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valproic acid and Adverse Drug Event

valproic acid has been researched along with Adverse Drug Event in 58 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Research Excerpts

ExcerptRelevanceReference
"To evaluate the efficacy and tolerability of the treatment with valproic acid (VPA) in patients with status epilepticus (SE) or acute repetitive seizures (ARS) comparing it with phenytoin (PHT) treatment."9.13Treatment of status epilepticus and acute repetitive seizures with i.v. valproic acid vs phenytoin. ( Dabby, R; Gilad, R; Izkovitz, N; Lampl, Y; Rapoport, A; Sadeh, M; Weller, B, 2008)
"This study was aimed at identifying genetic and non-genetic risk factors for valproic acid (VPA)-induced hyperammonaemia in Chinese paediatric patients with epilepsy."7.88Risk Factors for Valproic Acid-induced Hyperammonaemia in Chinese Paediatric Patients with Epilepsy. ( Li, X; Zhang, T; Zhao, L; Zhu, X, 2018)
"Primary outcome was seizure cessation for 1h, and secondary outcomes were 24h seizure remission, in-hospital death, and severe adverse events (SAE)."6.84Comparison of lacosamide versus sodium valproate in status epilepticus: A pilot study. ( Dubey, D; Kalita, J; Misra, UK, 2017)
"Valproic acid (VPA) is a short-chain fatty acid widely prescribed in the treatment of seizure disorders and epilepsy syndromes, although its therapeutic value may be undermined by its toxicity."5.91Quantitative systems pharmacology Model to characterize valproic acid-induced hyperammonemia and the effect of L-carnitine supplementation. ( Fagiolino, P; Ibarra, M; Maldonado, C; Schiavo, A; Trocóniz, IF; Vázquez, M, 2023)
"Lithium carbonate was not associated with an increased risk of Parkinson-like events, but was related to these events in patients taking sodium valproate."5.72Relationship between lithium carbonate and the risk of Parkinson-like events in patients with bipolar disorders: A multivariate analysis using the Japanese adverse drug event report database. ( Nabekura, T; Uwai, Y, 2022)
"Phospholipid-valproic acid (DP-VPA)is a prodrug for treating epilepsy."5.69Population pharmacokinetics and exposure-safety of lipophilic conjugates prodrug DP-VPA in healthy Chinese subjects for dose regime exploring. ( Cao, G; Chen, Y; Fan, Y; Guo, B; Hu, J; Li, X; Li, Y; Liu, X; Wang, Y; Wu, H; Wu, J; Wu, X; Xu, X; Yu, J; Yu, P; Zhan, H; Zhang, J, 2023)
"To evaluate the efficacy and tolerability of the treatment with valproic acid (VPA) in patients with status epilepticus (SE) or acute repetitive seizures (ARS) comparing it with phenytoin (PHT) treatment."5.13Treatment of status epilepticus and acute repetitive seizures with i.v. valproic acid vs phenytoin. ( Dabby, R; Gilad, R; Izkovitz, N; Lampl, Y; Rapoport, A; Sadeh, M; Weller, B, 2008)
" 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)
"Valproic acid is an effective first line drug for the treatment of epilepsy."4.90Valproic acid and fatalities in children: a review of individual case safety reports in VigiBase. ( Choonara, I; Edwards, IR; Star, K, 2014)
" Exanthema as especially clinically relevant adverse drug event was rightly chosen for carbamazepine by 18 (8%) and for lamotrigine by 12 (5%) participants."4.02Knowledge of epilepsy among German pharmacists. ( Bertsche, A; Bertsche, T; Herziger, B; Jeschke, S; Müller, RM; Neininger, MP, 2021)
"This study was aimed at identifying genetic and non-genetic risk factors for valproic acid (VPA)-induced hyperammonaemia in Chinese paediatric patients with epilepsy."3.88Risk Factors for Valproic Acid-induced Hyperammonaemia in Chinese Paediatric Patients with Epilepsy. ( Li, X; Zhang, T; Zhao, L; Zhu, X, 2018)
" VPM would require a closer dosing schedule and a 20% reduction in dosage when switching to valproate."3.01Valproate, divalproex, valpromide: Are the differences in indications justified? ( Besson, VC; Blaise, N; Bloch, V; Chouchana, M; Delage, C; Etain, B; Hagenimana, M; Palayer, M; Smati, J, 2023)
"Beta-blockers are effective for migraine attack prophylaxis but are associated with dizziness and fatigue and are contraindicated in patients with certain co-morbidities, including asthma, congestive heart failure, and abnormal cardiac rhythms."3.01Non-CGRP Antagonist/Non-Triptan Options for Migraine Disease Treatment: Clinical Considerations. ( Ahmadzadeh, S; Bocklud, BE; Corley, SC; Granier, MA; Ingram, EE; Kaye, AD; Neuchat, EE; Shekoohi, S, 2023)
"Primary outcome was seizure cessation for 1h, and secondary outcomes were 24h seizure remission, in-hospital death, and severe adverse events (SAE)."2.84Comparison of lacosamide versus sodium valproate in status epilepticus: A pilot study. ( Dubey, D; Kalita, J; Misra, UK, 2017)
"Valproic acid (VPA) has demonstrated potential as a therapeutic candidate for spinal muscular atrophy (SMA) in vitro and in vivo."2.75SMA CARNI-VAL trial part I: double-blind, randomized, placebo-controlled trial of L-carnitine and valproic acid in spinal muscular atrophy. ( Acsadi, G; Bromberg, MB; Chan, GM; Crawford, TO; D'Anjou, G; Elsheik, B; Kissel, JT; Krosschell, KJ; LaSalle, B; Maczulski, JA; Prior, TW; Reyna, SP; Schroth, MK; Scott, CB; Simard, LR; Sorenson, SL; Swoboda, KJ, 2010)
" In conclusion, the combination studied is safe and has significant clinical activity."2.73Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome. ( Cortes, J; Estey, EH; Estrov, Z; Faderl, S; Garcia-Manero, G; Giles, F; Issa, JP; Kantarjian, HM; Ouzounian, S; Pierce, S; Quezada, A; Ravandi, F; Soriano, AO; Wierda, WG; Yang, H, 2007)
"Their efficacy in bipolar depression has not always been confirmed in more recent and methodologically more reliable studies."2.47[Lithium and anticonvulsants in bipolar depression]. ( Llorca, PM; Nourry, A; Samalin, L, 2011)
"Epilepsy is characterized by repeated seizure activity."1.91Impact of ( Kesavan, R; Kumar, RR; Narayan, SK; Ramakrishnan, K; Shewade, D; Venkatraman, S, 2023)
