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gamma-aminobutyric acid and Drug Refractory Epilepsy

gamma-aminobutyric acid has been researched along with Drug Refractory Epilepsy in 14 studies

gamma-Aminobutyric Acid: The most common inhibitory neurotransmitter in the central nervous system.
gamma-aminobutyric acid : A gamma-amino acid that is butanoic acid with the amino substituent located at C-4.

Research Excerpts

ExcerptRelevanceReference
"To evaluate the comparative safety and adjunctive efficacy of pregabalin and gabapentin in reducing seizure frequency in patients with partial-onset seizures based on prestudy modeling showing superior efficacy for pregabalin."9.22Adjunctive pregabalin vs gabapentin for focal seizures: Interpretation of comparative outcomes. ( Almas, M; French, J; Friedman, D; Glue, P; Knapp, L; Pitman, V; Posner, HB; Yardi, N, 2016)
"The design of this comparative efficacy and safety study of pregabalin and gabapentin as adjunctive treatment in adults with refractory partial-onset seizures was randomized, flexible dose, double blind, and parallel group."9.22Adjunctive pregabalin vs gabapentin for focal seizures: Interpretation of comparative outcomes. ( Almas, M; French, J; Friedman, D; Glue, P; Knapp, L; Pitman, V; Posner, HB; Yardi, N, 2016)
"This study provides Class II evidence that for patients with partial seizures enrolled in this study, pregabalin is not superior to gabapentin in reducing seizure frequency."9.22Adjunctive pregabalin vs gabapentin for focal seizures: Interpretation of comparative outcomes. ( Almas, M; French, J; Friedman, D; Glue, P; Knapp, L; Pitman, V; Posner, HB; Yardi, N, 2016)
"The average number of seizures per month during the previous 3 months before CNB treatment was 19."5.91Cenobamate and Clobazam Combination as Personalized Medicine in Autoimmune-Associated Epilepsy With Anti-Gad65 Antibodies. ( Aguilar-Castillo, MJ; Cabezudo-García, P; Carreño, M; Ciano-Petersen, NL; Estivill-Torrús, G; García-Martín, G; Gutierrez-Cardo, AL; López-Moreno, Y; Oliver, B; Ortega-Pinazo, J; Ramírez-García, T; Rodríguez-Uranga, JJ; Romero-Godoy, J; Sanchez-Godoy, L; Serrano-Castro, PJ, 2023)
"To evaluate the comparative safety and adjunctive efficacy of pregabalin and gabapentin in reducing seizure frequency in patients with partial-onset seizures based on prestudy modeling showing superior efficacy for pregabalin."5.22Adjunctive pregabalin vs gabapentin for focal seizures: Interpretation of comparative outcomes. ( Almas, M; French, J; Friedman, D; Glue, P; Knapp, L; Pitman, V; Posner, HB; Yardi, N, 2016)
"The design of this comparative efficacy and safety study of pregabalin and gabapentin as adjunctive treatment in adults with refractory partial-onset seizures was randomized, flexible dose, double blind, and parallel group."5.22Adjunctive pregabalin vs gabapentin for focal seizures: Interpretation of comparative outcomes. ( Almas, M; French, J; Friedman, D; Glue, P; Knapp, L; Pitman, V; Posner, HB; Yardi, N, 2016)
"This study provides Class II evidence that for patients with partial seizures enrolled in this study, pregabalin is not superior to gabapentin in reducing seizure frequency."5.22Adjunctive pregabalin vs gabapentin for focal seizures: Interpretation of comparative outcomes. ( Almas, M; French, J; Friedman, D; Glue, P; Knapp, L; Pitman, V; Posner, HB; Yardi, N, 2016)
