo sapiens (human)
spinal cord developmentGlutamate receptor 1Homo sapiens (human)
cerebral cortex developmentGlutamate receptor 1Homo sapiens (human)
receptor internalizationGlutamate receptor 1Homo sapiens (human)
response to estradiolGlutamate receptor 1Homo sapiens (human)
monoatomic ion transmembrane transportGlutamate receptor 1Homo sapiens (human)
ionotropic glutamate receptor signaling pathwayGlutamate receptor 1Homo sapiens (human)
response to cocaineGlutamate receptor 1Homo sapiens (human)
positive regulation of membrane potentialGlutamate receptor 1Homo sapiens (human)
response to arsenic-containing substanceGlutamate receptor 1Homo sapiens (human)
response to electrical stimulusGlutamate receptor 1Homo sapiens (human)
regulation of postsynaptic membrane potentialGlutamate receptor 1Homo sapiens (human)
long-term synaptic potentiationGlutamate receptor 1Homo sapiens (human)
long-term synaptic depressionGlutamate receptor 1Homo sapiens (human)
response to fungicideGlutamate receptor 1Homo sapiens (human)
cellular response to amino acid stimulusGlutamate receptor 1Homo sapiens (human)
cellular response to ammonium ionGlutamate receptor 1Homo sapiens (human)
cellular response to dsRNAGlutamate receptor 1Homo sapiens (human)
cellular response to peptide hormone stimulusGlutamate receptor 1Homo sapiens (human)
cellular response to amine stimulusGlutamate receptor 1Homo sapiens (human)
regulation of presynaptic membrane potentialGlutamate receptor 1Homo sapiens (human)
regulation of postsynaptic cytosolic calcium ion concentrationGlutamate receptor 1Homo sapiens (human)
cellular response to brain-derived neurotrophic factor stimulusGlutamate receptor 1Homo sapiens (human)
modulation of chemical synaptic transmissionGlutamate receptor 1Homo sapiens (human)
synaptic transmission, glutamatergicGlutamate receptor 1Homo sapiens (human)
inositol phosphate metabolic processInositol hexakisphosphate kinase 1Homo sapiens (human)
phosphatidylinositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
negative regulation of cold-induced thermogenesisInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (48)

Processvia Protein(s)Taxonomy
cytokine activityInterferon betaHomo sapiens (human)
cytokine receptor bindingInterferon betaHomo sapiens (human)
type I interferon receptor bindingInterferon betaHomo sapiens (human)
protein bindingInterferon betaHomo sapiens (human)
chloramphenicol O-acetyltransferase activityInterferon betaHomo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
signaling receptor bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
peptide antigen bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein-folding chaperone bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
3'-5'-RNA exonuclease activityReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
RNA-dependent RNA polymerase activityReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
cysteine-type endopeptidase activityReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
mRNA 5'-cap (guanine-N7-)-methyltransferase activityReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
mRNA (nucleoside-2'-O-)-methyltransferase activityReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
mRNA guanylyltransferase activityReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
RNA endonuclease activity, producing 3'-phosphomonoestersReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
ISG15-specific peptidase activityReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
5'-3' RNA helicase activityReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
protein guanylyltransferase activityReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
amyloid-beta bindingGlutamate receptor 1Homo sapiens (human)
G-protein alpha-subunit bindingGlutamate receptor 1Homo sapiens (human)
AMPA glutamate receptor activityGlutamate receptor 1Homo sapiens (human)
protein bindingGlutamate receptor 1Homo sapiens (human)
glutamate receptor activityGlutamate receptor 1Homo sapiens (human)
adenylate cyclase bindingGlutamate receptor 1Homo sapiens (human)
immunoglobulin bindingGlutamate receptor 1Homo sapiens (human)
protein kinase bindingGlutamate receptor 1Homo sapiens (human)
glutamate-gated calcium ion channel activityGlutamate receptor 1Homo sapiens (human)
PDZ domain bindingGlutamate receptor 1Homo sapiens (human)
small GTPase bindingGlutamate receptor 1Homo sapiens (human)
myosin V bindingGlutamate receptor 1Homo sapiens (human)
G-protein beta-subunit bindingGlutamate receptor 1Homo sapiens (human)
beta-2 adrenergic receptor bindingGlutamate receptor 1Homo sapiens (human)
glutamate receptor bindingGlutamate receptor 1Homo sapiens (human)
identical protein bindingGlutamate receptor 1Homo sapiens (human)
protein kinase A bindingGlutamate receptor 1Homo sapiens (human)
scaffold protein bindingGlutamate receptor 1Homo sapiens (human)
ligand-gated monoatomic ion channel activity involved in regulation of presynaptic membrane potentialGlutamate receptor 1Homo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potentialGlutamate receptor 1Homo sapiens (human)