"We related seizure control to VPA doses through uni- and multivariate statistical analyses."1.91Minimum effective sodium valproate dose in genetic generalized epilepsies. ( Bittar Guaranha, MS; Duarte, JTC; Guilhoto, LM; Hackbart, BA; Marques, VD; Peixoto-Santos, JE; Yacubian, EMT, 2023)
"Valproic acid (VPA) is a short-chain fatty acid widely prescribed in the treatment of seizure disorders and epilepsy syndromes, although its therapeutic value may be undermined by its toxicity."1.91Quantitative systems pharmacology Model to characterize valproic acid-induced hyperammonemia and the effect of L-carnitine supplementation. ( Fagiolino, P; Ibarra, M; Maldonado, C; Schiavo, A; Trocóniz, IF; Vázquez, M, 2023)
"Lithium carbonate was not associated with an increased risk of Parkinson-like events, but was related to these events in patients taking sodium valproate."1.72Relationship between lithium carbonate and the risk of Parkinson-like events in patients with bipolar disorders: A multivariate analysis using the Japanese adverse drug event report database. ( Nabekura, T; Uwai, Y, 2022)
" We investigated potential transgenerational adverse effects of valproate."1.72Transgenerational adverse effects of valproate? A patient report from 90 affected families. ( Bewley, S; Braillon, A; Hill, C; MacLennan, AH; Martin, M, 2022)
"Tremor is frequently observed in patients with epilepsy (PWE), which is generally attributed to the side-effect of antiepileptic drugs (AEDs) particularly valproate (VPA) with largely unknown mechanisms."1.51The clinical characteristics and related factors of tremor in patients with epilepsy. ( Chen, J; Jiang, X; Lu, L; Xiao, Y; Xiong, W; Zhang, Y; Zhou, D, 2019)
"Levetiracetam was independently associated with anger/aggression, nervousness/agitation, upset stomach, depression, and sleep disturbance; lamotrigine with nervousness/agitation, upset stomach, and difficulty concentrating; and valproic acid with upset stomach and shaky hands."1.43Specific adverse effects of antiepileptic drugs--A true-to-life monotherapy study. ( Fidzinski, P; Gaus, V; Holtkamp, M; Kowski, AB; Losch, F; Weissinger, F, 2016)
"Pulmonary fibrosis is the major limiting factor for the use of bleomycin."1.43Amelioration of bleomycin-induced lung fibrosis in rats by valproic acid and butyrate: Role of nuclear factor kappa-B, proinflammatory cytokines and oxidative stress. ( Elmaaboud, MAA; Kabel, AM; Omar, MS, 2016)
" When the results of CYP2C9 genotyping and CYP2C9 expression were combined, the patients' VPA-metabolizing capacity was predicted, and VPA dosing was adjusted to the patients' CYP2C9-status."1.42Clinical significance of CYP2C9-status guided valproic acid therapy in children. ( Bűdi, T; Garami, M; Háfra, E; Kiss, Á; Monostory, K; Nagy, A; Szever, Z; Tapodi, A; Temesvári, M; Tóth, K, 2015)
"Weight gain was found to be lower in the elderly for antipsychotic drugs, in particular for olanzapine."1.39Age and adverse drug reactions from psychopharmacological treatment: data from the AMSP drug surveillance programme in Switzerland. ( Baumann, P; Greil, W; Grohmann, R; Häberle, A; Schuhmann, T, 2013)
"Phospholipidosis (PLD) is a lysosomal storage disorder induced by compounds, notably cationic amphiphilic drugs, which although reversible interferes with cellular phospholipids."1.38In silico assay for assessing phospholipidosis potential of small druglike molecules: training, validation, and refinement using several data sets. ( Atzpodien, EA; Csato, M; Doessegger, L; Fischer, H; Lenz, B; Schmitt, G; Singer, T, 2012)
" We proposed a systematic classification scheme using FDA-approved drug labeling to assess the DILI potential of drugs, which yielded a benchmark dataset with 287 drugs representing a wide range of therapeutic categories and daily dosage amounts."1.37FDA-approved drug labeling for the study of drug-induced liver injury. ( Chen, M; Fang, H; Liu, Z; Shi, Q; Tong, W; Vijay, V, 2011)
"Numerous xenobiotics are toxic to human and animal cells by interacting with their metabolism, but the precise metabolic step affected and the biochemical mechanism behind such a toxicity often remain unknown."1.37Protocols and applications of cellular metabolomics in safety studies using precision-cut tissue slices and carbon 13 NMR. ( Baverel, G; Duplany, A; El Hage, M; Faiz, H; Ferrier, B; Gauthier, C; Martin, G; Renault, S, 2011)
"A 32-year-old comatose woman was admitted to the ICU at our hospital; she suffered from hypotension, respiratory depression, hypoglycaemia, sinus bradycardia, hyperammonaemia, metabolic acidosis, and her core body temperature was 33."1.35Severe valproic acid intoxication: case study on the unbound fraction and the applicability of extracorporeal elimination. ( Meulenbelt, J; Sikma, MA; van den Broek, MP; Ververs, TF, 2009)
"As pharmacokinetic drug interactions frequently cause adverse events, it is important that the relevant information is given in package inserts (PIs)."1.34Adverse events caused by drug interactions involving glucuronoconjugates of zidovudine, valproic acid and lamotrigine, and analysis of how such potential events are discussed in package inserts of Japan, UK and USA. ( Hasegawa, R; Hirata-Koizumi, M; Miyake, S; Saito, M, 2007)
"Post-ERCP pancreatitis was defined as abdominal pain and/or vomiting associated with amylase/lipase plasma levels equal to or greater than twice the upper normal value."1.32Are drugs a risk factor of post-ERCP pancreatitis? ( Bauret, P; Berthier, E; Blanc, F; Blayac, JP; Fabbro-Peray, P; Hanslik, B; Hillaire-Buys, D; Larrey, D; Melki, M; Pageaux, GP; Perney, P; Roques, V, 2003)
"5 million adverse drug reaction (ADR) reports for 8620 drugs/biologics that are listed for 1191 Coding Symbols for Thesaurus of Adverse Reaction (COSTAR) terms of adverse effects."1.32Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling. ( Benz, RD; Contrera, JF; Kruhlak, NL; Matthews, EJ; Weaver, JL, 2004)

