Page last updated: 2024-10-25

diazepam and Convulsive Generalized Seizure Disorder

diazepam has been researched along with Convulsive Generalized Seizure Disorder in 30 studies

Diazepam: A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity.
diazepam : A 1,4-benzodiazepinone that is 1,3-dihydro-2H-1,4-benzodiazepin-2-one substituted by a chloro group at position 7, a methyl group at position 1 and a phenyl group at position 5.

Research Excerpts

ExcerptRelevanceReference
"A Phase 3 open-label safety study (NCT02721069) evaluated long-term safety of diazepam nasal spray (Valtoco) in patients with epilepsy and frequent seizure clusters."9.41Final results from a Phase 3, long-term, open-label, repeat-dose safety study of diazepam nasal spray for seizure clusters in patients with epilepsy. ( Biton, V; Carrazana, E; Cascino, GD; Desai, J; Dlugos, D; Hogan, RE; Liow, K; Mauney, W; Miller, I; Rabinowicz, AL; Segal, EB; Sperling, MR; Tarquinio, D; Vazquez, B; Wheless, JW, 2021)
" Continuous seizures of more than 5 min duration were randomly treated with buccal midazolam or rectal diazepam."9.09Buccal midazolam and rectal diazepam for treatment of prolonged seizures in childhood and adolescence: a randomised trial. ( Besag, FM; Neville, BG; Scott, RC, 1999)
"Of 1634 seizure clusters in pediatric patients, 186 (11."7.11Safety of Diazepam Nasal Spray in Children and Adolescents With Epilepsy: Results From a Long-Term Phase 3 Safety Study. ( Carrazana, E; Desai, J; Dlugos, D; Rabinowicz, AL; Tarquinio, D; Wheless, JW, 2022)
"An exploratory analysis from a long-term, phase 3, open-label, repeat-dose safety study of diazepam nasal spray for acute treatment of seizure clusters assessed the use of a second dose up to 24 hours after the initial dose and effectiveness in potentially reducing the number of seizures."5.51Use of second doses of Valtoco® (diazepam nasal spray) across 24 hours after the initial dose for out-of-hospital seizure clusters: Results from a phase 3, open-label, repeat-dose safety study. ( Carrazana, E; Cascino, GD; Dlugos, D; Hogan, RE; Liow, K; Rabinowicz, AL; Sperling, MR; Wheless, JW, 2022)
"A Phase 3 open-label safety study (NCT02721069) evaluated long-term safety of diazepam nasal spray (Valtoco) in patients with epilepsy and frequent seizure clusters."5.41Final results from a Phase 3, long-term, open-label, repeat-dose safety study of diazepam nasal spray for seizure clusters in patients with epilepsy. ( Biton, V; Carrazana, E; Cascino, GD; Desai, J; Dlugos, D; Hogan, RE; Liow, K; Mauney, W; Miller, I; Rabinowicz, AL; Segal, EB; Sperling, MR; Tarquinio, D; Vazquez, B; Wheless, JW, 2021)
" Continuous seizures of more than 5 min duration were randomly treated with buccal midazolam or rectal diazepam."5.09Buccal midazolam and rectal diazepam for treatment of prolonged seizures in childhood and adolescence: a randomised trial. ( Besag, FM; Neville, BG; Scott, RC, 1999)
"The aim of this study was to review out-of-hospital use of intranasal diazepam and midazolam for treatment of acute repetitive seizures (ARS) at a typical adult epilepsy center."4.12Use of new intranasal benzodiazepines at a typical adult epilepsy center. ( Benbadis, SR; Li, C, 2022)
"During her first pregnancy, a 37-year-old woman with idiopathic generalised epilepsy that was adequately controlled with lamotrigine experienced a series of epileptic seizures following an elective caesarean section."3.73[Epileptic seizures during childbirth in a patient with idiopathic generalised epilepsy]. ( Bloem, BR; Renier, WO; Voermans, NC; Zwarts, MJ, 2005)
