Page last updated: 2024-10-30

lamotrigine and Absence Seizure Disorder

lamotrigine has been researched along with Absence Seizure Disorder in 70 studies

Research Excerpts

ExcerptRelevanceReference
"To investigate the efficacy and safety of long-term lamotrigine (LTG) monotherapy in Japanese and South Korean pediatric patients with newly diagnosed typical absence seizures."9.27Long-term efficacy and safety of lamotrigine monotherapy in Japanese and South Korean pediatric patients with newly diagnosed typical absence seizures: An open-label extension study. ( Kurata, A; Numachi, Y; Ohtsuka, Y; Sato, K; Shimizu, M; Yasumoto, S, 2018)
"To review the evidence for the effects of ethosuximide, valproate and lamotrigine as treatments for children and adolescents with absence seizures (AS), when compared with placebo or each other."9.12Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents. ( Brigo, F; Igwe, SC; Lattanzi, S, 2021)
"This systematic review and meta-analysis of randomized controlled trials (RCTs) systematically explored the effectiveness and safety of lamotrigine for absence seizures in children and adolescents."9.05The efficacy and safety of lamotrigine for absence seizures in children and adolescents: A systematic review and meta-analysis. ( Cao, J; Lin, XX; Liu, H; Ma, XM, 2020)
"  Lamotrigine (LTG) is an effective clinical treatment for epilepsy associated with absence seizures."7.78Lamotrigine ameliorates seizures and psychiatric comorbidity in a rat model of spontaneous absence epilepsy. ( Chen, SD; Huang, HY; Lee, HW; Shaw, FZ, 2012)
"In a trial including 38 children, lamotrigine, which had to be introduced very gradually in order to reduce the risk of potentially severe skin reactions, took longer than valproic acid to control typical absence seizures."7.75Lamotrigine and absence seizures: new indication. Try valproic acid first. ( , 2009)
"We report on the aggravation of absence seizures by lamotrigine leading to absence status epilepticus in a child."7.73Recurrent absence status epilepticus (spike-and-wave stupor) associated with lamotrigine therapy. ( Hasan, M; Lerman-Sagie, T; Lev, D; Watemberg, N, 2006)
"An 8-year-old girl with Lennox-Gastaut syndrome showed a partial reduction in seizure frequency when lamotrigine (LTG), 15 mg/kg per day, was added to clobazam (CLB) and vigabatrin (VGB)."7.70Myoclonic status epilepticus following high-dosage lamotrigine therapy. ( Belmonte, A; Guerrini, R; Parmeggiani, L; Perucca, E, 1999)
"Vigabatrin is a specific and irreversible inhibitor of the enzyme gamma-amino-butyric-acid (GABA) transferase."6.39[Vigabatrin and lamotrigin: experiences with 2 new anticonvulsants in the Swiss epilepsy clinic]. ( Krämer, G; Vogt, H, 1995)
"The syndrome is characterized by mental impairment, frequent seizures of multiple types that are particularly resistant to treatment, and high rates of seizure-related injury."5.36The cost effectiveness of rufinamide in the treatment of Lennox-Gastaut syndrome in the UK. ( Benedict, A; Maclaine, G; Verdian, L, 2010)
"To investigate the efficacy and safety of long-term lamotrigine (LTG) monotherapy in Japanese and South Korean pediatric patients with newly diagnosed typical absence seizures."5.27Long-term efficacy and safety of lamotrigine monotherapy in Japanese and South Korean pediatric patients with newly diagnosed typical absence seizures: An open-label extension study. ( Kurata, A; Numachi, Y; Ohtsuka, Y; Sato, K; Shimizu, M; Yasumoto, S, 2018)
"To explore the efficacy and safety of the combined therapy of valproic acid (VPA) and lamotrigine (LTG) for various types of epilepsy."5.16[Efficacy and safety of the combined therapy of valproic acid and lamotrigine for epileptics]. ( Hu, Q; Kang, HC; Li, X; Liu, XY; Liu, ZG; Wang, M; Xu, F; Zeng, Z; Zhu, SQ, 2012)
"To review the evidence for the effects of ethosuximide, valproate and lamotrigine as treatments for children and adolescents with absence seizures (AS), when compared with placebo or each other."5.12Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents. ( Brigo, F; Igwe, SC; Lattanzi, S, 2021)
"This systematic review and meta-analysis of randomized controlled trials (RCTs) systematically explored the effectiveness and safety of lamotrigine for absence seizures in children and adolescents."5.05The efficacy and safety of lamotrigine for absence seizures in children and adolescents: A systematic review and meta-analysis. ( Cao, J; Lin, XX; Liu, H; Ma, XM, 2020)
" The treatment of choice for CAE with absence seizures only is ethosuximide."5.01A Practical Guide to Treatment of Childhood Absence Epilepsy. ( Kessler, SK; McGinnis, E, 2019)
" The point estimates of carbamazepine and lamotrigine efficacy showed their superiority with respect to all comparator antiepileptic drugs for the treatment of newly diagnosed focal epilepsy."4.98Comparative efficacy of antiepileptic drugs in children and adolescents: A network meta-analysis. ( Crescioli, G; De Masi, S; Guerrini, R; Ilvento, L; Lucenteforte, E; McGreevy, KS; Mugelli, A; Pugi, A; Rosati, A; Virgili, G, 2018)
"  Lamotrigine (LTG) is an effective clinical treatment for epilepsy associated with absence seizures."3.78Lamotrigine ameliorates seizures and psychiatric comorbidity in a rat model of spontaneous absence epilepsy. ( Chen, SD; Huang, HY; Lee, HW; Shaw, FZ, 2012)
"In a trial including 38 children, lamotrigine, which had to be introduced very gradually in order to reduce the risk of potentially severe skin reactions, took longer than valproic acid to control typical absence seizures."3.75Lamotrigine and absence seizures: new indication. Try valproic acid first. ( , 2009)
"We report on the aggravation of absence seizures by lamotrigine leading to absence status epilepticus in a child."3.73Recurrent absence status epilepticus (spike-and-wave stupor) associated with lamotrigine therapy. ( Hasan, M; Lerman-Sagie, T; Lev, D; Watemberg, N, 2006)