Research

Studies (58)

TimeframeStudies, this research(%)All Research%
pre-19906 (10.34)18.7374
1990's3 (5.17)18.2507
2000's13 (22.41)29.6817
2010's24 (41.38)24.3611
2020's12 (20.69)2.80

Authors

AuthorsStudies
Matthews, EJ1
Kruhlak, NL1
Weaver, JL1
Benz, RD1
Contrera, JF1
Pedersen, JM1
Matsson, P1
Bergström, CA1
Norinder, U1
Hoogstraate, J1
Artursson, P1
Chen, M1
Vijay, V1
Shi, Q2
Liu, Z2
Fang, H2
Tong, W2
Dawson, S1
Stahl, S1
Paul, N1
Barber, J1
Kenna, JG1
Fischer, H1
Atzpodien, EA1
Csato, M1
Doessegger, L1
Lenz, B1
Schmitt, G1
Singer, T1
Ding, D1
Kelly, R1
Sakatis, MZ1
Reese, MJ1
Harrell, AW1
Taylor, MA1
Baines, IA1
Chen, L1
Bloomer, JC1
Yang, EY1
Ellens, HM1
Ambroso, JL1
Lovatt, CA1
Ayrton, AD1
Clarke, SE1
Martin, M1
Hill, C1
Bewley, S1
MacLennan, AH1
Braillon, A1
Wartman, C1
VandenBerg, A1
Uwai, Y1
Nabekura, T1
Delage, C2
Palayer, M2
Etain, B2
Hagenimana, M2
Blaise, N2
Smati, J2
Chouchana, M2
Bloch, V2
Besson, VC2
Schiavo, A1
Maldonado, C1
Vázquez, M1
Fagiolino, P1
Trocóniz, IF1
Ibarra, M1
Marques, VD1
Hackbart, BA1
Guilhoto, LM1
Duarte, JTC1
Peixoto-Santos, JE1
Yacubian, EMT1
Bittar Guaranha, MS1
Li, Y1
Zhan, H1
Wu, J1
Yu, J1
Cao, G1
Wu, X1
Guo, B1
Liu, X1
Fan, Y1
Hu, J1
Li, X2
Wu, H1
Wang, Y1
Chen, Y1
Xu, X1
Yu, P1
Zhang, J1
Ingram, EE1
Bocklud, BE1
Corley, SC1
Granier, MA1
Neuchat, EE1
Ahmadzadeh, S1
Shekoohi, S1
Kaye, AD1
Ramakrishnan, K1
Kesavan, R1
Venkatraman, S1
Narayan, SK1
Kumar, RR1
Shewade, D1
Kumar, S1
Sarangi, SC1
Tripathi, M1
Gupta, YK1
Choi, SA1
Kim, H1
Kim, S1
Yoo, S1
Yi, S1
Jeon, Y1
Hwang, H1
Kim, KJ1
Müller, RM1
Herziger, B1
Jeschke, S1
Neininger, MP1
Bertsche, T1
Bertsche, A1
Misra, UK1
Dubey, D1
Kalita, J1
Meijboom, RW1
Grootens, KP1
Gillinder, L1
Lehn, A1
Brown, H1
Dionisio, S1
Zhu, X1
Zhang, T1
Zhao, L1
Koristkova, B1
Grundmann, M1
Brozmanova, H1
Kacirova, I1
Kessler, SK1
McGinnis, E1
Xiao, Y1
Xiong, W1
Lu, L1
Chen, J1
Zhang, Y1
Jiang, X1
Zhou, D1
Greil, W1
Häberle, A1
Schuhmann, T1
Grohmann, R1
Baumann, P1
Vella, T1
Mifsud, J1
Star, K1
Edwards, IR1
Choonara, I2
Bűdi, T1
Tóth, K1
Nagy, A1
Szever, Z1
Kiss, Á1
Temesvári, M1
Háfra, E1
Garami, M1
Tapodi, A1
Monostory, K1
Birur, B1
Fargason, RE1
Moore, N1
Kowski, AB1
Weissinger, F1
Gaus, V1
Fidzinski, P1
Losch, F1
Holtkamp, M1
Kabel, AM1
Omar, MS1
Elmaaboud, MAA1
Churchwell, MD1
Pasko, DA1
Smoyer, WE1
Mueller, BA1
Gilad, R1
Izkovitz, N1
Dabby, R1
Rapoport, A1
Sadeh, M1
Weller, B1
Lampl, Y1
van den Broek, MP1
Sikma, MA1
Ververs, TF1
Meulenbelt, J1
de Leon, J1
Kiesel, JL1
Fleming, MW1
Strobl, B1
Waszkielewicz, A1
Szkaradek, N1
Pękala, E1
Galzarano, F1
Marona, H1
Swoboda, KJ1
Scott, CB1
Crawford, TO1
Simard, LR1
Reyna, SP1
Krosschell, KJ1
Acsadi, G1
Elsheik, B1
Schroth, MK1
D'Anjou, G1
LaSalle, B1
Prior, TW1
Sorenson, SL1
Maczulski, JA1
Bromberg, MB1
Chan, GM1
Kissel, JT1
Baverel, G1
Renault, S1
Faiz, H1
El Hage, M1
Gauthier, C1
Duplany, A1
Ferrier, B1
Martin, G1
Samalin, L1
Nourry, A1
Llorca, PM1
Prohaska, ES1
Muzyk, AJ1
Rivelli, SK1
Clarkson, A1
Johannessen, CU1
Johannessen, SI1
Perney, P1
Berthier, E1
Pageaux, GP1
Hillaire-Buys, D1
Roques, V1
Fabbro-Peray, P1
Melki, M1
Hanslik, B1
Bauret, P1
Larrey, D1
Blayac, JP1
Blanc, F1
Hirata-Koizumi, M1
Saito, M1
Miyake, S1
Hasegawa, R1
Soriano, AO1
Yang, H1
Faderl, S1
Estrov, Z1
Giles, F1
Ravandi, F1
Cortes, J1
Wierda, WG1
Ouzounian, S1
Quezada, A1
Pierce, S1
Estey, EH1
Issa, JP1
Kantarjian, HM1
Garcia-Manero, G1
Jinjuvadia, K1
Kwan, W1
Fontana, RJ1
Kozu, T1
McQueen, EG1
Vereczkey, L1
Park, BK1
Pirmohamed, M1
Kitteringham, NR1
Beach, JE1
Faich, GA1
Bormel, FG1
Sasinowski, FJ1
Wardell, WM1
Tsianco, MC1
Anavekar, SN1
Davis, HT1
Dobrilla, G2
Felder, M2
Chilovi, F2
Lauterburg, BH1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Multi-center Phase II Trial of Valproic Acid and Carnitine in Patients With Spinal Muscular Atrophy (SMA CARNI-VAL Trial)[NCT00227266]Phase 294 participants (Actual)Interventional2005-09-30Completed
Phase 0 Clinical Trial With Valproic Acid as a Chemopreventive Agent in Patients With Head and Neck Squamous Cell Carcinoma Previously Treated[NCT02608736]Early Phase 142 participants (Actual)Interventional2015-12-31Completed
Phase II Study of the Combination of 5-azacytidine With Valproic Acid and All-trans Retinoic Acid in Patients With High Risk Myelodysplastic Syndrome and Acute Myelogenous Leukemia[NCT00326170]Phase 234 participants (Actual)Interventional2005-07-31Completed
Phase II Randomised Trial of 5-azacitidine Versus 5-azacitidine in Combination With Vorinostat in Patients With Acute Myeloid Leukaemia or High Risk Myelodysplastic Syndromes Ineligible for Intensive Chemotherapy[NCT01617226]Phase 2260 participants (Actual)Interventional2012-09-30Completed
LabAlert: Enhancing Medication Safety Through Electronic Interventions to Improve Medication Safety[NCT00256386]800 participants Interventional2004-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Max CMAP Amplitude (Mean)