" Across groups, treatment-emergent adverse event rates ranged from 66."3.30Safety of Diazepam Nasal Spray in Pediatric Patients With Developmental Epileptic Encephalopathies: Results From a Long-term Phase 3 Safety Study. ( Carrazana, E; Misra, SN; Rabinowicz, AL; Segal, EB; Tarquinio, D; Wheless, JW, 2023)
"Of 1634 seizure clusters in pediatric patients, 186 (11."3.11Safety of Diazepam Nasal Spray in Children and Adolescents With Epilepsy: Results From a Long-Term Phase 3 Safety Study. ( Carrazana, E; Desai, J; Dlugos, D; Rabinowicz, AL; Tarquinio, D; Wheless, JW, 2022)
"The QOLIE-31-P includes 7 subscales: Seizure Worry, Overall QoL, Emotional Well-Being, Energy/Fatigue, Cognitive Functioning, Medication Effects, and Social Functioning; an Overall Score is calculated as a weighted composite of the 7 subscales."3.11Quality-of-life results in adults with epilepsy using diazepam nasal spray for seizure clusters from a long-term, open-label safety study. ( Carrazana, E; Cramer, JA; Davis, C; Faught, E; Misra, SN; Rabinowicz, AL, 2022)
"Epilepsy is a chronic disease of the central nervous system characterized by recurrent epileptic seizures."3.01Second Generation of Antiepileptic Drugs and Oxidative Stress. ( Czuczwar, SJ; Kamieniak, M; Kośmider, K; Miziak, B, 2023)
"Patients with epilepsy can experience seizure clusters (acute repetitive seizures), defined as intermittent, stereotypic episodes of frequent seizure activity that are distinct from typical seizure patterns."3.01Overcoming barriers to the management of seizure clusters: ease of use and time to administration of rescue medications. ( Bougher, G; Dean, P; Desai, J; Dewar, S; Misra, SN; O'Hara, K, 2023)
"The primary goal of treatment for seizure clusters is cessation of the cluster to avoid progression to more severe conditions, such as prolonged seizures and status epilepticus."2.82Rescue therapies for seizure clusters: Pharmacology and target of treatments. ( Detyniecki, K; Gidal, B, 2022)
" The pharmacokinetic simulations of second doses predicted comparable elevations of plasma diazepam concentrations with administrations across a range of intervals after the first dose (1 min-4 h)."1.72Lack of clinically relevant differences in safety and pharmacokinetics after second-dose administration of intranasal diazepam within 4 h for acute treatment of seizure clusters: A population analysis. ( Carrazana, E; Cascino, GD; Desai, J; Hogan, RE; Misra, SN; Rabinowicz, AL; Samara, E; Sperling, MR; Tarquinio, D; Vazquez, B; Wheless, JW, 2022)
"Beyond effectiveness for aborting seizure clusters, no data exist on how intermittent rescue therapy may impact the long-term natural course of seizure clusters."1.72Significant improvements in SEIzure interVAL (time between seizure clusters) across time in patients treated with diazepam nasal spray as intermittent rescue therapy for seizure clusters. ( Carrazana, E; Davis, C; Misra, SN; Peters, JM; Rabinowicz, AL; Rao, VR; Sperling, MR, 2022)
"In all age groups, the dosage of DZP that stopped the seizures at 5 min was not effective in terminating seizures at 60 min."1.32Diazepam terminates brief but not prolonged seizures in young, naïve rats. ( Goodkin, HP; Holmes, GL; Liu, X, 2003)
"an elderly patient presented with acute confusion and was found to have nonconvulsive status epilepticus."1.31Nonconvulsive status epilepticus causing acute confusion. ( Mitchell, SC; Pollock, LM, 2000)

