拉莫三嗪(Lamotrigine) - 药物靶点：Sodium channels_在研适应症：失神发作，全身性癫痫，躁郁症1型_专利_临床

概要

基本信息

简介拉莫三嗪是一种抗惊厥药物，于1994年12月27日首次被美国食品和药品管理局批准上市。由制药公司葛兰素史克开发的，主要用于治疗Lennox Gastaut综合征、癫痫和双相情感障碍等疾病。拉莫三嗪的作用机制是通过阻断大脑中的钠通道，以稳定神经元的电活动，减轻癫痫发作的严重程度和频率。此外，拉莫三嗪还被用于治疗双相情感障碍的抑郁症状。该药物已被证明对减少癫痫发作的频率和改善患者生活质量具有显著疗效。

药物类型

小分子化药

别名

3,5-diamino-6-(2,3-dichlorophenyl)-1,2,4-triazine、Lamotrigine (JAN/USP/INN)、430-C-78

+ [14]

靶点

Sodium channels

作用方式

阻滞剂

作用机制

钠通道阻滞剂

治疗领域

神经系统疾病遗传病与畸形其他疾病+ [2]

在研适应症

失神发作全身性癫痫躁郁症1型+ [6]

非在研适应症

暴食症抑郁症难治性抑郁症+ [9]

原研机构

GSK Plc

在研机构

GlaxoSmithKline KK上海奥科远制药有限公司

GlaxoSmithKline Export Ltd.

+ [4]

非在研机构

北京科信必成医药科技发展有限公司

葛兰素史克（中国）投资有限公司GlaxoSmithKline Pharmaceuticals SA

+ [3]

权益机构

Neuraxpharm Polska Sp zoo

Eton Pharmaceuticals, Inc.

Glenmark Pharmaceuticals Ltd.

+ [2]

最高研发阶段批准上市

首次获批日期

(1990-01-01),

躁郁症

最高研发阶段(中国)批准上市

特殊审评孤儿药 (美国)、优先审评 (中国)

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结构/序列

分子式C9H7Cl2N5

InChIKeyPYZRQGJRPPTADH-UHFFFAOYSA-N

CAS号84057-84-1

关联

234

项与拉莫三嗪相关的临床试验

NCT07140913

/ Not yet recruiting临床3期

A Phase 3, Randomized, Double-blind, Placebo-controlled, Study to Evaluate the Efficacy and Safety of Adjunctive KarXT for the Treatment of Mania, With or Without Mixed Features, in Individuals With Bipolar-I Disorder Taking Lithium, Valproate, or Lamotrigine

The purpose of this study is to evaluate the efficacy and safety of adjunctive KarXT for the treatment of mania in participants with Bipolar-I Disorder.

开始日期2025-09-05

申办/合作机构

Bristol Myers Squibb Co.

CTR20252057

/ CompletedN/A

拉莫三嗪分散片的生物等效性试验（餐后用药试验）

主要试验目的：在健康受试者体内，在餐后条件下，以The Wellcome Foundation Limited持有的拉莫三嗪分散片（规格：50 mg，商品名：利必通®）为参比制剂，研究河北龙海药业有限公司研制的拉莫三嗪分散片（规格：50 mg；受试制剂）的药代动力学，评价受试制剂与参比制剂是否具有生物等效性。次要试验目的：观察健康受试者餐后口服受试制剂、参比制剂的安全性。

开始日期2025-06-04

申办/合作机构

河北龙海药业有限公司

CTR20252056

/ CompletedN/A

拉莫三嗪分散片的生物等效性试验（空腹用药试验）

主要试验目的：在健康受试者体内，在空腹条件下，以The Wellcome Foundation Limited持有的拉莫三嗪分散片（规格：50 mg，商品名：利必通®）为参比制剂，研究河北龙海药业有限公司研制的拉莫三嗪分散片（规格：50 mg；受试制剂）的药代动力学，评价受试制剂与参比制剂是否具有生物等效性。次要试验目的：观察健康受试者空腹口服受试制剂、参比制剂的安全性。