The maximum Compound Motor Action Potential (CMAP) is a measurement obtained through EMG testing that is associated with disease progression. In this study, we measure the maximum CMAP by stimulating one nerve in the hand and measuring the response of the muscle. This is done multiple times, the outcome used is the highest peak, or response observed. (NCT00227266)
Timeframe: 1 month prior to official enrollment, beginning of study (0 months), 6 months, 12 months (data point not available)

,,
InterventionmV (Mean)
Baseline6 months
Cohort 1a Sitters Placebo Then Treatment2.282.32
Cohort 1b Sitters Treatment2.932.37
Cohort 2 Standers and Walkers - Treatment5.526.56

Max CMAP Amplitude Median

The maximum Compound Motor Action Potential (CMAP) is a measurement obtained through EMG testing that is associated with disease progression. In this study, we measure the maximum CMAP by stimulating one nerve in the hand and measuring the response of the muscle. This is done multiple times, the outcome used is the highest peak, or response observed. (NCT00227266)
Timeframe: 1 month prior to official enrollment, beginning of study (0 months), 6 months, 12 months (data point not available)

,,
InterventionmV (Median)
Baseline6 months
Cohort 1a Sitters Placebo Then Treatment1.911.44
Cohort 1b Sitters Treatment2.21.8
Cohort 2 Standers and Walkers - Treatment5.35.85

Max CMAP Area (Mean)

The maximum Compound Motor Action Potential (CMAP) area is a measurement obtained through EMG testing that is associated with disease progression. In this study, we measure the maximum CMAP by stimulating one nerve in the hand and measuring the response of the muscle. This procedure is repeated multiple times. The maximum area is the response that results in the largest area under the response curve. (NCT00227266)
Timeframe: 1 month prior to official enrollment, beginning of study (0 months), 6 months, 12 months (data point not available)

