Belgian drugmaker UCB's Vimpat (lacosamide) has been accepted for use in the National Health Service in Scotland by the Scottish Medicines Consortium for adults with partial onset seizures in refractory epilepsy, as an add-on to patients' current therapy. The drug has previously been approved for this indication y the England and Wales counterpart, the National Institute for Health and Clinical Excellence (NICE; Marketletters passim).
The approval is based on three multicenter, randomized, placebo-controlled clinical trials with a 12-week maintenance period. Overall, the proportion of patients with a 50% reduction in seizure frequency was 23%, 34% and 40% for placebo, Vimpat 200mg/day and 400mg/day, respectively.
In addition, results from an open-label extension study demonstrate long-term retention; of the 370 patients enrolled, 77% were still taking Vimpat after one year.
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