Key factors in the discovery and development of new antiepileptic drugs.

Article Details

Citation

Bialer M, White HS

Key factors in the discovery and development of new antiepileptic drugs.

Nat Rev Drug Discov. 2010 Jan;9(1):68-82. doi: 10.1038/nrd2997.

PubMed ID
20043029 [ View in PubMed
]
Abstract

Since the early 1990s, many new antiepileptic drugs (AEDs) that offer appreciable advantages in terms of their favourable pharmacokinetics, improved tolerability and lower potential for drug-drug interactions have entered the market. However, despite the therapeutic arsenal of old and new AEDs, approximately 30% of patients with epilepsy still suffer from seizures. Thus, there remains a substantial need for the development of more efficacious AEDs for patients with refractory seizures. Here, we briefly review the emerging knowledge on the pathological basis of epilepsy and how it might best be used in the design of new therapeutics. We also discuss the current approach to AED discovery and highlight some of the unique features of newer models of pharmacoresistance and epileptogenesis that have emerged in recent years.

DrugBank Data that Cites this Article

Drugs
Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
EslicarbazepineCytochrome P450 2C19ProteinHumans
Unknown
Inhibitor
Details
Eslicarbazepine acetateCytochrome P450 2C19ProteinHumans
No
Inhibitor
Details
Eslicarbazepine acetateCytochrome P450 3A4ProteinHumans
No
Inducer
Details
Drug Reactions
Reaction
Details
Eslicarbazepine [(S)-licarbazepine]
DBMET01408
    Details
    Details