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Observes Cenobamate Use as Early Add-On for Focal Epilepsy in Adults

Studies cenobamate, added early to other seizure drugs, in adults with focal epilepsy.

Plain-language title generated from the registry record
Registry title: Real-world Clinical Response to Cenobamate Early add-on in France, Germany and Spain

Key facts

Where
Paris, FranceSee the site

Where in France

  • Hôpital TARNIER COCHINParis, FranceTaking people

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Trial details

Who runs it
Aziende Chimiche Riunite Angelini Francesco S.p.A
Trial code
NCT06716801
Record updated
19 September 2025
Original description
Aim of the study is to better characterize the clinical profile of adjunctive cenobamate by collecting data from the current standard clinical practice in France, Germany, and Spain, to describe the real-world clinical response among adult patients affected by focal epilepsy not adequately controlled despite a history of 2 or 3 ASMs before starting treatment with cenobamate (including previous and concomitant ASMs).Read full original descriptionShow less

Observational Cohort Study on Adult Patients With Not-adequately Controlled FOcal-onset Seizures Treated With Cenobamate as Early adjUnctive Therapy in a Real-world Setting - FOCUS

Aim of the study is to better characterize the clinical profile of adjunctive cenobamate by collecting data from the current standard clinical practice in France, Germany, and Spain, to describe the real-world clinical response among adult patients affected by focal epilepsy not adequately controlled despite a history of 2 or 3 ASMs before starting treatment with cenobamate (including previous and concomitant ASMs).

Inclusion: Male and female patients ≥18 years old at the time of cenobamate treatment initiation; Patients with a diagnosis of epilepsy with focal-onset seizures, with or without secondary generalization; Patients under titration phase (i.e., maintenance dose not reached yet according to clinical judgement) with cenobamate as adjunctive therapy in third or fourth line with 1 to maximum 2 (for third line)/3 (for fourth line) concomitant anti-seizure medications (ASMs); Patients who have not been adequately controlled despite treatment with 2 or 3 (maximum) ASMs before cenobamate treatment initiation (including concomitant ASMs started before initiating cenobamate); Patients with available retrospective data in medical charts, seizure diaries or patient's notes, including reliable information about seizure frequency (intended as the number of seizures and the corresponding time period) in the last 3 months before cenobamate treatment initiation; Written informed consent (including consent for the processing of personal data) signed by the patient, or by the legally designated representative in case of patient lacking capacity, prior to entering the study following local regulation.

Exclusion: Patients with unstable psychiatric diagnosis, including suicidal ideation and behavior within 6 months prior to enrolment, current psychotic disorder, or acute mania; Patients who are seizure-free in the last 3 months before cenobamate treatment initiation; Patients with progressive neurodegenerative central nervous system (CNS) diseases or (benign or malignant) brain tumors; Patients who meet any of the contraindications to the administration of cenobamate according to its approved Summary of Product Characteristics (SmPC); Patients with known substance abuse or dependence (except for caffeine and nicotine); Patients participating in any interventional study from cenobamate treatment initiation until enrolment visit; Patients with ongoing pregnancy or breast-feeding from cenobamate treatment initiation until enrolment visit.

ClinicalTrials.gov NCT06716801