,,
InterventionmVms (Mean)
Baseline6 months
Cohort 1a Sitters Placebo Then Treatment5.465.28
Cohort 1b Sitters Treatment5.455.26
Cohort 2 Standers and Walkers - Treatment14.8516.26

Max CMAP Area (Median)

The maximum Compound Motor Action Potential (CMAP) area is a measurement obtained through EMG testing that is associated with disease progression. In this study, we measure the maximum CMAP by stimulating one nerve in the hand and measuring the response of the muscle. This procedure is repeated multiple times. The maximum area is the response that results in the largest area under the response curve. (NCT00227266)
Timeframe: 1 month prior to official enrollment, beginning of study (0 months), 6 months, 12 months (data point not available)

,,
InterventionmVms (Median)
Baseline6 months
Cohort 1a Sitters Placebo Then Treatment3.63.74
Cohort 1b Sitters Treatment4.63.4
Cohort 2 Standers and Walkers - Treatment13.6516.85

Modified Hammersmith Change From Baseline to 6 Months

Comparison of Modified Hammersmith Change from baseline to 6 months. Scores range from 0 to 40. A higher score indicates a better outcome. This scale is used to assess gross motor abilities of non-ambulant children with SMA in multiple research trials as well as in clinical settings. (NCT00227266)
Timeframe: 0 months, 6 months

,
InterventionScore (Mean)
Baseline visit (0 weeks)6 Month visit (V2)Change from Baseline
Cohort 1a Sitters Placebo Then Treatment20.020.60.6
Cohort 1b Sitters Treatment16.616.80.2

Modified Hammersmith Extend Baseline

"Baseline Modified Hammersmith Extend testing. The baseline test is the score they receive during their screening visits. This scale ranges from 0 to 56. A higher score indicates a better outcome.~This scale is used to assess gross motor abilities of children with SMA in multiple research trials as well as in clinical settings." (NCT00227266)
Timeframe: 1 month prior to enrollment, at enrollment (0 months)

InterventionScore (Mean)
Modified Hammersmith Extend at S1 (-4 weeks)Modified Hammersmith Extend at S2 (0 weeks)
Cohort 2 Experimental47.048.3

Number of Participants With Response

Clinical activity of combination defined as: Complete Response (CR), bone marrow with 5% or fewer blasts and peripheral blood count with an absolute neutrophil count of 10^9/L or more and platelet count of 100x10^9 or more; Complete response without platelets (CRp), a complete response except for a platelet count less than 100x10^9 and transfusion independent; and Bone Marrow (BM) Response, bone marrow blast of 5% or less but without meeting the peripheral blood count criteria for (CR) or (CRp). (NCT00326170)
Timeframe: Up to 12 cycles of treatment (28 day cycles)

InterventionParticipants (Number)
CRCRpBM
VPA + 5-aza + ATRA1237

Reviews

12 reviews available for valproic acid and Adverse Drug Event

ArticleYear
Valproate: Not All Boxed Warnings Are Created Equal.
    The Annals of pharmacotherapy, 2022, Volume: 56, Issue:12

    Topics: Anticonvulsants; Chemical and Drug Induced Liver Injury; Drug Labeling; Drug-Related Side Effects an

2022
Valproate, divalproex, valpromide: Are the differences in indications justified?
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2023, Volume: 158

    Topics: Bipolar Disorder; Drug-Related Side Effects and Adverse Reactions; Epilepsy; Humans; Valproic Acid

2023
Valproate, divalproex, valpromide: Are the differences in indications justified?
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2023, Volume: 158

    Topics: Bipolar Disorder; Drug-Related Side Effects and Adverse Reactions; Epilepsy; Humans; Valproic Acid

2023
Valproate, divalproex, valpromide: Are the differences in indications justified?
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2023, Volume: 158

    Topics: Bipolar Disorder; Drug-Related Side Effects and Adverse Reactions; Epilepsy; Humans; Valproic Acid

2023
Valproate, divalproex, valpromide: Are the differences in indications justified?
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2023, Volume: 158

    Topics: Bipolar Disorder; Drug-Related Side Effects and Adverse Reactions; Epilepsy; Humans; Valproic Acid

2023
Non-CGRP Antagonist/Non-Triptan Options for Migraine Disease Treatment: Clinical Considerations.
    Current pain and headache reports, 2023, Volume: 27, Issue:10

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Antidepressive Agents; Calcium Channel Blockers; Drug-Relat

2023
Dispensability of Annual Laboratory Follow-Up After More than 2 Years of Valproic Acid Use: A Systematic Review.
    CNS drugs, 2017, Volume: 31, Issue:11

    Topics: Anticonvulsants; Blood Cell Count; Clinical Enzyme Tests; Clinical Laboratory Techniques; Diagnostic

2017
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
Interactions between valproic acid and quetiapine/olanzapine in the treatment of bipolar disorder and the role of therapeutic drug monitoring.
    The Journal of pharmacy and pharmacology, 2014, Volume: 66, Issue:6

    Topics: Anticonvulsants; Antipsychotic Agents; Benzodiazepines; Bipolar Disorder; Dibenzothiazepines; Drug I

2014
Valproic acid and fatalities in children: a review of individual case safety reports in VigiBase.
    PloS one, 2014, Volume: 9, Issue:10

    Topics: Adverse Drug Reaction Reporting Systems; Anticonvulsants; Chemical and Drug Induced Liver Injury; Ch

2014
[Lithium and anticonvulsants in bipolar depression].
    L'Encephale, 2011, Volume: 37 Suppl 3

    Topics: Anticonvulsants; Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Clinical Trials as Topic;

2011
Valproate: past, present, and future.
    CNS drug reviews, 2003,Summer, Volume: 9, Issue:2

    Topics: Animals; Anticonvulsants; Drug Interactions; Drug-Related Side Effects and Adverse Reactions; Epilep

