Page last updated: 2024-10-30

lamotrigine and Multiple Sclerosis

lamotrigine has been researched along with Multiple Sclerosis in 17 studies

Multiple Sclerosis: An autoimmune disorder mainly affecting young adults and characterized by destruction of myelin in the central nervous system. Pathologic findings include multiple sharply demarcated areas of demyelination throughout the white matter of the central nervous system. Clinical manifestations include visual loss, extra-ocular movement disorders, paresthesias, loss of sensation, weakness, dysarthria, spasticity, ataxia, and bladder dysfunction. The usual pattern is one of recurrent attacks followed by partial recovery (see MULTIPLE SCLEROSIS, RELAPSING-REMITTING), but acute fulminating and chronic progressive forms (see MULTIPLE SCLEROSIS, CHRONIC PROGRESSIVE) also occur. (Adams et al., Principles of Neurology, 6th ed, p903)

Research Excerpts

ExcerptRelevanceReference
" In this phase 2 trial, we aimed to assess whether the sodium-channel blocker lamotrigine is also neuroprotective in patients with secondary progressive multiple sclerosis."9.14Lamotrigine for neuroprotection in secondary progressive multiple sclerosis: a randomised, double-blind, placebo-controlled, parallel-group trial. ( Altmann, DR; Brenner, R; Chataway, J; Furby, J; Hayton, T; Hughes, RA; Kapoor, R; Miller, DH; Smith, KJ, 2010)
" The 2 treatment periods began with an 8-week, double-blind titration period, during which the number of pills of study drug was increased until either total pain relief was achieved, 1 or more unmanageable adverse events were reported, or a maximum of 16 pills (400 mg of lamotrigine) were used daily."9.12A randomized, double-blind, placebo-controlled, two-period, crossover, pilot trial of lamotrigine in patients with central pain due to multiple sclerosis. ( Breuer, B; Guleyupoglu, N; Knotkova, H; Pappagallo, M; Portenoy, RK; Wallenstein, S, 2007)
" In this phase 2 trial, we aimed to assess whether the sodium-channel blocker lamotrigine is also neuroprotective in patients with secondary progressive multiple sclerosis."5.14Lamotrigine for neuroprotection in secondary progressive multiple sclerosis: a randomised, double-blind, placebo-controlled, parallel-group trial. ( Altmann, DR; Brenner, R; Chataway, J; Furby, J; Hayton, T; Hughes, RA; Kapoor, R; Miller, DH; Smith, KJ, 2010)
" The 2 treatment periods began with an 8-week, double-blind titration period, during which the number of pills of study drug was increased until either total pain relief was achieved, 1 or more unmanageable adverse events were reported, or a maximum of 16 pills (400 mg of lamotrigine) were used daily."5.12A randomized, double-blind, placebo-controlled, two-period, crossover, pilot trial of lamotrigine in patients with central pain due to multiple sclerosis. ( Breuer, B; Guleyupoglu, N; Knotkova, H; Pappagallo, M; Portenoy, RK; Wallenstein, S, 2007)
"Lamotrigine displayed the lowest risk of discontinuation when prescribed as initial monotherapy for epilepsy in MS."4.02Retention of antiseizure medications for epilepsy in multiple sclerosis: A retrospective observational study. ( Burman, J; Håkansson, S; Mahamud, Z; Zelano, J, 2021)
"Treatment with lamotrigine was associated with more rashes (20% vs 5%, P value 0."2.52Sodium channel blockers for neuroprotection in multiple sclerosis. ( Hao, Z; Wen, J; Yang, C; Zeng, L; Zhang, L, 2015)
"Lamotrigine trial in SPMS was a randomised control trial to assess whether partial blockade of sodium channels has a neuroprotective effect."1.39Biomarker report from the phase II lamotrigine trial in secondary progressive MS - neurofilament as a surrogate of disease progression. ( Brenner, R; Furby, J; Giovannoni, G; Gnanapavan, S; Grant, D; Hayton, T; Kapoor, R; Leoni, V; Marta, M; Miller, DH; Morant, S; Palace, J; Teunissen, CE, 2013)
"Carbamazepine (CBZ) was prescribed in 36 patients, with adverse effects reported in 20 cases, of which 12 mimicked a relapse."1.33Antiepileptic medications in multiple sclerosis: adverse effects in a three-year follow-up study. ( Battaglia, MA; Brichetto, G; Mancardi, GL; Messmer Uccelli, M; Solaro, C, 2005)