neurotransmitter receptor activity involved in regulation of postsynaptic cytosolic calcium ion concentrationGlutamate receptor 1Homo sapiens (human)
inositol-1,3,4,5,6-pentakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol heptakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
protein bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
ATP bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 1-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 3-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol 5-diphosphate pentakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol diphosphate tetrakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (49)

Processvia Protein(s)Taxonomy
extracellular spaceInterferon betaHomo sapiens (human)
extracellular regionInterferon betaHomo sapiens (human)
Golgi membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
endoplasmic reticulumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
Golgi apparatusHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
cell surfaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
ER to Golgi transport vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
secretory granule membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
phagocytic vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
early endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
recycling endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular exosomeHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
lumenal side of endoplasmic reticulum membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
MHC class I protein complexHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular spaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
external side of plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
double membrane vesicle viral factory outer membraneReplicase polyprotein 1abSevere acute respiratory syndrome coronavirus 2
endoplasmic reticulum membraneGlutamate receptor 1Homo sapiens (human)
plasma membraneGlutamate receptor 1Homo sapiens (human)
cell-cell junctionGlutamate receptor 1Homo sapiens (human)
cell surfaceGlutamate receptor 1Homo sapiens (human)
ER to Golgi transport vesicle membraneGlutamate receptor 1Homo sapiens (human)
postsynaptic densityGlutamate receptor 1Homo sapiens (human)
dendriteGlutamate receptor 1Homo sapiens (human)
endocytic vesicle membraneGlutamate receptor 1Homo sapiens (human)
synaptic vesicle membraneGlutamate receptor 1Homo sapiens (human)
neuromuscular junctionGlutamate receptor 1Homo sapiens (human)
early endosome membraneGlutamate receptor 1Homo sapiens (human)
dendritic spine membraneGlutamate receptor 1Homo sapiens (human)
neuronal cell body membraneGlutamate receptor 1Homo sapiens (human)
endoplasmic reticulum-Golgi intermediate compartment membraneGlutamate receptor 1Homo sapiens (human)
neuronal cell bodyGlutamate receptor 1Homo sapiens (human)
dendritic spineGlutamate receptor 1Homo sapiens (human)
dendritic shaftGlutamate receptor 1Homo sapiens (human)
axonal spineGlutamate receptor 1Homo sapiens (human)
neuron spineGlutamate receptor 1Homo sapiens (human)
postsynaptic membraneGlutamate receptor 1Homo sapiens (human)
presynaptic active zone membraneGlutamate receptor 1Homo sapiens (human)
recycling endosomeGlutamate receptor 1Homo sapiens (human)
recycling endosome membraneGlutamate receptor 1Homo sapiens (human)
excitatory synapseGlutamate receptor 1Homo sapiens (human)
synaptic membraneGlutamate receptor 1Homo sapiens (human)
presynapseGlutamate receptor 1Homo sapiens (human)
postsynaptic density membraneGlutamate receptor 1Homo sapiens (human)
glutamatergic synapseGlutamate receptor 1Homo sapiens (human)
postsynaptic density, intracellular componentGlutamate receptor 1Homo sapiens (human)
perisynaptic spaceGlutamate receptor 1Homo sapiens (human)
AMPA glutamate receptor complexGlutamate receptor 1Homo sapiens (human)
plasma membraneGlutamate receptor 1Homo sapiens (human)
dendritic spineGlutamate receptor 1Homo sapiens (human)
postsynaptic density membraneGlutamate receptor 1Homo sapiens (human)
fibrillar centerInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
cytosolInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleusInositol hexakisphosphate kinase 1Homo sapiens (human)
cytoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (42)

Assay IDTitleYearJournalArticle
AID1309748Antagonist activity at human iGluA1 receptor flop isoform expressed in CHO-S cells coexpressing TARP gamma-3 assessed as inhibition of glutamate-induced increase in intracellular calcium levels after 2 mins followed by cyclothiazide/glutamate addition by 2016Journal of medicinal chemistry, 05-26, Volume: 59, Issue:10
Discovery of the First α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid (AMPA) Receptor Antagonist Dependent upon Transmembrane AMPA Receptor Regulatory Protein (TARP) γ-8.
