BRIVIACT® now available in U.S. pharmacies for epilepsy patients living with partial-onset seizures
- BRIVIACT® (brivaracetam) CV recently approved by U.S. FDA as adjunctive therapy in the treatment of partial-onset seizures in patients 16 years of age and older with epilepsy, and now available1
- With BRIVIACT® patients can start with a therapeutic dose on day one
- People with epilepsy are living with unmet needs, as approximately 30% remain uncontrolled on existing therapies and still experience seizures2
- UCB has a longstanding heritage in developing differentiated treatment solutions for people living with epilepsy; regulatory filings in countries worldwide are underway
Brussels, Belgium – 31 May, 7:30 AM CET – Today UCB announced that BRIVIACT® (brivaracetam) CV, approved as adjunctive therapy for the treatment of partial-onset seizures in patients 16 years of age and older with epilepsy, is now available in U.S. pharmacies across the country. BRIVIACT® is available in three formulations: film-coated tablets, oral solution and injection. Injection may be used when oral administration is temporarily not feasible. Injection (single-dose vials) will be available in pharmacies in June.
BRIVIACT® is a new molecular entity that was approved by the U.S. Food and Drug Administration (FDA) on February 18, 2016, providing an important new treatment option for those living with epilepsy. On May 12, 2016, the Drug Enforcement Administration (DEA) listed BRIVIACT® as a Schedule V controlled substance.
Gradual dose escalation is not required when initiating treatment with BRIVIACT®. The recommended starting dosage is 50 mg twice daily (100 mg per day). Based on individual patient tolerability and therapeutic response, the dosage may be adjusted down to 25 mg twice daily (50 mg per day) or up to 100 mg twice daily (200 mg per day).
“What It is important to note that with BRIVIACT® is that titration is not required to achieve a therapeutic dose. Patients can start their very first BRIVIACT® treatment with a therapeutic dose. This makes it a useful addition to the current antiepileptic medication armamentarium,” said Dr. Pavel Klein, MD, Director, Mid-Atlantic Epilepsy and Sleep Center, Bethesda, Maryland.
BRIVIACT® is associated with important warnings and precautions including suicidal behavior and ideation, somnolence, fatigue, dizziness, disturbance in gait and coordination, psychiatric adverse reactions including non-psychotic and psychotic symptoms, and hypersensitivity reactions (bronchospasm and angioedema). BRIVIACT® is contraindicated in patients with a prior hypersensitivity reaction to brivaracetam or any of the inactive ingredients. The most common adverse reactions (at least 5% for BRIVIACT® and at least 2% more frequently than placebo) are somnolence and sedation, dizziness, fatigue, and nausea and vomiting symptoms.1
Patients with epilepsy are living with significant unmet needs. Approximately 30% of people with epilepsy remain uncontrolled on existing therapies and still experience seizures, which can lead to devastating physical and emotional consequences.2,3 Epilepsy can develop in anyone at any age, and approximately one in 26 people will develop epilepsy in their lifetime.4
“At UCB, we are constantly inspired to improve patients’ lives, which is why we are excited that BRIVIACT® is now available in U.S. pharmacies. This is an important addition to our existing epilepsy portfolio," said Jeff Wren, Head of Neurology and Executive Vice President at UCB. “We remain steadfast in our commitment to addressing unmet needs for people with epilepsy, and will continue our efforts to bring this important treatment to even more patients worldwide.”
In January 2016, the European Commission granted the marketing authorization for BRIVIACT® as an adjunctive therapy in the treatment of partial-onset seizures with or without secondary generalization in adult and adolescent patients from 16 years of age with epilepsy. In the EU, BRIVIACT® is already available to patients in the UK, Germany, and Denmark. In Canada, brivaracetam is approved as the trade name BRIVLERA®. UCB has submitted additional regulatory applications for brivaracetam in other countries including Australia, Brazil, Russia, Switzerland and Turkey.
BRIVIACT® is a new molecular entity that was rationally designed and developed by UCB. Brivaracetam displays a high and selective affinity for synaptic vesicle protein 2A (SV2A) in the brain, which may contribute to the anticonvulsant effect. However, the precise mechanism of action by which BRIVIACT® exerts its anticonvulsant activity is not known. BRIVIACT® is available in three formulations (film-coated tablets, oral solution, and injection).1,5
IMPORTANT SAFETY INFORMATION
Warnings and Precautions
- Suicidal Behavior and Ideation: Antiepileptic drugs, including BRIVIACT, increase the risk of suicidal behavior and ideation. Monitor patients taking BRIVIACT for the emergence or worsening of depression; unusual changes in mood or behavior; or suicidal thoughts, behavior, or self-harm. Advise patients, their caregivers, and/or families to be alert for these behavioral changes and report them immediately to a healthcare provider.