2003
[Drug-induced pancreatitis].
    Nihon rinsho. Japanese journal of clinical medicine, 2007, Oct-28, Volume: 65 Suppl 8

    Topics: Anti-Infective Agents; Anti-Inflammatory Agents, Non-Steroidal; Antineoplastic Agents; Azathioprine;

2007
The role of cytochrome P450 enzymes in hepatic and extrahepatic human drug toxicity.
    Pharmacology & therapeutics, 1995, Volume: 68, Issue:3

    Topics: Abnormalities, Drug-Induced; Acetaminophen; Chemical and Drug Induced Liver Injury; Cytochrome P-450

1995
[Drug damage to the liver: role of reactive metabolites and pharmacokinetics].
    Schweizerische medizinische Wochenschrift, 1985, Sep-21, Volume: 115, Issue:38

    Topics: Acetaminophen; Amiodarone; Chemical and Drug Induced Liver Injury; Drug-Related Side Effects and Adv

1985

Trials

5 trials available for valproic acid and Adverse Drug Event

ArticleYear
Population pharmacokinetics and exposure-safety of lipophilic conjugates prodrug DP-VPA in healthy Chinese subjects for dose regime exploring.
    European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V, 2023, Volume: 188

    Topics: Drug-Related Side Effects and Adverse Reactions; East Asian People; Epilepsy; Healthy Volunteers; Hu

2023
Comparison of lacosamide versus sodium valproate in status epilepticus: A pilot study.
    Epilepsy & behavior : E&B, 2017, Volume: 76

    Topics: Acetamides; Administration, Intravenous; Adolescent; Adult; Aged; Aged, 80 and over; Anticonvulsants

2017
Treatment of status epilepticus and acute repetitive seizures with i.v. valproic acid vs phenytoin.
    Acta neurologica Scandinavica, 2008, Volume: 118, Issue:5

    Topics: Acute Disease; Adult; Aged; Anticonvulsants; Brain; Drug-Related Side Effects and Adverse Reactions;

2008
SMA CARNI-VAL trial part I: double-blind, randomized, placebo-controlled trial of L-carnitine and valproic acid in spinal muscular atrophy.
    PloS one, 2010, Aug-19, Volume: 5, Issue:8

    Topics: Age Factors; Body Composition; Body Mass Index; Body Weight; Bone Density; Carnitine; Child; Child,

2010
Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome.
    Blood, 2007, Oct-01, Volume: 110, Issue:7

    Topics: Acetylation; Adolescent; Adult; Aged; Aged, 80 and over; Azacitidine; Child; Child, Preschool; DNA M

2007
Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome.
    Blood, 2007, Oct-01, Volume: 110, Issue:7

    Topics: Acetylation; Adolescent; Adult; Aged; Aged, 80 and over; Azacitidine; Child; Child, Preschool; DNA M

2007
Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome.
    Blood, 2007, Oct-01, Volume: 110, Issue:7

    Topics: Acetylation; Adolescent; Adult; Aged; Aged, 80 and over; Azacitidine; Child; Child, Preschool; DNA M

2007
Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome.
    Blood, 2007, Oct-01, Volume: 110, Issue:7

    Topics: Acetylation; Adolescent; Adult; Aged; Aged, 80 and over; Azacitidine; Child; Child, Preschool; DNA M

2007
Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome.
    Blood, 2007, Oct-01, Volume: 110, Issue:7

    Topics: Acetylation; Adolescent; Adult; Aged; Aged, 80 and over; Azacitidine; Child; Child, Preschool; DNA M

2007
Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome.
    Blood, 2007, Oct-01, Volume: 110, Issue:7

    Topics: Acetylation; Adolescent; Adult; Aged; Aged, 80 and over; Azacitidine; Child; Child, Preschool; DNA M

2007
Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome.
    Blood, 2007, Oct-01, Volume: 110, Issue:7

    Topics: Acetylation; Adolescent; Adult; Aged; Aged, 80 and over; Azacitidine; Child; Child, Preschool; DNA M

2007
Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome.
    Blood, 2007, Oct-01, Volume: 110, Issue:7

    Topics: Acetylation; Adolescent; Adult; Aged; Aged, 80 and over; Azacitidine; Child; Child, Preschool; DNA M

2007
Safety and clinical activity of the combination of 5-azacytidine, valproic acid, and all-trans retinoic acid in acute myeloid leukemia and myelodysplastic syndrome.
    Blood, 2007, Oct-01, Volume: 110, Issue:7

    Topics: Acetylation; Adolescent; Adult; Aged; Aged, 80 and over; Azacitidine; Child; Child, Preschool; DNA M

2007

Other Studies

41 other studies available for valproic acid and Adverse Drug Event

ArticleYear
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
    Current drug discovery technologies, 2004, Volume: 1, Issue:4

    Topics: Adverse Drug Reaction Reporting Systems; Artificial Intelligence; Computers; Databases, Factual; Dru

2004
Prediction and identification of drug interactions with the human ATP-binding cassette transporter multidrug-resistance associated protein 2 (MRP2; ABCC2).
    Journal of medicinal chemistry, 2008, Jun-12, Volume: 51, Issue:11

    Topics: Administration, Oral; Animals; Antineoplastic Agents; Antipsychotic Agents; Antiviral Agents; ATP Bi

2008
FDA-approved drug labeling for the study of drug-induced liver injury.
    Drug discovery today, 2011, Volume: 16, Issue:15-16

    Topics: Animals; Benchmarking; Biomarkers, Pharmacological; Chemical and Drug Induced Liver Injury; Drug Des