"Reversible neurotoxic symptoms were observed in three adult patients with absence status epilepticus on lamotrigine (LTG) therapy after administration of an IV bolus followed by oral valproic acid (VPA)."3.72Neurotoxicity following addition of intravenous valproate to lamotrigine therapy. ( Burneo, JG; Faught, E; Knowlton, RC; Kuzniecky, RI; Lawn, N; Limdi, N; Mendez, M; Prasad, A; Welty, TE, 2003)
"An 8-year-old boy developed tremor, unsteadiness, chorea, and eye movement abnormalities on starting lamotrigine for myoclonic jerks."3.72Unusual side effects of lamotrigine therapy. ( Cross, JH; Das, KB; Harris, C; Smyth, DP, 2003)
"We studied an eleven year-old girl with atypical, benign partial epilepsy who acutely presented a severe aphasia associated with marked EEG deterioration after lamotrigine administration."3.71Reversible aphasic disorder induced by lamotrigine in atypical benign childhood epilepsy. ( Acquafondata, C; Battaglia, D; Chiricozzi, F; Guzzetta, F; Iuvone, L; Lettori, D; Mittica, A; Pane, M; Stefanini, MC, 2001)
"An 8-year-old girl with Lennox-Gastaut syndrome showed a partial reduction in seizure frequency when lamotrigine (LTG), 15 mg/kg per day, was added to clobazam (CLB) and vigabatrin (VGB)."3.70Myoclonic status epilepticus following high-dosage lamotrigine therapy. ( Belmonte, A; Guerrini, R; Parmeggiani, L; Perucca, E, 1999)
"Childhood absence epilepsy was diagnosed based on the presence of typical seizures and video-EEG findings."2.74[Valproic acid versus lamotrigine as a monotherapy for absence epilepsy in children]. ( Chen, L; Hu, Y; Huang, TS; Li, B; Liao, JX; Zhu, JL, 2009)
"Lamotrigine was well tolerated in this study."2.73Lamotrigine monotherapy for newly diagnosed typical absence seizures in children. ( Frank, LM; Hammer, AE; Holmes, GL; Kerls, S; Messenheimer, J; Philbrook, B; Sheth, RD; Vuong, A; Wooten, JD, 2008)
"Lamotrigine has demonstrated efficacy from published randomized clinical trials for childhood partial seizures, absence seizures, and for the generalized seizures associated with Lennox-Gastaut syndrome."2.72Lamotrigine adjunctive therapy among children and adolescents with primary generalized tonic-clonic seizures. ( Hammer, AE; Kerls, SP; Messenheimer, JA; Trevathan, E; Vuong, A, 2006)
"Lamotrigine (LTG) is an anti-epileptic drug effective in partial seizures and generalized epilepsy."2.69Lamotrigine in typical absence epilepsy. ( Buoni, S; Fois, A; Grosso, S, 1999)
" Dosing in generalized seizures is similar to that for partial seizures."2.40Lamotrigine in absence and primary generalized epilepsies. ( Holmes, GL; Mikati, MA, 1997)
"Vigabatrin is a specific and irreversible inhibitor of the enzyme gamma-amino-butyric-acid (GABA) transferase."2.39[Vigabatrin and lamotrigin: experiences with 2 new anticonvulsants in the Swiss epilepsy clinic]. ( Krämer, G; Vogt, H, 1995)
"Levetiracetam was preferred as an add-on therapy for both generalized and focal epilepsy."1.56Treatment of epilepsy in adults: Expert opinion in South Korea. ( Byun, JI; Cho, YW; Kang, KW; Kim, D; Kim, DW; Kim, JM; Kim, KT; Lee, ST; No, YJ; Seo, JG; Yang, KI, 2020)
"Childhood absence epilepsy is a common generalized epilepsy syndrome characterized by childhood onset of frequent sporadic absence seizures."1.51Case of Childhood Absence Epilepsy with Focal Spikes. ( Lu, HJ; Shi, MT; Yu, YL, 2019)
" The initial dosage of lamotrigine was 6."1.43Lamotrigine monotherapy for paroxysmal kinesigenic dyskinesia in children. ( Hu, Y; Li, F; Li, W; Lin, ZD; Poonit, ND; Xue, CC, 2016)
"This is a case report of an adult with childhood absence epilepsy whose daily absence seizures ceased with adjunctive ezogabine."1.40Ezogabine treatment of childhood absence epilepsy. ( Vossler, DG; Yilmaz, U, 2014)
"This showed a periventricular nodular heterotopia in the mid to anterior horn of the right lateral ventricle."1.36Absence epilepsy and periventricular nodular heterotopia. ( Arts, WF; Brooks, A; de Coo, IF; de Wit, MC; Lequin, MH; Mancini, GM; Schippers, HM; Visser, GH, 2010)
"The syndrome is characterized by mental impairment, frequent seizures of multiple types that are particularly resistant to treatment, and high rates of seizure-related injury."1.36The cost effectiveness of rufinamide in the treatment of Lennox-Gastaut syndrome in the UK. ( Benedict, A; Maclaine, G; Verdian, L, 2010)
"Valproic acid is an effective anti-epileptic medication often used for long-term control of seizure disorders that has been implicated in hematological toxicities, including rare reports of myelodysplasia and acute leukemia."1.35Translocation-positive acute myeloid leukemia associated with valproic acid therapy. ( Ben-Ezra, J; Massey, GV; Riley, RS; Russell, EC; Williams, DC, 2008)
"A 25-year-old girl with mild mental retardation had a 6-year history of absence seizures, with occasional head drop."1.31Mild generalized epilepsy and developmental disorder associated with large inv dup(15). ( Canevini, MP; Canger, R; Cavani, S; Chifari, R; Elia, M; Guerrini, R; Pierluigi, M; Sgrò, V, 2002)
" Seizures became diurnal and frequent, not modified by carbamazepine (CBZ) or valproate (VPA) but responding to VPA and lamotrigine (LTG) with recommended dosage schedules for this combination."1.30Paradoxic reaction to lamotrigine in a child with benign focal epilepsy of childhood with centrotemporal spikes. ( Boyd, S; Catania, S; Cross, H; de Sousa, C, 1999)
"In 15 patients with juvenile myoclonic epilepsy, complete seizure control was achieved in 7 patients, in 6 patients myoclonia persisted."1.30Efficacy of lamotrigine in idiopathic generalized epilepsy syndromes: a video-EEG-controlled, open study. ( de Saint-Martin, A; Gericke, CA; Hirsch, E; Marescaux, C; Picard, F; Strumia, S, 1999)

