- |||||||||| Review, Journal: Update on Antiseizure Medications 2025. (Pubmed Central) - Feb 3, 2025
Since the most recent version of this article was published, one new antiseizure medication, ganaxolone, has been approved by the US Food and Drug Administration (FDA), and the indications of some approved medications were expanded...These agents include lamotrigine, oxcarbazepine, levetiracetam, topiramate, zonisamide, and lacosamide...Lacosamide, pregabalin, and eslicarbazepine have undergone successful trials of conversion to monotherapy for focal epilepsy...Knowledge of antiseizure medication pharmacokinetics, efficacy, and tolerability profiles facilitates the choice of appropriate antiseizure medication therapy for patients with epilepsy. Rational antiseizure medication combinations should avoid antiseizure medications with unfavorable pharmacokinetic interactions or pharmacodynamic interactions related to mechanism of action.
- |||||||||| Ztalmy (ganaxolone oral) / Marinus, Xcopri (cenobamate) / SK Bio, Fintepla (low-dose fenfluramine) / UCB
Journal: Antiseizure Medications: Advancements, Challenges, and Prospects in Drug Development. (Pubmed Central) - Jan 27, 2025 The review also discusses the development of new potential ASMs, including modifying existing ASMs to improve efficacy and tolerability. Furthermore, we expound on the modulation of ?- aminobutyric acid type A receptor (GABAAR) as a strategy for the treatment of epilepsy and the identification of a GABAAR agonist, isoguvacine, as a potential ASM.
- |||||||||| Ztalmy (ganaxolone oral) / Marinus
Journal: LPM682000012, a Synthetic Neuroactive Steroid That Ameliorates Epileptic Seizures by Downregulating the Serpina3n/NF-?B Signaling Pathway. (Pubmed Central) - Nov 27, 2024 The dose-dependent sedative effects of LPM682000012 and Ganaxolone in normal rats were evaluated, which revealed that they both dose-dependently alleviated acute epileptic seizure in the pentylenetetrazol (PTZ)-mediated seizure model...In summary, this report demonstrated that the novel neurosteroid GABAA PAM LPM682000012 activated the synaptic and extra-synaptic GABAA receptors and alleviated KA-induced neuronal loss and synaptic remodeling, potentially by down-regulating the Serpina3n/NF-?B signaling pathways. The results provide evidence that LPM682000012 is a potential anti-seizure pharmacotherapy candidate for epilepsy and warrants further research.
- |||||||||| Zulresso (brexanolone) / Sage Therapeutics, Ztalmy (ganaxolone oral) / Marinus
Neuroactive Steroids Induce Sex Specific Effects on Intracellular Signaling via Activation of Membrane Progesterone Receptors (South Hall H - Level 1 - LACC) - Nov 26, 2024 - Abstract #AES2024AES_1272; Additionally, the high potency of NAS for mPRs is at concentrations similar to endogenous ALLO in the brain and is below demonstrated plasma levels of FDA approved NAS treatments. Therefore, this work emphasizes the importance of understanding mPR signaling in the brain and the ability of mPRs to modulate neuronal inhibition to better develop future novel therapies.
- |||||||||| ganaxolone IV / Marinus
Trial completion, Trial completion date, Trial primary completion date: RAISE: Randomized Therapy In Status Epilepticus (clinicaltrials.gov) - Sep 25, 2024 P3, N=124, Completed, Therefore, ganaxolone may reduce the vulnerability of the cerebellum to postnatal challenges arising from preterm birth. Active, not recruiting --> Completed | Trial completion date: Nov 2024 --> Apr 2024 | Trial primary completion date: Nov 2024 --> Mar 2024
- |||||||||| Ztalmy (ganaxolone oral) / Marinus
Positive allosteric modulators of GABAAreceptors expressed in oligodendroglial cells promote their survival in vitro (MCP Hall A) - Aug 22, 2024 - Abstract #Neuroscience2024Neuroscience_12321; Here, in OLs maintained in vitro the GABAAR activity was potentiated using ganaxolone (GX) and N-butyl-?-carboline-3-carboxylate (?-CCB) two allosteric positive modulators of the receptor and studied their effects on cell survival to obtain information related with the mechanisms involved...Thus, our results indicated that both Gx and ?-CCB promoted the survival of oligodendroglial cells through the activation of the GABAAR. This would explain at least in part, the positive effects that GABAAR positive modulators such as ?-CCB have on myelination process observed in vivo.
