2016
Brivaracetam for the treatment of epilepsy
KLEIN, Pavel, Ivana TYRLÍKOVÁ, Milan BRÁZDIL a Ivan REKTORZákladní údaje
Originální název
Brivaracetam for the treatment of epilepsy
Autoři
KLEIN, Pavel (840 Spojené státy), Ivana TYRLÍKOVÁ (203 Česká republika), Milan BRÁZDIL (203 Česká republika) a Ivan REKTOR (203 Česká republika, garant, domácí)
Vydání
EXPERT OPINION ON PHARMACOTHERAPY, Abingdon, TAYLOR & FRANCIS LTD, 2016, 1465-6566
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30104 Pharmacology and pharmacy
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.894
Kód RIV
RIV/00216224:14740/16:00090504
Organizační jednotka
Středoevropský technologický institut
UT WoS
000370165600001
Klíčová slova anglicky
Synaptic vesicle protein 2A ligand; Brivaracetam; anticonvulsant agent; partial-onset seizures; refractory epilepsy
Štítky
Změněno: 11. 8. 2016 14:29, Mgr. Eva Špillingová
Anotace
V originále
Introduction: Approximately one third of patients with epilepsy fail to respond to existing medications. Levetiracetam is an effective antiepileptic drug (AED) postulated to act by binding to synaptic vesicle protein 2A. Brivaracetam is a novel high affinity SV2A ligand with approximately 20-fold higher affinity for SV2A protein than levetiracetam. It is at an advanced stage of clinical development for treatment of epilepsy.Areas covered: This article reviews animal data, pharmacokinetics, and phase 1-3 data of Brivaracetam treatment of epilepsy. Brivaracetam has broad-spectrum anticonvulsant activity in animal models.Expert Opinion: Phase 1 studies indicated that single oral doses of 5-800 mg and repeated oral doses of up to 600 mg were well tolerated and showed favorable pharmacokinetic profile. Phase 2 studies indicated good safety and tolerability of brivaracetam in the dose range of 5-150 mg/day and provided proof of concept for efficacy in treating refractory partial onset seizures. Efficacy and safety have been evaluated in 4 phase 3 studies with dose range of 5-200 mg which have demonstrated efficacy in the range of 100-200 mg/day dose and, in most studies, also with 50 mg/day dose, and good safety and tolerability profile across 5-200 mg doses in adjunctive treatment of refractory partial onset seizures.