Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
First Autoimmune Epilepsy RCT Supports IVIG Therapy
Key clinical point: There is now evidence that intravenous immunoglobulin (IVIG) is a good treatment option for patients with autoimmune epilepsy; insurance coverage may follow.
Major finding: Six of eight people (75%) with leucine-rich, glioma-inactivated-1 antibody–associated epilepsy had at least a 50% reduction in seizure frequency with IVIG, versus none of six randomized to placebo.
Study details: Controlled clinical trial involving 17 patients.
Disclosures: The work was funded by companies that sell IVIG and IVIG home infusion equipment. The study lead disclosed research support from the IVIG maker, and another investigator is a consultant for the company.
Dubey D et al. AES 2019, Abstract 1.292.