Welcome to this special episode of the
NeurologyLive® Mind Moments™ podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In 2022 and onward, whenever the FDA makes a major decision for the field of neurology, we'll be releasing short special episodes to offer a snapshot of the news, including the main takeaways for the clinical community, as well as highlights of the efficacy and safety profile of the agent in question.
In this episode, we're covering the recent approvals of ganaxolone (Ztalmy; Marinus Pharmaceuticals) in cyclin-dependent kinase-like 5 (CDKL5) deficiency disorder, also known as CDD, as well as fenfluramine (Fintepla; Zogenix/UCB) in Lennox-Gastaut syndrome (LGS). Offering commentary is a pair of experts. The first is Scott Demarest, MD, MSCS, neurologist and clinical director of precision medicine, Children’s Hospital Colorado, and assistant professor of pediatrics-neurology, University of Colorado, and an investigator of the Marigold trial (NCT03572933). The second is Kelly G. Knupp, MD, MSCS, FAES, pediatric neurologist, Children's Hospital Colorado, and associate professor of pediatrics-neurology, University of Colorado, and an investigator of Study 1601 (NCT03355209).
Episode Breakdown:
0:30 – Ganaxolone (Ztalmy; Marinus) approved for CDD
2:30 – Scott Demarest, MD, with his reaction to the approval
3:00 – Data from the Marigold study of ganaxolone
4:45 – Safety profile of ganaxolone in development
5:10 – Demarest on the landscape of care for CDD
6:20 – Clinical takeaways ahead of DEA scheduling for ganaxolone
8:40 – Fenfluramine (Fintepla; Zogenix/UCB) approved for LGS
10:55 – Kelly Knupp, MD, with her reaction to the new indication
11:30 – Efficacy data on fenfluramine in LGS
13:50 – Safety profile in LGS and Dravet syndrome
16:05 – Knupp on the potential to improve quality of life and optimal use
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NeurologyLive® Mind Moments™ podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit
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