Research

Studies (70)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's15 (21.43)18.2507
2000's28 (40.00)29.6817
2010's24 (34.29)24.3611
2020's3 (4.29)2.80

Authors

AuthorsStudies
Cao, J1
Lin, XX1
Ma, XM1
Liu, H2
Byun, JI1
Kim, DW1
Kim, KT1
Yang, KI1
Lee, ST1
Seo, JG1
No, YJ1
Kang, KW1
Kim, D1
Kim, JM1
Cho, YW1
Brigo, F3
Igwe, SC3
Lattanzi, S2
Shinnar, RC1
Shinnar, S3
Cnaan, A3
Clark, P1
Dlugos, D3
Hirtz, DG3
Hu, F1
Liu, C1
Masur, D3
Weiss, EF1
Glauser, TA4
Rosati, A1
Ilvento, L1
Lucenteforte, E1
Pugi, A1
Crescioli, G1
McGreevy, KS1
Virgili, G1
Mugelli, A1
De Masi, S1
Guerrini, R3
Yasumoto, S2
Ohtsuka, Y1
Sato, K2
Kurata, A2
Numachi, Y2
Shimizu, M2
Miao, A1
Wang, Y2
Xiang, J1
Liu, Q1
Chen, Q1
Qiu, W1
Tang, L1
Gao, Y1
Wu, C1
Yu, Y1
Sun, J1
Jiang, W1
Shi, Q1
Zhang, T1
Hu, Z1
Wang, X1
Kessler, SK1
McGinnis, E1
Yu, YL1
Shi, MT1
Lu, HJ1
Vossler, DG1
Yilmaz, U1
Mamalyga, ML1
Li, F1
Lin, ZD1
Hu, Y2
Li, W1
Xue, CC1
Poonit, ND1
Holmes, GL3
Frank, LM2
Sheth, RD1
Philbrook, B1
Wooten, JD1
Vuong, A2
Kerls, S1
Hammer, AE2
Messenheimer, J1
Huang, TS1
Zhu, JL1
Li, B1
Chen, L1
Liao, JX1
Penovich, PE1
Willmore, LJ1
Benedict, A1
Verdian, L1
Maclaine, G1
Clark, PO2
Capparelli, EV1
Adamson, PC2
Vining, EP1
Potera, C1
de Wit, MC1
Schippers, HM1
de Coo, IF1
Arts, WF1
Lequin, MH1
Brooks, A1
Visser, GH1
Mancini, GM1
Veerapandiyan, A1
Gallentine, WB1
Winchester, SA1
Baker, J1
Kansagra, SM1
Mikati, MA2
Hwang, H1
Kim, H1
Kim, SH2
Lim, BC1
Chae, JH1
Choi, JE1
Kim, KJ1
Hwang, YS1
Farooque, P1
Goraya, J1
Valencia, I1
Carvalho, KS1
Hardison, HH1
Legido, A1
Khurana, DS1
Yeom, JS1
Park, JS1
Seo, JH1
Park, ES1
Lim, JY1
Park, CH1
Woo, HO1
Youn, HS1
Kang, HC1
Hu, Q1
Liu, XY1
Xu, F1
Li, X1
Liu, ZG1
Zeng, Z1
Wang, M1
Zhu, SQ1
Huang, HY1
Lee, HW1
Chen, SD1
Shaw, FZ1
Chifari, R1
Pierluigi, M1
Cavani, S1
Sgrò, V1
Elia, M1
Canger, R1
Canevini, MP1
Posner, E4
Burneo, JG2
Limdi, N1
Kuzniecky, RI1
Knowlton, RC1
Mendez, M1
Lawn, N1
Faught, E1
Welty, TE1
Prasad, A2
Posner, EB3
Mohamed, K3
Marson, AG3
Das, KB1
Harris, C1
Smyth, DP1
Cross, JH1
McDonald, MA1
Favilla, I1
Coppola, G2
Licciardi, F1
Sciscio, N1
Russo, F1
Carotenuto, M2
Pascotto, A2
French, JA1
Kanner, AM1
Bautista, J1
Abou-Khalil, B1
Browne, T1
Harden, CL1
Theodore, WH1
Bazil, C1
Stern, J1
Schachter, SC1
Bergen, D1
Hirtz, D1
Montouris, GD1
Nespeca, M1
Gidal, B1
Marks, WJ1
Turk, WR1
Fischer, JH1
Bourgeois, B1
Wilner, A1
Faught, RE1
Sachdeo, RC1
Beydoun, A1
Auricchio, G1
Federico, R1
Pedersen, AM1
Rasmussen, NH1
Miller, S1
Bebin, EM1
Schneider, G1
Nabavi, D1
Heuft, G1
Trevathan, E1
Kerls, SP1
Messenheimer, JA1
Hasan, M1
Lerman-Sagie, T1
Lev, D1
Watemberg, N1
Gélisse, P1
Crespel, A1
Williams, DC1
Massey, GV1
Russell, EC1
Riley, RS1
Ben-Ezra, J1
Solovykh, NN1
Korotkov, AG1
Vogt, H1
Krämer, G1
Appleton, RE1
Panayiotopoulos, CP2
Ferrie, CD1
Knott, C1
Robinson, RO1
Manonmani, V1
Wallace, SJ1
Buchanan, N1
Hosford, DA1
Clemens, B1
Enlow, T1
Manasco, P1
Concannon, S1
Chen, C1
Womble, G1
Casale, EJ1
Buoni, S1
Grosso, S1
Fois, A1
Belmonte, A1
Parmeggiani, L1
Perucca, E1
Catania, S1
Cross, H1
de Sousa, C1
Boyd, S1
Echaniz-Laguna, A1
Thiriaux, A1
Ruolt-Olivesi, I1
Marescaux, C2
Hirsch, E2
Gericke, CA1
Picard, F1
de Saint-Martin, A1
Strumia, S1
Guye, M1
Bartolomei, F1
Gastaut, JL1
Chauvel, P1
Dravet, C1
Battaglia, D1
Iuvone, L1
Stefanini, MC1
Acquafondata, C1
Lettori, D1
Chiricozzi, F1
Pane, M1
Mittica, A1
Guzzetta, F1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Childhood Absence Epilepsy Rx PK-PD-Pharmacogenetics Study[NCT00088452]Phase 3453 participants (Actual)Interventional2004-07-31Completed
Localizing Functional Brain Cortices and Epileptogenic Zones With High Frequency Brain Signals[NCT00600717]420 participants (Anticipated)Observational2000-11-01Enrolling by invitation
A Multi-center, Uncontrolled, Open-label, Evaluation of Lamotrigine Monotherapy on Newly Diagnosed Typical Absence Seizures in Children and Adolescents[NCT01431976]Phase 320 participants (Actual)Interventional2011-09-30Completed
Evaluation of Lamotrigine in Subjects With Absence Seizures[NCT00144872]Phase 154 participants (Actual)Interventional2004-11-01Completed
Phase 3: Metabolism of Lamotrigine During Treatment With Oral Contraceptives[NCT00266149]Phase 310 participants Interventional2003-06-30Terminated
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With Attention Deficit as Measured by the Confidence Index of the CPT-II and the K-CPT

