“Long-Term Study Shows Lacosamide May Help Control Seizures in People with Generalized Epilepsy”
A recent long-term clinical trial explored the safety and effectiveness of lacosamide (LCM) as an additional treatment for people suffering from generalized-onset tonic-clonic seizures (GTCS), particularly those with idiopathic generalized epilepsy (IGE). This study, known as EP0012, involved 239 participants aged four years and older, and it provided a look into how well LCM could help manage seizures over an extended period—up to five years for children and two years for adults.
Throughout the trial, which lasted several years, the researchers focused on a few key areas: how often patients experienced any new side effects, whether they had to stop treatment due to those effects, and how effectively the drug helped reduce the frequency of seizures. It turned out that the vast majority of participants (about 93%) reported some side effects, but most were manageable. Only a small percentage stopped treatment because of these effects. Remarkably, 88.6% of patients saw a significant reduction in their seizure frequency, indicating that LCM was not only safe but also quite effective in managing their condition.
Additionally, the study tracked how many patients continued with the treatment over time. The retention rates were impressive, with about 87% still participating after one year. However, this number gradually decreased to 60% by the five-year mark. The reasons for dropping out varied, but the most common was simply withdrawing consent rather than medication-related issues.
The findings suggest that LCM could be a valuable long-term treatment option for those struggling with GTCS. It appears to work well regardless of how many other antiseizure medications a patient has already tried. This is encouraging for patients and doctors alike, as it means LCM could help improve the lives of many who are still seeking effective seizure control. Overall, this study reinforces the potential of LCM as a reliable adjunctive therapy in managing epilepsy.