开始日期2025-06-04

申办/合作机构

河北龙海药业有限公司

100 项与拉莫三嗪相关的临床结果

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100 项与拉莫三嗪相关的转化医学

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100 项与拉莫三嗪相关的专利（医药）

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9,394

项与拉莫三嗪相关的文献（医药）

2026-02-01·COMPUTATIONAL BIOLOGY AND CHEMISTRY

Design, synthesis, and computational evaluation of ester prodrugs of isoguvacine as potential antiseizure medications

Article

作者: Maharani, Rani ; Sarian, Murni Nazira ; Feroz, Shevin Rizal ; Bakar, Khairul Azreena ; Ng, Yan Hong ; Supratman, Unang ; Lam, Su Datt ; Latip, Jalifah ; Muhajir, Muhamad Imam

Epilepsy, a neurological disorder affecting millions worldwide, has driven the development of various antiseizure medications (ASMs). Isoguvacine (IGV), a potent and selective agonist of the GABA_A receptor (GABA_AR), has shown potential in the treatment of epilepsy and other neurological disorders. However, its low blood-brain barrier permeability impairs its ability to act effectively within the central nervous system. To address this limitation, two novel ester derivatives of IGV, E7 and E14, were synthesized via Steglich esterification and evaluated through an integrated computational framework comprising density functional theory (DFT) calculations, molecular docking, molecular dynamics (MD) simulations, and in silico ADMET predictions. DFT analysis revealed that esterification significantly modified the electronic properties of IGV, with E14 exhibiting the highest polarizability (225.895 Å³) and smallest energy gap (-0.155 eV), indicative of enhanced reactivity. Molecular docking demonstrated that GABA (-8.46 kcal/mol) and IGV (-8.35 kcal/mol) exhibit similar binding affinity and complex stability with GABA_AR, supporting the reliability of our computational approach. MD simulations further confirmed the stability of these complexes, where lower RMSD, RMSF, and Rg values indicated that binding of GABA and IGV did not induce significant conformational changes in the overall receptor structure. Moreover, the derivatives were projected to exhibit optimal intestinal absorption (>90%), oral bioavailability, as well as favorable safety profiles with minimal interaction risks and non-carcinogenic properties. Collectively, these in silico findings highlight the potential of ester prodrug design to overcome the central pharmacokinetic limitations of IGV, with E14 emerging as the most promising ASM candidate for further experimental development in epilepsy therapy. Beyond identifying therapeutic advantages of E14, this study also underscores the broader value of integrated computational approaches as powerful and predictive tools in early-stage drug discovery for neurological disorders.

2025-12-31·Journal of Maternal-Fetal & Neonatal Medicine

A 10-year review of periconceptual folic acid supplementation in women with epilepsy taking antiseizure medications

Article

作者: O’Higgins, Amy ; McIntosh, Trudi ; Turner, Ciara ; Gaffney, Damon ; Hogan, Jennifer ; Germaine, Mark

BACKGROUND:

Epidemiological studies have reported that women with epilepsy who are taking antiseizure medications have an increased risk of Neural Tube Defects. Periconceptual folic acid supplementation potentially prevents two-thirds of cases. International guidelines recommend that women at increased risk of a pregnancy complicated by a Neural Tube Defect who could become pregnant should start high-dose (5 mg daily) oral folic acid at least three months before conceiving. The purpose of the study was to examine supplementation in women taking antiseizure medications who delivered a baby weighing >499 g during the ten years 2013-2022 in a large maternity hospital.

METHODS:

The hospital's computerized database contains standardized maternal clinical and sociodemographic details which were entered at the first antenatal visit in the obstetric records. The data on all women with epilepsy taking antiseizure medications was anonymized before coding.

RESULTS:

In the ten years, 75,869 women delivered a baby weighing >499 g. Of the deliveries, 632 (0.83%) were to women with epilepsy. Of these, 250 (0.33%) were taking antiseizure medications when they presented for antenatal care. The most frequently prescribed medications were lamotrigine n = 98 (33.8%) and levetiracetam n = 89 (30.7%). Monotherapy was prescribed in 211 (84.4%) women and polytherapy in 39 (15.6%). Three (1.2%) women took no folic acid before or after conception and 59 (23.6%) only took it after conception. Of the 188 (75.2%) who took folic acid before conception, 164 (65.6%) took high-dose 5 mg and 24 (9.6%) took low-dose 0.4 mg. No maternal characteristics were associated with taking high-dose folic acid before conception. Compliance with the national guidelines in the 16 women taking valproate was 30.8% compared with 76.0% for the other 234 women taking medications (p < 0.03). Compliance in the 211 women receiving monotherapy was 72.5% compared with 25.6% in the 39 women receiving polytherapy (p < 0.03).

