Oliver's mTOR Atlas Evidence Platform
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Jacqueline A. French

Epilepsy clinical-trial specialist; first author of EXIST-3, the placebo-controlled phase 3 trial in which everolimus reduced treatment-resistant seizures in tuberous sclerosis complex.

Professor of Neurology, NYU Grossman School of Medicine (since 2007) · Director, The Epilepsy Study Consortium · senior scientific roles at the Epilepsy Foundation · past president, American Epilepsy Society · earlier Professor of Neurology, University of Pennsylvania · epilepsy fellowships, Mount Sinai and Yale (1989) · MD, Brown University (1982)

Comprehensive Epilepsy Center, NYU Grossman School of Medicine (New York, New York, USA) ↗

Jacqueline French was first author of the EXIST-3 trial (FRE2016). 366 patients aged 2 to 65 with tuberous sclerosis complex and focal seizures that had not responded to standard drugs were randomised to placebo or to everolimus at a low or high blood level, added to their usual antiepileptic drugs. At least a 50% fall in seizure frequency was seen in 15.1% on placebo, 28.2% on low exposure and 40.0% on high exposure, with more adverse events at higher exposure. The trial showed a dose-dependent effect of mTOR inhibition on seizures in TSC over an 18-week core phase. It builds on mouse work such as ZEN2008.

French trained at Brown, Mount Sinai and Yale, was a professor of neurology at the University of Pennsylvania, and moved to NYU Langone in 2007. Her work centres on how antiseizure drugs are tested: she founded the Epilepsy Study Consortium, an academic network for early-phase epilepsy trials, and helped develop trial designs accepted by the FDA.

Milestones in the Atlas

A selection, not a full bibliography: only papers that meet the Atlas inclusion criteria.

YearEvidenceStudy
2016 H Adjunctive everolimus therapy for treatment-resistant focal-onset seizures associated with tuberous sclerosis (EXIST-3): a phase 3, randomised, double-blind, placebo-controlled study FRE2016 First author: in EXIST-3, adjunctive everolimus reduced treatment-resistant focal seizures in TSC in a dose-dependent way compared with placebo.

Co-authors in the Atlas

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