Research

Studies (30)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's7 (23.33)18.2507
2000's11 (36.67)29.6817
2010's0 (0.00)24.3611
2020's12 (40.00)2.80

Authors

AuthorsStudies
Sperling, MR4
Wheless, JW5
Hogan, RE3
Dlugos, D3
Cascino, GD3
Liow, K2
Rabinowicz, AL7
Carrazana, E7
Tarquinio, D4
Desai, J4
Vazquez, B2
Samara, E1
Misra, SN5
Cramer, JA1
Faught, E1
Davis, C2
Li, C1
Benbadis, SR1
Rao, VR1
Peters, JM1
Gidal, B1
Detyniecki, K1
Kośmider, K1
Kamieniak, M1
Czuczwar, SJ1
Miziak, B1
O'Hara, K1
Dewar, S1
Bougher, G1
Dean, P1
McLaren, JR1
Luo, Y1
Kwon, H1
Shi, W1
Kramer, MA1
Chu, CJ1
Segal, EB2
Miller, I1
Biton, V1
Mauney, W1
Singh, SM1
Sharma, B1
Alajbegović, A1
Loga, N1
Alajbegović, S1
Suljić, E1
Goodkin, HP1
Liu, X1
Holmes, GL1
Macdonald, RL1
Bianchi, MT1
Bianch, MT1
Feng, H1
Yamashita, H1
Ohno, K1
Inami, H1
Shishikura, J1
Sakamoto, S1
Okada, M1
Yamaguchi, T1
Kirby, D1
Fountain, NB1
Quigg, M1
Voermans, NC1
Zwarts, MJ1
Renier, WO1
Bloem, BR1
Hasegawa, S1
Oda, Y1
Ichiyama, T1
Hori, Y1
Furukawa, S1
Reisner-Keller, LA1
Pham, Z1
Kuroiwa, T1
Morita, H1
Tanabe, H1
Ohta, T1
Kaplan, PW1
Kato, H1
Kishikawa, H1
Emura, S1
Takashima, T1
Ohmori, K1
Fujita, H1
Scott, RC1
Besag, FM1
Neville, BG1
Pollock, LM1
Mitchell, SC1
Butler, J1
Lewis, M1
Primavera, A1
Audenino, D1
Cocito, L1
Ben Attia, M1
N'Gouemo, P1
Belaidi, M1
Rondouin, G1
Chicheportiche, R1
Bowery, NG1
Bagetta, G1
Nisticó, G1
Britton, P1
Whitton, P1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A 12-Month Open-Label, Repeat-Dose Safety Study of NRL-1 in Epilepsy Subjects (DIAZ.001.05)[NCT02721069]Phase 3175 participants (Actual)Interventional2016-04-11Completed
Intranasal Midazolam Versus Rectal Diazepam for the Home Treatment of Seizure Activity in Pediatric Patients With Epilepsy[NCT00326612]Phase 2358 participants (Actual)Interventional2006-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants Who Received NRL-1 (Valtoco)

Assess the number of participants who received at least one dose of NRL-1 (Valtoco) during the study and comprised the safety population. (NCT02721069)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
NRL-1 5mg9
NRL-1 10mg54
NRL-1 15 mg46
NRL-1 20mg54

Length of Seizure After Study Medication Administration

Length of seizure. (NCT00326612)
Timeframe: 24 hours

InterventionMinutes (Median)
Intranasal Midazolam3.0
Rectal Diazepam4.3

Number of Patients Needed to be Seen or Treated in the Emergency Department for Their Seizure and Use of Study Medication.

(NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam21
Rectal Diazepam17

Number of Patients That Were Admitted to the Hospital After Their Seizure and Use of Study Medication.

(NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam4
Rectal Diazepam3

Number of Patients Who Had a Repeat Seizure Within 12 Hours After Their Seizure Who Used Study Medication

(NCT00326612)
Timeframe: 12 hours

Interventionparticipants (Number)
Intranasal Midazolam1
Rectal Diazepam1

Number of Patients Who Needed Additional Medication to Treat the Seizure in the Emergency Department Within 24 Hours

(NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam5
Rectal Diazepam5

Respiratory Depression Requiring Intubation

Respiratory depression was defined as intubation at Emergency Department discharge. (NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam1
Rectal Diazepam0

Respiratory Depression Requiring Oxygen at Discharge From the Emergency Department.

Respiratory depression was defined as requiring oxygen at discharge from the Emergency Department. (NCT00326612)
Timeframe: 24 hours

Interventionparticipants (Number)
Intranasal Midazolam3
Rectal Diazepam1

Reviews

5 reviews available for diazepam and Convulsive Generalized Seizure Disorder

ArticleYear
Rescue therapies for seizure clusters: Pharmacology and target of treatments.
    Epilepsia, 2022, Volume: 63 Suppl 1

    Topics: Administration, Intranasal; Adolescent; Adult; Anticonvulsants; Benzodiazepines; Diazepam; Epilepsy,

2022
Second Generation of Antiepileptic Drugs and Oxidative Stress.
    International journal of molecular sciences, 2023, Feb-15, Volume: 24, Issue:4

    Topics: Anticonvulsants; Carbamazepine; Diazepam; Epilepsy; Epilepsy, Generalized; Fructose; Gabapentin; Hum

2023
Overcoming barriers to the management of seizure clusters: ease of use and time to administration of rescue medications.
    Expert review of neurotherapeutics, 2023, Volume: 23, Issue:5

    Topics: Administration, Intranasal; Anticonvulsants; Diazepam; Epilepsy; Epilepsy, Generalized; Humans; Nasa

