brivaracetam / Generic mfg. 
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  • ||||||||||  Review, Journal:  Novel drugs and early polypharmacotherapy in status epilepticus. (Pubmed Central) -  Dec 21, 2019   
    Adults with focal seizures exposed to fewer AEDs before adjunctive BRV initiation had higher 1- and 3-year retention rates and were less likely to discontinue long-term BRV treatment due to lack of efficacy or adverse events. Novel drugs and strategies target the underlying pathophysiology of SE with the intent to improve seizure control and outcomes.
  • ||||||||||  pregabalin / Generic mfg., Trileptal (oxcarbazepine) / Novartis
    Journal:  Update on Antiepileptic Drugs 2019. (Pubmed Central) -  Dec 20, 2019   
    Novel drugs and strategies target the underlying pathophysiology of SE with the intent to improve seizure control and outcomes. Knowledge of AED pharmacokinetics, efficacy, and tolerability profiles facilitates the choice of appropriate AED therapy for patients with epilepsy.
  • ||||||||||  Briviact (brivaracetam) / UCB
    Brivaracetam Is More Effective Than Levetiracetam in the Treatment of Experimental Benzodiazepine-Refractory Status Epilepticus (Hall E) -  Nov 28, 2019 - Abstract #AES2019AES_1551;    
    Studies of acute neuronal injury showed strong neuroprotection in all groups treated with ketamine. Conclustions This experiment demonstrates that brivaracetam in more effective than higher-dose levetiracetam in stopping seizures in this model of RSE, and confirms that combinations of a GABAA receptor allosteric stimulator, a NMDA receptor antagonist and an antiepileptic drug are superior to monotherapy in treating RSE.
  • ||||||||||  Briviact (brivaracetam) / UCB
    Use of Brivaracetam in Cases of Acquired Pathologic Myoclonus (Hall E) -  Nov 28, 2019 - Abstract #AES2019AES_1512;    
    This may suggest the potential of an additive benefit in spite of a similar mechanism of action between levetiracetam and brivaracetam. It is unclear if this effect would be similar in the absence of levetiracetam.
  • ||||||||||  carbamazepine / Generic mfg.
    Paradoxical Worsening of Frontal Lobe Seizures with Benzodiazepines (Hall E) -  Nov 28, 2019 - Abstract #AES2019AES_752;    
    Patient’s seizure medications were held, and on the third night, he was noted to have a cluster of seven nocturnal seizures prompting IV diazepam use for a total of 15mg.The patient continued to have seizures requiring additional BZDs, total of 12mg of IV lorazepam and 4mg of IV midazolam over the course of 7 – 8 hours...His ASDs were continued at home doses (brivaracetam 100mg TID, carbamazepine 600-400-400, and perampanel 18mg QHS)...At that point his clobazam was stopped and switched to zonisamide and his seizure frequency decreased to 0-1 per night...Conclustions Paradoxical worsening of frontal lobe seizures with benzodiazepine usage can occur. BZDs still remain the first line for acute seizure treatment, however additional precautions should be taken when used for sleep activated frontal lobe seizures.
  • ||||||||||  Briviact (brivaracetam) / UCB, carbamazepine / Generic mfg., Trileptal (oxcarbazepine) / Novartis
    Real-World Study of Brivaracetam in the US: An Interim Analysis (Hall E) -  Nov 28, 2019 - Abstract #AES2019AES_653;    
    Three patients died during the study, but none were judged to be drug-related. Conclustions This interim analysis indicates that retention on BRV (a measure of effectiveness) at 3 and 6 months is similar between patients that had previously failed LEV, LTG, OXC, and CBZ.
  • ||||||||||  carbamazepine / Generic mfg.
    Anti-Epileptic Drugs and Efficacy Against Focal to Bilateral Tonic-Clonic Seizures: A Systematic Review (Hall E) -  Nov 28, 2019 - Abstract #AES2019AES_642;    
    Conclustions In a landmark older study, control of convulsive seizures did not differ significantly between phenytoin, carbamazepine, phenobarbital and primidone, and in a second study they observed no significant difference between carbamazepine and valproate...At the moment, there are insufficient evidence to determine the superiority of any one AED over another for treatment of FBTCS. Worthy of mention is the fact that none of the studies we analyzed reported the reduction in FBTCS during sleep, which is especially relevant for the prevention of SUDEP.
