Page last updated: 2024-10-26

valproic acid and Drug Refractory Epilepsy

valproic acid has been researched along with Drug Refractory Epilepsy in 30 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
"In January 2019, a new plant-derived purified cannabidiol preparation, approved by the US Food and Drug Administration, became commercially available for patients ≥2 years old with Lennox-Gastaut syndrome or Dravet syndrome."7.96Thrombocytopenia in pediatric patients on concurrent cannabidiol and valproic acid. ( Carlson, M; Dang, LT; Fedak Romanowski, EM; Joshi, SM; Leber, SM; McNamara, NA; Robertson, P; Shellhaas, RA; Smith, GC; Sturza, J; Ziobro, JM, 2020)
"A 12-year-old boy with intractable epilepsy had tonic and atonic seizures despite treatment with valproic acid (3000mg/day), levetiracetam (3000mg/day) and clobazam (40mg/day)."7.83Aggravation of atonic seizures by rufinamide: A case report. ( Aydın, A; Aydınlı, N; Bektaş, G; Çalışkan, M; Özmen, M; Pembegül Yıldız, E; Tatlı, B, 2016)
"Stiripentol is an antiepileptic drug (AED) approved by the European Medicines Agency for the treatment of Dravet Syndrome (DS) as adjunct treatment with valproate and clobazam."7.81Extending the use of stiripentol to other epileptic syndromes: a case of PCDH19-related epilepsy. ( Specchio, N; Trivisano, M; Vigevano, F, 2015)
"Ketamine is a noncompetitive N-methyl-D-aspartate receptor antagonist that has been safely used for the treatment of refractory SE in adults and children."7.01Ketamine as advanced second-line treatment in benzodiazepine-refractory convulsive status epilepticus in children. ( Brisca, G; Buratti, S; Giacheri, E; Mancardi, MM; Moscatelli, A; Nobili, L; Palmieri, A; Riva, A; Striano, P; Tibaldi, J, 2023)
" 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)
"In January 2019, a new plant-derived purified cannabidiol preparation, approved by the US Food and Drug Administration, became commercially available for patients ≥2 years old with Lennox-Gastaut syndrome or Dravet syndrome."3.96Thrombocytopenia in pediatric patients on concurrent cannabidiol and valproic acid. ( Carlson, M; Dang, LT; Fedak Romanowski, EM; Joshi, SM; Leber, SM; McNamara, NA; Robertson, P; Shellhaas, RA; Smith, GC; Sturza, J; Ziobro, JM, 2020)
"A 12-year-old boy with intractable epilepsy had tonic and atonic seizures despite treatment with valproic acid (3000mg/day), levetiracetam (3000mg/day) and clobazam (40mg/day)."3.83Aggravation of atonic seizures by rufinamide: A case report. ( Aydın, A; Aydınlı, N; Bektaş, G; Çalışkan, M; Özmen, M; Pembegül Yıldız, E; Tatlı, B, 2016)
"Stiripentol is an antiepileptic drug (AED) approved by the European Medicines Agency for the treatment of Dravet Syndrome (DS) as adjunct treatment with valproate and clobazam."3.81Extending the use of stiripentol to other epileptic syndromes: a case of PCDH19-related epilepsy. ( Specchio, N; Trivisano, M; Vigevano, F, 2015)
"Ketamine is a noncompetitive N-methyl-D-aspartate receptor antagonist that has been safely used for the treatment of refractory SE in adults and children."3.01Ketamine as advanced second-line treatment in benzodiazepine-refractory convulsive status epilepticus in children. ( Brisca, G; Buratti, S; Giacheri, E; Mancardi, MM; Moscatelli, A; Nobili, L; Palmieri, A; Riva, A; Striano, P; Tibaldi, J, 2023)
