现实世界的观察性研究调查了中lacosamide的临床有效性和安全性:ULTIMATE研究
Sanjay Bhaumik1, S C Nemichandra2, Divyam Sharma3
1Apollo Gleneagles Hospital, E.M Bypass, Bengal Chemical, Kolkata 700054, India.
Epilepsy research
|September 10, 2025
概括
拉科萨米德 (LCM) 有效地降低了印度患者的发作频率,这些患者患有初级泛性性-克隆性 (pGTCS) 和焦点发作 (FoS). 这项研究强调LCM是管理的耐受性良好和有价值的治疗选择.
科学领域:
- 神经学 神经学
- 临床药理学 临床药理学
背景情况:
- 由于治疗选择有限,原发性通用性强度-克隆性 (pGTCS) 存在诊断和治疗方面的挑战.
- 拉科萨米德 (LCM) 已被批准用于焦点发作 (FoS) 和作为pGTCS的辅助治疗.
研究的目的:
- 评估拉科萨米德 (LCM) 在印度患者的实际有效性和耐受性.
- 评估LCM在初级通用性强力-克隆性 (pGTCS) 和焦点发作 (FoS) 两种的疗效.
主要方法:
- 在印度124个中心进行了一项多中心,回顾性,观察性,非干预性研究.
- 来自685名患者的数据 (301名pGTCS,384名FoS) 用描述和分析统计方法进行了分析.
主要成果:
- 到第12周,LCM显著减少了pGTCS患者的发作频率 (平均减少从3到1,p < 0.0001).
- 在52.16%的pGTCS患者和47.66%的FoS患者中,发作自由得到了实现.
- LCM显示出高响应率 (pGTCS为66.78%,FoS为58.85%),并且耐受性良好.
结论:
- 拉科萨米德 (LCM) 治疗有效降低印度患者的发作频率和改善发作控制.
- 慢性肌肉病是一种耐受性良好的治疗选择,适合单一治疗或作为治疗FoS的辅助剂.
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