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The purpose of this study is to determine the safety of perampanel given as adjunctive, long-term treatment in patients with refractory partial onset seizures.
This is an Open-Label Extension (OLE) study for patients who completed the E2007-A001-206 (NCT00144690) or the E2007-G000-208 (NCT00416195) double-blind, placebo-controlled, dose-escalation, parallel-group studies.
This study consisted of 3 periods: OLE Titration (12 weeks), OLE Maintenance (424 weeks), and OLE Follow-up (4 weeks). During the OLE Titration Period, participants were titrated to their maximum tolerated dose (MTD) of perampanel, up to a maximum of 12 mg/day. The OLE Maintenance Period began at completion of the OLE Titration Period; participants remained on the dose achieved at the end of the OLE Titration Period unless dose adjustment for tolerability reasons was necessary. Participants who either withdrew from the study prematurely or completed the OLE Maintenance Period returned for a final visit at the end of the 4-week OLE Follow-up Period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Perampanel | Experimental | Participants previously receiving placebo/perampanel in the double blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily during the OLE study |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Perampanel | Drug | Perampanel 2 mg to 12 mg, once daily during the OLE study |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-emergent Non-serious Adverse Events (AEs) and Treatment-emergent Serious Adverse Events (SAEs) | An AE was defined as any untoward medical occurrence in a clinical investigation participant administered an investigational product. A SAE was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening (ie, the participant was at immediate risk of death from the AE as it occurred; this did not include an event that, had it occurred in a more severe form or was allowed to continue, might have caused death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or was as a congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug). In this study, treatment emergent AEs (defined as an AE (serious or non-serious) that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed. The data is presented in the safety section of the results. | From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years |
| Measure | Description | Time Frame |
|---|---|---|
| Percent Change in Seizure Frequency Per 28 Days Relative to Pre-Perampanel Baseline | Seizure frequency was derived from information (seizure count and type) recorded in participant diary. The seizure frequency per 28 days was calculated as the number of seizures divided by the number of days in the interval and multiplied by 28. The percent change in 28-day seizure frequency from baseline was assessed for all partial-onset seizures types. For participants who had been assigned to treatment with perampanel (previous treatment), pre-perampanel Baseline referred to the Prerandomization Phase of the Core Double Blind study. For participants who had been assigned to treatment with placebo (previous treatment), pre-perampanel Baseline was computed from all data during the Core Double Blind study (including Prerandomization Phase) prior to treatment with perampanel. |
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KEY INCLUSION CRITERIA:
KEY EXCLUSION CRITERIA:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham | Alabama | 35294 | United States | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35305920 | Derived | Maguire M. Response to "Perampanel and pregnancy: Could experience be a gloomy lantern that does not even illuminate its bearer?". Epilepsy Behav. 2022 Apr;129:108654. doi: 10.1016/j.yebeh.2022.108654. Epub 2022 Mar 16. No abstract available. | |
| 22913800 | Derived | Rektor I, Krauss GL, Bar M, Biton V, Klapper JA, Vaiciene-Magistris N, Kuba R, Squillacote D, Gee M, Kumar D. Perampanel Study 207: long-term open-label evaluation in patients with epilepsy. Acta Neurol Scand. 2012 Oct;126(4):263-9. doi: 10.1111/ane.12001. Epub 2012 Aug 23. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Perampanel | Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Baseline up to Week 221 |
| Percentage of Participants Who Experienced a 50% or Greater Reduction in Seizure Frequency Per 28 Days Relative to the Pre-perampanel Baseline | Seizure frequency was derived from information (seizure count and type) recorded in participant diary. The percentage of participants who experienced a 50% or greater reduction in seizure frequency per 28 days relative to the pre-perampanel Baseline (responders) was assessed. For participants who had been assigned to treatment with perampanel (previous treatment), pre-perampanel Baseline referred to the Prerandomization Phase of the Core Double Blind study. For participants who had been assigned to treatment with placebo (previous treatment), pre-perampanel Baseline was computed from all data during the Core Double Blind study (including Prerandomization Phase) prior to treatment with perampanel. The data is presented as percent responders. | Baseline up to week 221 |
| Phoenix |
| Arizona |
| 85013 |
| United States |
| Little Rock | Arkansas | 72205 | United States |
| Denver | Colorado | 80218 | United States |
| Bradenton | Florida | 34205 | United States |
| Melbourne | Florida | 32901 | United States |
| Atlanta | Georgia | 30322 | United States |