" In order to name some, the administration of once-daily dosing of phenytoin or the coadministration of carnitine with valproic acid would be preferable to avoid iatrogenic refractoriness."2.82The role of efflux transporters and metabolizing enzymes in brain and peripheral organs to explain drug-resistant epilepsy. ( Fagiolino, P; Vázquez, M, 2022)
"The drug-refractory epilepsy (DRE) in children is commonly observed but the underlying mechanisms remain elusive."1.91Integrating metabolomics and lipidomics revealed a decrease in plasma fatty acids but an increase in triglycerides in children with drug-refractory epilepsy. ( Chen, F; Dai, HR; Dong, N; Guo, HL; Hu, YH; Lu, XP; Qiu, JC; Wang, J; Wang, WJ; Zhang, YY; Zhao, YT, 2023)
"The most common syndrome was juvenile myoclonic epilepsy (JME), diagnosed in 44."1.56Persistent treatment resistance in genetic generalized epilepsy: A long-term outcome study in a tertiary epilepsy center. ( Barone, FA; Cerulli Irelli, E; Di Bonaventura, C; Fanella, M; Fattouch, J; Fisco, G; Giallonardo, AT; Manfredi, M; Morano, A; Orlando, B, 2020)
"Juvenile myoclonic epilepsy is often regarded as a benign epileptic syndrome, but in this setting, half of the individuals with JME have refractory epilepsy with only about a quarter of those seizure-free in the previous year."1.48Juvenile myoclonic epilepsy refractory to treatment in a tertiary referral center. ( Cação, G; Mannan, S; Parra, J; Sander, JW; Sisodiya, SM, 2018)
"A total of 174 children with generalized seizures on VPA therapy were enrolled."1.48Effects of UGT2B7, SCN1A and CYP3A4 on the therapeutic response of sodium valproate treatment in children with generalized seizures. ( Fang, F; Feng, W; Gao, B; Mei, S; Wu, X; Yang, W; Yu, Y; Zhao, Z; Zhu, L, 2018)
"Nocturnal frontal lobe epilepsy (NFLE) is an idiopathic partial epilepsy with a family history in about 25% of cases, with autosomal dominant inheritance (autosomal dominant NFLE [ADNFLE])."1.46Rationale for an adjunctive therapy with fenofibrate in pharmacoresistant nocturnal frontal lobe epilepsy. ( Aroni, S; Marrosu, F; Melis, M; Milioli, G; Muntoni, AL; Parrino, L; Pillolla, G; Pistis, M; Puligheddu, M; Sagheddu, C; Terzano, GM, 2017)
" We sought to determine whether there were regions in the dosage range of commonly used AEDs that were associated with superior efficacy in patients with refractory epilepsy."1.46Association between antiepileptic drug dose and long-term response in patients with refractory epilepsy. ( Castagna, CE; Miller, AB; Poolos, NP; Story, TJ; Williams, S, 2017)
"Lamotrigine and valproate were rated most successful with good or partial response rates in 88-100% of the patients."1.43LIS1-associated classic lissencephaly: A retrospective, multicenter survey of the epileptogenic phenotype and response to antiepileptic drugs. ( Beaud, N; Borggraefe, I; Budde, J; Debus, O; Ensslen, M; Geis, T; Gilbert, M; Haeussler, M; Hahn, A; Hehr, U; Heiming, R; Herbst, SM; Kurlemann, G; Morgner, R; Morris-Rosendahl, DJ; Muelleder, K; Philippi, H; Proepper, CR; Ross, S; Schuierer, G; Strobl-Wildemann, G; von Gersdorff, G; Vosschulte, P, 2016)
"Our patient presented with intractable epilepsy at 2 months of age."1.43Early-life epileptic encephalopathy secondary to SZT2 pathogenic recessive variants. ( Angle, B; Millichap, JJ; Venkatesan, C, 2016)
"Valproic acid (VPA) has been associated with coagulation factors deficiency, platelet dysfunction and hemorrhagic complications."1.43Valproic acid as an antiepileptic drug: Is there a clinical relevance for the epilepsy surgeon? ( Arora, A; Chandra, PS; Garg, K; Kurwale, N; Tripathi, M, 2016)

