A new drug called Banzel (rufinamide) has
been approved by the U.S. Food and Drug Administration to treat a severe form
of epilepsy, called Lennox-Gastaut syndrome, also known as Lennox
sydrome. LGS is a difficult-to-treat form of childhood-onset epilepsy that most
often appears between the second and sixth year of life. The disease is
characterized by frequent seizures and it is often accompanied by impaired
intellectual functioning and behaviour problems. The disease could be caused by
brain malformations, severe head injury, central nervous system infection and
inheritive or metabolic conditions.
“This approval offers another treatment
option for patients who suffer from these debilitating, severe seizures,” Dr.
Russell Katz of the FDA's Center for Drug Evaluation and Research said in a
statement. The FDA said that the patients who take Banzel will have to be
given a medication guidelines that describes the exact suicidal thoughts and
behaviours linked to these types of drugs. Patients should be closely monitored
for worsening signs of depression and suicidal thoughts, the FDA said.
Clinical trials of patients aged 4 to 30
have shown that among those taking Banzel there had been a 41 percent reduction
in certain types of seizures, and a 20 percent reduction in total seizures,
compared to those that took a placebo. The most common side effects included headache,
dizziness, fatigue, impaired walking, double-vision and nausea.
Banzel is manufactured by Eisai Medical
Research Inc., Woodcliff Lake,
N.J.
It is estimated that 5% of children with
epilepsy have LGS. It is more common in males than in females. West syndrome is
seen in 20% of patients before (symptomatic) LGS.
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