CONCLUSIONS:

Two-thirds of women taking antiseizure medications complied with national guidelines on high-dose periconceptual folic acid supplementation. A particular concern is the suboptimal compliance in women prescribed valproate and polytherapy, which are two cohorts at higher risk of a neural tube defect. These findings need to be communicated to women with epilepsy in their reproductive years and their doctors.

KEY POINTS:

Of 75,869 women delivered over 10 years, 250 (0.33%) were on medications for epilepsy at presentation34.4% of women taking medications did not start high dose folic acid before conception23.6% of women did not start folic acid until after conceptionCompliance with recommendations was lowest in women prescribed valproate or polytherapyNo maternal characteristics were identified which were associated with suboptimal compliance.

2025-12-31·DRUG DELIVERY

Development, in vitro and ex vivo characterization of lamotrigine-loaded bovine serum albumin nanoparticles using QbD approach

Article

作者: Kiricsi, Ágnes ; Zupkó, István ; Szalenkó-Tőkés, Ágnes ; Csóka, Ildikó ; Schelz, Zsuzsanna ; Rovó, László ; Salamah, Maryana ; Balogh, György Tibor ; Katona, Gábor ; Sipos, Bence

The present study aimed to prepare and optimize lamotrigine-loaded bovine serum albumin nanoparticles (LAM-NP) using the Quality by Design (QbD) approach and to investigate both the in vitro and ex vivo effects of different cross-linking agents glutaraldehyde (GLUT), glucose (GLUC) and 1-(3-dimethylaminutesopropyl)-3-ethylcarbodiimide hydrochloride (EDC) on intranasal applicability. Cross-linked LAM-NP from EDC (NP-EDC-1) showed the lowest Z-average value (163.7 ± 1.9 nm) and drug encapsulation efficacy (EE%) of 97.31 ± 0.17%. The drug release of GLUC cross-linked LAM-NP (NP-GLUC-9), glutaraldehyde cross-linked LAM-NP (NP-GLUT-2), and NP-EDC-1 at blood circulation conditions was higher than the initial LAM. The results of the blood-brain barrier parallel artificial membrane permeability assay (BBB-PAMPA) showed an increase in the permeability of LAM through the BBB with NP-GLUC-9 and an increase in flux with all selected formulations. The ex vivo study showed that LAM diffusion from the selected formulations through the human nasal mucosa was higher than in case of initial LAM. The cytotoxicity study indicated that BSA-NP reduced LAM toxicity, and GLUC 9 mM and EDC 1 mg could be alternative cross-linking agents to avoid GLUT 2% v/v toxicity. Furthermore, permeability through Caco-2 cells showed that nasal epithelial transport/absorption of LAM was improved by using BSA-NPs. The use of BSA-NP may be a promising approach to enhance the solubility, permeability through BBB and decrease the frequency of dosing and adverse effects of LAM.

