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Significant Positive Results in OVATION's Phase II Clobazam Trial.


Novel Compound Shows Promise in Patients with Catastrophic Epilepsy

DEERFIELD, Ill. -- OVATION Pharmaceuticals, Inc. announced positive results from its recent study to evaluate the safety and efficacy of clobazam in patients with Lennox-Gastaut syndrome Len·nox-Gas·taut syndrome
n.
A generalized myoclonic astatic epilepsy that occurs in children as a result of various cerebral afflictions such as perinatal hypoxia, cerebral hemorrhage, encephalitis, and maldevelopment or metabolic disorders of the
 (LGS LGS Laser Guide Star
LGS Lennox-Gastaut Syndrome
LGS Leaky Gut Syndrome
LGS Langer-Giedion Syndrome
LGS Light Gauge Steel (steel frame construction system)
LGS Looking Glass Studios (game development company) 
), one of the most severe forms of childhood epilepsy. Clobazam has a unique chemical structure with associated properties when compared with other currently available benzodiazepines Benzodiazepines Definition

Benzodiazepines are medicines that help relieve nervousness, tension, and other symptoms by slowing the central nervous system.
Purpose

Benzodiazepines are a type of antianxiety drugs.
.

The phase II multi-center, randomized ran·dom·ize  
tr.v. ran·dom·ized, ran·dom·iz·ing, ran·dom·iz·es
To make random in arrangement, especially in order to control the variables in an experiment.
, double-blind dose-finding study performed in the United States involved 68 patients (2 to 26 years of age) with LGS. Patients were randomized to two treatment groups with a low dose (target of 0.25 mg/kg/day) of clobazam or a high dose (target of 1.0 mg/kg/day) for a total treatment duration of up to 10 weeks.

Data from the phase II clobazam clinical trial showed both clinically relevant and statistically significant results. There was a significant difference between the treatment groups in the percent reduction in weekly drop seizures from baseline to maintenance period (p-value=0.0001). Atonic a·ton·ic
adj.
Relating to, caused by, or exhibiting lack of muscle tone.



ato·nic
 or drop seizures are the most debilitating de·bil·i·tat·ing
adj.
Causing a loss of strength or energy.


Debilitating
Weakening, or reducing the strength of.

Mentioned in: Stress Reduction
 of the LGS seizure types and can result in severe trauma to the brain and limbs.

The data from the study show the mean percent reduction in weekly drop seizures from baseline for the high dose group was 85.3 percent and the reduction for the low dose group was 12 percent. More than 83 percent of patients from the high dose group have 50 percent or greater reduction in weekly drop seizures rate from baseline.

"These data support worldwide clinical experience with this agent - as well as findings from more than 20 previous studies - suggesting that clobazam has the potential to play a significant role in the treatment of patients with Lennox-Gastaut syndrome in the United States," said Joan Conry, M.D., Professor of Neurology and Pediatrics in the Department of Neurology at Children's National Medical Center This article or section is written like an .
Please help [ rewrite this article] from a neutral point of view.
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 in Washington, D.C., and a principal investigator in the study. "We look forward to the results from further clinical trials confirming these findings." Clobazam is approved and widely used in other countries for various uses in both children and adults, including the treatment of epilepsy and anxiety, but has yet to be approved in the United States.

Lennox-Gastaut syndrome is a rare but debilitating form of epilepsy that frequently persists into adulthood1. This form of catastrophic epilepsy, characterized by several seizure types, occurs in 3 to 10 percent of all childhood epilepsies2 and onset typically occurs between 3 and 10 years of age. Seventy-five to 90 percent of children with LGS are affected by mental retardation mental retardation, below average level of intellectual functioning, usually defined by an IQ of below 70 to 75, combined with limitations in the skills necessary for daily living.  and these children commonly experience behavioral and sleep disturbances as well3.

"The data from this first U.S. trial with clobazam are highly encouraging, revealing the tremendous potential for this therapy in this country for people suffering from Lennox-Gastaut syndrome," said Jeffrey S. Aronin, President and Chief Executive Officer of OVATION. "This trial demonstrates continued progress in our development program designed to bring innovative medicines to critically ill patients with high unmet medical needs. This study is another important milestone in our development programs. It brings us one step closer to our goal of launching five new drugs over the next five years, as did the successful launch of our first U.S. FDA-approved product earlier this year."

Data from the phase II study will be presented at the American Epilepsy Society meeting in December.

About OVATION Pharmaceuticals

OVATION is a fast growing biopharmaceutical company that develops, manufactures and markets medically necessary therapies to satisfy unmet medical needs for patients with severe illnesses. Headquartered in Deerfield, Ill., with products available in more than 85 countries, OVATION is committed to having a significant impact on patients' lives through its focus on central nervous system (CNS See Continuous net settlement.

CNS

See continuous net settlement (CNS).
), hematology/oncology, and hospital-based therapies. The four new product launches the company expects over the next five years will be fueled by its late-stage CNS pipeline, which is one of the most robust in the industry.

1 Beaumanoir A, Blume, W. The Lennox-Gastaut Syndrome- Symptomatology symptomatology /symp·to·ma·tol·o·gy/ (simp?to-mah-tol´ah-je)
1. the branch of medicine dealing with symptoms.

2. the combined symptoms of a disease.


symp·to·ma·tol·o·gy
n.
 During the Seizure Disorder. In: J. Roger MB, C. Dravet, P. Genton, C.A. Tassinari, & P. Wolf, ed. Epileptic epileptic /ep·i·lep·tic/ (ep?i-lep´tik)
1. pertaining to or affected with epilepsy.

2. a person affected with epilepsy.


ep·i·lep·tic
n.
One who has epilepsy.
 Syndromes in Infancy, Childhood, and Adolescence 3rd ed. London: John Libbey & Co., Ltd. 2002:113-135.

2 Markand ON. Lennox-Gastaut syndrome (childhood epileptic encephalopathy encephalopathy /en·ceph·a·lop·a·thy/ (en-sef?ah-lop´ah-the) any degenerative brain disease.

AIDS encephalopathy  HIV e.

anoxic encephalopathy  hypoxic e.
). J Clin Neurophysiol. 2003;20:426-441.

3 Crumrine PK. Lennox-Gastaut syndrome. J Child Neurol. 2002;17 Suppl 1:S70-75.
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Article Type:Clinical report
Date:Nov 13, 2006
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