Clinical studies and anti-inflammatory mechanisms of treatments

Jacqueline A. French, Matthias Koepp, Yvonne Naegelin, Federico Vigevano, Stéphane Auvin, Jong M. Rho, Evan Rosenberg, Orrin Devinsky, Peder S. Olofsson, Marc A. Dichter

Research output: Contribution to journalArticle

Abstract

In this exciting era, we are coming closer and closer to bringing an anti-inflammatory therapy to the clinic for the purpose of seizure prevention, modification, and/or suppression. At present, it is unclear what this approach might entail, and what form it will take. Irrespective of the therapy that ultimately reaches the clinic, there will be some commonalities with regard to clinical trials. A number of animal models have now been used to identify inflammation as a major underlying mechanism of both chronic seizures and the epileptogenic process. These models have demonstrated that specific anti-inflammatory treatments can be effective at both suppressing chronic seizures and interfering with the process of epileptogenesis. Some of these have already been evaluated in early phase clinical trials. It can be expected that there will soon be more clinical trials of both “conventional, broad spectrum” anti-inflammatory agents and novel new approaches to utilizing specific anti-inflammatory therapies with drugs or other therapeutic interventions. A summary of some of those approaches appears below, as well as a discussion of the issues facing clinical trials in this new domain.

Original languageEnglish
Pages (from-to)69-82
Number of pages14
JournalEpilepsia
Volume58
DOIs
Publication statusPublished - Jul 1 2017

Keywords

  • Antiepileptogenesis
  • Endocannabinoid system
  • Fingolimod
  • Ketogenic diet
  • Vagus nerve stimulation

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    French, J. A., Koepp, M., Naegelin, Y., Vigevano, F., Auvin, S., Rho, J. M., Rosenberg, E., Devinsky, O., Olofsson, P. S., & Dichter, M. A. (2017). Clinical studies and anti-inflammatory mechanisms of treatments. Epilepsia, 58, 69-82. https://doi.org/10.1111/epi.13779