129

项与拉莫三嗪相关的新闻（医药）

2025-09-17

·EINPresswire

OWP Pharmaceuticals Announces FDA Approval of SUBVENITE® Oral Suspension

The First and Only Lamotrigine Oral Suspension in the U.S. LISLE, IL, UNITED STATES, September 17, 2025 / EINPresswire.com / -- OWP Pharmaceuticals today announced that the U.S. Food and Drug Administration (FDA) has approved SUBVENITE ® Oral Suspension, the first and only lamotrigine oral suspension in the United States. This innovative formulation will offer treatment options for patients and healthcare providers by offering a flexible, patient-friendly alternative to tablets. Lamotrigine is widely prescribed, but until now only solid oral dosage forms have been available. SUBVENITE ® Oral Suspension is designed for patients who have difficulty swallowing tablets, those who require individualized dosing, or prefer liquid medication formulations. “The FDA approval of SUBVENITE ® Oral Suspension — the first and only lamotrigine oral suspension — represents a significant advancement in patient care,” said Scott Boyer, Founder and President, OWP Pharmaceuticals. “We are proud to bring this much needed treatment option to patients and clinicians, with availability anticipated later in 2025.” Key Features and Benefits of SUBVENITE ® Oral Suspension: - First and only FDA-approved lamotrigine oral suspension in the U.S. - Improved accessibility: Suitable for patients with swallowing challenges, those requiring individualized dosing, or those who prefer liquid medication formulations. - Precision dosing: Liquid formulation allows for dose titration and flexibility. - Therapeutic reliability: Developed to deliver the expected safety and efficacy profile as lamotrigine tablets (1). Availability SUBVENITE ® Oral Suspension has been FDA-approved and is expected to be available in the United States later in 2025 through leading distribution channels. Full prescribing information is available at www.owppharma.com . SUBVENITE is indicated for (2): Epilepsy—adjunctive therapy in patients aged 2 years and older: • partial-onset seizures • primary generalized tonic-clonic (PGTC) seizures • generalized seizures of Lennox-Gastaut syndrome. Epilepsy—monotherapy in patients aged 16 years and older: •Conversion to monotherapy in patients with partial-onset seizures who are receiving treatment with carbamazepine, phenytoin, phenobarbital, primidone, or valproate as the single antiepileptic drug. Bipolar disorder: •Maintenance treatment of bipolar I disorder to delay the time to occurrence of mood episodes in patients treated for acute mood episodes with standard therapy. About OWP Pharmaceuticals OWP Pharmaceuticals is a privately held, commercial-stage neuroscience specialty pharmaceutical company, dedicated to developing and commercializing novel oral liquid formulations. Based in Chicago, OWP is committed to advancing therapies in neurology and psychiatry, with a mission to bring meaningful innovations to patients. Through its partnership with the ROW Foundation, OWP also supports global initiatives to improve epilepsy care and education in underserved communities worldwide. Media Contact: info@owppharma.com References: 1. DOF: Data on File. OWP Pharmaceuticals, Inc. 2. SUBVENITE ® Oral Suspension [package insert]. Lisle, IL: OWP Pharmaceuticals, Inc.; 2025. info@owppharma.com OWP Pharmaceuticals info@owppharma.com Legal Disclaimer: EIN Presswire provides this news content "as is" without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the author above.

上市批准

2025-09-17

·FiercePharma

SK's blockbuster hopeful Xcopri reduces seizures in phase 3 trial, teeing up FDA expansion bid

SK Biopharmaceutical hopes to cross the $1 billion sales marker for Xcopri by 2029. SK Biopharmaceutical’s Xcopri (cenobamate) met the bar in a phase 3 trial that could support the company’s ambitions of building a blockbuster with an expansion into another seizures subtype.The South Korean pharma won FDA approval for Xcopri in 2019 as a treatment for partial-onset seizures, also known as focal seizures, in adults. Since then, with rapid global growth, SK has outlined blockbuster ambitions for the drug by 2029. Now, with a positive phase 3 trial, another indication for primary generalized tonic-clonic (PGTC) seizures could be on the table. In its phase 3 study, SK evaluated Xcopri in 169 adult and adolescent patients with PGTC seizures, finding a “statistically significant reduction” in the seizures, the company said in a filing on the Korea Exchange. Specifically, seizure frequency from baseline levels was reduced by 71.9% in the Xcopri-treated group and 39.6% in the placebo arm over 28-day intervals.PGTC seizures are the most common type of generalized seizures—which are less prevalent than focal seizures—and considered the most severe due to the high risk of seizure-related injury and sudden unexpected death in epilepsy, SK pointed out. With limited treatment options, the company hopes Xcopri can address an unmet need and contribute to quality-of-life improvements for epilepsy patients, it said.While the current treatment landscape for the seizure type is sparse and generally made up of antiseizure medications such as GSK’s off-patent Lamictal, SK isn’t the only one looking to edge in on the market. Xenon Pharmaceuticals is approaching an early 2026 phase 3 readout of its lead candidate, azetukalner, in focal seizures as an additional phase 3 trial in PGTC seizures continues.According to a note by Jefferies analysts, SK’s win in PGTC seizures “serves as a reminder” that Xenon’s azetukalner could show “broad-spectrum activity” as well, supporting peak sales expectations of $400 million from that indication alone and $1 billion on the focal seizures side. However, SK still has some breathing room from the competition as the analysts note that SK’s study took seven years to produce top-line data after its 2018 start, suggesting that Xenon’s phase 3 could take “several years” as well.SK will file for a label expansion with the FDA and present additional analysis from the study at the American Epilepsy Society Annual Meeting in December. Last quarter, Xcopri helped the company reach record sales with U.S. revenues of $111 million.

