Vigabatrin pediatric dosing information for refractory complex partial seizures: Results from a population dose-response analysis

被引:1
|
作者
Nielsen, Jace C. [1 ]
Tolbert, Dwain [2 ]
Patel, Mahlaqa [2 ]
Kowalski, Kenneth G. [1 ]
Wesche, David L. [2 ]
机构
[1] Ann Arbor Pharmacometr Grp Inc, Ann Arbor, MI 48104 USA
[2] Lundbeck LLC, Deerfield, IL USA
关键词
Vigabatrin; Dosage prediction; Epilepsy; Infantile spasm; Refractory complex partial seizures; LABELING DECISIONS; DRUG APPROVAL; EPILEPSY; CHILDREN; THERAPY; IMPACT; RISK;
D O I
10.1111/epi.12825
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We predicted vigabatrin dosages for adjunctive therapy for pediatric patients with refractory complex partial seizures (rCPS) that would produce efficacy comparable to that observed for approved adult dosages. A dose-response model related seizure-count data to vigabatrin dosage to identify dosages for pediatric rCPS patients. Seizure-count data were obtained from three pediatric and two adult rCPS clinical trials. Dosages were predicted for oral solution and tablet formulations. Predicted oral solution dosages to achieve efficacy comparable to that of a 1g/day adult dosage were 350 and 450mg/day for patients with body weight ranges 10-15 and >15-20kg, respectively. Predicted oral solution dosages for efficacy comparable to a 3g/day adult dosage were 1,050 and 1,300mg/day for weight ranges 10-15 and >15-20kg, respectively. Predicted tablet dosage for efficacy comparable to a 1g/day adult dosage was 500mg/day for weight ranges 25-60kg. Predicted tablet dosage for efficacy comparable to a 3g/day adult dosage was 2,000mg for weight ranges 25-60kg. Vigabatrin dosages were identified for pediatric rCPS patients with body weights 10kg.
引用
收藏
页码:e134 / e138
页数:5
相关论文
共 31 条
  • [21] Hypothyroidism (HT) after Radiotherapy (RT) in Children: Initial Results of Thyroid Gland Dose-Response Relationship from the Pediatric Normal Tissue Effects in the Clinic (PENTEC) Initiative
    Vogelius, I.
    Vargo, J. A.
    Ronckers, C. M.
    Yorke, E. D.
    Kremer, L.
    Chafe, S. M. J. M. J.
    van Santen, H. M.
    Bentzen, S. M.
    Constine, L. S.
    Milano, M. T.
    INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2019, 105 (01): : S81 - S81
  • [22] Gabapentin monotherapy .2. A 26-week, double-blind, dose-controlled, multicenter study of conversion from polytherapy in outpatients with refractory complex partial or secondarily generalized seizures
    Beydoun, A
    Fischer, J
    Labar, DR
    Harden, C
    Cantrell, D
    Uthman, BM
    Sackellares, JC
    AbouKhalil, B
    Ramsay, RE
    Hayes, A
    Greiner, M
    Garofalo, E
    Pierce, M
    NEUROLOGY, 1997, 49 (03) : 746 - 752
  • [23] Perfluoroalkyl and polyfluoroalkyl substances and cancer risk: results from a dose-response meta-analysis (Mar, 10.1007/s40201-024-00899-w, 2024)
    Yang, Jingxuan
    Zhang, Kui
    Shi, Jingyi
    Li, Zhuo
    Dai, Hao
    Yang, Wenxing
    JOURNAL OF ENVIRONMENTAL HEALTH SCIENCE AND ENGINEERING, 2024, 22 (02) : 607 - 607
  • [25] Population Pharmacokinetics and Exposure Response Analysis of Pomalidomide in Subjects With Relapsed or Refractory Multiple Myeloma From the Novel Combination Treatment of Pomalidomide, Bortezomib, and Low-Dose Dexamethasone
    Li, Yan
    Kassir, Nastya
    Wang, Xiaomin
    Palmisano, Maria
    Zhou, Simon
    JOURNAL OF CLINICAL PHARMACOLOGY, 2020, 60 (08): : 1061 - 1075
  • [26] Interim Efficacy and Safety Analysis of Adjunctive Perampanel in the Adolescent Population From the Extension Phase of 3 Double-Blind, Placebo-Controlled, Phase 3 (Core) Studies in Patients with Refractory Partial-Onset Seizures
    Renfroe, B.
    Yang, H.
    Williams, B.
    Huang, S.
    Laurenza, A.
    ANNALS OF NEUROLOGY, 2013, 74 : S172 - S172
  • [27] The relationship between tooth loss and mortality from all causes, cardiovascular diseases, and coronary heart disease in the general population: systematic review and dose-response meta-analysis of prospective cohort studies
    Peng, Juxiang
    Song, Jukun
    Han, Jing
    Chen, Zhu
    Yin, Xinhai
    Zhu, Jianguo
    Song, Jinlin
    BIOSCIENCE REPORTS, 2019, 39
  • [28] Antileukemic Activity and Tolerability of ASP2215 80mg and Greater in FLT3 Mutation-Positive Subjects with Relapsed or Refractory Acute Myeloid Leukemia: Results from a Phase 1/2, Open-Label, Dose-Escalation/Dose-Response Study
    Altman, Jessica K.
    Perl, Alexander E.
    Cortes, Jorge E.
    Levis, Mark J.
    Smith, Catherine C.
    Litzow, Mark R.
    Baer, Maria R.
    Claxton, David F.
    Erba, Harry P.
    Gill, Stanley C.
    Goldberg, Stuart L.
    Jurcic, Joseph G.
    Larson, Richard A.
    Lui, Charles
    Ritchie, Ellen K.
    Sargent, Briana
    Schiller, Gary J.
    Spira, Alexander I.
    Strickland, Stephen A.
    Tibes, Raoul
    Ustun, Celalettin
    Wang, Eunice S.
    Stuart, Robert K.
    Baldus, Claudia D.
    Rollig, Christoph
    Neubauer, Andreas
    Martinelli, Giovanni
    Bahceci, Erkut
    BLOOD, 2015, 126 (23)
  • [29] Dose-response Relation Deduced for Coronaviruses From Coronavirus Disease 2019, Severe Acute Respiratory Syndrome, and Middle East Respiratory Syndrome: Meta-analysis Results and its Application for Infection Risk Assessment of Aerosol Transmission
    Zhang, Xiaole
    Wang, Jing
    CLINICAL INFECTIOUS DISEASES, 2021, 73 (01) : E241 - E245
  • [30] Inulin-type fructans supplementation improves glycemic control for the prediabetes and type 2 diabetes populations: results from a GRADE-assessed systematic review and dose-response meta-analysis of 33 randomized controlled trials
    Wang, Long
    Yang, Hong
    Huang, Hao
    Zhang, Chao
    Zuo, Hong-Xia
    Xu, Pan
    Niu, Yu-Ming
    Wu, Shi-Shi
    JOURNAL OF TRANSLATIONAL MEDICINE, 2019, 17 (01)