- |||||||||| Ztalmy (ganaxolone oral) / Marinus
Journal: Ganaxolone (Ztalmy) for CDKL5 deficiency disorder. (Pubmed Central) - Aug 13, 2024 This would explain at least in part, the positive effects that GABAAR positive modulators such as ?-CCB have on myelination process observed in vivo. No abstract available
- |||||||||| Review, Journal: Drugs for epilepsy. (Pubmed Central) - Jul 29, 2024
No abstract available No abstract available
- |||||||||| Zulresso (brexanolone) / Sage Therapeutics, Ztalmy (ganaxolone oral) / Marinus, Zurzuvae (zuranolone) / Sage Therapeutics, Biogen
Review, Journal: Understanding and treating postpartum depression: a narrative review. (Pubmed Central) - Jun 28, 2024 Newer neurosteroids such as ganaxolone, valaxanolone, and lysaxanolone are currently under development, but also esketamine and psychedelics are promising potential treatments...PPD is therefore increasingly understood as, at least partially, independent from major depressive disorder. Specific and individualized treatments including pharmacological and non-pharmacological therapies are progressively being introduced in the routine clinical practice.
- |||||||||| ganaxolone IV / Marinus
Journal: Super Refractory Status Epilepticus Improved After Emergency Use of Ganaxolone: Case Report. (Pubmed Central) - Jun 19, 2024 Emergency use authorization was obtained for intravenous ganaxolone, a neuroactive steroid that is a potent modulator of both synaptic and extrasynaptic GABAA receptors. Following administration of intravenous ganaxolone according to a novel dosing paradigm, the patient showed sustained clinical and electrographic improvement.
- |||||||||| ganaxolone IV / Marinus
Enrollment closed, Trial completion date, Trial primary completion date: RAISE: Randomized Therapy In Status Epilepticus (clinicaltrials.gov) - May 15, 2024 P3, N=124, Active, not recruiting, Consequently, these findings add rationale to the exploration of the clinical effect of ganaxolone in NS-PME and other progressive myoclonus epilepsies. Recruiting --> Active, not recruiting | Trial completion date: Oct 2023 --> Nov 2024 | Trial primary completion date: Oct 2023 --> Nov 2024
- |||||||||| ganaxolone IV / Marinus
Enrollment change, Trial completion date, Trial withdrawal, Trial primary completion date: To Evaluate the Efficacy, Safety, and Tolerability of Intravenous Ganaxolone Added to Standard of Care in Refractory Status Epilepticus (RSE) (clinicaltrials.gov) - May 13, 2024 P3, N=0, Withdrawn, Recruiting --> Active, not recruiting | Trial completion date: Oct 2023 --> Nov 2024 | Trial primary completion date: Oct 2023 --> Nov 2024 N=70 --> 0 | Trial completion date: Nov 2025 --> Aug 2024 | Not yet recruiting --> Withdrawn | Trial primary completion date: Nov 2025 --> Aug 2024
- |||||||||| Ztalmy (ganaxolone oral) / Marinus
Enrollment closed, Trial completion date, Trial primary completion date: TrustTSC: Adjunctive GNX Treatment Compared With Placebo in Children and Adults With TSC-related Epilepsy (clinicaltrials.gov) - May 13, 2024 P3, N=128, Active, not recruiting, N=70 --> 0 | Trial completion date: Nov 2025 --> Aug 2024 | Not yet recruiting --> Withdrawn | Trial primary completion date: Nov 2025 --> Aug 2024 Recruiting --> Active, not recruiting | Trial completion date: Feb 2025 --> Oct 2024 | Trial primary completion date: Jan 2024 --> Oct 2024
- |||||||||| Review, Journal: A Neuroanatomic and Pathophysiologic Framework for Novel Pharmacological Approaches to the Treatment of Post-traumatic Stress Disorder. (Pubmed Central) - Apr 1, 2024