"The FDA recently approved the first cannabidiol oral medication to treat refractory epilepsy in patients with Dravet syndrome and Lennox-Gastaut syndrome."3.91What is the role of cannabidiol in refractory epilepsy? ( LaFleur, KM; Nemec, EC, 2019)
"Gabapentin has efficacy as an add-on treatment in people with drug-resistant focal epilepsy, and seems to be fairly well-tolerated."2.72Gabapentin add-on treatment for drug-resistant focal epilepsy. ( Al-Bachari, S; Hutton, JL; Marson, AG; Panebianco, M, 2021)
" We estimated summary risk ratios (RR) for each outcome and evaluated dose-response in regression models."2.72Gabapentin add-on treatment for drug-resistant focal epilepsy. ( Al-Bachari, S; Hutton, JL; Marson, AG; Panebianco, M, 2021)
"Gabapentin has efficacy as an add-on treatment in people with drug-resistant focal epilepsy."2.58Gabapentin add-on treatment for drug-resistant focal epilepsy. ( Al-Bachari, S; Hutton, JL; Marson, AG; Panebianco, M; Weston, J, 2018)
" We estimated summary risk ratios (RR) for each outcome and evaluated dose-response in regression models."2.58Gabapentin add-on treatment for drug-resistant focal epilepsy. ( Al-Bachari, S; Hutton, JL; Marson, AG; Panebianco, M; Weston, J, 2018)
"The average number of seizures per month during the previous 3 months before CNB treatment was 19."1.91Cenobamate and Clobazam Combination as Personalized Medicine in Autoimmune-Associated Epilepsy With Anti-Gad65 Antibodies. ( Aguilar-Castillo, MJ; Cabezudo-García, P; Carreño, M; Ciano-Petersen, NL; Estivill-Torrús, G; García-Martín, G; Gutierrez-Cardo, AL; López-Moreno, Y; Oliver, B; Ortega-Pinazo, J; Ramírez-García, T; Rodríguez-Uranga, JJ; Romero-Godoy, J; Sanchez-Godoy, L; Serrano-Castro, PJ, 2023)
"Status epilepticus is defined as a state of unrelenting seizure activity."1.51Excitatory GABAergic signalling is associated with benzodiazepine resistance in status epilepticus. ( Akerman, CJ; Burman, RJ; Calin, A; Codadu, NK; Katz, AA; Lee, JH; Newey, SE; Parrish, RR; Raimondo, JV; Selfe, JS; Trevelyan, AJ; van den Berg, M; Wilmshurst, JM; Wright, R, 2019)
"Generalized convulsive status epilepticus is associated with a rapidly rising mortality rate, and thus constitutes a medical emergency."1.51Excitatory GABAergic signalling is associated with benzodiazepine resistance in status epilepticus. ( Akerman, CJ; Burman, RJ; Calin, A; Codadu, NK; Katz, AA; Lee, JH; Newey, SE; Parrish, RR; Raimondo, JV; Selfe, JS; Trevelyan, AJ; van den Berg, M; Wilmshurst, JM; Wright, R, 2019)
"Subjects (n = 79) were medically refractory epilepsy patients undergoing intracranial electroencephalogram evaluation."1.43Elevated basal glutamate and unchanged glutamine and GABA in refractory epilepsy: Microdialysis study of 79 patients at the yale epilepsy surgery program. ( Çavuş, I; Duckrow, R; Dziura, J; Eid, T; Farooque, P; Kennard, JT; Romanyshyn, JC; Spencer, DD; Spencer, SS; Williamson, A, 2016)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's10 (71.43)24.3611
2020's4 (28.57)2.80