2023
Unintentional rapid opioid detoxification: case report.
    Psychiatria Danubina, 2009, Volume: 21, Issue:1

    Topics: Adult; Consciousness Disorders; Critical Care; Diazepam; Drug Interactions; Emergency Service, Hospi

2009
Standardized mental status testing for nonconvulsive status epilepticus.
    American journal of electroneurodiagnostic technology, 2004, Volume: 44, Issue:3

    Topics: Anticonvulsants; Diazepam; Epilepsy, Generalized; Intelligence Tests; Mental Disorders; Neuropsychol

2004

Trials

6 trials available for diazepam and Convulsive Generalized Seizure Disorder

ArticleYear
Use of second doses of Valtoco® (diazepam nasal spray) across 24 hours after the initial dose for out-of-hospital seizure clusters: Results from a phase 3, open-label, repeat-dose safety study.
    Epilepsia, 2022, Volume: 63, Issue:4

    Topics: Administration, Intranasal; Anticonvulsants; Diazepam; Epilepsy, Generalized; Hospitals; Humans; Nas

2022
Safety of Diazepam Nasal Spray in Children and Adolescents With Epilepsy: Results From a Long-Term Phase 3 Safety Study.
    Pediatric neurology, 2022, Volume: 132

    Topics: Administration, Intranasal; Adolescent; Adult; Aged; Anticonvulsants; Child; Diazepam; Double-Blind

2022
Quality-of-life results in adults with epilepsy using diazepam nasal spray for seizure clusters from a long-term, open-label safety study.
    Epilepsy & behavior : E&B, 2022, Volume: 134

    Topics: Adult; Diazepam; Drug Resistant Epilepsy; Epilepsy, Generalized; Humans; Nasal Sprays; Quality of Li

2022
Safety of Diazepam Nasal Spray in Pediatric Patients With Developmental Epileptic Encephalopathies: Results From a Long-term Phase 3 Safety Study.
    Journal of child neurology, 2023, Volume: 38, Issue:6-7

    Topics: Anticonvulsants; Brain Diseases; Child; Diazepam; Epilepsy; Epilepsy, Generalized; Humans; Lennox Ga

2023
Final results from a Phase 3, long-term, open-label, repeat-dose safety study of diazepam nasal spray for seizure clusters in patients with epilepsy.
    Epilepsia, 2021, Volume: 62, Issue:10

    Topics: Administration, Intranasal; Adolescent; Adult; Aged; Anticonvulsants; Brain Damage, Chronic; Child;

2021
Buccal midazolam and rectal diazepam for treatment of prolonged seizures in childhood and adolescence: a randomised trial.
    Lancet (London, England), 1999, Feb-20, Volume: 353, Issue:9153

    Topics: Administration, Buccal; Administration, Rectal; Adolescent; Adult; Anti-Anxiety Agents; Anticonvulsa

1999

Other Studies

19 other studies available for diazepam and Convulsive Generalized Seizure Disorder

ArticleYear
Lack of clinically relevant differences in safety and pharmacokinetics after second-dose administration of intranasal diazepam within 4 h for acute treatment of seizure clusters: A population analysis.
    Epilepsia, 2022, Volume: 63, Issue:7

    Topics: Administration, Intranasal; Anticonvulsants; Diazepam; Epilepsy, Generalized; Humans; Nasal Sprays;

2022
Use of new intranasal benzodiazepines at a typical adult epilepsy center.
    Epilepsy & behavior : E&B, 2022, Volume: 134

    Topics: Administration, Intranasal; Adult; Anticonvulsants; Benzodiazepines; Diazepam; Epilepsy; Epilepsy, G

2022
Significant improvements in SEIzure interVAL (time between seizure clusters) across time in patients treated with diazepam nasal spray as intermittent rescue therapy for seizure clusters.
    Epilepsia, 2022, Volume: 63, Issue:10

    Topics: Administration, Intranasal; Adult; Anticonvulsants; Brain Damage, Chronic; Diazepam; Epilepsy; Epile

2022
Preliminary evidence of a relationship between sleep spindles and treatment response in epileptic encephalopathy.
    Annals of clinical and translational neurology, 2023, Volume: 10, Issue:9

    Topics: Diazepam; Electroencephalography; Epilepsy, Generalized; Humans; Sleep; Sleep Stages

2023
Characteristics of symptomatic epilepsy in patients with brain tumours.
    Bosnian journal of basic medical sciences, 2009, Volume: 9, Issue:1