Research

Studies (30)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's18 (60.00)24.3611
2020's12 (40.00)2.80

Authors

AuthorsStudies
Vázquez, M1
Fagiolino, P1
van der Meer, PB1
Dirven, L1
Fiocco, M1
Vos, MJ1
Kouwenhoven, MCM1
van den Bent, MJ1
Taphoorn, MJB1
Koekkoek, JAF1
Buratti, S1
Giacheri, E1
Palmieri, A1
Tibaldi, J1
Brisca, G1
Riva, A1
Striano, P1
Mancardi, MM1
Nobili, L1
Moscatelli, A1
Guo, HL1
Wang, WJ1
Dong, N1
Zhao, YT1
Dai, HR1
Hu, YH1
Zhang, YY1
Wang, J1
Qiu, JC1
Lu, XP1
Chen, F1
Niquet, J1
Lumley, L1
Baldwin, R1
Rossetti, F1
Schultz, M1
de Araujo Furtado, M1
Suchomelova, L1
Naylor, D1
Franco-Estrada, I1
Wasterlain, CG1
Reindl, C1
Sprügel, MI1
Sembill, JA1
Mueller, TM1
Hagen, M1
Gerner, ST1
Kuramatsu, JB1
Hamer, HM1
Huttner, HB1
Madžar, D1
Altenmüller, DM1
Hebel, JM1
Deniz, C1
Volz, S1
Zentner, J1
Feuerstein, TJ1
Moser, A1
Yamamoto, A1
Saito, Y1
Oyama, Y1
Watanabe, Y1
Ikeda, A1
Takayama, R1
Ikeda, H1
Takeshita, S1
Takumi, I1
Itai, T1
Miyatake, S1
Matsumoto, N1
McNamara, NA1
Dang, LT1
Sturza, J1
Ziobro, JM1
Fedak Romanowski, EM1
Smith, GC1
Joshi, SM1
Leber, SM1
Carlson, M1
Robertson, P1
Shellhaas, RA1
Koneval, Z1
Knox, KM1
Memon, A1
Zierath, DK1
White, HS1
Barker-Haliski, M1
Cerulli Irelli, E1
Morano, A1
Barone, FA1
Fisco, G1
Fanella, M1
Orlando, B1
Fattouch, J1
Manfredi, M1
Giallonardo, AT1
Di Bonaventura, C1
Wabl, R1
Terman, SW1
Kwok, M1
Elm, J1
Chamberlain, J1
Silbergleit, R1
Hill, CE1
Cho, SJ1
Park, E1
Baker, A1
Reid, AY1
Puligheddu, M1
Melis, M1
Pillolla, G1
Milioli, G1
Parrino, L1
Terzano, GM1
Aroni, S1
Sagheddu, C1
Marrosu, F1
Pistis, M1
Muntoni, AL1
Rosati, A1
Ilvento, L1
Lucenteforte, E1
Pugi, A1
Crescioli, G1
McGreevy, KS1
Virgili, G1
Mugelli, A1
De Masi, S1
Guerrini, R1
Cação, G1
Parra, J1
Mannan, S1
Sisodiya, SM1
Sander, JW1
Feng, W1
Mei, S1
Zhu, L1
Yu, Y1
Yang, W1
Gao, B1
Wu, X1
Zhao, Z1
Fang, F1
Jahan, K1
Pillai, KK1
Vohora, D1
Huang, Q1
Yu, L1
Ma, M1
Qi, H1
Wu, Y1
Lee, BI1
Park, KM1
Kim, SE1
Heo, K1
Trivisano, M1
Specchio, N1
Vigevano, F1
Herbst, SM1
Proepper, CR1
Geis, T1
Borggraefe, I1
Hahn, A1
Debus, O1
Haeussler, M1
von Gersdorff, G1
Kurlemann, G1
Ensslen, M1
Beaud, N1
Budde, J1
Gilbert, M1
Heiming, R1
Morgner, R1
Philippi, H1
Ross, S1
Strobl-Wildemann, G1
Muelleder, K1
Vosschulte, P1
Morris-Rosendahl, DJ1
Schuierer, G1
Hehr, U1
Chowdhury, A1
Brodie, MJ1
Stevens, CE1
Turner, Z1
Kossoff, EH1
Bektaş, G1
Çalışkan, M1
Aydın, A1
Pembegül Yıldız, E1
Tatlı, B1
Aydınlı, N1
Özmen, M1
Venkatesan, C1
Angle, B1
Millichap, JJ1
London, F1
Hadhoum, N1
Outteryck, O1
Vermersch, P1
Zéphir, H1
Kurwale, N1
Garg, K1
Arora, A1
Chandra, PS1
Tripathi, M1
Gesche, J1
Khanevski, M1
Solberg, C1
Beier, CP1
Poolos, NP1
Castagna, CE1
Williams, S1
Miller, AB1
Story, TJ1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy of Combined Ketamine and Midazolam for Treatment of Generalized Convulsive Status Epilepticus in Children .[NCT05779657]Phase 2/Phase 3144 participants (Anticipated)Interventional2023-03-21Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

5 reviews available for valproic acid and Drug Refractory Epilepsy

ArticleYear
The role of efflux transporters and metabolizing enzymes in brain and peripheral organs to explain drug-resistant epilepsy.
    Epilepsia open, 2022, Volume: 7 Suppl 1

    Topics: Brain; Drug Resistant Epilepsy; Humans; Membrane Transport Proteins; Phenytoin; Valproic Acid

2022
Ketamine as advanced second-line treatment in benzodiazepine-refractory convulsive status epilepticus in children.
    Epilepsia, 2023, Volume: 64, Issue:4

