Identification of new epilepsy treatments: issues in preclinical methodology.
|Title||Identification of new epilepsy treatments: issues in preclinical methodology.|
|Publication Type||Journal Article|
|Year of Publication||2012|
|Authors||Galanopoulou, AS, Buckmaster PS, Staley KJ, Moshé SL, Perucca E, Engel J, Löscher W, Noebels JL, Pitkänen A, Stables J, White SH, O'Brien TJ, Simonato M|
|Corporate Authors||American Epilepsy Society Basic Science Committee And The International League Against Epilepsy Working Group On Recommendations|
|Date Published||2012 Mar|
|Keywords||Animals, Anticonvulsants, Comorbidity, Disease Models, Animal, Drug Evaluation, Preclinical, drug resistance, Epilepsy, Humans, Translational Medical Research|
Preclinical research has facilitated the discovery of valuable drugs for the symptomatic treatment of epilepsy. Yet, despite these therapies, seizures are not adequately controlled in a third of all affected individuals, and comorbidities still impose a major burden on quality of life. The introduction of multiple new therapies into clinical use over the past two decades has done little to change this. There is an urgent demand to address the unmet clinical needs for: (1) new symptomatic antiseizure treatments for drug-resistant seizures with improved efficacy/tolerability profiles, (2) disease-modifying treatments that prevent or ameliorate the process of epileptogenesis, and (3) treatments for the common comorbidities that contribute to disability in people with epilepsy. New therapies also need to address the special needs of certain subpopulations, that is, age- or gender-specific treatments. Preclinical development in these treatment areas is complex due to heterogeneity in presentation and etiology, and may need to be formulated with a specific seizure, epilepsy syndrome, or comorbidity in mind. The aim of this report is to provide a framework that will help define future guidelines that improve and standardize the design, reporting, and validation of data across preclinical antiepilepsy therapy development studies targeting drug-resistant seizures, epileptogenesis, and comorbidities.