| Baltimore | Maryland | 21287 | United States |
| New Hyde Park | New York | 11040 | United States |
| Columbus | Ohio | 43210 | United States |
| West Jordan | Utah | 84088 | United States |
| Burlington | Vermont | 05401 | United States |
| Chatswood | New South Wales | 2067 | Australia |
| Maroochydore | Queensland | 4558 | Australia |
| Woodville | South Australia | 5011 | Australia |
| Edegem | 2650 | Belgium |
| Ghent | 9000 | Belgium |
| Leuven | B-3000 | Belgium |
| Tielt | B-8700 | Belgium |
| Brno | 656 91 | Czechia |
| Hradec Králové | 500 05 | Czechia |
| Olomouc | 775 20 | Czechia |
| Ostrava | 708 52 | Czechia |
| Prague | 150 06 | Czechia |
| Rychnov nad Kněžnou | 516 01 | Czechia |
| Tallinn | 10617 | Estonia |
| Tartu | EE-51014 | Estonia |
| Kuopio | FI-70210 | Finland |
| Tampere | FI-33520 | Finland |
| Lille | 59037 | France |
| Montpellier | 34295 | France |
| Ramonville-Saint-Agne | 31520 | France |
| Berlin | D-10365 | Germany |
| Göttingen | 37075 | Germany |
| München | 80333 | Germany |
| Ulm | 89081 | Germany |
| Riga | LV-1002 | Latvia |
| Kaunas | LT-50009 | Lithuania |
| Kaunas | LT-50185 | Lithuania |
| KlaipÄ—da | LT-92288 | Lithuania |
| Å iauliai | LT-76231 | Lithuania |
| Vilnius | LT-03215 | Lithuania |
| Vilnius | LT-08661 | Lithuania |
| Rotterdam | 3012 KM | Netherlands |
| Valencia | 46009 | Spain |
| Stockholm | 112 45 | Sweden |
| Dundee | DD1 9SY | United Kingdom |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Analysis of baseline characteristics are based on the Full Intent to Treat (ITT) Analysis Set, defined as participants who received at least 1 dose of open-label perampanel and had valid seizure data during the OLE study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Perampanel | Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Treatment-emergent Non-serious Adverse Events (AEs) and Treatment-emergent Serious Adverse Events (SAEs) | An AE was defined as any untoward medical occurrence in a clinical investigation participant administered an investigational product. A SAE was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening (ie, the participant was at immediate risk of death from the AE as it occurred; this did not include an event that, had it occurred in a more severe form or was allowed to continue, might have caused death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or was as a congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug). In this study, treatment emergent AEs (defined as an AE (serious or non-serious) that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed. The data is presented in the safety section of the results. | Safety Analysis Set was defined as participants who received at least 1 dose of open-label perampanel and had at least 1 safety assessment after the first dose of perampanel in the OLE study. | Posted | Number | Participants | From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years |
|
|
| |||||||||||||||||||||||||||||||||
| Secondary | Percent Change in Seizure Frequency Per 28 Days Relative to Pre-Perampanel Baseline | Seizure frequency was derived from information (seizure count and type) recorded in participant diary. The seizure frequency per 28 days was calculated as the number of seizures divided by the number of days in the interval and multiplied by 28. The percent change in 28-day seizure frequency from baseline was assessed for all partial-onset seizures types. For participants who had been assigned to treatment with perampanel (previous treatment), pre-perampanel Baseline referred to the Prerandomization Phase of the Core Double Blind study. For participants who had been assigned to treatment with placebo (previous treatment), pre-perampanel Baseline was computed from all data during the Core Double Blind study (including Prerandomization Phase) prior to treatment with perampanel. | The analysis was based on the Full Intent to Treat (ITT) Analysis Set, defined as participants who received at least 1 dose of open-label perampanel and had valid seizure data during the OLE study. | Posted | Median | Full Range | Percent Change | Baseline up to Week 221 |
|
| |||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants Who Experienced a 50% or Greater Reduction in Seizure Frequency Per 28 Days Relative to the Pre-perampanel Baseline | Seizure frequency was derived from information (seizure count and type) recorded in participant diary. The percentage of participants who experienced a 50% or greater reduction in seizure frequency per 28 days relative to the pre-perampanel Baseline (responders) was assessed. For participants who had been assigned to treatment with perampanel (previous treatment), pre-perampanel Baseline referred to the Prerandomization Phase of the Core Double Blind study. For participants who had been assigned to treatment with placebo (previous treatment), pre-perampanel Baseline was computed from all data during the Core Double Blind study (including Prerandomization Phase) prior to treatment with perampanel. The data is presented as percent responders. | The analysis was based on the Full Intent to Treat (ITT) Analysis Set, defined as participants who received at least 1 dose of open-label perampanel and had valid seizure data during the OLE study. | Posted | Number | Percent responders | Baseline up to week 221 |
|
|
From date of first dose of perampanel up to 30 days after the last dose of perampanel or up to approximately 8 years