A Confidence Index of 0.60 or higher on the Conners' Continuous Performance Test at the visit at 16 or 20 weeks or at an earlier visit when treatment was discontinued (as long as the discontinuation occurred 1 month or more after the baseline visit and was not due to intolerable adverse events). A Confidence Index of 0.60 corresponds to a 60% probability that the child has clinical attention deficit disorder. (NCT00088452)
Timeframe: First 16-20 weeks of double blind therapy

InterventionParticipants (Count of Participants)
Ethosuximide35
Lamotrigine25
Valproic Acid52

Number of Participants With Freedom From Treatment Failure at 12 Months of Double Blind Therapy

Treatment failure was defined as persistence of absence seizures at 12 months of double blind therapy, a generalized tonic-clonic seizure at any time, excessive drug-related systemic toxicity, a moderately severe rash (possibly drug-related), pancreatitis, or increase in the body-mass index of at least 3.0 from baseline, dose-limiting toxicity after a single downward dose modification, or withdrawal initiated by the parent or physician. (NCT00088452)
Timeframe: First 12 months of double blind therapy

InterventionParticipants (Count of Participants)
Ethosuximide70
Lamotrigine31
Valproic Acid64

Number of Participants With Freedom From Treatment Failure at 16-20 Weeks of Double Blind Therapy

Treatment failure was defined as persistence of absence seizures at week 16 or week 20, a generalized tonic-clonic seizure at any time, excessive drug-related systemic toxicity, a moderately severe rash (possibly drug-related), pancreatitis, or increase in the body-mass index of at least 3.0 from baseline, dose-limiting toxicity after a single downward dose modification, or withdrawal initiated by the parent or physician. (NCT00088452)
Timeframe: First 16-20 weeks of double blind therapy

InterventionParticipants (Count of Participants)
Ethosuximide81
Lamotrigine43
Valproic Acid85

Number of Days With Seizure Episodes Per Week in the Extension Phase (ExP) Overall

Participants were asked to record the seizure codes, seizure duration, and their physical condition in a diary provided. (NCT01431976)
Timeframe: Extension Week 12 (Extension Visit 1 [Ext-V1], every 12 week after Ext-V1 and until withdrawal

InterventionDays (Mean)
Lamotrigine0.03

Number of Participants Who Were Seizure Free as Confirmed by HV-EEG at Two Consecutive Visits in the Escalation Phase (EP)

EEG is a diagnostic test for epilepsy. The EEG machine records the brain's electrical activity as a series of waveforms. HV is an activation technique used to provoke seizures during an EEG recording. An approximately 30-minute EEG with HV was performed on participants in a supine position. In the HV test, participants breathed through their mouths deeply and rapidly (at a rate of approximately 20-25 breaths/minute ) for 4 continuous minutes using a pin-wheel provided to them. (NCT01431976)
Timeframe: Up to Study Week 49

InterventionParticipants (Number)
Lamotrigine8

Number of Participants Who Were Seizure Free as Confirmed by Hyperventilation (HV)-Electroencephalography (EEG) at the End of the Maintenance Phase (MP)

EEG is a diagnostic test for epilepsy. The EEG machine records the brain's electrical activity as a series of waveforms. HV is an activation technique used to provoke seizures during an EEG recording. An approximately 30-minute EEG with HV was performed on participants in a supine position. In the HV test, participants breathed through their mouths deeply and rapidly (at a rate of approximately 20-25 breaths/minute) for 4 continuous minutes using a pin-wheel provided to them. (NCT01431976)
Timeframe: Week 12 of the Maintenance Phase (up to Study Week 50)

InterventionParticipants (Number)
Lamotrigine7

Number of Days With Seizure Episodes Per Week in the Main Study Phase (Fixed Escalation Phase [FEP], Escalation Phase [EP], Maintenance Phase [MP]), and FEP+EP+MP)

Participants were asked to record the seizure codes, seizure duration, and their physical condition in a diary provided. Only participants data available at the analysis time point were analyzed (represented as n=X, X, X in category title) (NCT01431976)
Timeframe: Up to Study Week 50

InterventionDays (Mean)
Fixed Escalation Phase, n=20Escalation Phase, n=17Maintenance Phase, n=8FEP+EP+MP, n=20
Lamotrigine4.932.600.062.98

Number of Participants Who Were Seizure Free as Confirmed by HV-clinical Signs at Each Assessment Point in the Extension Phase (ExP)

HV is an activation technique used to provoke seizures. Participants were instructed to breathe through their mouths deeply and rapidly (at a rate of approximately 20-25 breaths/minute) for 4 continuous minutes while sitting using a pin-wheel and were observed for clinical signs of seizures like impairment of consciousness; staring; eye enrollment; eye blinking; chewing movements; hand movement; other automatisms; atonic, tonic, clonic components; autonomic components; or any other signs. During the ExP, HV-clinical signs were assessed to confirm a status of seizure free. Only participants data available at the analysis time point were analyzed (represented as n=X, X, X in category title). (NCT01431976)
Timeframe: Extension Week 24 (Extension Visit 2 [Ext-V2], every 24 weeks after the Ext-V2 and until withdrawal

