Elsevier

Epilepsy Research

Volume 92, Issues 2–3, December 2010, Pages 89-124
Epilepsy Research

Review
Progress report on new antiepileptic drugs: A summary of the Tenth Eilat Conference (EILAT X)

https://doi.org/10.1016/j.eplepsyres.2010.09.001Get rights and content

Summary

The Tenth Eilat Conference on New Antiepileptic Drugs (AEDs)-EILAT X, took place in Eilat, Israel from the 25th to 29th of April 2010. About 200 basic scientists, clinical pharmacologists and neurologists from 25 countries attended the conference, whose main themes included learning from the past: Lessons learnt after 18 years of Eilat Conferences and Detecting assessing and preventing adverse effects of AEDs. Consistent with previous formats of this conference, a large part of the program was devoted to a review of AEDs in development, as well as updates on AEDs introduced since 1994. Like the previous EILAT (EILAT IX) manuscript, the current (EILAT X) manuscript focuses only on the preclinical and clinical pharmacology of AEDs that are currently in development. These include brivaracetam, carisbamate, 2-deoxy-glucose, ganaxolone, huperizine A, ICA-105665, NAX-5055, retigabine, perampanel, T-2007, valnoctamide and YK3089. Since the previous Eilat Conference (EILAT IX-2008) two new AEDs; eslicarbazepine acetate and lacosamide have been marketed and three new AEDs in development not included in the EILAT IX manuscript were added: ICA-105665, perampanel and valnoctamide. The CNS efficacy of these compounds in anticonvulsant animal models as well as other disease model systems are presented in Table 1, Table 2 and their proposed mechanism of action at summarized in Table 3.

Section snippets

Brivaracetam (ucb34714)

S. Lua, A. Stockisb, A. Matagneb, M. Johnsona
aUCB Inc., Raleigh, NC, USA
bUCB Pharma SA, Braine-l’Alleud, Belgium

Carisbamate (RWJ-333369)

G.P. Novaka, M. Kaoa, H.S. Whiteb, B.D. Kleinc, P. Zannikosa
aJohnson & Johnson, Pharmaceutical Research & Development L.L.C., Titusville, New Jersey, USA
bDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, UT
cNeuroAdjuvants, Inc. Salt Lake City, UT, USA

2-Deoxy-d-glucose

T.P. Sutula
Department of Neurology, University of Wisconsin, Madison, WI, and NeuroGenomex, Inc., Madison, WI, USA

Ganaxolone

V. Nohriad, J. Tsaia, K. Shawa, M.A. Rogawskib, V.A. Pieribonea,c, G. Farfela
aMarinus Pharmaceuticals, Inc., Branford, CT, USA
bDepartment of Neurology, School of Medicine, University of California, Davis, Sacramento, CA, USA
cThe John B. Pierce Laboratory and Cellular & Molecular Physiology, Yale School of Medicine, New Haven, CT, USA
dMercer University, Atlanta, GA, USA

Huperzine A

S.C. Schachtera, D. Eksteina,b, P. Parkc, T. Yakshc, H. S. Whited, J. Stablese
aHarvard Medical School, Boston, MA, USA
bHadassah University Medical Center, Jerusalem, Israel
cUCSD, San Diego, CA, USA
dUniversity of Utah, Salt Lake City, UT, USA
eAnticonvulsant Screening Project, NINDS, NIH, Bethesda, MD, USA

ICA-105665

C.R. Rigdon, S.V. Hetherington, E.L. Moore R. Roeloffs, W.M. Harrison, A.C. Gerlach
Icagen, Inc., Durham, NC, USA

NAX-5055

B. Kleinc, G. Bulaja,c, E. Grussendorfb, M. Smithb, J. Grussendorfb, E. Adkins-Schollc, H.S. Whiteb,c
aDepartment of Medicinal Chemistry, University of Utah, Salt Lake City, UT
bDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, UT
cNeuroAdjuvants, Inc., Salt Lake City, UT, USA

Perampanel (E2007)

Jina Swartz, Antonio Laurenza
Eisai Medical Research, Ridgefield Park, NJ, USA

Retigabine

J.M.J. Hammond
Valeant Pharmaceuticals International

T2007 (sodium 5,5-diphenylbarbiturate)