Treatment emergent adverse events (TEAEs) (defined as an adverse event that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Perampanel | Participants previously receiving perampanel/placebo in the double-blind study, were titrated to receive perampanel 2 mg to 12 mg, once daily in the Open-Label Extension (OLE) study. | 33 | 138 | 112 | 138 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fibula fracture | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Lower limb fracture | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Overdose | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Road traffic accident | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Scapula fracture | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Therapeutic agent toxicity | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Tibia fracture | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Breast cancer in situ | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 13.1 | Systematic Assessment |
| |
| Breast cancer recurrent | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 13.1 | Systematic Assessment |
| |
| Malignant melanoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 13.1 | Systematic Assessment |
| |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 13.1 | Systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Convulsion | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Encephalopathy | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Epilepsy | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Grand mal convulsion | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Guillain-Barre syndrome | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Paraplegia | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Postictal state | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Sciatica | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
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| Status epilepticus | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Sudden unexplained death in epilepsy | General disorders | MedDRA version 13.1 | Systematic Assessment |
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| Psychotic disorder | Psychiatric disorders | MedDRA version 13.1 | Systematic Assessment |
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| Schizophrenia | Psychiatric disorders | MedDRA version 13.1 | Systematic Assessment |
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| Suicide attempt | Psychiatric disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Ileitis | Gastrointestinal disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Rotator cuff syndrome | Musculoskeletal and connective tissue disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Type 2 diabetes mellitus | Metabolism and nutrition disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Intervertebral discitis | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Wound infection | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Cervical vertebral fracture | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hypertension | Vascular disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Irritability | General disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Foot fracture | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Head injury | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Procedural pain | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Skin laceration | Injury, poisoning and procedural complications | MedDRA version 13.1 | Systematic Assessment |
| |
| Blood creatine phosphokinase increased | Investigations | MedDRA version 13.1 | Systematic Assessment |
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| Weight decreased | Investigations | MedDRA version 13.1 | Systematic Assessment |
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| Weight increased | Investigations | MedDRA version 13.1 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Ataxia | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Balance disorder | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
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| Convulsion | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
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| Paraesthesia | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
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| Tremor | Nervous system disorders | MedDRA version 13.1 | Systematic Assessment |
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| Diplopia | Eye disorders | MedDRA version 13.1 | Systematic Assessment |
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| Vertigo | Ear and labyrinth disorders | MedDRA version 13.1 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA version 13.1 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA version 13.1 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA version 13.1 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Rhinitis | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
| |
| Viral infection | Infections and infestations | MedDRA version 13.1 | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eisai Medical Services | Eisai, Inc. | 1-888-422-4743 | esi_medinfo@eisai.com |
| ID | Term |
|---|---|
| D004827 | Epilepsy |
| D012640 | Seizures |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C551441 | perampanel |
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|
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| Participants |
|
|