Research

Studies (17)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (17.65)18.2507
2000's6 (35.29)29.6817
2010's7 (41.18)24.3611
2020's1 (5.88)2.80

Authors

AuthorsStudies
Browne, L1
Lidster, K1
Al-Izki, S1
Clutterbuck, L1
Posada, C1
Chan, AW1
Riddall, D1
Garthwaite, J1
Baker, D1
Selwood, DL1
Mahamud, Z1
Håkansson, S1
Burman, J1
Zelano, J1
Gnanapavan, S1
Grant, D1
Morant, S1
Furby, J2
Hayton, T2
Teunissen, CE1
Leoni, V1
Marta, M1
Brenner, R2
Palace, J1
Miller, DH2
Kapoor, R4
Giovannoni, G1
Yang, C1
Hao, Z1
Zhang, L1
Zeng, L1
Wen, J1
Smith, KJ2
Altmann, DR1
Chataway, J1
Hughes, RA1
Bermel, RA1
Cohen, JA1
Valentino, P1
Nisticò, R1
Pirritano, D1
Bilotti, G1
Del Giudice, F1
Sturniolo, M1
Quattrone, A1
Bittner, S1
Höhn, K1
Göbel, K1
Kleinschnitz, C1
Wiendl, H1
Meuth, SG1
Solaro, C3
Brichetto, G1
Battaglia, MA1
Messmer Uccelli, M1
Mancardi, GL3
Reiss, JP1
Sam, D1
Sareen, J1
Bechtold, DA1
Miller, SJ1
Dawson, AC1
Sun, Y1
Berry, D1
Breuer, B1
Pappagallo, M1
Knotkova, H1
Guleyupoglu, N1
Wallenstein, S1
Portenoy, RK1
McCleane, G1
Uccelli, MM1
Cianchetti, C1
Zuddas, A1
Randazzo, AP1
Perra, L1
Marrosu, MG1
Leandri, M1
Lundardi, G1
Inglese, M1
Messmer-Uccelli, M1
Gottlieb, A1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
OxCarbazepine as a Neuroprotective Agent in MS: A Phase 2a Trial[NCT02104661]Phase 230 participants (Actual)Interventional2014-10-31Completed
A Randomised Controlled Trial of Neuroprotection With Lamotrigine in Secondary Progressive Multiple Sclerosis: Single Centre, Phase 2 Trial[NCT00257855]Phase 2120 participants Interventional2005-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for lamotrigine and Multiple Sclerosis

ArticleYear
Sodium channel blockers for neuroprotection in multiple sclerosis.
    The Cochrane database of systematic reviews, 2015, 10-21, Issue:10

    Topics: Disease Progression; Female; Humans; Immunosuppressive Agents; Lamotrigine; Male; Middle Aged; Multi

2015
[Pregabalin and gabapentin in multiple sclerosis: clinical experiences and therapeutic implications].
    Der Nervenarzt, 2011, Volume: 82, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Amines; Anticonvulsants; Antineoplastic Agents; Carbamazepine; Cohor

2011
Sodium channel blockers and neuroprotection in multiple sclerosis using lamotrigine.
    Journal of the neurological sciences, 2008, Nov-15, Volume: 274, Issue:1-2

    Topics: Animals; Humans; Lamotrigine; Multiple Sclerosis; Neuroprotective Agents; Sodium Channel Blockers; T

2008

Trials

3 trials available for lamotrigine and Multiple Sclerosis

ArticleYear
Lamotrigine for neuroprotection in secondary progressive multiple sclerosis: a randomised, double-blind, placebo-controlled, parallel-group trial.
    The Lancet. Neurology, 2010, Volume: 9, Issue:7

    Topics: Adolescent; Adult; Brain Infarction; Disability Evaluation; Disease Progression; Double-Blind Method

2010
Lamotrigine for neuroprotection in secondary progressive multiple sclerosis: a randomised, double-blind, placebo-controlled, parallel-group trial.
    The Lancet. Neurology, 2010, Volume: 9, Issue:7

    Topics: Adolescent; Adult; Brain Infarction; Disability Evaluation; Disease Progression; Double-Blind Method

2010
Lamotrigine for neuroprotection in secondary progressive multiple sclerosis: a randomised, double-blind, placebo-controlled, parallel-group trial.
    The Lancet. Neurology, 2010, Volume: 9, Issue:7

    Topics: Adolescent; Adult; Brain Infarction; Disability Evaluation; Disease Progression; Double-Blind Method