A. Yacobia, J. Frenchb, D. Morosa, H. Rutmana, D. Ganesa, G. McKayd, A. Rainesc, B. Levitta
aTaro Pharmaceuticals U.S.A., Inc., 3 Skyline Drive, Hawthorne, NY 10532, USA
bNew York University Comprehensive Epilepsy Center, The Epilepsy Study Consortium, 223 East 34th Street, New York, NY 10016, USA
cPharmacology, Georgetown University, Georgetown University Medical Center, 3900 Reservoir Road NW, Washington, DC 20057, USA
dPharmalytics Ltd., 346-111 Research Drive, Saskatoon, SK S7N 3R2, Canada

Valproic acid 2nd generation derivatives

M. Bialer, B. Yagen
Institute of Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jeruslaem, Israel

YKP3089

S. James Lee, Susan Melnick, Zhaoping Yan, Lin-Ming Shen, Martin Brecher
SK Life Science Inc., Fair Lawn, New Jersey, USA

Acknowledgement

SK Life Science Inc. gratefully acknowledges the support of the Anticonvulsant Screening Program at NIH/NINDS.

References (132)

  • D. Kaufmann et al.

    Evaluation of the antiallodynic, teratogenic and pharmacokinetic profile of stereoisomers of valnoctamide, an amide derivative of a chiral isomer of valproic acid

    Neuropharmacology

    (2010)
  • D.G.A. Kasteleijn-Nolst Trenité et al.

    Photosensitive epilepsy: a model to study the effects of antiepileptic drugs. Evaluation of the piracetam analogue levetiracetam

    Epilepsy Res.

    (1996)
  • J.F. Kerrigan et al.

    Ganaxolone for treating intractable infantile spasms: a multicenter, open-label, add-on trial

    Epilepsy Res.

    (2000)
  • Y. Liu et al.

    Carisbamate, a novel neuromodulator, inhibits voltage-gated sodium channels and action potential firing of rat hippocampal neurons

    Epilepsy Res.

    (2009)
  • A. Matagne et al.

    Validation of corneally kindled mice: a sensitive screening model for partial epilepsy in man

    Epilepsy Res.

    (1998)
  • A.M. Mazarati et al.

    Anticonvulsive effects of galanin administered into the central nervous system upon the picrotoxin-kindled seizure syndrome in rats

    Brain Res.

    (1992)
  • A. Mazarati et al.

    Patterns of seizures, hippocampal injury and neurogenesis in three models of status epilepticus in galanin receptor type 1 (GalR1) knockout mice

    Neuroscience

    (2004)
  • A. Mazarati et al.

    Regulation of limbic status epilepticus by hippocampal galanin type 1 and type 2 receptors

    Neuropeptides

    (2005)
  • B.S. Meldrum et al.

    Molecular targets for antiepileptic drug development

    Neurotherapeutics

    (2007)
  • R.K. Minor et al.

    Chronic ingestion of 2-deoxy-d-glucose induces cardiac vacuolization and increases mortality in rats

    Tox. Appl. Pharm.

    (2010)
  • B.K. Mohanti et al.

    Improving cancer radiotherapy with 2-deoxy-d-glucose: phase I/II clinical trials on human cerebral gliomas

    Int. J. Rad. Onc. Biol. Phys.

    (1996)
  • V. Nohria et al.

    Ganaxolone

    Neurotherapeutics

    (2007)
  • P. Park et al.

    Intrathecal Huperzine A increases thermal escape latency and decreases flinching behavior in the formalin test in rats

    Neurosci. Lett.

    (2010)
  • M. Roeder et al.

    Absolute configuration of the four stereoisomers of valnoctamide (2-ethyl-3-methyl valeramide), a potential new stereospecific antiepileptic and CNS drug

    Tetrahedron: Asymm.

    (1999)
  • A. Rostock et al.

    D-23129: a new anticonvulsant with a broad spectrum activity in animal models of epileptic seizures

    Epilepsy Res.

    (1996)
  • C. Rundfeldt et al.

    The novel anticonvulsant retigabine activates M-currents in Chinese hamster ovary-cells transfected with human KCNQ2/3 subunits

    Neurosci. Lett.

    (2000)
  • V. Andre et al.

    Pathogenesis and pharmacology of epilepsy in the lithium-pilocarpine model

    Epilepsia

    (2007)
  • S. Barel et al.

