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Table 1 Presentation of the major studies reporting the efficacy of perampanel in children and adolescents with focal seizures

From: Current role of perampanel in pediatric epilepsy

Authors, year

Study type

N of children/adolescents (age)

Perampanel dosage

Responder rates

Seizure reduction

French et al., 2012

multicenter, double-blind, placebo-controlled trial (study 304)

143a (12-17 y)

8-12 mg/day

2 mg: 4.8%

2 mg: +12.8%

4 mg: 23.1%

4 mg: 23.9%

8 mg: 40.9%

8 mg: 34.8%

12 mg: 45%

12 mg: 35.6%

placebo: 22.2%

placebo: 18.0%

Krauss et al., 2012

multicenter, double-blind, placebo-controlled trial (study 306)

2-8 mg/day

French et al., 2013

multicenter, double-blind, placebo-controlled trial (study 305)

8-12 mg/day

Krauss et al., 2013

Extension study for patients completing the double-blind phase of the three previous phase III trials (study 307)

8-12 mg/day

27.3% to 60.0% in adolescents randomized to placebo and switched to perampanel

35.8% for adolescents switched from placebo to perampanel

40.9% to 54.8% in adolescents receiving perampanel throughout the study

40.9% in adolescents treated with perampanel in both the core and extension studies

Birò et al., 2015

multicenter, observational, retrospective survey

36c (2-17 y)

2-12 mg/day

33%

NR

Lagae et al., 2016

multicenter, randomized, double-blind, placebo-controlled, parallel-group study

133b (12-17 y)

8-12 mg/day

Perampanel: 59%

Perampanel: 58%

Placebo: 37%

Placebo: 24%

  1. atotal number of adolescents randomized (98 perampanel, 45 placebo). Of those, 124 entered the extension phase and therefore received at least 1 dose of perampanel
  2. btotal number of adolescents randomized (85 perampanel, 48 placebo)
  3. cFrom a total of 58 patients with varius epileptic syndromes and seizure types
  4. NR: not reported