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Abstract Details

Caregivers’ Perspectives on the Long-term Seizure- and Non-seizure-related Benefits of Fenfluramine on Patients with Dravet Syndrome and their Families
Epilepsy/Clinical Neurophysiology (EEG)
Epilepsy/Clinical Neurophysiology (EEG) Posters (7:00 AM-5:00 PM)
074
The purpose of this study was to describe how fenfluramine (FFA; FINTEPLA) treatment affects Dravet syndrome (DS) patients and their families.
An interim analysis of an open label extension study of FFA indicated that FFA provides meaningful reductions in convulsive seizure frequency for up to 3 years in DS patients.
Participants were parents caring for a patient with DS who participated in the FFA open label extension study and clinician investigators who treated those patients. All participants participated in individual semi-structured interviews to discuss the benefits of FFA treatment. Caregiver participants also completed a self-report survey of their health and quality of life (QOL).

To date, 21 caregivers (M=47 years old; 76% female) and 2 clinicians have been interviewed. Patients (M=14 years old; range: 4-31 years) had been receiving FFA at least 5 months (and up to 25 months, M=10 months).

Parents/caregivers reported both seizure-related (i.e., reductions in seizure activity, seizure triggers, post-ictal recovery times) and non-seizure-related benefits (i.e., cognition, alertness, problem solving, education, mood, motor function, sleep quality, speech) with FFA treatment. Caregivers reported feeling less overwhelmed, improved mood, and less personal and family stress.  Clinicians independently corroborated caregiver reports.

Parents/caregivers reported significantly lower fatigue and sleep disturbance T-scores and higher global mental health and resilience T-scores than a normative sample of DS caregivers from a previous study to develop measures of caregiving stress and benefit (p’s < 0.05).

Caregivers reported numerous seizure- and non-seizure-related benefits of FFA treatment for their child, themselves, and family. Many reported feeling hope for the first time since their child was diagnosed with DS. FFA treatment is associated with meaningful positive outcomes in numerous QOL domains for patients with DS and their families.

Authors/Disclosures
Dagmar Amtmann
PRESENTER
The institution of Dagmar Amtmann has received research support from Zogenix .
No disclosure on file
Arnold Gammaitoni, PharmD (Zogenix) Dr. Gammaitoni has received personal compensation for serving as an employee of Zogenix Inc.. Dr. Gammaitoni has received stock or an ownership interest from Zogenix Inc..
No disclosure on file
No disclosure on file
No disclosure on file