InterventionParticipants (Number)
Extension Week 24, n=7Extension Week 48, n=7Extension Week 72, n=7Extension Week 96, n=6Extension Week 120, n=6Extension Week 144, n=4Extension Week 168, n=1
Lamotrigine5656521

Number of Participants Who Were Seizure Free as Confirmed by HV-clinical Signs at Each Dose During the Escalation Phase

HV is an activation technique used to provoke seizures. Participants were instructed to breathe through their mouths deeply and rapidly (at a rate of approximately 20-25 breaths/minute) for 4 continuous minutes while sitting using a pin-wheel and were observed for clinical signs of seizures like impairment of consciousness; staring; eye enrollment; eye blinking; chewing movements; hand movement; other automatisms; atonic, tonic, clonic components; autonomic components; or any other signs. During the Escalation Phase, HV-clinical signs were assessed to confirm a status of seizure free. Only participants data available at the analysis time point were analyzed (represented as n=X, X, X in category title). (NCT01431976)
Timeframe: Up to Study Week 49

InterventionParticipants (Number)
0.6 mg/kg, n=171.2 mg/kg, n=171.8 mg/kg, n=162.4 mg/kg, n=163.0 mg/kg, n=163.6 mg/kg, n=154.2 mg/kg, n=154.8 mg/kg, n=145.4 mg/kg, n=146.0 mg/kg, n=116.6 mg/kg, n=117.2 mg/kg, n=97.8 mg/kg, n=98.4 mg/kg, n=69.0 mg/kg, n=69.6 mg/kg, n=1
Lamotrigine1122210411030211

Number of Participants Who Were Seizure Free as Confirmed by HV-clinical Signs During Week 4 and Week 8 of the Maintenance Phase

HV is an activation technique used to provoke seizures. Participants were instructed to breathe through their mouths deeply and rapidly (at a rate of approximately 20-25 breaths/minute) for 4 continuous minutes while sitting using a pin-wheel and were observed for clinical signs of seizures like impairment of consciousness; staring; eye enrollment; eye blinking; chewing movements; hand movement; other automatisms; atonic, tonic, clonic components; autonomic components; or any other signs. During the Maintenace Phase, HV-clinical signs were assessed at Visit 1 (Week 4) and Visit 2 (Week 4). (NCT01431976)
Timeframe: Week 4 and Week 8 of the Maintenance Phase (up to Study Weeks 42 and 46, respectively)

InterventionParticipants (Number)
Week 4Week 8
Lamotrigine77

Number of Participants Who Were Seizure Free as Confirmed by HV-EEG at Each Assessment Point in the Extension Phase (ExP)

EEG is a diagnostic test for epilepsy. The EEG machine records the brain's electrical activity as a series of waveforms. HV is an activation technique used to provoke seizures during an EEG recording. An approximately 30-minute EEG with HV was performed on participants in a supine position. In the HV test, participants breathed through their mouths deeply and rapidly (at a rate of approximately 20-25 breaths/minute ) for 4 continuous minutes using a pin-wheel provided to them. Only participants data available at the analysis time point were analyzed (represented as n=X, X, X in category title). (NCT01431976)
Timeframe: Extension Week 12 (Extension Visit 1 [Ext-V1]), every 24 weeks after Ext-V1 and until withdrawal

InterventionParticipants (Number)
Extension Week 12, n=7Extension Week 36, n=7Extension Week 60, n=7Extension Week 84, n=6Extension Week 108, n=6Extension Week 132, n=6Extension Week 156, n=2
Lamotrigine6566662

Reviews

17 reviews available for lamotrigine and Absence Seizure Disorder

ArticleYear
The efficacy and safety of lamotrigine for absence seizures in children and adolescents: A systematic review and meta-analysis.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2020, Volume: 71

    Topics: Adolescent; Anticonvulsants; Child; Epilepsy, Absence; Female; Humans; Lamotrigine; Male; Seizures

2020
Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents.
    The Cochrane database of systematic reviews, 2021, 01-21, Volume: 1

    Topics: Adolescent; Anticonvulsants; Child; Epilepsy, Absence; Ethosuximide; Female; Humans; Lamotrigine; Ma

2021
Comparative efficacy of antiepileptic drugs in children and adolescents: A network meta-analysis.
    Epilepsia, 2018, Volume: 59, Issue:2

    Topics: Adolescent; Adrenal Cortex Hormones; Adrenocorticotropic Hormone; Anticonvulsants; Carbamazepine; Ch

2018
A Practical Guide to Treatment of Childhood Absence Epilepsy.
    Paediatric drugs, 2019, Volume: 21, Issue:1

    Topics: Anticonvulsants; Child; Child, Preschool; Drug-Related Side Effects and Adverse Reactions; Electroen

2019
Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents.
    The Cochrane database of systematic reviews, 2019, 02-08, Volume: 2

    Topics: Adolescent; Anticonvulsants; Child; Epilepsy, Absence; Ethosuximide; Humans; Lamotrigine; Randomized

2019
Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents.
    The Cochrane database of systematic reviews, 2017, 02-14, Volume: 2

    Topics: Adolescent; Anticonvulsants; Child; Epilepsy, Absence; Ethosuximide; Humans; Lamotrigine; Randomized

2017
Absence seizures in children.
    Clinical evidence, 2002, Issue:8

    Topics: Acetates; Amines; Anticonvulsants; Child; Cyclohexanecarboxylic Acids; Epilepsy, Absence; Ethosuximi

2002
Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents.
    The Cochrane database of systematic reviews, 2003, Issue:3

    Topics: Adolescent; Anticonvulsants; Child; Epilepsy, Absence; Ethosuximide; Humans; Lamotrigine; Randomized

2003
Efficacy and tolerability of the new antiepileptic drugs, I: Treatment of new-onset epilepsy: report of the TTA and QSS Subcommittees of the American Academy of Neurology and the American Epilepsy Society.
    Epilepsia, 2004, Volume: 45, Issue:5