    Topics: Anticonvulsants; Brain Neoplasms; Carbamazepine; Diazepam; Epilepsy, Generalized; Female; Frontal Lo

2009
Diazepam terminates brief but not prolonged seizures in young, naïve rats.
    Epilepsia, 2003, Volume: 44, Issue:8

    Topics: Age Factors; Animals; Anticonvulsants; Cerebral Cortex; Diazepam; Dose-Response Relationship, Drug;

2003
Mutations linked to generalized epilepsy in humans reduce GABA(A) receptor current.
    Experimental neurology, 2003, Volume: 184 Suppl 1

    Topics: Amino Acids, Basic; Animals; Cell Line; Diazepam; Dose-Response Relationship, Drug; Drug Interaction

2003
Suppression of fully kindled seizure and retardation of kindling acquisition by YM928 in the rat kindling model of epilepsy.
    European journal of pharmacology, 2004, Jun-28, Volume: 494, Issue:2-3

    Topics: Animals; Anticonvulsants; Diazepam; Dose-Response Relationship, Drug; Electrodes, Implanted; Electro

2004
[Epileptic seizures during childbirth in a patient with idiopathic generalised epilepsy].
    Nederlands tijdschrift voor geneeskunde, 2005, Jun-18, Volume: 149, Issue:25

    Topics: Adult; Anticonvulsants; Cesarean Section; Clonazepam; Diazepam; Epilepsy; Epilepsy, Generalized; Epi

2005
Ginkgo nut intoxication in a 2-year-old male.
    Pediatric neurology, 2006, Volume: 35, Issue:4

    Topics: Child, Preschool; Diazepam; Drug Therapy, Combination; Electroencephalography; Epilepsy, Generalized

2006
Oral flumazenil in the treatment of epilepsy.
    The Annals of pharmacotherapy, 1995, Volume: 29, Issue:5

    Topics: Administration, Oral; Clinical Trials as Topic; Diazepam; Drug Therapy, Combination; Epilepsy; Epile

1995
Life threatening epilepsy in a child.
    Journal of neurology, neurosurgery, and psychiatry, 1994, Volume: 57, Issue:11

    Topics: Arrhythmias, Cardiac; Child; Diazepam; Electrocardiography; Epilepsy, Generalized; Female; Humans; P

1994
Nonconvulsive status epilepticus in the emergency room.
    Epilepsia, 1996, Volume: 37, Issue:7

    Topics: Adult; Aged; Anticonvulsants; Confusion; Diagnosis, Differential; Diazepam; Drug Therapy, Combinatio

1996
Treatment of focal status epilepticus with lignocaine.
    Journal of accident & emergency medicine, 1997, Volume: 14, Issue:3

    Topics: Aged; Anticonvulsants; Diazepam; Epilepsies, Partial; Epilepsy, Generalized; Humans; Lidocaine; Male

1997
Nonconvulsive status epilepticus causing acute confusion.
    Age and ageing, 2000, Volume: 29, Issue:4

    Topics: Acute Disease; Aged; Anticonvulsants; Confusion; Diazepam; Epilepsy, Generalized; Fatal Outcome; Fem

2000
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Lorazepam or diazepam for generalised convulsions in adults.
    Emergency medicine journal : EMJ, 2001, Volume: 18, Issue:2

    Topics: Diazepam; Emergency Medical Services; Epilepsy, Generalized; Epilepsy, Tonic-Clonic; Evidence-Based

2001
Ifosfamide encephalopathy and nonconvulsive status epilepticus.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 2002, Volume: 29, Issue:2

    Topics: Adult; Anticonvulsants; Antineoplastic Agents, Alkylating; Diazepam; Electroencephalography; Epileps

2002
Kindling and electrode effects on the benzodiazepine receptors density of olfactory bulb and hippocampus after olfactory bulb kindling.
    Neuroscience letters, 1992, Aug-31, Volume: 143, Issue:1-2

    Topics: Animals; Diazepam; Disease Models, Animal; Electric Stimulation; Epilepsy, Generalized; Hippocampus;

1992
Intrahippocampal tetanus toxin produces generalized convulsions and neurodegeneration in rats: antagonism by NMDA receptor blockers.
    Epilepsy research. Supplement, 1992, Volume: 9

    Topics: 2-Amino-5-phosphonovalerate; Animals; Anticonvulsants; Carbamazepine; Diazepam; Dizocilpine Maleate;

1992