Authors

AuthorsStudies
Gurrell, R1
Iredale, P1
Evrard, A1
Duveau, V1
Ruggiero, C1
Roucard, C1
Ruffolo, G1
Alfano, V1
Romagnolo, A1
Zimmer, T1
Mills, JD1
Cifelli, P1
Gaeta, A1
Morano, A1
Anink, J1
Mühlebner, A1
Vezzani, A1
Aronica, E1
Palma, E1
Serrano-Castro, PJ1
Rodríguez-Uranga, JJ1
Cabezudo-García, P1
García-Martín, G1
Romero-Godoy, J1
Estivill-Torrús, G1
Ciano-Petersen, NL1
Oliver, B1
Ortega-Pinazo, J1
López-Moreno, Y1
Aguilar-Castillo, MJ1
Gutierrez-Cardo, AL1
Ramírez-García, T1
Sanchez-Godoy, L1
Carreño, M1
Burman, RJ1
Selfe, JS1
Lee, JH1
van den Berg, M1
Calin, A1
Codadu, NK1
Wright, R1
Newey, SE1
Parrish, RR1
Katz, AA1
Wilmshurst, JM1
Akerman, CJ1
Trevelyan, AJ1
Raimondo, JV1
Panebianco, M2
Al-Bachari, S2
Hutton, JL2
Marson, AG2
Harrison, VS1
Oatman, O1
Kerrigan, JF1
Xu, K2
Liu, Z1
Wang, L1
Wu, G2
Liu, T1
Weston, J1
Liu, F1
Xu, W1
Liu, J1
Chen, S1
LaFleur, KM1
Nemec, EC1
Gill, I1
Parrent, AG1
Steven, DA1
Hunt, RF1
Baraban, SC1
Çavuş, I1
Romanyshyn, JC1
Kennard, JT1
Farooque, P1
Williamson, A1
Eid, T1
Spencer, SS1
Duckrow, R1
Dziura, J1
Spencer, DD1
French, J1
Glue, P1
Friedman, D1
Almas, M1
Yardi, N1
Knapp, L1
Pitman, V1
Posner, HB1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A 57-Week, Multicenter, Active-treatment, Open-label Extension Trial of CVL-865 as Adjunctive Therapy in Adults With Drug-Resistant Focal Onset Seizures[NCT04686786]Phase 2120 participants (Anticipated)Interventional2020-12-08Enrolling by invitation
A Randomized, Double-blind, Placebo-controlled, Parallel Group, Multicenter Trial of CVL-865 as Adjunctive Therapy in Adults With Drug-Resistant Focal Onset Seizures (REALIZE Trial)[NCT04244175]Phase 2150 participants (Anticipated)Interventional2020-01-27Recruiting
Effect of Adding Lamotrigine to Sodium Valproate in Childhood Epilepsy: Clinicolabratory Study[NCT05881928]Phase 450 participants (Anticipated)Interventional2023-07-25Not yet recruiting
A Randomized, Double-blind, Parallel-group Multi-center Comparative Flexible-dose Trial Of Pregabalin Versus Gabapentin As Adjunctive Therapy In Subjects With Partial Seizures.[NCT00537940]Phase 4482 participants (Actual)Interventional2008-02-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percent Change From Baseline in 28-day Seizure Frequency at Week 21.

The seizures were recorded by the participants, by a family member, by a caregiver, or by a legal guardian and documented in a daily seizure diary. Participant's 28-day seizure frequency of all partial seizure was assessed during double blind (TP + MP) phase compared with baseline. Total partial seizure is defined as the total number of (simple partial seizure + complex partial seizure + secondary generalized tonic clonic seizure [SGTC]). (NCT00537940)
Timeframe: 6 weeks Baseline, 21 weeks through End of MP for 27 weeks

Interventionpercent change (Median)
Pregabalin-58.65
Gabapentin-57.43

Reduction in Proportion of the 28-day SGTC Seizure Rate Over the Total Partial Seizure Rate at Week 21.

SGTC Responder is defined as a participant who shows reduction from Baseline to double-blind phase in proportion of 28-Day SGTC Seizure Rate to 28-Day All Partial Seizure Rate. (NCT00537940)
Timeframe: 6 weeks Baseline, 21 weeks through End of MP for 27 weeks

Interventionpercentage of responders (Number)
Pregabalin30.8
Gabapentin39.8

Change From Baseline in the 28-day Secondarily Generalized Tonic-clonic (SGTC) Seizure Frequency at Week 21.