临床3期上市批准临床结果

2025-09-08

·FierceBiotech

Rapport\'s seizure drug hits in phase 2, sending stock soaring

If approved, RAP-219 could compete with SK Life Science’s Xcopri and Catalyst Pharmaceuticals’ Fycompa.\n A phase 2a trial of Rapport Therapeutics’ focal onset seizure drug candidate has hit its primary endpoint, sending shares in the biotech up more than 157% in premarket trading.The study enrolled 30 people with drug-resistant seizures who were taking a median of three antiseizure medicines such as lamotrigine, levetiracetam and cenobamate. Participants received daily oral doses of RAP-219, Rapport’s TARPγ8-specific AMPA receptor negative allosteric modulator, for eight weeks. The receptor is expressed in parts of the brain associated with seizures but not areas linked to side effects.After eight weeks, 23 of the 27 patients in the primary endpoint analysis had experienced at least a 30% decline in long episodes from baseline. The episodes are an electrographic biomarker for clinical seizure reduction. Rapport reported a 71% median reduction in episode frequency from baseline. Shares in the company jumped 140% to $34.50 at one point in premarket trading.The biotech also reported reductions in clinical seizures, a key secondary endpoint. In an analysis of 25 patients, Rapport found 72% of participants experienced a 50% or greater reduction in clinical seizures from baseline. Almost one-quarter of patients achieved seizure freedom. Rapport tracked a 77.8% median reduction in clinical seizure frequency from baseline. Three patients discontinued treatment because of treatment-emergent adverse events (TEAEs). Almost 80% of TEAEs were grade 1 cases, indicating that they were mild cases. The remaining TEAEs were grade 2. Dizziness, headache and fatigue were the most common TEAEs.Based on the data, Rapport plans to start two phase 3 trials of RAP-219 in the third quarter of 2026. The next steps are to hold an end-of-phase 2 meeting with the FDA, share data from the ongoing eight-week follow-up period and start an open-label long-term safety trial. Those events are all scheduled for this year. Rapport expects to share follow-up data and preliminary long-term results next year.The biotech has predicted that a multibillion-dollar commercial opportunity is open to RAP-219. The forecast reflects an analysis that suggests 30% to 40% of the 3 million epilepsy patients in the U.S. have drug-resistant focal onset seizures.If approved, RAP-219 could compete with SK Life Science’s Xcopri and Catalyst Pharmaceuticals’ Fycompa and potentially against other assets that are currently in development. The pipeline of potential rivals in focal onset seizures includes Biohaven’s BHV-7000, Praxis Precision Medicines’ vormatrigine and Xenon Pharmaceuticals’ azetukalner.

$Rapport\'s seizure drug hits in phase 2, sending stock soaring$

临床2期临床结果

100 项与拉莫三嗪相关的药物交易

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外链

KEGG	Wiki	ATC	Drug Bank
D00354	拉莫三嗪	N03AX09	DB00555

研发状态

批准上市

10 条最早获批的记录,

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适应症	国家/地区	公司	日期
失神发作	日本	GlaxoSmithKline KK	2015-09-24
全身性癫痫	日本	GlaxoSmithKline KK	2008-10-16
躁郁症1型	美国	GlaxoSmithKline LLC	2003-06-20
癫痫部分性发作	美国	GlaxoSmithKline LLC	1998-08-24
强直阵挛性癫痫	中国	GlaxoSmithKline Export Ltd.	1996-07-02
Lennox-Gastaut综合征	美国	GlaxoSmithKline LLC	1994-12-27
癫痫发作	美国	GlaxoSmithKline LLC	1994-12-27
躁郁症	-	GSK Plc	1990-01-01

