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. 2021 May 12;62(7):e98–e102. doi: 10.1111/epi.16923

TABLE 1.

Patient characteristics

Patient Age at diagnosis CDKL5 pathogenic Variant Prior ASMa ASM at FFA initiationb Predominant seizure type, BL (seizure history)c CGI QOLCE PedsQL
Post FFA BL Post FFA BL Post FFA
1 2 months p.Glu449LeufsX38 Levetiracetam, oxcarbazepine, pentobarbital, topiramate Diazepam, valproate

TC

(AA, MC)

Much Impr Fair Very Good 200 425
2 3 months p.Arg550Ter Ataluren, cannabidiol, clobazam, levetiracetam, lamotrigine, lorcaserin, valproate Diazepam, midazolam, perampanel, quetiapine, zonisamide

A

(MC, TC)

Slt

Worse

Very Good Fair 500 450
3 6 weeks p.Glu416ValfsX2 Clonazepam, levetiracetam, topiramate Clobazam, diazepam, valproate, vigabatrin

TC

(A, ES)

Much Impr Good Good 650 1100
4 6 weeks p.His127Tyr Acetazolamide, cannabidiol, ezogabine, felbamate, lorcaserin, lacosamide, phenytoin, prednisone, primidone, rufinamide, topiramate, vigabatrin Clonazepam, diazepam, midazolam, valproate

T

(A, MC, TC, TA)

Much Impr Fair Very Good 450 800
5 5 weeks p.Arg558ThrfsTer9 Clonazepam, lacosamide, levetiracetam, lorazepam, phenobarbital, phenytoin, vigabatrin Cannabidiol, clobazam, midazolam, perampanel, valproate

T

(A, AA, TA, FWMC, MC, TC)

Slt Impr Poor Fair NC NC
6 7 months Xp22.2p22.13 Brivaracetam, clobazam, felbamate, lacosamide, levetiracetam, perampanel, prednisone, topiramate, valproate Lorazepam, cannabidiol, clonazepam, midazolam

TC

(AA)

Much Impr Poor Fair NC NC
Median (range)

7

(5‐28)

6.5

(5‐12)

3.5

(2‐5)

3

(2‐7)

Seizure types: A, atonic; AA, atypical absence; ES, epileptic spasm; FWMC, focal impaired with motor components; MC, myoclonic; T, tonic; TA, typical absence; TC, tonic‐clonic.

Abbreviations: ASM, antiseizure medication; BL, baseline; CGI, clinical global impression; FFA, fenfluramine; Impr, improved; N/A, not applicable; NC, not calculated (N/A listed too many times); QOLCE, Quality of Life Childhood Epilepsy; Slt, slightly; VNS, vagus nerve stimulation.

a

Patient 2 was also on ketogenic diet as a prior ASM.

b

Patient 1 was also on ketogenic diet at FFA initiation; Patient 4 was also on VNS at FFA initiation.

c

Nonseizure symptoms at baseline in ≥2 patients: constipation (n = 4), hypotonia (n = 3), sleep issues (n = 3), tiredness (n = 3), unsteadiness (n = 3), headaches (n = 2), kidney stones (n = 2), and scoliosis (n = 2).