2011
In vitro inhibition of the bile salt export pump correlates with risk of cholestatic drug-induced liver injury in humans.
    Drug metabolism and disposition: the biological fate of chemicals, 2012, Volume: 40, Issue:1

    Topics: Animals; ATP Binding Cassette Transporter, Subfamily B, Member 11; ATP-Binding Cassette Transporters

2012
In silico assay for assessing phospholipidosis potential of small druglike molecules: training, validation, and refinement using several data sets.
    Journal of medicinal chemistry, 2012, Jan-12, Volume: 55, Issue:1

    Topics: Animals; Cattle; Cells, Cultured; Computer Simulation; Cornea; Drug-Related Side Effects and Adverse

2012
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
    PLoS computational biology, 2011, Volume: 7, Issue:12

    Topics: Animals; Anti-Infective Agents; Anti-Inflammatory Agents; Chemical and Drug Induced Liver Injury; Da

2011
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
    Chemical research in toxicology, 2012, Oct-15, Volume: 25, Issue:10

    Topics: Chemical and Drug Induced Liver Injury; Cytochrome P-450 Enzyme Inhibitors; Cytochrome P-450 Enzyme

2012
Transgenerational adverse effects of valproate? A patient report from 90 affected families.
    Birth defects research, 2022, 01-01, Volume: 114, Issue:1

    Topics: Abnormalities, Drug-Induced; Animals; Anticonvulsants; Cleft Lip; Cleft Palate; Drug-Related Side Ef

2022
Relationship between lithium carbonate and the risk of Parkinson-like events in patients with bipolar disorders: A multivariate analysis using the Japanese adverse drug event report database.
    Psychiatry research, 2022, Volume: 314

    Topics: Antimanic Agents; Bipolar Disorder; Drug-Related Side Effects and Adverse Reactions; Humans; Japan;

2022
Quantitative systems pharmacology Model to characterize valproic acid-induced hyperammonemia and the effect of L-carnitine supplementation.
    European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences, 2023, Apr-01, Volume: 183

    Topics: Ammonia; Anticonvulsants; Carnitine; Dietary Supplements; Drug Overdose; Drug-Related Side Effects a

2023
Minimum effective sodium valproate dose in genetic generalized epilepsies.
    Seizure, 2023, Volume: 108

    Topics: Anticonvulsants; Drug-Related Side Effects and Adverse Reactions; Epilepsy, Generalized; Humans; Ret

2023
Impact of
    Personalized medicine, 2023, Volume: 20, Issue:5

    Topics: Case-Control Studies; Cytochrome P-450 CYP2C9; Drug-Related Side Effects and Adverse Reactions; Epil

2023
Evaluation of adverse drug reaction profile of antiepileptic drugs in persons with epilepsy: A cross-sectional study.
    Epilepsy & behavior : E&B, 2020, Volume: 105

    Topics: Adolescent; Adult; Anticonvulsants; Benzodiazepines; Child; Cross-Sectional Studies; Drug-Related Si

2020
Analysis of antiseizure drug-related adverse reactions from the electronic health record using the common data model.
    Epilepsia, 2020, Volume: 61, Issue:4

    Topics: Anticonvulsants; Common Data Elements; Drug-Related Side Effects and Adverse Reactions; Electronic H

2020
Knowledge of epilepsy among German pharmacists.
    Epilepsy research, 2021, Volume: 172

    Topics: Anticonvulsants; Carbamazepine; Drug-Related Side Effects and Adverse Reactions; Epilepsy; Humans; L

2021
Treatment outcomes after the introduction of a new seizure management protocol.
    Internal medicine journal, 2018, Volume: 48, Issue:7

    Topics: Adult; Anticonvulsants; Clinical Protocols; Drug-Related Side Effects and Adverse Reactions; Emergen

2018
Risk Factors for Valproic Acid-induced Hyperammonaemia in Chinese Paediatric Patients with Epilepsy.
    Basic & clinical pharmacology & toxicology, 2018, Volume: 123, Issue:5

    Topics: Age Factors; Ammonia; Anticonvulsants; Aspartate Aminotransferases; Chemical and Drug Induced Liver

2018
Lamotrigine drug interactions in combination therapy and the influence of therapeutic drug monitoring on clinical outcomes in paediatric patients.
    Basic & clinical pharmacology & toxicology, 2019, Volume: 125, Issue:1

    Topics: Adolescent; Anticonvulsants; Carbamazepine; Child; Child, Preschool; Czech Republic; Dose-Response R

2019
The clinical characteristics and related factors of tremor in patients with epilepsy.
    Seizure, 2019, Volume: 66

    Topics: Activities of Daily Living; Adult; Anticonvulsants; Case-Control Studies; Drug-Related Side Effects

2019
Age and adverse drug reactions from psychopharmacological treatment: data from the AMSP drug surveillance programme in Switzerland.
    Swiss medical weekly, 2013, Volume: 143

    Topics: Adolescent; Adult; Adverse Drug Reaction Reporting Systems; Age Factors; Aged; Aged, 80 and over; An

2013
Clinical significance of CYP2C9-status guided valproic acid therapy in children.
    Epilepsia, 2015, Volume: 56, Issue:6

    Topics: Adolescent; Anticonvulsants; Child; Child, Preschool; Cytochrome P-450 CYP2C9; Drug-Related Side Eff

2015
Delayed-onset of psychopharmacologically induced priapism: A cautionary case report.
    Asian journal of psychiatry, 2015, Volume: 17

    Topics: Adult; Antipsychotic Agents; Drug Interactions; Drug Substitution; Drug-Related Side Effects and Adv

2015
Specific adverse effects of antiepileptic drugs--A true-to-life monotherapy study.
    Epilepsy & behavior : E&B, 2016, Volume: 54

