Jazz Pharmaceuticals to Present New Data Demonstrating Improved Epilepsy Outcomes with Epidiolex®/Epidyolex® (cannabidiol) at the European Epilepsy Congress 2024
Data from eight abstracts to be presented, including results of the BECOME (BEhavior, COgnition and More with Epidyolex®)
"Presentations at EEC this year continue to build the scientific evidence in support of Epidyolex, with data from more than 2,000 patient experiences, demonstrating improved understanding and real-world outcomes reflecting the treatment's holistic impact -- not only for patients but importantly their families and caregivers as well," said
Presentation highlights include:
- Epidyolex Beyond-Seizure Benefits (P251): Results from the BECOME subgroup analysis indicating that treatment with Epidyolex (for ≥3 months) and concomitant clobazam, in both pediatric (2–17 years) and adult (≥18 years) patients with LGS or DS, led to caregiver-reported improvements in both seizure frequency (87%), seizure severity (81%) and weekly seizure-free days (68%). Notably, results reported improvements in at least one item for non-seizure-related domains, including alertness, cognition and executive function (84%) and language and communication in non-verbal (81%) and verbal (76%) patients. In addition, 94% of the 243 caregivers surveyed indicated they planned to continue with Epidyolex treatment.
- Epidyolex Efficacy in Drop Seizures (P424): Results from a post-hoc analysis of data from pivotal trials GWPCARE3 and GWPCARE4, in patients with LGS who received Epidyolex for 14 weeks, evaluated the threshold for a clinically meaningful reduction in drop seizures associated with Caregiver Global Impression of Change (CGIC). The analysis showed that of 215 patients analyzed, 67 (31%) reported a 'much improved or better' CGIC score and 129 (60%) reported a 'slightly improved or better' CGIC score; and that the best threshold for a clinically important response (CIR) were reductions in drop seizures of −30.6% and −49.6% for 'slightly improved or better' and 'much improved or better', respectively. For those receiving concomitant clobazam, CIR thresholds were relatively consistent between subgroups and the overall population.
- Need for Improved Diagnosis (P293 & P292): Results from two analyses of real-world data from the Adelphi LGS and DS Disease-Specific Programmes™, which are independent real-world evidence databases. The analyses describe the clinical characteristics of 276 patients with LGS and 212 patients with DS from across
Europe (France ,Germany ,Italy ,Spain and theUK ). These analyses, which were not limited to Epidyolex, suggest:- Initial misdiagnosis is common in both patients with LGS and DS (53.7% of pediatric and 81.3% of adult patients were diagnosed with another seizure type prior to LGS; and 66.7% of pediatric and 79.3% of adult patients were diagnosed with another seizure type prior to DS) – highlighting the need for improved diagnosis.
- Following initial monotherapy, the majority of patients go on to receive at least two further anti-seizure medications (83.2% of pediatric and 82.7% of adult LGS patients subsequently received ≥2 medications; and 83.9% of pediatric and 71.4% of adult DS patients subsequently received ≥2 medications) – highlighting the need to identify effective early line treatment options.
- Effect of a Ketogenic Diet: A late-breaking abstract featuring the results of a post-hoc analysis of data from three randomized, controlled trials: two in LGS patients (GWPCARE3/NCT02224560 and GWPCARE4/NCT02224690), and one in DS patients (GWPCARE2/NCT02224703), who received Epidyolex for 14 weeks, which explored the effect of a ketogenic diet (KD)*, on cannabidiol plasma concentration and seizure reduction in patients with LGS or DS treated with Epidyolex in conjunction with clobazam. The analysis found no substantial differences in cannabidiol plasma concentration or seizure responses between patients in KD and non-KD groups. Further studies are needed to confirm these findings.
* KD; A form of non-pharmacological treatment used in attempts to provide seizure control for patients who experience pharmacoresistance.
The EEC 2024 abstracts are available at: www.ilae.org/congresses/15th-european-epilepsy-congress/section/sectionid/2.
All
Presentation Title |
Lead Author |
Poster Number |
Clinically meaningful reduction in drop seizures in patients with Lennox-Gastaut syndrome treated with cannabidiol |
|
P424 |
Treatment Outcomes With Cannabidiol in Patients ≥2 Years of Age With Lennox-Gastaut Syndrome or Dravet Syndrome Receiving Concomitant Clobazam: A Subgroup Analysis of BECOME, a |
|
P251 |
Patient Characteristics and Treatment Patterns in Patients With Dravet Syndrome: Real-world Evidence from a |
|
P293 |
Patient Characteristics and Treatment Patterns in Patients With Lennox-Gastaut Syndrome: Real-world Evidence from a |
|
P292 |
Real-world Insights on the Use of Cannabidiol in Adults With Lennox-Gastaut syndrome, Dravet Syndrome, or |
|
P290 |
Efficacy and Safety of Cannabidiol for Seizures Associated With |
|
P275 |
Change in Antiseizure and Anxiolytic Medications Pre- and Post-Cannabidiol Initiation |
|
P291 |
Late-breaking abstract |
||
The effect of a ketogenic diet on cannabidiol plasma concentration and seizure reduction in patients with Lennox-Gastaut syndrome or Dravet syndrome: post-hoc analysis of data from the randomised controlled trials |
C Johannessen Landmark |
P323 |
About Epidiolex®/Epidyolex® (cannabidiol)
Epidiolex®/Epidyolex® (cannabidiol; 100 mg/mL oral solution), a prescription, plant-derived cannabis-based medicine approved by the
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