    Stereoselective pharmacokinetic analysis of valnoctamide in healthy subjects and epileptic patients

    Clin. Pharmacol. Ther.

    (1997)
  • Y. Bersudsky et al.

    Valnoctamide as valproate substitute with low teratogenic potential in mania: a double-blind, controlled, add-on clinical trial

    Bipolar Disorder

    (2010)
  • J. Berwick et al.

    Fine detail of neurovascular coupling revealed by spatio-temporal analysis of the hemodynamic response to single whisker stimulation in rat barrel cortex

    J. Neurophysiol.

    (2008)
  • G. Biagini et al.

    Neurosteroids and epilepsy

    Curr. Opin. Neurol.

    (2010)
  • G. Biagini et al.

    Neurosteroids and epileptogenesis in the pilocarpine model: evidence for a relationship between P450scc induction and length of the latent period

    Epilepsia

    (2009)
  • M. Bialer et al.

    Key factors in the discovery and development of new antiepileptic drugs (AEDs)

    Nature Rev. Drug Discov.

    (2010)
  • V. Biton et al.

    Brivaracetam as adjunctive treatment of refractory partial-onset seizures in adults: results from two randomized, double-blind, placebo-controlled trials

    Epilepsia

    (2009)
  • M.J. Brodie et al.

    Retigabine 600 or 900 mg/day as adjunctive therapy in adults with refractory partial-onset seizures

    Eur. J. Neurol.

    (2009)
  • A. Brodsky et al.

    Safety and tolerability of brivaracetam (ucb 34714) as adjunctive treatment in adults with refractory partial-onset seizures

    Epilepsia

    (2007)
  • G. Bulaj et al.

    Design, synthesis, and characterization of high-affinity, systemically-active galanin analogues with potent anticonvulsant activities J

    Med. Chem.

    (2008)
  • R.B. Carter et al.

    Characterization of the anticonvulsant properties of ganaxolone (CCD 1042; 3(-hydroxy-3(-methyl-5(-pregnan-20-one), a selective, high-affinity, steroid modulator of the gamma-aminobutyric acidA receptor

    J. Pharmacol. Exp. Ther.

    (1997)
  • S. Chien et al.

    Pharmacokinetic interaction study between the new antiepileptic and CNS drug RWJ-333369 and carbamazepine in healthy adults

    Epilepsia

    (2006)
  • S. Chien et al.

    An interaction study between the new antiepileptic and CNS drug carisbamate (RWJ-333369) and lamotrigine and valproic acid

    Epilepsia

    (2007)
  • G. De Sarro et al.

    AMPA receptor antagonists as potential anticonvulsant drugs

    Curr. Top. Med. Chem.

    (2005)
  • E. Faught et al.

    Randomized, controlled, dose-ranging trial of carisbamate for partial-onset seizures

    Neurology

    (2008)
  • J. Francois et al.

    A new drug, RWJ-333369, protects limbic areas in the lithium-pilocarpine model (lipilo) of epilepsy and delays or prevents the occurrence of spontaneous seizures (abstract)

    Epilepsia

    (2005)
  • J. Francois et al.

    Effects of carisbamate (RWJ-333369) in two models of genetically determined generalized epilepsy, the GAERS and the audiogenic Wistar AS

    Epilepsia

    (2008)
  • J.A. French et al.

    Retigabine 1200 mg/day as adjunctive therapy in adults with refractory partial-onset seizures

    Eur. J. Neurol.

    (2009)
  • French, J.A., Constantini, C., Brodsky, A., von Rosenstiel, P., in press. Adjunctive brivaracetam for refractory...
  • M. Garriga-Canut et al.

    2-Deoxy-d-glucose reduces epilepsy progression by NRSF-CtBP – dependent metabolic regulation of chromatin structure

    Nat. Neurosci.

    (2006)
  • D. Ganes et al.

    Toxicity and toxicokinetics of T2007 after oral dosing in the rat

    AAPS J.

    (2009)
  • D. Ganes et al.

    Toxicity and toxicokinetics of T2007 after oral dosing in the dog

    AAPS J.

    (2009)
  • H.L. Grabenstatter et al.

    A new potential AED, carisbamate, substantially reduces spontaneous motor seizures in rats with kainate-induced epilepsy

    Epilepsia

    (2008)
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