未上市

10 条进展最快的记录,

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适应症	最高研发状态	国家/地区	公司	日期
抑郁症	临床3期	中国	GlaxoSmithKline Export Ltd.	2012-08-21
抑郁症	临床3期	中国	GlaxoSmithKline Pharmaceuticals SA	2012-08-21
抑郁症	临床3期	中国	葛兰素史克（中国）投资有限公司	2012-08-21
暴食症	临床3期	美国	GSK Plc	2006-03-01
肥胖	临床3期	美国	GSK Plc	2006-03-01
癫痫	临床3期	美国	GSK Plc	2005-10-01
疱疹后神经痛	临床3期	美国	GSK Plc	2005-02-01
精神分裂症	临床3期	美国	GSK Plc	2003-08-01
躁狂	临床3期	荷兰	GSK Plc	2002-08-01
躁狂	临床3期	西班牙	GSK Plc	2002-08-01

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临床结果

适应症

分期

评价

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


FDA_CDER 人工标引	N/A	癫痫部分性发作	355	Lamotrigine 300 mg/day (One trial)	艱蓋夢憲鏇鑰選憲鬱夢(蓋餘鹹淵遞顧積觸夢遞) = 齋遞簾憲範築網廠齋製選淵夢蓋醖艱獵鹹壓獵 (範廠簾餘選衊膚窪淵糧 ) 更多	积极	2025-09-16
				Lamotrigine 500 mg/day (One trial)	艱蓋夢憲鏇鑰選憲鬱夢(蓋餘鹹淵遞顧積觸夢遞) = 觸遞繭鹽積繭構廠網鹽選淵夢蓋醖艱獵鹹壓獵 (範廠簾餘選衊膚窪淵糧 ) 更多
FDA_CDER 人工标引	N/A	癫痫部分性发作	199	Lamotrigine	醖選憲鹽獵窪鬱艱衊繭(鬱壓鬱憲簾顧簾簾鏇製) = 繭衊鏇鑰鹽繭製蓋網獵築簾鏇鹹淵憲獵廠襯廠 (衊構廠鹹構鑰繭憲蓋糧 )	积极	2025-09-16
				Placebo	醖選憲鹽獵窪鬱艱衊繭(鬱壓鬱憲簾顧簾簾鏇製) = 夢構糧淵壓膚鬱築廠糧築簾鏇鹹淵憲獵廠襯廠 (衊構廠鹹構鑰繭憲蓋糧 )
FDA_CDER 人工标引	N/A	强直阵挛性癫痫	117	Lamotrigine	艱鏇獵簾鹽選繭遞鏇壓(選淵糧蓋選製觸鬱淵顧) = 構膚蓋衊糧網獵艱淵構蓋鬱築鏇簾製獵觸顧衊 (壓觸範範窪齋選夢窪膚 )	积极	2025-09-16
				Placebo	艱鏇獵簾鹽選繭遞鏇壓(選淵糧蓋選製觸鬱淵顧) = 鹽鏇鹹蓋鹹構齋選窪壓蓋鬱築鏇簾製獵觸顧衊 (壓觸範範窪齋選夢窪膚 )
FDA_CDER 人工标引	N/A	癫痫部分性发作	156	Lamotrigine 500 mg/day	憲願繭築築製壓壓鬱遞(製餘鬱餘餘簾鹽遞製獵) = 蓋願鹽網醖餘蓋夢夢範觸蓋餘繭繭壓蓋鑰鑰壓 (築蓋齋選遞觸鏇選醖鏇 ) 达到	积极	2025-09-16
				Valproate 1,000 mg/day	憲願繭築築製壓壓鬱遞(製餘鬱餘餘簾鹽遞製獵) = 簾鹽衊醖餘膚積鑰願範觸蓋餘繭繭壓蓋鑰鑰壓 (築蓋齋選遞觸鏇選醖鏇 ) 达到
FDA_CDER 人工标引	N/A	Lennox-Gastaut综合征	169	Lamotrigine	觸膚獵鏇糧鏇遞衊糧築(夢齋醖鹽積選鑰廠鬱餘) = 獵艱鏇齋鏇鹽獵齋顧窪餘艱醖構廠齋窪顧獵憲 (遞選築觸獵憲糧壓獵蓋 )	积极	2025-09-16
				Placebo	觸膚獵鏇糧鏇遞衊糧築(夢齋醖鹽積選鑰廠鬱餘) = 獵願淵餘鑰範選積鹽網餘艱醖構廠齋窪顧獵憲 (遞選築觸獵憲糧壓獵蓋 )