AID496871Anticonvulsant activity in po dosed mouse assessed as inhibition of PTZ-induced seizures2010Journal of medicinal chemistry, Aug-12, Volume: 53, Issue:15
alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) antagonists: from bench to bedside.
AID717944Ratio of drug level in brain to plasma in Sprague-Dawley rat at 10 mg/kg, po after 30 mins2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID1309746Antagonist activity at human iGluA1 receptor flop isoform expressed in CHO-S cells coexpressing TARP gamma-8 and human EAAT3 assessed as inhibition of glutamate-induced increase in intracellular calcium levels after 2 mins followed by cyclothiazide/glutam2016Journal of medicinal chemistry, 05-26, Volume: 59, Issue:10
Discovery of the First α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid (AMPA) Receptor Antagonist Dependent upon Transmembrane AMPA Receptor Regulatory Protein (TARP) γ-8.
AID717951AUC in Sprague-Dawley rat at 1 mg/kg, iv2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID496870Antagonist activity at AMPA receptor in rat cortical membrane assessed as inhibition of AMPA-induced calcium accumulation2010Journal of medicinal chemistry, Aug-12, Volume: 53, Issue:15
alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) antagonists: from bench to bedside.
AID1309750Antagonist activity at human iGluA1 receptor flip isoform expressed in CHO-S cells assessed as inhibition of glutamate-induced increase in intracellular calcium levels after 2 mins followed by cyclothiazide/glutamate addition by fluo-4 NW dye based fluore2016Journal of medicinal chemistry, 05-26, Volume: 59, Issue:10
Discovery of the First α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid (AMPA) Receptor Antagonist Dependent upon Transmembrane AMPA Receptor Regulatory Protein (TARP) γ-8.
AID717955Intrinsic clearance in rat liver microsomes after 15 mins by LC/MS/MS analysis2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID717952Volume of distribution at steady state in Sprague-Dawley rat at 1 mg/kg, iv2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID717945Ratio of drug level in brain to plasma in ddY mouse at 3 mg/kg, po after 60 mins2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID1309765Anticonvulsant activity in po dosed Sprague-Dawley rat assessed as inhibition of pentylenetetrazole-induced clonic convulsions administered 30 mins prior to PTZ dosing measured over 30 mins2016Journal of medicinal chemistry, 05-26, Volume: 59, Issue:10
Discovery of the First α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid (AMPA) Receptor Antagonist Dependent upon Transmembrane AMPA Receptor Regulatory Protein (TARP) γ-8.
AID717943Ratio of drug level in CSF to fraction unbound in plasma in ddY mouse at 0.5 mg/kg, ip after 20 mins2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID717956Intrinsic clearance in mouse liver microsomes after 15 mins by LC/MS/MS analysis2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID717950Half life in Sprague-Dawley rat at 1 mg/kg, iv2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID717940Anticonvulsant activity in ICR mouse pentylenetetrazole-induced seizure model at 0.75 to 3 mg/kg, po after 30 mins2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID717948Cmax in Sprague-Dawley rat at 1 mg/kg, po2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID496840Anticonvulsant activity in ip dosed DBA2 mouse assessed as inhibition of sound-induced clonic seizures2010Journal of medicinal chemistry, Aug-12, Volume: 53, Issue:15
alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) antagonists: from bench to bedside.
AID717949Tmax in Sprague-Dawley rat at 1 mg/kg, po2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID717939Half life in healthy human2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID717946Oral bioavailability in Sprague-Dawley rat at 1 mg/kg2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID496866Anticonvulsant activity in po dosed mouse assessed as inhibition of MES-induced tonic seizures2010Journal of medicinal chemistry, Aug-12, Volume: 53, Issue:15
alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) antagonists: from bench to bedside.
AID1309794Toxicity in Sprague-Dawley rat assessed as motor impairment at 30 mg/kg, po by inverted screen test2016Journal of medicinal chemistry, 05-26, Volume: 59, Issue:10
Discovery of the First α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid (AMPA) Receptor Antagonist Dependent upon Transmembrane AMPA Receptor Regulatory Protein (TARP) γ-8.
AID717942Anticonvulsant activity in DBA/2J mouse audinogenic seizure model at 0.3 to 3 mg/kg, po after 1 hr2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID717947AUC in Sprague-Dawley rat at 1 mg/kg, po2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID1309795Protective index, ratio of TD50 for motor impairment to ED50 for inhibition of pentylenetetrazole-induced clonic convulsions in po dosed Sprague-Dawley rat2016Journal of medicinal chemistry, 05-26, Volume: 59, Issue:10
Discovery of the First α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid (AMPA) Receptor Antagonist Dependent upon Transmembrane AMPA Receptor Regulatory Protein (TARP) γ-8.