  • ||||||||||  How are Newly FDA Approved Anti-Epileptic Drugs (AEDs) Being Utilized? (Hall E) -  Nov 28, 2019 - Abstract #AES2019AES_550;    
    Esclicarbazepine was had the lowest average of concurrent AEDs (1.4), followed by clobazam (1.9), brivaracetam (1.9) and perampanel (2.2)...The most commonly concurrent AEDs are medications which longstanding proven efficacy and low side effect and efficacy profiles (levetiracetam, lamotrigine, and lacosamide)...As more AEDs become FDA approved for epilepsy, it will be valuable to see if prescribing trends of the AEDs approved between 2010 and 2016 are altered. It would be valuable in future studies to see if these prescribing trends can be reaffirmed in larger patient cohorts.
  • ||||||||||  First Clinical Experience with Ketocal in Mexican Pediatric Patients: Report of Two Cases. (Hall E) -  Nov 28, 2019 - Abstract #AES2019AES_540;    
    Results The response of both patients to the ketogenic diet was satisfactory, until now the same treatment is continued in ketosis surveillance as well as the registry of crisis number, lipid profile, and liver enzymes as well as electroencephalogram, during the use of the diet was decided to reduce topiramate to the risk of nephrocalcinosis without evidence of adverse effects related to diet. Conclustions The use of ketogenic diet has been well described for many years, however in Mexico the protocols for the administration of the diet are not well designed.The need for a multidisciplinary team of specialists is necessary as well as the monitoring of adverse effects related to diet in addition to the adjustment of antiepileptic drugs in each patient.The advantages of using Ketocal in these cases have been the absence of hypoglycemia, increased blood lipids in addition to not requiring nutrients such as calcium or magnesium in the treated patients.
  • ||||||||||  Epidiolex (cannabidiol) / GW Pharma
    The Effect of Epidiolex on Felbamate Levels in Children with Treatment Resistant Epilepsy (Hall E) -  Nov 28, 2019 - Abstract #AES2019AES_397;    
    Another recent case series described a potential interaction between CBD and Brivaracetam2...Other concomitant AEDs included Valproic acid (N=8), Clobazam (N=11), Topiramate (N=3), Levetiracetam (N=2), Zonisamide (N=1), and Vigabatrin (N=1)...Additionally, of the six subjects who were only taking Epidiolex and Felbamate, five (83%) exhibited decreased Felbamate levels. While the mechanism for the interaction is unknown, these findings suggest that close laboratory monitoring and potential dose adjustments may be required when patients taking felbamate are started on Epidiolex.
  • ||||||||||  Briviact (brivaracetam) / UCB
    Journal:  Brivaracetam for epilepsy. (Pubmed Central) -  Nov 6, 2019   
    More than a third of patients with epilepsy cannot achieve freedom from seizures despite taking multiple medications. This article compares brivaracetam to levetiracetam, and provides guidelines for the safe and effective use of brivaracetam.
  • ||||||||||  ganaxolone oral (CCD-1042) / Marinus
    Journal:  New antiepileptic drugs (Pubmed Central) -  Nov 2, 2019   
    Cannabidiol and fenfluramine are useful in the treatment of Dravet or Lennox Gastaut syndrome. Allopregnenolona and ganaxolone showed good efficacy in status epilepticus and could play an important future role in this clinical scenario.
  • ||||||||||  Briviact (brivaracetam) / UCB
    Clinical, Journal:  Extrapolation of a Brivaracetam Exposure-Response Model from Adults to Children with Focal Seizures. (Pubmed Central) -  Oct 9, 2019   
    Trial completion date: Jun 2020 --> Mar 2021 | Trial primary completion date: Jun 2020 --> Mar 2021 Simulation with the adult brivaracetam PK/PD model in combination with an existing pediatric brivaracetam population PK model allowed characterization of the dose-response curve, suggesting maximum response at brivaracetam 4 mg/kg/day dosing (capped at 200 mg/day, the maximum adult dose) in children aged ≥4 years.
  • ||||||||||  Briviact (brivaracetam) / UCB
    Clinical, Journal:  Brivaracetam in the treatment of epilepsy: a review of clinical trial data. (Pubmed Central) -  Oct 3, 2019   
    In this setting, immediate switch from LEV to BRV at a 10:1-15:1 ratio without titration is feasible. Further research is needed to examine the long-term tolerability and efficacy of BRV as well as its role in the treatment of other types of epilepsies, particularly dementia-related epilepsy and brain tumor-related epilepsy.
  • ||||||||||  Trileptal (oxcarbazepine) / Novartis
    Clinical, PK/PD data, Review, Journal:  Pharmacokinetic Considerations with the Use of Antiepileptic Drugs in Patients with HIV and Organ Transplants. (Pubmed Central) -  Sep 28, 2019   
    Antiepileptic drugs with no or minimal enzyme-inducing properties include brivaracetam, gabapentin, lacosamide, lamotrigine, levetiracetam, perampanel, pregabalin, and vigabatrin. The newer generations of antiepileptic drugs have expanded the therapeutic options in patients with HIV infection or organ transplants.