    Topics: Animals; Anticonvulsants; Benzodiazepines; Drug Resistant Epilepsy; Ketamine; Status Epilepticus; Va

2023
Early polytherapy for benzodiazepine-refractory status epilepticus.
    Epilepsy & behavior : E&B, 2019, Volume: 101, Issue:Pt B

    Topics: Animals; Anticonvulsants; Benzodiazepines; Drug Administration Schedule; Drug Resistant Epilepsy; Dr

2019
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
Clinical opinion: Earlier employment of polytherapy in sequential pharmacotherapy of epilepsy.
    Epilepsy research, 2019, Volume: 156

    Topics: Anticonvulsants; Drug Resistant Epilepsy; Drug Therapy, Combination; Epilepsy; Humans; Lamotrigine;

2019

Trials

1 trial available for valproic acid and Drug Refractory Epilepsy

ArticleYear
Efficacy of Home Anticonvulsant Administration for Second-Line Status Epilepticus Treatment.
    Neurology, 2021, 08-17, Volume: 97, Issue:7

    Topics: Adolescent; Adult; Anticonvulsants; Benzodiazepines; Child; Comparative Effectiveness Research; Doub

2021

Other Studies

24 other studies available for valproic acid and Drug Refractory Epilepsy

ArticleYear
Effectiveness of Antiseizure Medication Triple Therapy in Patients With Glioma With Refractory Epilepsy: An Observational Cohort Study.
    Neurology, 2023, 04-04, Volume: 100, Issue:14

    Topics: Anticonvulsants; Drug Resistant Epilepsy; Epilepsy, Generalized; Glioma; Humans; Retrospective Studi

2023
Integrating metabolomics and lipidomics revealed a decrease in plasma fatty acids but an increase in triglycerides in children with drug-refractory epilepsy.
    Epilepsia open, 2023, Volume: 8, Issue:2

    Topics: Child; Drug Resistant Epilepsy; Fatty Acids; Humans; Lipidomics; Retrospective Studies; Triglyceride

2023
Influence of new versus traditional antiepileptic drugs on course and outcome of status epilepticus.
    Seizure, 2020, Volume: 74

    Topics: Aged; Anticonvulsants; Cohort Studies; Drug Prescriptions; Drug Resistant Epilepsy; Female; Humans;

2020
Electrocorticographic and neurochemical findings after local cortical valproate application in patients with pharmacoresistant focal epilepsy.
    Epilepsia, 2020, Volume: 61, Issue:6

    Topics: Anticonvulsants; Drug Resistant Epilepsy; Electrocorticography; Epilepsies, Partial; Female; Humans;

2020
Effect of total callosotomy on KCNQ2-related intractable epilepsy.
    Brain & development, 2020, Volume: 42, Issue:8

    Topics: Carbamazepine; Child; Corpus Callosum; Drug Resistant Epilepsy; Electroencephalography; Female; Huma

2020
Thrombocytopenia in pediatric patients on concurrent cannabidiol and valproic acid.
    Epilepsia, 2020, Volume: 61, Issue:8

    Topics: Adolescent; Anticonvulsants; Cannabidiol; Child; Child, Preschool; Drug Resistant Epilepsy; Drug The

2020
Antiseizure drug efficacy and tolerability in established and novel drug discovery seizure models in outbred vs inbred mice.
    Epilepsia, 2020, Volume: 61, Issue:9

    Topics: Animals; Animals, Outbred Strains; Anticonvulsants; Behavior, Animal; Brain; Carbamazepine; Cornea;

2020
Persistent treatment resistance in genetic generalized epilepsy: A long-term outcome study in a tertiary epilepsy center.
    Epilepsia, 2020, Volume: 61, Issue:11

    Topics: Adult; Anticonvulsants; Cohort Studies; Drug Resistant Epilepsy; Electroencephalography; Epilepsy, G

2020
Post-Traumatic Epilepsy in Zebrafish Is Drug-Resistant and Impairs Cognitive Function.
    Journal of neurotrauma, 2021, 11-15, Volume: 38, Issue:22

    Topics: Animals; Anticonvulsants; Carbamazepine; Cognitive Dysfunction; Disease Models, Animal; Drug Resista

2021
Rationale for an adjunctive therapy with fenofibrate in pharmacoresistant nocturnal frontal lobe epilepsy.
    Epilepsia, 2017, Volume: 58, Issue:10