    Topics: Acetates; Adolescent; Adult; Age Factors; Amines; Antipsychotic Agents; Carbamazepine; Child; Clinic

2004
Absence seizures in children.
    Clinical evidence, 2003, Issue:10

    Topics: Amines; Anticonvulsants; Child; Cyclohexanecarboxylic Acids; Epilepsy, Absence; Ethosuximide; Gabape

2003
[Childhood and juvenile absence epilepsy. Treatment and prognosis].
    Ugeskrift for laeger, 2004, Nov-08, Volume: 166, Issue:46

    Topics: Anticonvulsants; Child; Child Development; Child, Preschool; Cognition; Epilepsy, Absence; Ethosuxim

2004
Absence seizures in children.
    Clinical evidence, 2004, Issue:11

    Topics: Adolescent; Amines; Anticonvulsants; Child; Cyclohexanecarboxylic Acids; Epilepsy, Absence; Ethosuxi

2004
A systematic review of treatment of typical absence seizures in children and adolescents with ethosuximide, sodium valproate or lamotrigine.
    Seizure, 2005, Volume: 14, Issue:2

    Topics: Anticonvulsants; Child; Epilepsy, Absence; Ethosuximide; Humans; Lamotrigine; Randomized Controlled

2005
Absence seizures in children.
    Clinical evidence, 2005, Issue:13

    Topics: Adolescent; Amines; Anticonvulsants; Child; Child, Preschool; Cyclohexanecarboxylic Acids; Epilepsy,

2005
Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents.
    The Cochrane database of systematic reviews, 2005, Oct-19, Issue:4

    Topics: Adolescent; Anticonvulsants; Child; Epilepsy, Absence; Ethosuximide; Humans; Lamotrigine; Randomized

2005
[Vigabatrin and lamotrigin: experiences with 2 new anticonvulsants in the Swiss epilepsy clinic].
    Schweizerische medizinische Wochenschrift, 1995, Jan-28, Volume: 125, Issue:4

    Topics: 4-Aminobutyrate Transaminase; Adult; Anticonvulsants; Child; Drug Therapy, Combination; Epilepsies,

1995
Lamotrigine in absence and primary generalized epilepsies.
    Journal of child neurology, 1997, Volume: 12 Suppl 1

    Topics: Adolescent; Adult; Anticonvulsants; Child; Child, Preschool; Epilepsy, Absence; Epilepsy, Generalize

1997

Trials

12 trials available for lamotrigine and Absence Seizure Disorder

ArticleYear
Pretreatment behavior and subsequent medication effects in childhood absence epilepsy.
    Neurology, 2017, Oct-17, Volume: 89, Issue:16

    Topics: Adolescent; Anticonvulsants; Checklist; Child; Child Behavior Disorders; Child, Preschool; Cross-Ove

2017
Long-term efficacy and safety of lamotrigine monotherapy in Japanese and South Korean pediatric patients with newly diagnosed typical absence seizures: An open-label extension study.
    Brain & development, 2018, Volume: 40, Issue:9

    Topics: Anticonvulsants; Brain; Child; Child, Preschool; Electroencephalography; Epilepsy, Absence; Female;

2018
Lamotrigine monotherapy for newly diagnosed typical absence seizures in children: A multi-center, uncontrolled, open-label study.
    Brain & development, 2016, Volume: 38, Issue:4

    Topics: Adolescent; Anticonvulsants; Child; Child, Preschool; Electroencephalography; Epilepsy, Absence; Fem

2016
Lamotrigine monotherapy for newly diagnosed typical absence seizures in children.
    Epilepsy research, 2008, Volume: 82, Issue:2-3

    Topics: Anticonvulsants; Child; Child, Preschool; Electroencephalography; Epilepsy, Absence; Female; Headach

2008
[Valproic acid versus lamotrigine as a monotherapy for absence epilepsy in children].
    Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics, 2009, Volume: 11, Issue:8

    Topics: Anticonvulsants; Child; Child, Preschool; Electroencephalography; Epilepsy, Absence; Female; Humans;

2009
Ethosuximide, valproic acid, and lamotrigine in childhood absence epilepsy.
    The New England journal of medicine, 2010, Mar-04, Volume: 362, Issue:9

    Topics: Adolescent; Analysis of Variance; Anticonvulsants; Attention Deficit and Disruptive Behavior Disorde

2010
[Efficacy and safety of the combined therapy of valproic acid and lamotrigine for epileptics].
    Zhonghua yi xue za zhi, 2012, May-08, Volume: 92, Issue:17

    Topics: Child; Child, Preschool; Drug Therapy, Combination; Epilepsies, Partial; Epilepsy; Epilepsy, Absence

2012
Ethosuximide, valproic acid, and lamotrigine in childhood absence epilepsy: initial monotherapy outcomes at 12 months.
    Epilepsia, 2013, Volume: 54, Issue:1

    Topics: Age Factors; Anticonvulsants; Child; Child, Preschool; Dose-Response Relationship, Drug; Double-Blin

2013
Lamotrigine versus valproic acid as first-line monotherapy in newly diagnosed typical absence seizures: an open-label, randomized, parallel-group study.
    Epilepsia, 2004, Volume: 45, Issue:9

    Topics: Adolescent; Anticonvulsants; Child; Child, Preschool; Disease-Free Survival; Drug Administration Sch

2004
Lamotrigine adjunctive therapy among children and adolescents with primary generalized tonic-clonic seizures.
    Pediatrics, 2006, Volume: 118, Issue:2

    Topics: Adolescent; Adult; Anticonvulsants; Child; Child, Preschool; Double-Blind Method; Drug Administratio

2006
Lamictal (lamotrigine) monotherapy for typical absence seizures in children.
    Epilepsia, 1999, Volume: 40, Issue:7

    Topics: Adolescent; Age Factors; Anticonvulsants; Body Height; Body Weight; Child; Child, Preschool; Dose-Re

1999
Lamotrigine in typical absence epilepsy.
    Brain & development, 1999, Volume: 21, Issue:5

    Topics: Adolescent; Anticonvulsants; Child; Child, Preschool; Clonazepam; Drug Resistance; Electroencephalog

