Protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the UK

Background Epilepsy is a common chronic disease of children that can be treated with anti-epileptic drugs (AEDs). AEDs, however, have significant side effects. Newer AEDs are thought to have fewer side effects. There have, however, been few comparative studies of AED toxicity. The aim is to compare...

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Main Authors: Egunsola, Oluwaseun, Sammons, Helen M., Ojha, Shalini, Whitehouse, William P., Anderson, Mark, Hawcutt, Dan, Choonara, Imti
Format: Article
Published: BMJ Publishing Group 2017
Online Access:https://eprints.nottingham.ac.uk/51985/
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author Egunsola, Oluwaseun
Sammons, Helen M.
Ojha, Shalini
Whitehouse, William P.
Anderson, Mark
Hawcutt, Dan
Choonara, Imti
author_facet Egunsola, Oluwaseun
Sammons, Helen M.
Ojha, Shalini
Whitehouse, William P.
Anderson, Mark
Hawcutt, Dan
Choonara, Imti
author_sort Egunsola, Oluwaseun
building Nottingham Research Data Repository
collection Online Access
description Background Epilepsy is a common chronic disease of children that can be treated with anti-epileptic drugs (AEDs). AEDs, however, have significant side effects. Newer AEDs are thought to have fewer side effects. There have, however, been few comparative studies of AED toxicity. The aim is to compare the safety profile of the most frequently used AEDs by performing a multicentre prospective cohort study. This protocol describes the planned study. Design A multicentre prospective cohort study of children on AED treatment in hospitals across the UK. Ethical approval will be obtained. Sample size Three thousand children on treatment for epilepsy will be recruited from paediatric clinics. It is expected that this sample size will have the potential to compare toxicity between the most frequently used AEDs. Duration of study 24 months. Outcome measure Adverse drug reactions (ADRs) to AEDs. These will be identified by the use of a validated questionnaire, the Paediatric Epilepsy Side Effect Questionnaire. They will be evaluated using the Naranjo algorithm. Preventability will be assessed using the Schumock and Thornton scale. Discussion Toxicity of individual AEDs when given as monotherapy and polytherapy will be determined. Additionally, discontinuation rates due to ADRs will be determined. The data will assist clinicians in choosing AEDs with the least toxicity.
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spelling nottingham-519852020-05-04T18:58:57Z https://eprints.nottingham.ac.uk/51985/ Protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the UK Egunsola, Oluwaseun Sammons, Helen M. Ojha, Shalini Whitehouse, William P. Anderson, Mark Hawcutt, Dan Choonara, Imti Background Epilepsy is a common chronic disease of children that can be treated with anti-epileptic drugs (AEDs). AEDs, however, have significant side effects. Newer AEDs are thought to have fewer side effects. There have, however, been few comparative studies of AED toxicity. The aim is to compare the safety profile of the most frequently used AEDs by performing a multicentre prospective cohort study. This protocol describes the planned study. Design A multicentre prospective cohort study of children on AED treatment in hospitals across the UK. Ethical approval will be obtained. Sample size Three thousand children on treatment for epilepsy will be recruited from paediatric clinics. It is expected that this sample size will have the potential to compare toxicity between the most frequently used AEDs. Duration of study 24 months. Outcome measure Adverse drug reactions (ADRs) to AEDs. These will be identified by the use of a validated questionnaire, the Paediatric Epilepsy Side Effect Questionnaire. They will be evaluated using the Naranjo algorithm. Preventability will be assessed using the Schumock and Thornton scale. Discussion Toxicity of individual AEDs when given as monotherapy and polytherapy will be determined. Additionally, discontinuation rates due to ADRs will be determined. The data will assist clinicians in choosing AEDs with the least toxicity. BMJ Publishing Group 2017-08-04 Article PeerReviewed Egunsola, Oluwaseun, Sammons, Helen M., Ojha, Shalini, Whitehouse, William P., Anderson, Mark, Hawcutt, Dan and Choonara, Imti (2017) Protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the UK. BMJ Paediatrics Open, 1 (1). 000116/1-000116/7. ISSN 2399-9772 http://bmjpaedsopen.bmj.com/content/1/1/e000116 doi:10.1136/bmjpo-2017-000116 doi:10.1136/bmjpo-2017-000116
spellingShingle Egunsola, Oluwaseun
Sammons, Helen M.
Ojha, Shalini
Whitehouse, William P.
Anderson, Mark
Hawcutt, Dan
Choonara, Imti
Protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the UK
title Protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the UK
title_full Protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the UK
title_fullStr Protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the UK
title_full_unstemmed Protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the UK
title_short Protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the UK
title_sort protocol for a prospective observational study of adverse drug reactions of antiepileptic drugs in children in the uk
url https://eprints.nottingham.ac.uk/51985/
https://eprints.nottingham.ac.uk/51985/
https://eprints.nottingham.ac.uk/51985/