    Topics: Adult; Aged; Anticonvulsants; Anxiety; Carbamazepine; Depression; Drug-Related Side Effects and Adve

2016
Amelioration of bleomycin-induced lung fibrosis in rats by valproic acid and butyrate: Role of nuclear factor kappa-B, proinflammatory cytokines and oxidative stress.
    International immunopharmacology, 2016, Volume: 39

    Topics: Animals; Bleomycin; Butyrates; Cytokines; Drug Synergism; Drug Therapy; Drug Therapy, Combination; D

2016
Enhanced clearance of highly protein-bound drugs by albumin-supplemented dialysate during modeled continuous hemodialysis.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2009, Volume: 24, Issue:1

    Topics: Albumins; Animals; Carbamazepine; Cattle; Drug-Related Side Effects and Adverse Reactions; Hemodialy

2009
Severe valproic acid intoxication: case study on the unbound fraction and the applicability of extracorporeal elimination.
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2009, Volume: 16, Issue:6

    Topics: Adult; Anticonvulsants; Charcoal; Coma; Drug-Related Side Effects and Adverse Reactions; Female; Gla

2009
Valproic acid toxicity associated with low dose of aspirin and low total valproic acid levels: a case report.
    Journal of clinical psychopharmacology, 2009, Volume: 29, Issue:5

    Topics: Aspirin; Dose-Response Relationship, Drug; Drug Interactions; Drug-Related Side Effects and Adverse

2009
The study of the lipophilicity of some aminoalkanol derivatives with anticonvulsant activity.
    Biomedical chromatography : BMC, 2010, Volume: 24, Issue:12

    Topics: Animals; Anticonvulsants; Carbamazepine; Chromatography, Reverse-Phase; Chromatography, Thin Layer;

2010
Protocols and applications of cellular metabolomics in safety studies using precision-cut tissue slices and carbon 13 NMR.
    Methods in molecular biology (Clifton, N.J.), 2011, Volume: 691

    Topics: Adenosine Triphosphate; Animals; Drug-Related Side Effects and Adverse Reactions; Humans; Insulin; K

2011
Levocarnitine-induced hypophosphatemia in a hemodialysis patient with acute valproic acid toxicity.
    The Journal of neuropsychiatry and clinical neurosciences, 2012,Winter, Volume: 24, Issue:1

    Topics: Adolescent; Anticonvulsants; Bipolar Disorder; Carnitine; Drug-Related Side Effects and Adverse Reac

2012
Surveillance for fatal suspected adverse drug reactions in the UK.
    Archives of disease in childhood, 2002, Volume: 87, Issue:6

    Topics: Anesthetics; Anti-Bacterial Agents; Anticonvulsants; Antineoplastic Agents; Child; Drug-Related Side

2002
Are drugs a risk factor of post-ERCP pancreatitis?
    Gastrointestinal endoscopy, 2003, Volume: 58, Issue:5

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Azathioprine; Cholangiopancreatography, Endoscopic Retro

2003
Adverse events caused by drug interactions involving glucuronoconjugates of zidovudine, valproic acid and lamotrigine, and analysis of how such potential events are discussed in package inserts of Japan, UK and USA.
    Journal of clinical pharmacy and therapeutics, 2007, Volume: 32, Issue:2

    Topics: Area Under Curve; Communication; Disclosure; Drug Combinations; Drug Interactions; Drug Labeling; Dr

2007
Searching for a needle in a haystack: use of ICD-9-CM codes in drug-induced liver injury.
    The American journal of gastroenterology, 2007, Volume: 102, Issue:11

    Topics: Adolescent; Adult; Aged; Amoxicillin-Potassium Clavulanate Combination; Chemical and Drug Induced Li

2007
New Zealand committee on adverse drug reactions: fifteenth annual report 1980.
    The New Zealand medical journal, 1981, Mar-25, Volume: 93, Issue:680

    Topics: Adult; Aged; Cimetidine; Drug-Related Side Effects and Adverse Reactions; Female; Humans; Infant; Ma

1981
Adverse Drug Reactions Advisory Committee: ADRAC report for 1980.
    The Medical journal of Australia, 1982, May-15, Volume: 1, Issue:10

    Topics: Adolescent; Adult; Aged; Agranulocytosis; Australia; Bronchial Spasm; Chemical and Drug Induced Live

1982
Structure activity relationship in toxicology.
    Acta physiologica Hungarica, 1995, Volume: 83, Issue:1

    Topics: Anticonvulsants; Drug-Related Side Effects and Adverse Reactions; Pharmaceutical Preparations; Pharm

1995
Black box warnings in prescription drug labeling: results of a survey of 206 drugs.
    Food and drug law journal, 1998, Volume: 53, Issue:3

    Topics: Angiotensin-Converting Enzyme Inhibitors; Drug Information Services; Drug Labeling; Drug-Related Sid

1998
Postmarketing surveillance of new drugs: II. Case studies.
    Journal of clinical pharmacology, 1979, Volume: 19, Issue:4

    Topics: Azauridine; Bacteriuria; Contraceptives, Oral; Costs and Cost Analysis; Double-Blind Method; Drug-Re

1979
[Proven relationship between drugs and pancreatitis].
    Deutsche medizinische Wochenschrift (1946), 1986, May-30, Volume: 111, Issue:22

    Topics: Asparaginase; Azathioprine; Diuretics; Drug-Related Side Effects and Adverse Reactions; Estrogens; H

1986
[Acute drug-induced pancreatitis].
    Schweizerische medizinische Wochenschrift, 1985, Jun-22, Volume: 115, Issue:25

    Topics: Acute Disease; Asparaginase; Azathioprine; Chlorothiazide; Drug-Related Side Effects and Adverse Rea

1985