FDA_CDER 人工标引	N/A	躁郁症	575	lamotrigine 50 mg/day (Trial 1)	鬱鹽鹽獵艱繭獵糧壓淵(鑰積築鏇蓋繭艱夢鹹積) = superior to placebo in delaying the time to occurrence of a mood episode 鹽餘鹹遞糧鑰餘製顧壓 (網廠夢鏇積選鏇齋觸夢 )	积极	2025-09-16
				lamotrigine 200 mg/day (Trial 1)
NCT03689114 (STANDLOW, CTgov)	临床4期	癫痫部分性发作	58	Low dose oxcarbazepine+Low dose topiramate+Low dose carbamazepine+Low dose levetiracetam+Low dose valproate+Low dose lamotrigine+Low dose zonisamide+Low dose gabapentin (Low Dose)	鑰餘顧獵構壓醖鑰獵構 = 範廠夢簾窪觸願構夢觸構構鹹憲鑰選憲繭壓壓 (夢鏇構鑰顧衊襯鏇鹽獵, 壓範膚醖壓鬱襯艱襯膚 ~ 顧網鬱齋醖夢鏇淵齋遞) 更多	-	2025-07-08
				oxcarbazepine+topiramate+carbamazepine+levetiracetam+valproate+lamotrigine+gabapentin+zonisamide (Standard Dose)	鑰餘顧獵構壓醖鑰獵構 = 遞窪餘膚願艱鹽鹽糧鹹構構鹹憲鑰選憲繭壓壓 (夢鏇構鑰顧衊襯鏇鹽獵, 鹽壓簾鹽鏇範願選糧鏇 ~ 糧糧襯夢鑰壓鑰顧膚積) 更多
NCT04770493 (CTgov)	临床2期	酒精使用障碍	44	Lamotrigine (Lamotrigine)	膚簾醖鏇鏇網製壓膚廠 = 窪窪淵憲醖醖憲膚鏇鹹網願鹹艱襯廠齋願糧膚 (艱鹹壓糧鑰餘窪遞構蓋, 鏇願顧顧衊壓鏇鑰簾網 ~ 窪餘餘壓顧簾衊艱構憲) 更多	-	2025-06-13
				Placebo (Placebo)	膚簾醖鏇鏇網製壓膚廠 = 襯簾積膚膚積鏇製夢夢網願鹹艱襯廠齋願糧膚 (艱鹹壓糧鑰餘窪遞構蓋, 積淵襯範憲鬱積願網糧 ~ 遞膚鑰膚鏇淵膚築鹹窪) 更多
P9-9.015 (AAN2025)	N/A	白天过度嗜睡	207	Clonazepam	範繭壓製顧蓋艱壓鬱壓(繭襯艱製鏇襯範壓鏇鹽) = Among newer ASMs, there are differences in their tendency to cause excessive daytime sleepiness, with Clonazepam and Levetiracetam being more commonly associated with this side effect, thus warranting caution. Conversely, Perampanel and Lacosamide are less likely to cause daytime sleepiness, and ASM selection should be tailored to the sleep characteristics of epileptic patients. 鏇膚夢構繭鬱繭憲顧願 (鹹鑰觸簾獵鏇廠鹽網醖 )	积极	2025-04-07
				Levetiracetam
CRD42022363844 (AAN2024)	N/A	癫痫发作	18,676	Phenytoin	衊築獵獵壓遞鏇膚範蓋(鹽鏇艱憲鏇襯顧網衊網) = 選餘膚鏇淵鏇憲網壓蓋襯觸鹹網網蓋築獵夢餘 (窪積夢獵選範糧網蓋齋, 23.2–52.8)	积极	2024-04-09
				Carbamazepine	衊築獵獵壓遞鏇膚範蓋(鹽鏇艱憲鏇襯顧網衊網) = 齋鬱鏇憲淵膚醖鹽糧遞襯觸鹹網網蓋築獵夢餘 (窪積夢獵選範糧網蓋齋, 1.7–5.3)