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Epilepsy Trials

June 2026 · 9 Trials · NeuroTrials.ai
FEATURED ARTICLE
Can eslicarbazepine acetate prevent the development of post-stroke epilepsy in patients at high risk after acute stroke?

BIA-2093-213

Safety and efficacy of eslicarbazepine acetate for seizure prevention in patients with stroke at high risk of developing post-stroke epilepsy: a proof-of-concept, phase 2a, randomised, double-blind, placebo-controlled antiepileptogenesis trial

Lancet Neurology · 2026

Bottom Line: Eslicarbazepine acetate did not significantly reduce the composite endpoint of first unprovoked seizure, death, or treatment discontinuation compared to placebo in post-stroke patients (28% vs 37%, OR 0.66, p=0.37). The trial was underpowered due to slow recruitment and COVID-19 disruptions but demonstrates the feasibility of conducting antiepileptogenesis trials.

DRAVET 2

Is intrathecal zorevunersen, an antisense oligonucleotide that upregulates NaV1.1 sodium channels, safe and effective in reducing seizures in children and adolescents with Dravet syndrome?

MONARCH/ADMIRAL (Zorevunersen in Dravet Syndrome)

2026

Does fenfluramine reduce convulsive seizure frequency in children and young adults with Dravet syndrome who have inadequate seizure control despite current antiepileptic drug therapy?

Fenfluramine Dravet Study

2019

REFRACTORY EPILEPSY 3

Does soticlestat, a first-in-class cholesterol 24-hydroxylase (CH24H) inhibitor, reduce major motor drop seizure frequency as adjunctive therapy in patients with Lennoxโ€“Gastaut syndrome?

SKYWAY

2026

Does MRgLITT preserve cognitive functionโ€”especially naming and verbal memoryโ€”better than traditional open resection in patients with drug-resistant mesial temporal lobe epilepsy?

LITT vs Surgery mTLE Meta-Analysis

2026

Does bexicaserin, a selective 5-HT2C receptor superagonist, safely reduce seizure frequency in adolescents and adults with developmental and epileptic encephalopathies of diverse etiologies?

PACIFIC

2026

FOCAL EPILEPSY 1

Does preventative vigabatrin started at first epileptiform EEG activity, before clinical seizure onset, improve neurocognitive outcomes and prevent drug-resistant epilepsy in infants with TSC?

PREVeNT

2024

AEDS 3

Can eslicarbazepine acetate prevent the development of post-stroke epilepsy in patients at high risk after acute stroke?

Eslicarbazepine Antiepileptogenesis

2026

Do levetiracetam and brivaracetam differ meaningfully in their adverse event profiles compared to placebo and to each other?

LEV-BRV Safety Meta-Analysis

2026

Can perampanel monotherapy at 4-8 mg/day provide sustained long-term seizure freedom and acceptable tolerability in adolescent and adult patients with newly diagnosed or currently untreated recurrent focal-onset seizures?

FREEDOM

2025

TREATMENT 2

In pregnant women taking antiseizure medications as monotherapy during the first trimester, what is the risk of major congenital malformations for each specific ASM compared to lamotrigine?

North American AED Pregnancy Registry

2025

Does immediate antiepileptic drug treatment after a first or early seizures improve long-term seizure outcomes compared to deferring treatment until the patient and clinician agree it is necessary?

MESS

2005