TY - JOUR KW - CNS KW - MEA KW - NAMs KW - Drug development KW - Drug Discovery KW - drug safety KW - epilepsy KW - hiPSC neurons KW - ion channels KW - seizure AU - Ruth A. Roberts AU - Mamta Behl AU - Helena T. Hogberg AU - Eduardo Dunayevich AU - Michael Morton AU - Kimberly L. Rockley AU - Abigail L. Walker AU - Jennifer B. Pierson AB - Seizures are the hallmark of treatment-resistant epilepsy and are also a frequent adverse event in drug safety testing. Here we present a critical evaluation of new approach methodologies (NAMs) in epilepsy research and seizure liability. Specifically, recent data have shown that seizure can be profiled using an in vitro seizure liability assay (iSLA) comprising a microelectrode array (MEA) of human induced pluripotent stem cell (iPSC) neurons coupled with a human ion channel panel. Adverse outcome pathways (AOPs) also offer a powerful NAM framework to map how key events can lead to an adverse outcome such as seizure. These NAMs offers an innovative approach to antiseizure medication research as well as to seizure risk testing in drug discovery and development. BT - Drug Discovery Today DA - 2025-12-03 DO - 10.1016/j.drudis.2025.104569 IS - 1 LA - eng N2 - Seizures are the hallmark of treatment-resistant epilepsy and are also a frequent adverse event in drug safety testing. Here we present a critical evaluation of new approach methodologies (NAMs) in epilepsy research and seizure liability. Specifically, recent data have shown that seizure can be profiled using an in vitro seizure liability assay (iSLA) comprising a microelectrode array (MEA) of human induced pluripotent stem cell (iPSC) neurons coupled with a human ion channel panel. Adverse outcome pathways (AOPs) also offer a powerful NAM framework to map how key events can lead to an adverse outcome such as seizure. These NAMs offers an innovative approach to antiseizure medication research as well as to seizure risk testing in drug discovery and development. PY - 2025 EP - 104569 T2 - Drug Discovery Today TI - Use of new approach methodologies (NAMs) in epilepsy research and seizure risk assessment VL - 31 SN - 1878-5832 ER -