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. 2020 Nov 8;2020(11):CD011772. doi: 10.1002/14651858.CD011772.pub3

Arzimanoglou 2016.

Study name Safety and Pharmacokinetic Profile of Rufinamide in Pediatric Patients Aged Less than 4 Years with Lennox‐Gastaut Syndrome: An Interim Analysis from a Multicenter, Randomized, Active‐Controlled, Open‐Label Study
Methods Randomised, active‐controlled, open‐label, multi‐centre study
Number of control centres: 20
Country/Location: North America and the EU
2 treatment arms: 1 rufinamide; 1 any other approved AED
Participants Participants: children aged 1 to < 4 years
Gender: 63.9% boys; 36.1% girls
Mean age (months): 29.2 (rufinamide group 28.3; any other AED group 31.3)
Inclusion criteria: aged 1 to < 4 years; clinical diagnosis of LGS, which might include the presence of multiple types of seizures progressively enriching the clinical picture; a slow background EEG rhythm; slow spike‐wave pattern (< 3 Hz), presence of polyspikes, or both
Exclusion criteria: diagnosed with benign myoclonic epilepsy of infancy, atypical benign focal epilepsy (pseudo‐Lennox syndrome), or continuous spike‐waves of slow sleep, as well as other epilepsy syndromes not suggesting the electroclinical profile of children within the LGS spectrum; children with familial short QT syndrome given prior treatment with rufinamide
Comedications: ≤ 3 AEDs
Total children randomised: 37 (rufinamide group 25; any other approved AED group 12). 1 child assigned to any other AED group was excluded from analysis
Interventions Intervention: rufinamide up to 45 mg/kg per day
Control: any other AED
2‐phase study: 8‐week pre‐randomisation phase included screening period and baseline visit; 106‐week randomisation phase included titration and maintenance. Interim analysis at 6 months
Outcomes Primary outcomes
  1. Overall safety and tolerability (all adverse events)

  2. Age group‐specific pharmacokinetics of rufinamide via a population approach

  3. Cognitive and behavioural effects

Starting date June 2011
Contact information aarzimanoglou@orange.fr (A. Arzimanoglou)
Notes Funded by Eisai Inc.

AED: antiepileptic drug; EEG: electroencephalogram; LGS: Lennox‐Gastaut syndrome.