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Epilepsy & Neurology4 Active Trials

Orrin Devinsky, MD

Professor of Neurology, Neurosurgery & Psychiatry; Director, NYU Comprehensive Epilepsy Center

NYU Langone Health · New York, NY

h-index 85
42,000+ citations
520+ publications
4 active trials

Biography

Orrin Devinsky is one of the world's foremost epileptologists and the clinical researcher most responsible for establishing CBD (Epidiolex) as an FDA-approved treatment for Dravet syndrome and Lennox-Gastaut syndrome. His pivotal Phase 3 trials, published in the New England Journal of Medicine and The Lancet Neurology, provided the rigorous clinical evidence that led to the first FDA approval of a cannabis-derived medicine in 2018. Devinsky has treated thousands of patients with treatment-resistant epilepsy and has been a tireless advocate for evidence-based access to cannabinoid medicines for children with severe epilepsy. He is a member of the National Academy of Medicine and has received the American Epilepsy Society's Lifetime Achievement Award.

Key Contributions

  • 1Led pivotal Phase 3 RCTs of Epidiolex for Dravet syndrome (NEJM 2017) and LGS (Lancet Neurology 2018)
  • 2Established CBD as the first FDA-approved cannabis-derived medicine (June 2018)
  • 3Demonstrated CBD reduces convulsive seizures by 39% vs. placebo in Dravet syndrome
  • 4Characterized the drug interaction between CBD and clobazam (elevated N-clobazam levels)
  • 5Established the evidence base for CBD in tuberous sclerosis complex (GWPCARE6 trial)
  • 6Co-founded the Epilepsy Foundation's cannabis access advocacy program

Selected Publications

Trial of Cannabidiol for Drug-Resistant Seizures in the Dravet Syndrome

2,800 citations

New England Journal of Medicine · 2017

Landmark Phase 3 RCT of CBD (20mg/kg/day) in 120 children with Dravet syndrome. CBD reduced convulsive seizure frequency by 39% vs. 13% for placebo (p=0.01). 5% of CBD patients became seizure-free vs. 0% placebo. This trial led directly to FDA approval of Epidiolex.

DOI: 10.1056/NEJMoa1611618

Effect of Cannabidiol on Drop Seizures in the Lennox-Gastaut Syndrome

1,900 citations

New England Journal of Medicine · 2018

Phase 3 RCT of CBD for Lennox-Gastaut syndrome. CBD reduced drop seizure frequency by 43.9% vs. 21.8% for placebo. Results supported FDA approval of Epidiolex for LGS, expanding the approved indication beyond Dravet syndrome.

DOI: 10.1056/NEJMoa1714631

Cannabidiol in Patients with Treatment-Resistant Epilepsy: An Open-Label Interventional Trial

1,600 citations

The Lancet Neurology · 2016

Open-label trial of CBD in 214 patients with treatment-resistant epilepsy across multiple epilepsy syndromes. Median reduction in monthly seizures was 36.5%. Established safety and preliminary efficacy across a broad range of epilepsy types.

DOI: 10.1016/S1474-4422(15)00379-8
View all publications on PubMed