    Topics: Adult; Animals; Anticonvulsants; Benzodiazepines; Carbamazepine; Clobazam; Disease Models, Animal; D

2017
Juvenile myoclonic epilepsy refractory to treatment in a tertiary referral center.
    Epilepsy & behavior : E&B, 2018, Volume: 82

    Topics: Adolescent; Adult; Anticonvulsants; Child; Drug Resistant Epilepsy; Electroencephalography; Female;

2018
Effects of UGT2B7, SCN1A and CYP3A4 on the therapeutic response of sodium valproate treatment in children with generalized seizures.
    Seizure, 2018, Volume: 58

    Topics: Adolescent; Anticonvulsants; Child; Child, Preschool; Cytochrome P-450 CYP3A; Drug Resistant Epileps

2018
DSP-4 induced depletion of brain noradrenaline and increased 6-hertz psychomotor seizure susceptibility in mice is prevented by sodium valproate.
    Brain research bulletin, 2018, Volume: 142

    Topics: Animals; Anticonvulsants; Benzylamines; Brain; Disease Models, Animal; Disease Susceptibility; Drug

2018
Novel SCN2A mutation in a family associated with juvenile-onset myoclonus: Case report.
    Medicine, 2019, Volume: 98, Issue:8

    Topics: Adult; Anticonvulsants; Ataxia; Carbamazepine; Disease Progression; Drug Resistant Epilepsy; Electro

2019
Extending the use of stiripentol to other epileptic syndromes: a case of PCDH19-related epilepsy.
    European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, 2015, Volume: 19, Issue:2

    Topics: Age of Onset; Anticonvulsants; Autistic Disorder; Benzodiazepines; Cadherins; Child; Clobazam; Cogni

2015
LIS1-associated classic lissencephaly: A retrospective, multicenter survey of the epileptogenic phenotype and response to antiepileptic drugs.
    Brain & development, 2016, Volume: 38, Issue:4

    Topics: 1-Alkyl-2-acetylglycerophosphocholine Esterase; Adolescent; Adult; Anticonvulsants; Brain; Child; Ch

2016
Pharmacological outcomes in juvenile myoclonic epilepsy: Support for sodium valproate.
    Epilepsy research, 2016, Volume: 119

    Topics: Adolescent; Adult; Anticonvulsants; Child; Comorbidity; Drug Resistant Epilepsy; Female; Follow-Up S

2016
Hepatic Dysfunction as a Complication of Combined Valproate and Ketogenic Diet.
    Pediatric neurology, 2016, Volume: 54

    Topics: Anticonvulsants; Combined Modality Therapy; Diet, Ketogenic; Drug Resistant Epilepsy; Female; Follow

2016
Aggravation of atonic seizures by rufinamide: A case report.
    Brain & development, 2016, Volume: 38, Issue:7

    Topics: Anticonvulsants; Benzodiazepines; Brain; Child; Clobazam; Drug Resistant Epilepsy; Drug Therapy, Com

2016
Early-life epileptic encephalopathy secondary to SZT2 pathogenic recessive variants.
    Epileptic disorders : international epilepsy journal with videotape, 2016, Jun-01, Volume: 18, Issue:2

    Topics: Anticonvulsants; Brain; Child, Preschool; Drug Resistant Epilepsy; Electroencephalography; Humans; I

2016
Late-onset of Alpers-Huttenlocher syndrome: an unusual cause of refractory epilepsy and liver failure.
    Acta neurologica Belgica, 2017, Volume: 117, Issue:1

    Topics: Adolescent; Anticonvulsants; Diffuse Cerebral Sclerosis of Schilder; Diffusion Magnetic Resonance Im

2017
Valproic acid as an antiepileptic drug: Is there a clinical relevance for the epilepsy surgeon?
    Epilepsy research, 2016, Volume: 127

    Topics: Adolescent; Anticonvulsants; Blood Loss, Surgical; Clinical Decision-Making; Drug Resistant Epilepsy

2016
Resistance to valproic acid as predictor of treatment resistance in genetic generalized epilepsies.
    Epilepsia, 2017, Volume: 58, Issue:4

    Topics: Adult; Anticonvulsants; Cohort Studies; Delta Rhythm; Demography; Drug Resistant Epilepsy; Electroen

2017
Association between antiepileptic drug dose and long-term response in patients with refractory epilepsy.
    Epilepsy & behavior : E&B, 2017, Volume: 69

    Topics: Adult; Anticonvulsants; Carbamazepine; Dose-Response Relationship, Drug; Drug Administration Schedul

2017