BRIVA-LIFE-A multicenter retrospective study of the long-term use of brivaracetam in clinical practice
Por:
Villanueva V, López-González FJ, Mauri JA, Rodriguez-Uranga J, Olivé-Gadea M, Montoya J, Ruiz-Giménez J and Zurita J
Publicada:
1 abr 2019
Resumen:
Objectives Evaluate long-term effectiveness and tolerability of brivaracetam in clinical practice in patients with focal epilepsy. Materials and Methods This was a multicenter retrospective study. Patients aged >= 16 years were started on brivaracetam from November 2016 to June 2017 and followed over 1 year. Data were obtained from medical records at 3, 6 and 12 months after treatment initiation for evaluation of safety- and seizure-related outcomes. Results A total of 575 patients were included in analyses; most had been treated with >= 4 lifetime antiepileptic drugs. Target dosage was achieved by 30.6% of patients on the first day. Analysis of primary variables at 12 months revealed that mean reduction in seizure frequency was 36.0%, 39.7% of patients were >= 50% responders and 17.5% were seizure-free. Seizure-freedom was achieved by 37.5% of patients aged >= 65 years. Incidence of adverse events (AEs) and psychiatric AEs (PAEs) was 39.8% and 14.3%, respectively, and discontinuation due to these was 8.9% and 3.7%, respectively. Somnolence, irritability, and dizziness were the most frequently reported AEs. At baseline, 228 (39.7%) patients were being treated with levetiracetam; most switched to brivaracetam (dose ratio 1:10-15). Among those who switched because of PAEs (n = 53), 9 (17%) reported PAEs on brivaracetam, and 3 (5.7%) discontinued because of PAEs. Tolerability was not highly affected among patients with learning disability or psychiatric comorbidity. Conclusions In a large population of patients with predominantly drug-resistant epilepsy, brivaracetam was effective and well-tolerated; no unexpected AEs occurred over 1 year, and the incidence of PAEs was lower compared with levetiracetam.
Filiaciones:
Villanueva V:
La Fe University Hospital and Polytechnic, Valencia, Spain
López-González FJ:
Clinical University Hospital, Santiago, Spain
Mauri JA:
Lozano Blesa University Hospital, Zaragoza, Spain
Rodriguez-Uranga J:
Advanced Neurological Centre, Sevilla, Spain
Olivé-Gadea M:
Vall d'Hebrón University Hospital, Barcelona, Spain
:
Lluis Alcanyis Hospital, Xátiva, Spain
Ruiz-Giménez J:
Virgen de las Nieves University Hospital, Granada, Spain
Zurita J:
Infanta Leonor Hospital, Madrid, Spain
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