Active substance Perampanel
Domain Neurological disorders
Reason of inclusion Indication extension
Main indication Epilepsy
Extended indication Fycompa (perampanel) is indicated for the adjunctive treatment of partial-onset seizures (POS) with or without secondarily generalised seizures in patients from 4 years of age and older. primary generalised tonic-clonic (PGTC) seizures in patients from 7 years of age and older with idiopathic generalised epilepsy (IGE).


Proprietary name Fycompa
Manufacturer Eisai
Mechanism of action Receptor antagonist
Route of administration Oral
Therapeutical formulation Oral suspension
Budgetting framework Extramural (GVS)
Additional comments AMPA receptor antagonist


Registration route Centralised (EMA)
Type of trajectory Normal trajectory
Submission date September 2019
Expected Registration November 2020
Orphan drug No
Registration phase Registered
Additional comments Positieve CHMP-opinie in september 2020.

Therapeutic value

Current treatment options Overige anti-epileptica
Therapeutic value No judgement
Substantiation Perampanel met name interessant voor patiënten die niet uitkomen met de huidige behandelopties.
Duration of treatment continuous
Frequency of administration 1 times a day
Dosage per administration 4-12 mg
References NCT02849626; SmPC
Additional comments Dosering moet getitreerd worden voor maximaal effect.

Expected patient volume per year

Patient volume


Market share is generally not included unless otherwise stated.

References GIPdatabank; CBS
Additional comments In 2017 waren er 522 gebruikers van perampanel. Dit zijn patiënten van >12 jaar. De verhouding tussen de bevolkingsgroep 4-12 jaar en die van >12 jaar is ongeveer 1:10. Aangenomen dat er een gelijke verdeling van de indicatie plaatsvindt zouden er ongeveer 50 patiënten verwacht kunnen worden voor deze indicatie.

Expected cost per patient per year

Cost 1,000.00 - 1,100.00
References GIPdatabank
Additional comments In 2017 werd er per gebruiker €1.050 vergoed.

Potential total cost per year

Total cost


This amount gives an indication of the total cost. It is the result of the average expected patient volume times the average cost per patient. both per year.

Off label use

There is currently nothing known about off label use.

Indication extension

Indication extension Yes
Indication extensions Lennox-Gastaut syndrome
References Eisai pipeline; NCT02834793

Other information

There is currently no futher information available.