Change in SGTC = (Proportion of SGTC/All Partial Seizure rate during at the double-blind phase) - (Proportion of SGTC/All Partial Seizure rate at Baseline). Negative values indicate reduction from baseline. (NCT00537940)
Timeframe: 6 weeks Baseline, 21 weeks through End of MP for 27 weeks

,
Interventionpercentage of all partial seizure/28days (Mean)
Baseline (n=114, 114)Change from Baseline at Double Blind (n=104, 98)
Gabapentin59.60-2.17
Pregabalin56.531.59

Hospital Anxiety and Depression Scale (HADS) Score.

HADS: participant rated questionnaire with 2 subscales. Hospital Anxiety and Depression Scale - anxiety (HADS-A) assesses state of generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); Hospital Anxiety and Depression Scale - depression (HADS-D) assesses state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score 0 to 21 for each subscale; higher score indicates greater severity of anxiety and depression symptoms. (NCT00537940)
Timeframe: Baseline, Week 21

,
InterventionUnits on a scale (Least Squares Mean)
Baseline HADS-A (n=238, 240)HADS- A Change at Week 21/ET (n=212, 210)Baseline HADS-D (n=238, 240)HADS-D Change at Week 21/ET (n=212, 210)
Gabapentin7.60-0.835.65-0.42
Pregabalin7.82-0.925.94-0.59

Medical Outcomes Study Sleep Scale (MOS-SS) Score.

Participant-rated 12-item questionnaire to assess constructs of sleep over past week; 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence (range:0-100); sleep quantity (range:0-24), optimal sleep (yes/no), and 9 item index measures of sleep disturbance provide composite scores: sleep problem summary, overall sleep problem. Except adequacy, optimal sleep and quantity, higher scores=more impairment. Scores transformed (actual raw score [RS] minus lowest possible score divided by possible RS range*100); total score range:0-100; higher score=more intensity of attribute. (NCT00537940)
Timeframe: Baseline, Week 21

,
InterventionUnits on a scale (Least Squares Mean)
Baseline: Sleep Disturbance (n=238, 240)Baseline: Snoring (n=238, 240)Baseline: Awaken Short of Breath (n=238, 240)Baseline: Quantity of Sleep (n=238, 240)Baseline: Adequacy of Sleep (n=238, 240)Baseline: Somnolence (n=238, 240)Baseline: Sleep Problem Index (9) (n=238, 240)Week 21: Sleep Disturbance (n=212, 210)Week 21: Snoring (n=212, 210)Week 21: Awaken Short of Breath (n=212, 210)Week 21: Quantity of Sleep (n=212, 210)Week 21: Adequacy of Sleep (n=212, 210)Week 21: Somnolence (n=212, 210)Week 21: Sleep Problem Index (9) (n=212, 210)
Gabapentin26.4328.0919.617.5963.6729.3128.1525.3126.1218.208.7764.5329.9827.54
Pregabalin29.6829.2823.647.5661.3032.2931.6024.9928.0716.268.7963.8732.0427.88

Percentage of Participants With 50% Reduction From Baseline in 28-day Seizure Rate at Week 21.

Participants who had at least 50% reduction in seizure frequency from Baseline to double-blind treatment (TP + MP) were considered as 50% responders. If percent change from baseline <= -50 then responder rate = 1 (yes) otherwise responder rate = 0 (no). (NCT00537940)
Timeframe: 6 weeks Baseline, 21 weeks through End of MP for 27 weeks

,
InterventionPercentage of participants (Number)
All Partial Seizure (n=238, 240)Simple Partial (n=87, 88)Complex Partial (n=161, 158)SGTC (n=112, 114)
Gabapentin58.353.455.160.5
Pregabalin56.355.256.550.9

Percentage of Participants With 75% Reduction From Baseline in 28-day Seizure Rate at Week 21.