  • ||||||||||  brivaracetam / Generic mfg.
    Trial completion date, Trial primary completion date:  Open-label Long-term Study of Adjunctive Brivaracetam in Pediatric Subjects With Epilepsy (clinicaltrials.gov) -  Sep 19, 2019   
    P3,  N=600, Enrolling by invitation, 
    The newer generations of antiepileptic drugs have expanded the therapeutic options in patients with HIV infection or organ transplants. Trial completion date: Jan 2024 --> Jul 2022 | Trial primary completion date: Dec 2023 --> Jul 2022
  • ||||||||||  Briviact (brivaracetam) / UCB
    Clinical, Review, Journal:  Levetiracetam and brivaracetam: a review of evidence from clinical trials and clinical experience. (Pubmed Central) -  Sep 17, 2019   
    BRV has been recently introduced as an adjunct antiepileptic drug in focal epilepsy with a similarly promising pharmacokinetic profile and possibly increased tolerability concerning psychiatric adverse events. This review summarizes the essential preclinical and clinical data of LEV and BRV that is currently available and includes the experiences at a large tertiary referral epilepsy center.
  • ||||||||||  Briviact (brivaracetam) / UCB
    Journal:  Recent anti-seizure medications in the intensive care unit. (Pubmed Central) -  Jul 26, 2019   
    Recent ASMs and could represent better treatment choices in critically ill patients than older ones but this needs to be confirmed in randomized controlled studies. In general, further studies are required to clarify the indications and optimal use of ASMs in the critical care setting.
  • ||||||||||  Fycompa (perampanel) / Eisai, Briviact (brivaracetam) / UCB, Aptiom (eslicarbazepine) / Sumitomo Dainippon, Eisai
    Journal:  Safety profile of the newest antiepileptic drugs: a curated literature review. (Pubmed Central) -  Jul 11, 2019   
    The assay developed in this study is suitable for the identification and quantification of SVR, LCR and BVR in the forensic laboratory. Early detection of ADRs could lead to an improvement in patients' quality of life, therefore it is important to monitor ADRs and to adequately perform post marketing surveillance in the clinical practice setting.
  • ||||||||||  Briviact (brivaracetam) / UCB
    Clinical, Journal:  Brivaracetam in adults with drug-resistant epilepsy and psychiatric comorbidities. (Pubmed Central) -  Jul 11, 2019   
    A total of 91.6% had received levetiracetam (LEV) before, in whom LEV was discontinued because of psychiatric adverse events (PAEs) in half. Seventy-seven percent of patients who developed PAEs with LEV did not do so on BRV suggesting that BRV is better tolerated than LEV in complex patients with psychiatric comorbidities and that the synaptic vesicle glycoprotein 2A (SV2A) protein modulation is unlikely to be implicated in LEV-related PAEs.
  • ||||||||||  Briviact (brivaracetam) / UCB
    Clinical, Journal:  Letter re: Efficacy and safety of brivaracetam for partial-onset seizures in 3 pooled clinical studies. (Pubmed Central) -  Jul 1, 2019   
    Seventy-seven percent of patients who developed PAEs with LEV did not do so on BRV suggesting that BRV is better tolerated than LEV in complex patients with psychiatric comorbidities and that the synaptic vesicle glycoprotein 2A (SV2A) protein modulation is unlikely to be implicated in LEV-related PAEs. No abstract available
  • ||||||||||  Briviact (brivaracetam) / UCB
    P3 data, Journal, Adverse events:  Cognitive and fatigue side effects of anti-epileptic drugs: an analysis of phase III add-on trials. (Pubmed Central) -  Jun 22, 2019   
    Due to their clinical relevance and impact on quality of life, new trials should make data related to the prevalence and discontinuation rates of these side effects publicly available. Given the clear dose response effect, physicians should consider aiming for lower drug loads and adjusting doses to improve tolerability.
  • ||||||||||  Trileptal (oxcarbazepine) / Novartis
    Journal:  Therapeutic Drug Monitoring of Antiepileptic Drugs in Epilepsy: A 2018 Update. (Pubmed Central) -  Apr 30, 2019   
    For the older first generation AEDs (carbamazepine, ethosuximide, phenobarbital, phenytoin, primidone and valproic acid), much data has accumulated in this regard. However, this is occurring increasingly for the new AEDs (brivaracetam, eslicarbazepine acetate, felbamate, gabapentin, lacosamide, lamotrigine, levetiracetam, oxcarbazepine, perampanel, piracetam, pregabalin, rufinamide, stiripentol, sulthiame, tiagabine, topiramate, vigabatrin and zonisamide).