Quality of Life in Childhood Epilepsy in pediatric patients enrolled in a prospective, open-label clinical study with cannabidiol

Epilepsia. 2017 Aug;58(8):e96-e100. doi: 10.1111/epi.13815. Epub 2017 Jun 15.

Abstract

Recent clinical trials indicate that cannabidiol (CBD) may reduce seizure frequency in pediatric patients with certain forms of treatment-resistant epilepsy. Many of these patients experience significant impairments in quality of life (QOL) in physical, mental, and social dimensions of health. In this study, we measured the caregiver-reported Quality of Life in Childhood Epilepsy (QOLCE) in a subset of patients enrolled in a prospective, open-label clinical study of CBD. Results from caregivers of 48 patients indicated an 8.2 ± 9.9-point improvement in overall patient QOLCE (p < 0.001) following 12 weeks of CBD. Subscores with improvement included energy/fatigue, memory, control/helplessness, other cognitive functions, social interactions, behavior, and global QOL. These differences were not correlated to changes in seizure frequency or adverse events. The results suggest that CBD may have beneficial effects on patient QOL, distinct from its seizure-reducing effects; however, further studies in placebo-controlled, double-blind trials are necessary to confirm this finding.

Keywords: Cannabidiol; Epilepsy; Pediatric; Quality of life; Seizures.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anticonvulsants / therapeutic use*
  • Cannabidiol / therapeutic use*
  • Child
  • Child, Preschool
  • Epilepsy / drug therapy*
  • Epilepsy / psychology*
  • Female
  • Humans
  • Infant
  • Male
  • Prospective Studies
  • Quality of Life / psychology*
  • Retrospective Studies
  • Young Adult

Substances

  • Anticonvulsants
  • Cannabidiol