Participants who had at least 75% reduction in seizure frequency from Baseline to double-blind treatment (TP + MP) were considered as 75% responders. If percent change from baseline <= -75 then 75% responder rate = 1 (yes) otherwise responder rate = 0 (no). Total partial seizure is defined as the total number of (simple partial seizure + complex partial seizure + SGTC). (NCT00537940)
Timeframe: 6 weeks Baseline, 21 weeks through End of MP for 27 weeks

,
InterventionPercentage of participants (Number)
All Partial Seizure (n=238, 240)Simple Partial (n=87, 88)Complex Partial (n=161, 158)SGTC (n=112, 114)
Gabapentin34.233.036.143.9
Pregabalin33.636.837.338.4

Percentage of Participants With Optimal Sleep Assessed Using Medical Outcomes Study-Sleep Scale (MOS-SS) Score.

MOS-SS: participant-rated 12 item questionnaire to assess constructs of sleep over past week. It included 7 subscales: sleep disturbance, snoring, awakened short of breath, sleep adequacy, somnolence, sleep quantity and optimal sleep. Participants responded whether their sleep was optimal or not by choosing yes or no. Percentage of participants with optimal sleep are reported. (NCT00537940)
Timeframe: Baseline, Week 21

,
Interventionpercentage of participants (Number)
Baseline (n=238, 240)Week 21 (n=212, 210)
Gabapentin58.858.6
Pregabalin49.251.4

Percentage of Participants Without Seizures.

Seizure free for 28 days was defined as participants who have not experienced any seizure (simple partial, complex partial and SGTC) for at least 28 consecutive days from their last seizure until the end of the MP. Same participant could be seizure free for a specific type of seizure but not necessarily for the other types of seizure. (NCT00537940)
Timeframe: 6 weeks Baseline, 21 weeks through End of MP for 27 weeks

,
Interventionpercentage of participants (Number)
All Partial Seizure (n=189, 182)Simple Partial (n=74, 66)Complex Partial (n=126, 123)SGTC (n=95, 91)
Gabapentin34.136.440.742.9
Pregabalin30.729.737.346.3

Reviews

4 reviews available for gamma-aminobutyric acid and Drug Refractory Epilepsy

ArticleYear
Gabapentin add-on treatment for drug-resistant focal epilepsy.
    The Cochrane database of systematic reviews, 2021, 01-12, Volume: 1

    Topics: Adult; Anticonvulsants; Child; Cyclohexanecarboxylic Acids; Drug Resistant Epilepsy; Drug Therapy, C

2021
Hypothalamic hamartoma with epilepsy: Review of endocrine comorbidity.
    Epilepsia, 2017, Volume: 58 Suppl 2

    Topics: Child; Child, Preschool; Comorbidity; Drug Resistant Epilepsy; Endocrine System Diseases; Epilepsies

2017
Gabapentin add-on treatment for drug-resistant focal epilepsy.
    The Cochrane database of systematic reviews, 2018, 10-24, Volume: 10

    Topics: Adult; Anticonvulsants; Child; Cyclohexanecarboxylic Acids; Drug Resistant Epilepsy; Drug Therapy, C

2018
Interneuron Transplantation as a Treatment for Epilepsy.
    Cold Spring Harbor perspectives in medicine, 2015, Dec-01, Volume: 5, Issue:12

    Topics: Animals; Brain; Disease Models, Animal; Drug Resistant Epilepsy; gamma-Aminobutyric Acid; Humans; In

2015

Trials

1 trial available for gamma-aminobutyric acid and Drug Refractory Epilepsy

ArticleYear
Adjunctive pregabalin vs gabapentin for focal seizures: Interpretation of comparative outcomes.
    Neurology, 2016, Sep-20, Volume: 87, Issue:12

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Amines; Anticonvulsants; Child; Cyclohexanecarboxylic Ac

2016

Other Studies

9 other studies available for gamma-aminobutyric acid and Drug Refractory Epilepsy