1999

Other Studies

41 other studies available for lamotrigine and Absence Seizure Disorder

ArticleYear
Treatment of epilepsy in adults: Expert opinion in South Korea.
    Epilepsy & behavior : E&B, 2020, Volume: 105

    Topics: Adult; Aged; Anticonvulsants; Epilepsies, Partial; Epilepsy, Absence; Epilepsy, Generalized; Expert

2020
Ictal Source Locations and Cortico-Thalamic Connectivity in Childhood Absence Epilepsy: Associations with Treatment Response.
    Brain topography, 2019, Volume: 32, Issue:1

    Topics: Anticonvulsants; Cerebral Cortex; Child; Child, Preschool; China; Epilepsy, Absence; Female; Gray Ma

2019
Case of Childhood Absence Epilepsy with Focal Spikes.
    World neurosurgery, 2019, Volume: 126

    Topics: Action Potentials; Anticonvulsants; Child; Drug Substitution; Electroencephalography; Epilepsy, Abse

2019
Ezogabine treatment of childhood absence epilepsy.
    Epileptic disorders : international epilepsy journal with videotape, 2014, Volume: 16, Issue:1

    Topics: Anticonvulsants; Carbamates; Drug Interactions; Electroencephalography; Epilepsy, Absence; Female; H

2014
Effect of anticonvulsant therapy for absence epilepsy on heart function.
    Bulletin of experimental biology and medicine, 2014, Volume: 157, Issue:5

    Topics: Animals; Anticonvulsants; Epilepsy, Absence; Heart; Lamotrigine; Male; Rats; Triazines

2014
Lamotrigine monotherapy for paroxysmal kinesigenic dyskinesia in children.
    Seizure, 2016, Volume: 37

    Topics: Anticonvulsants; Child; Child, Preschool; Dystonia; Electroencephalography; Epilepsy, Absence; Femal

2016
Use of a new antiepileptic drug or an old one as first drug for treatment of absence epilepsy.
    Epilepsia, 2009, Volume: 50 Suppl 8

    Topics: Anticonvulsants; Drug Monitoring; Epilepsy, Absence; Ethosuximide; Humans; Lamotrigine; Treatment Ou

2009
Lamotrigine and absence seizures: new indication. Try valproic acid first.
    Prescrire international, 2009, Volume: 18, Issue:104

    Topics: Adolescent; Anticonvulsants; Child; Child, Preschool; Drug Approval; Epilepsy, Absence; Europe; Huma

2009
The cost effectiveness of rufinamide in the treatment of Lennox-Gastaut syndrome in the UK.
    PharmacoEconomics, 2010, Volume: 28, Issue:3

    Topics: Adolescent; Adult; Anticonvulsants; Child; Child, Preschool; Computer Simulation; Cost-Benefit Analy

2010
Ethosuximide in childhood absence epilepsy--older and better.
    The New England journal of medicine, 2010, Mar-04, Volume: 362, Issue:9

    Topics: Anticonvulsants; Child; Diagnosis, Differential; Epilepsy, Absence; Epilepsy, Tonic-Clonic; Ethosuxi

2010
An older drug for childhood absence epilepsy.
    The American journal of nursing, 2010, Volume: 110, Issue:6

    Topics: Anticonvulsants; Child; Electroencephalography; Epilepsy, Absence; Ethosuximide; Humans; Lamotrigine

2010
Absence epilepsy and periventricular nodular heterotopia.
    Seizure, 2010, Volume: 19, Issue:7

    Topics: Anticonvulsants; Child, Preschool; Drug Therapy, Combination; Electroencephalography; Epilepsy, Abse

2010
Oculogyric crises secondary to lamotrigine overdosage.
    Epilepsia, 2011, Volume: 52, Issue:3

    Topics: Adult; Anticonvulsants; Child; Child, Preschool; Dose-Response Relationship, Drug; Drug Overdose; Dr

2011
Long-term effectiveness of ethosuximide, valproic acid, and lamotrigine in childhood absence epilepsy.
    Brain & development, 2012, Volume: 34, Issue:5

    Topics: Adolescent; Anticonvulsants; Child; Child, Preschool; Electroencephalography; Epilepsy, Absence; Eth

2012
Early-onset childhood absence epilepsy: is it a distinct entity?
    Epileptic disorders : international epilepsy journal with videotape, 2011, Volume: 13, Issue:4

    Topics: Age Factors; Age of Onset; Anticonvulsants; Child; Child Development; Child, Preschool; Cohort Studi

2011
aPTT prolongation and skin eruption possibly associated with lamotrigine monotherapy in a paediatric patient.
    Epileptic disorders : international epilepsy journal with videotape, 2011, Volume: 13, Issue:4

    Topics: Anticonvulsants; Blood Chemical Analysis; Blood Coagulation Factors; Child; Drug Eruptions; Electroe

2011
Lamotrigine ameliorates seizures and psychiatric comorbidity in a rat model of spontaneous absence epilepsy.
    Epilepsia, 2012, Volume: 53, Issue:11

    Topics: Animals; Anticonvulsants; Anxiety Disorders; Comorbidity; Depressive Disorder; Disease Models, Anima

2012
Mild generalized epilepsy and developmental disorder associated with large inv dup(15).
    Epilepsia, 2002, Volume: 43, Issue:9

    Topics: Adult; Age of Onset; Angelman Syndrome; Anticonvulsants; Chromosome Aberrations; Chromosome Inversio

2002
Neurotoxicity following addition of intravenous valproate to lamotrigine therapy.
    Neurology, 2003, Jun-24, Volume: 60, Issue:12

    Topics: Administration, Oral; Adult; Ammonia; Anticonvulsants; Confusion; Drug Interactions; Drug Therapy, C

2003
Unusual side effects of lamotrigine therapy.
    Journal of child neurology, 2003, Volume: 18, Issue:7

    Topics: Anticonvulsants; Child; Child Behavior Disorders; Chorea; Cognition Disorders; Epilepsy, Absence; Hu

2003
Visual loss in a patient with lamotrigine-induced cicatrizing conjunctivitis.
    Clinical & experimental ophthalmology, 2003, Volume: 31, Issue:6

