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- by Eo, Yun-Ho Sep 02, 2026 09:06am
Fintepla, a new treatment for Dravet syndrome, may now be prescribed at major hospitals in Korea, following its addition to the national reimbursement list.According to industry sources, UCB Korea’s Fintepla (fenfluramine) has passed the drug committees (DCs) of major medical institutions in Korea, including Seoul National University Hospital, Severance Hospital, Korea University Guro Hospital and Seoul National University Bundang Hospital.With the drug added to the reimbursement list as of yesterday (Sept. 1), the number of hospitals where it can be prescribed is expected to continue increasing.Fintepla is reimbursed for patients aged 2 years or older with Dravet syndrome who have received three or more existing antiseizure medications (valproate, clobazam) at sufficiently tolerated doses but have failed to achieve at least a 50% reduction in seizure frequency compared with when the first antiseizure medication was initiated.Dravet syndrome is an ultra-rare, severe and intractable childhood epilepsy that typically develops around 12 months of age, and up to 15% of patients die during infancy or adolescence. In addition to prolonged febrile seizures, patients experience various nonspecific forms of seizures throughout their lives. Persistent seizures are associated with an increased risk of physical and neurodevelopmental comorbidities, including muscle stiffness, language development disorders, autism, intellectual disability, and ADHD.The disease also places a substantial burden on caregivers, who often have to provide round-the-clock care and contend with high levels of caregiving stress and poor quality of life due to career interruptions and loss of income. In particular, substantial unmet medical needs remain in Korea as there are limitations in controlling seizures with currently used antiepileptic drugs alone, and some therapies even exacerbate seizures.Fintepla is the only antiseizure medication with a dual mechanism of action targeting both serotonin receptors and the sigma-1 receptor pathway. It reduces seizures by promoting serotonin release, acting on multiple 5-HT receptors and modulating sigma-1 receptors. Another feature supporting its clinical utility is that it can be added to existing antiseizure therapy without requiring discontinuation or dose adjustment of medications already being taken.In three randomized, placebo-controlled Phase III trials, Fintepla significantly reduced mean monthly convulsive seizure frequency by approximately 54% to 65% compared with placebo. The proportion of patients achieving near-seizure freedom reached 25% in Study 1 and 29% in Study 3.In an open-label extension study lasting up to three years, 64.2% of all patients achieved at least a 50% reduction from baseline in mean monthly convulsive seizure frequency, demonstrating sustained efficacy over the longer term.Hoon-Chul Kang, Professor of pediatric neurology at Severance Children’s Hospital, said, “Fintepla has demonstrated clinically meaningful treatment outcomes not only in reducing seizure frequency but also in improving non-seizure symptoms. With reimbursement now available, we expect meaningful expansion of treatment opportunities for children with Dravet syndrome who have faced limitations with existing therapeutic options.”