ArticleYear
Pronounced antiseizure activity of the subtype-selective GABA
    CNS neuroscience & therapeutics, 2022, Volume: 28, Issue:11

    Topics: Animals; Anticonvulsants; Diazepam; Disease Models, Animal; Drug Resistant Epilepsy; Electroencephal

2022
Pronounced antiseizure activity of the subtype-selective GABA
    CNS neuroscience & therapeutics, 2022, Volume: 28, Issue:11

    Topics: Animals; Anticonvulsants; Diazepam; Disease Models, Animal; Drug Resistant Epilepsy; Electroencephal

2022
Pronounced antiseizure activity of the subtype-selective GABA
    CNS neuroscience & therapeutics, 2022, Volume: 28, Issue:11

    Topics: Animals; Anticonvulsants; Diazepam; Disease Models, Animal; Drug Resistant Epilepsy; Electroencephal

2022
Pronounced antiseizure activity of the subtype-selective GABA
    CNS neuroscience & therapeutics, 2022, Volume: 28, Issue:11

    Topics: Animals; Anticonvulsants; Diazepam; Disease Models, Animal; Drug Resistant Epilepsy; Electroencephal

2022
GABA
    Scientific reports, 2022, 10-26, Volume: 12, Issue:1

    Topics: Adult; Child; Drug Resistant Epilepsy; gamma-Aminobutyric Acid; Ganglioglioma; Humans; Interleukin-1

2022
Cenobamate and Clobazam Combination as Personalized Medicine in Autoimmune-Associated Epilepsy With Anti-Gad65 Antibodies.
    Neurology(R) neuroimmunology & neuroinflammation, 2023, Volume: 10, Issue:6

    Topics: Clobazam; Drug Resistant Epilepsy; Epilepsy; gamma-Aminobutyric Acid; Humans; Precision Medicine; Pr

2023
Excitatory GABAergic signalling is associated with benzodiazepine resistance in status epilepticus.
    Brain : a journal of neurology, 2019, 11-01, Volume: 142, Issue:11

    Topics: Animals; Anticonvulsants; Benzodiazepines; Child, Preschool; Diazepam; Drug Resistance; Drug Resista

2019
Influence of hippocampal low-frequency stimulation on GABA
    Brain research, 2018, 11-01, Volume: 1698

    Topics: Amygdala; Animals; Brain-Derived Neurotrophic Factor; Cyclic AMP Response Element Modulator; Disease

2018
Transplanting GABAergic Neurons Differentiated from Neural Stem Cells into Hippocampus Inhibits Seizures and Epileptiform Discharges in Pilocarpine-Induced Temporal Lobe Epilepsy Model.
    World neurosurgery, 2019, Volume: 128

    Topics: Animals; Animals, Newborn; Disease Models, Animal; Drug Resistant Epilepsy; Electroencephalography;

2019
What is the role of cannabidiol in refractory epilepsy?
    JAAPA : official journal of the American Academy of Physician Assistants, 2019, Volume: 32, Issue:3

    Topics: Age Factors; Anticonvulsants; Cannabidiol; Child; Drug Resistant Epilepsy; Epilepsies, Myoclonic; Fe

2019
Trigeminal neuropathic pain as a complication of anterior temporal lobectomy: report of 2 cases.
    Journal of neurosurgery, 2016, Volume: 124, Issue:4

    Topics: Amines; Analgesics; Anterior Temporal Lobectomy; Cyclohexanecarboxylic Acids; Drug Resistant Epileps

2016
Elevated basal glutamate and unchanged glutamine and GABA in refractory epilepsy: Microdialysis study of 79 patients at the yale epilepsy surgery program.
    Annals of neurology, 2016, Volume: 80, Issue:1

    Topics: Adolescent; Adult; Cerebral Cortex; Child; Drug Resistant Epilepsy; Electrodes, Implanted; Electroen

2016