AID1309749Antagonist activity at human iGluA1 receptor flop isoform expressed in CHO-S cells coexpressing TARP gamma-4 assessed as inhibition of glutamate-induced increase in intracellular calcium levels after 2 mins followed by cyclothiazide/glutamate addition by 2016Journal of medicinal chemistry, 05-26, Volume: 59, Issue:10
Discovery of the First α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid (AMPA) Receptor Antagonist Dependent upon Transmembrane AMPA Receptor Regulatory Protein (TARP) γ-8.
AID717957Intrinsic clearance in human liver microsomes after 15 mins by LC/MS/MS analysis2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID1309747Antagonist activity at human iGluA1 receptor flop isoform expressed in CHO-S cells coexpressing TARP gamma-2 assessed as inhibition of glutamate-induced increase in intracellular calcium levels after 2 mins followed by cyclothiazide/glutamate addition by 2016Journal of medicinal chemistry, 05-26, Volume: 59, Issue:10
Discovery of the First α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid (AMPA) Receptor Antagonist Dependent upon Transmembrane AMPA Receptor Regulatory Protein (TARP) γ-8.
AID1766123Inhibition of recombinant SARS-CoV-2 main protease using Dabcyl-KTSAVLQ-SGFRKM-E(Edans-NH2) as substrate preincubated for 15 mins followed by substrate addition by FRET based assay2021ACS medicinal chemistry letters, Aug-12, Volume: 12, Issue:8
Optimization of Triarylpyridinone Inhibitors of the Main Protease of SARS-CoV-2 to Low-Nanomolar Antiviral Potency.
AID717941Anticonvulsant activity in ddY mouse MES-induced seizure model 0.75 to 2.12 mg/kg, po after 1hr2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID1678478Inhibition of recombinant His6-tagged SARS-CoV-2 main protease assessed as residual enzyme activity at 100 uM using Dabcyl-KTSAVLQ-SGFRKM-E(Edans-NH2) as substrate preincubated for 15 mins followed by substrate addition by FRET based assay relative to con2020ACS medicinal chemistry letters, Dec-10, Volume: 11, Issue:12
Identification of 14 Known Drugs as Inhibitors of the Main Protease of SARS-CoV-2.
AID717953Plasma clearance in Sprague-Dawley rat at 1 mg/kg, iv2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID1678479Inhibition of recombinant His6-tagged SARS-CoV-2 main protease using Dabcyl-KTSAVLQ-SGFRKM-E(Edans-NH2) as substrate preincubated for 15 mins followed by substrate addition by FRET based assay2020ACS medicinal chemistry letters, Dec-10, Volume: 11, Issue:12
Identification of 14 Known Drugs as Inhibitors of the Main Protease of SARS-CoV-2.
AID717954Anticonvulsant activity in po dosed ddY mouse AMPA-induced seizure model2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID496875Antiepileptic activity in human patient assessed as reduction in refractory partial seizures2010Journal of medicinal chemistry, Aug-12, Volume: 53, Issue:15
alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) antagonists: from bench to bedside.
AID717958Antagonist activity at AMPA receptor in E18 rat cerebral cortical neurons assessed as inhibition of AMPA-induced intracellular Ca2+ response by fura-2 AM dye based fluorimetry2012Journal of medicinal chemistry, Dec-13, Volume: 55, Issue:23
Discovery of 2-(2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl)benzonitrile (perampanel): a novel, noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropanoic acid (AMPA) receptor antagonist.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347159Primary screen GU Rhodamine qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347160Primary screen NINDS Rhodamine qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1805294kinetic assay from Article 10.1021/acsmedchemlett.1c00326: \\Optimization of Triarylpyridinone Inhibitors of the Main Protease of SARS-CoV-2 to Low-Nanomolar Antiviral Potency.\\2021ACS medicinal chemistry letters, Aug-12, Volume: 12, Issue:8
Optimization of Triarylpyridinone Inhibitors of the Main Protease of SARS-CoV-2 to Low-Nanomolar Antiviral Potency.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (510)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's261 (51.18)24.3611
2020's249 (48.82)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 82.82

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index82.82 (24.57)
Research Supply Index6.39 (2.92)
Research Growth Index6.91 (4.65)
Search Engine Demand Index143.35 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (82.82)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials75 (14.42%)5.53%
Reviews88 (16.92%)6.00%
Case Studies49 (9.42%)4.05%
Observational51 (9.81%)0.25%
Other257 (49.42%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]