Indeed, investigations and drug development are proceeding in a number of these alternative, non-serotonergic pathways in an effort to improve the management of PTSD. In this manuscript, the authors introduce novel and emerging treatments for PTSD, including drugs in various stages of development and clinical testing (BI 1358894, BNC-210, PRAX-114, JZP-150, LU AG06466, NYV-783, PH-94B, SRX246, TNX-102), established agents and known compounds being investigated for their utility in PTSD (brexpiprazole, cannabidiol, doxasoin, ganaxolone, intranasal neuropeptide Y, intranasal oxytocin, tianeptine oxalate, verucerfont), and emerging psychedelic interventions (ketamine, MDMA-assisted psychotherapy, psilocybin-assisted psychotherapy), with an aim to examine and integrate these agents into the underlying pathophysiological frameworks of trauma-related disorders.
- |||||||||| Ztalmy (ganaxolone oral) / Marinus, Belviq (lorcaserin) / Eisai
Journal: Using artificial intelligence to identify drugs for repurposing to treat l-DOPA-induced dyskinesia. (Pubmed Central) - Mar 13, 2024 In conclusion, although our data do not support the repurposing of lorcaserin, acamprosate or ganaxolone per se for LID, we demonstrate value of an in silico approach to identify candidate molecules which, in combination with an in vivo screen, can facilitate clinical development decisions. The present study adds to a growing literature in support of this paradigm shifting approach in the repurposing pipeline.
- |||||||||| Ztalmy (ganaxolone oral) / Marinus
Preclinical, Journal: Early IGF-1 receptor inhibition in mice mimics preterm human brain disorders and reveals a therapeutic target. (Pubmed Central) - Mar 5, 2024 Pharmacological enhancement of GABAergic tonic inhibition by the U.S. Food and Drug Administration-approved drug ganaxolone rescued functional/behavioral alterations in mice. Establishing an unprecedented mouse model of prematurity, our work dissects the mechanisms at the core of abnormal behaviors and identifies a readily translatable therapeutic strategy for preterm brain disorders.
- |||||||||| Zulresso (brexanolone) / Sage Therapeutics, Ztalmy (ganaxolone oral) / Marinus, Zurzuvae (zuranolone) / Sage Therapeutics, Shionogi, Biogen
Review, Journal: Novel neurosteroid therapeutics for post-partum depression: perspectives on clinical trials, program development, active research, and future directions. (Pubmed Central) - Dec 11, 2023 Finally, we describe new and future directions in neurosteroid therapeutics, including the development of an oral agent, zuranolone, and the IV and oral formulations of ganaxolone. Ultimately, the hope is that these novel neurosteroid therapeutics will provide fast-acting treatment for these impairing disorders and improve our understanding of the underlying mechanisms of depressive disorders.
- |||||||||| Ztalmy (ganaxolone oral) / Marinus, soticlestat (TAK-935) / Takeda, Fintepla (low-dose fenfluramine) / UCB, Nippon Shinyaku
Review, Journal: Genetic Background of Epilepsy and Antiepileptic Treatments. (Pubmed Central) - Nov 29, 2023 On the contrary, the same drugs may aggravate seizures related to loss-of-function (LoF) variants of the same genes. Hence, knowledge of gene mutation-treatment response relationships facilitates more favorable selection of drugs for anticonvulsant therapy.
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