2010
Lamotrigine for neuroprotection in secondary progressive multiple sclerosis: a randomised, double-blind, placebo-controlled, parallel-group trial.
    The Lancet. Neurology, 2010, Volume: 9, Issue:7

    Topics: Adolescent; Adult; Brain Infarction; Disability Evaluation; Disease Progression; Double-Blind Method

2010
A randomized, double-blind, placebo-controlled, two-period, crossover, pilot trial of lamotrigine in patients with central pain due to multiple sclerosis.
    Clinical therapeutics, 2007, Volume: 29, Issue:9

    Topics: Anticonvulsants; Cross-Over Studies; Double-Blind Method; Female; Humans; Lamotrigine; Male; Middle

2007
Lamotrigine in trigeminal neuralgia secondary to multiple sclerosis.
    Journal of neurology, 2000, Volume: 247, Issue:7

    Topics: Analgesics; Analgesics, Non-Narcotic; Carbamazepine; Female; Humans; Lamotrigine; Male; Middle Aged;

2000

Other Studies

11 other studies available for lamotrigine and Multiple Sclerosis

ArticleYear
Imidazol-1-ylethylindazole voltage-gated sodium channel ligands are neuroprotective during optic neuritis in a mouse model of multiple sclerosis.
    Journal of medicinal chemistry, 2014, Apr-10, Volume: 57, Issue:7

    Topics: Animals; Disease Models, Animal; Female; Humans; Imidazoles; Lymph Nodes; Male; Mice; Mice, Inbred C

2014
Retention of antiseizure medications for epilepsy in multiple sclerosis: A retrospective observational study.
    Epilepsy & behavior : E&B, 2021, Volume: 121, Issue:Pt A

    Topics: Anticonvulsants; Epilepsy; Humans; Lamotrigine; Multiple Sclerosis; Sweden

2021
Biomarker report from the phase II lamotrigine trial in secondary progressive MS - neurofilament as a surrogate of disease progression.
    PloS one, 2013, Volume: 8, Issue:8

    Topics: Atrophy; Biomarkers; Brain; Clinical Trials, Phase II as Topic; Disease Progression; Female; Humans;

2013
Multiple sclerosis: advances in understanding pathogenesis and emergence of oral treatment options.
    The Lancet. Neurology, 2011, Volume: 10, Issue:1

    Topics: Adjuvants, Immunologic; Administration, Oral; Antibodies, Monoclonal; Antibodies, Monoclonal, Humani

2011
Lamotrigine therapy for paroxysmal dysarthria caused by multiple sclerosis: a case report.
    Journal of neurology, 2011, Volume: 258, Issue:7

    Topics: Adult; Anticonvulsants; Ataxia; Dysarthria; Female; Humans; Lamotrigine; Magnetic Resonance Imaging;

2011
Antiepileptic medications in multiple sclerosis: adverse effects in a three-year follow-up study.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2005, Volume: 25, Issue:6

    Topics: Adult; Aged; Amines; Anticonvulsants; Carbamazepine; Cyclohexanecarboxylic Acids; Follow-Up Studies;

2005
Psychosis in multiple sclerosis associated with left temporal lobe lesions on serial MRI scans.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2006, Volume: 13, Issue:2

    Topics: Adult; Antipsychotic Agents; Benzodiazepines; Delusions; Excitatory Amino Acid Antagonists; Female;

2006
Axonal protection achieved in a model of multiple sclerosis using lamotrigine.
    Journal of neurology, 2006, Volume: 253, Issue:12

    Topics: Action Potentials; Animals; Disease Models, Animal; Dose-Response Relationship, Drug; Lamotrigine; M

2006
Lamotrigine can reduce neurogenic pain associated with multiple sclerosis.
    The Clinical journal of pain, 1998, Volume: 14, Issue:3

    Topics: Adult; Analgesics; Female; Humans; Lamotrigine; Multiple Sclerosis; Pain; Triazines

1998
A patient with multiple sclerosis and Down's syndrome with a rare paroxysmal symptom at onset.
    European journal of neurology, 1999, Volume: 6, Issue:4

    Topics: Acetates; Amines; Brain; Cyclohexanecarboxylic Acids; Down Syndrome; Excitatory Amino Acid Antagonis

1999
Lamotrigine adjunctive therapy in painful phenomena in MS: preliminary observations.
    Neurology, 1999, Jul-22, Volume: 53, Issue:2

    Topics: Analgesics; Female; Humans; Lamotrigine; Male; Multiple Sclerosis; Pain; Triazines

1999