    Topics: Adult; Anticonvulsants; Cicatrix; Conjunctivitis, Allergic; Epilepsy, Absence; Female; Humans; Lamot

2003
Lamotrigine as first-line drug in childhood absence epilepsy: a clinical and neurophysiological study.
    Brain & development, 2004, Volume: 26, Issue:1

    Topics: Anticonvulsants; Child; Child, Preschool; Drug Administration Schedule; Electroencephalography; Epil

2004
Video-EEG study in an adult and a child with eyelid myoclonia with absences.
    Epileptic disorders : international epilepsy journal with videotape, 2004, Volume: 6, Issue:4

    Topics: Adult; Anticonvulsants; Child; Dominance, Cerebral; Drug Therapy, Combination; Electroencephalograph

2004
Eye movement desensitization and reprocessing in the treatment of posttraumatic stress disorder in a patient with comorbid epilepsy.
    Epilepsy & behavior : E&B, 2005, Volume: 7, Issue:4

    Topics: Adult; Anticonvulsants; Comorbidity; Desensitization, Psychologic; Epilepsy, Absence; Eye Movements;

2005
Recurrent absence status epilepticus (spike-and-wave stupor) associated with lamotrigine therapy.
    Journal of child neurology, 2006, Volume: 21, Issue:9

    Topics: Anticonvulsants; Child; Dose-Response Relationship, Drug; Drug Administration Schedule; Epilepsy, Ab

2006
[Reintroduction of treatment with lamotrigine in combination with valproate after an initial allergic skin reaction].
    Revue neurologique, 2006, Volume: 162, Issue:11

    Topics: Adult; Anticonvulsants; Drug Eruptions; Drug Therapy, Combination; Epilepsy, Absence; Female; Humans

2006
Translocation-positive acute myeloid leukemia associated with valproic acid therapy.
    Pediatric blood & cancer, 2008, Volume: 50, Issue:3

    Topics: Acute Disease; Anticonvulsants; Cell Differentiation; Cell Division; Child, Preschool; Chromosomes,

2008
[The use of Lamiktal in treating epilepsy in children and adolescents].
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 1994, Volume: 94, Issue:4

    Topics: Adolescent; Adult; Anticonvulsants; Child; Child, Preschool; Chronic Disease; Drug Evaluation; Drug

1994
Epilepsy with myoclonic absences.
    Archives of disease in childhood, 1994, Volume: 71, Issue:2

    Topics: Anticonvulsants; Epilepsy, Absence; Humans; Lamotrigine; Triazines

1994
Interaction of lamotrigine with sodium valproate.
    Lancet (London, England), 1993, Feb-13, Volume: 341, Issue:8842

    Topics: Adolescent; Anticonvulsants; Child; Drug Synergism; Epilepsy, Absence; Humans; Lamotrigine; Triazine

1993
Epilepsy with myoclonic absences.
    Archives of disease in childhood, 1994, Volume: 70, Issue:4

    Topics: Anticonvulsants; Brain; Child; Child Behavior Disorders; Child, Preschool; Electroencephalography; E

1994
Lamotrigine in the treatment of absence seizures.
    Acta neurologica Scandinavica, 1995, Volume: 92, Issue:4

    Topics: Adolescent; Adult; Anticonvulsants; Child; Epilepsy, Absence; Female; Humans; Lamotrigine; Male; Tri

1995
Utility of the lethargic (lh/lh) mouse model of absence seizures in predicting the effects of lamotrigine, vigabatrin, tiagabine, gabapentin, and topiramate against human absence seizures.
    Epilepsia, 1997, Volume: 38, Issue:4

    Topics: Acetates; Amines; Animals; Anticonvulsants; Cyclohexanecarboxylic Acids; Disease Models, Animal; Dru

1997
Perioral myoclonia with absences? A case report with EEG and voltage mapping analysis.
    Brain & development, 1997, Volume: 19, Issue:5

    Topics: Anticonvulsants; Brain Mapping; Child; Electroencephalography; Epilepsy, Absence; Female; Humans; La

1997
Myoclonic status epilepticus following high-dosage lamotrigine therapy.
    Brain & development, 1999, Volume: 21, Issue:6

    Topics: Anticonvulsants; Child; Electroencephalography; Epilepsies, Myoclonic; Epilepsy, Absence; Female; Hu

1999
Paradoxic reaction to lamotrigine in a child with benign focal epilepsy of childhood with centrotemporal spikes.
    Epilepsia, 1999, Volume: 40, Issue:11

    Topics: Acute Disease; Anticonvulsants; Carbamazepine; Child; Electroencephalography; Epilepsy, Absence; Epi

1999
Lupus anticoagulant induced by the combination of valproate and lamotrigine.
    Epilepsia, 1999, Volume: 40, Issue:11

    Topics: Antibodies, Anticardiolipin; Anticonvulsants; Child, Preschool; Dose-Response Relationship, Drug; Dr

1999
Efficacy of lamotrigine (LTG) monotherapy.
    Epilepsia, 2000, Volume: 41, Issue:3

    Topics: Adolescent; Anticonvulsants; Child; Clinical Trials as Topic; Drug Administration Schedule; Electroe

2000
Efficacy of lamotrigine in idiopathic generalized epilepsy syndromes: a video-EEG-controlled, open study.
    Epileptic disorders : international epilepsy journal with videotape, 1999, Volume: 1, Issue:3

    Topics: Adolescent; Adult; Anticonvulsants; Child; Child, Preschool; Dose-Response Relationship, Drug; Drug

1999
Absence epilepsy with fast rhythmic discharges during sleep: an intermediary form of generalized epilepsy?
    Epilepsia, 2001, Volume: 42, Issue:3

    Topics: Adult; Age of Onset; Anticonvulsants; Cerebral Cortex; Child; Child, Preschool; Diagnosis, Different

2001
Reversible aphasic disorder induced by lamotrigine in atypical benign childhood epilepsy.
    Epileptic disorders : international epilepsy journal with videotape, 2001, Volume: 3, Issue:4

    Topics: Anticonvulsants; Aphasia; Child; Electroencephalography; Epilepsy, Absence; Female; Humans; Lamotrig

2001