- Neurological Adverse Reactions: BRIVIACT causes somnolence, fatigue, dizziness, and disturbance in coordination. Somnolence and fatigue-related adverse reactions were reported in 25% of patients taking at least 50 mg per day of BRIVIACT compared to 14% of patients taking placebo. Dizziness and disturbance in gait and coordination were reported in 16% of patients taking at least 50 mg per day of BRIVIACT compared to 10% of patients taking placebo. The risk is greatest early in treatment but can occur at any time. Monitor patients for these signs and symptoms and advise them not to drive or operate machinery until they have gained sufficient experience on BRIVIACT.
- Psychiatric Adverse Reactions: BRIVIACT causes psychiatric adverse reactions, including non-psychotic and psychotic symptoms. These events were reported in approximately 13% of patients taking at least 50 mg per day of BRIVIACT compared to 8% of patients taking placebo. A total of 1.7% of adult patients taking BRIVIACT discontinued treatment due to psychiatric reactions compared to 1.3% of patients taking placebo. Advise patients to report these symptoms immediately to a healthcare provider.
- Hypersensitivity: BRIVIACT can cause hypersensitivity reactions. Bronchospasm and angioedema have been reported. Discontinue BRIVIACT if a patient develops a hypersensitivity reaction after treatment. BRIVIACT is contraindicated in patients with a prior hypersensitivity reaction to brivaracetam or any of the inactive ingredients.
- Withdrawal of Antiepileptic Drugs: As with all antiepileptic drugs, BRIVIACT should generally be withdrawn gradually because of the risk of increased seizure frequency and status epilepticus.
The most common adverse reactions (at least 5% for BRIVIACT and at least 2% more frequently than placebo) are somnolence and sedation, dizziness, fatigue, and nausea and vomiting symptoms.
BRIVIACT is a Schedule V controlled substance.
Please refer to full Prescribing Information at http://www.briviact.com/briviact-PI.pdf
For more information on BRIVIACT®, contact 844-599-CARE (2273).
BRIVIACT® is a registered trademark of the UCB Group of Companies.
Epilepsy is a chronic neurological disorder affecting approximately 65 million people worldwide and more than 2 million people in the U.S. It is the fourth most common neurological disorder in the U.S. Although epilepsy may be linked to factors such as health conditions, race and age, it can develop in anyone at any age. Approximately one in 26 people will develop epilepsy in their lifetime.
There are many different types of epilepsy, but the main characteristic of the condition is recurrent seizures. Seizures are classified by the pattern of onset—partial seizures start in one part of the brain and generalized seizures are characterized by widespread involvement of the whole brain.
Epilepsy is considered to be a disease of the brain defined by any of the following conditions: (1) at least two unprovoked (or reflex) seizures occurring >24 hours apart; (2) one unprovoked (or reflex) seizure and a probability of further seizures similar to the general recurrence risk (at least 60%) after two unprovoked seizures, occurring over the next 10 years; (3) diagnosis of an epilepsy syndrome.
About UCB in Epilepsy
UCB has a rich heritage in epilepsy with more than 20 years of experience in the research and development of anti-epileptic drugs. As a company with a long-term commitment to epilepsy research, our goal is to address unmet medical needs. Our scientists are proud to contribute to advances in the understanding of epilepsy and its treatment. We partner and create super-networks with world-leading scientists and clinicians in academic institutions, pharmaceutical companies and other organizations who share our goals. At UCB, we are inspired by patients and driven by science in our commitment to support patients with epilepsy.
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- BRIVIACT® US Prescribing Information. Brussels, Belgium: UCB, 2016.
- Kwan, P., et al. Early Identification of Refractory Epilepsy. New England Journal of Medicine, 2000, 342(5); 314-319.
- Sperling MR. The consequences of uncontrolled epilepsy. CNS Spectr. 2004.
- The Epilepsy Foundation of America. Who gets epilepsy? Accessed May 2016 from http://www.epilepsy.com/learn/epilepsy-101/who-gets-epilepsy.
- Klein, P et al. Brivaracetam for the treatment of epilepsy. Expert Opin Pharmacother, 2016.
- European Federation of Pharmaceutical Industries and Associations. Epilepsy. Accessed May 2016 from http://www.efpia.eu/diseases/89/59/Epilepsy.
- Institute of Medicine. Epilepsy Across the Spectrum. Promoting Health and Understanding, Washington, DC: The National Academic Press, 2012 brief report.
- Brodie MJ et al. Fast Facts: Epilepsy. Health Press, 5th edition, 2012.
- Fisher, R.S., et al., ILAE Official Report: A practical clinical definition of epilepsy. Epilepsia, 2014. 55(4): 475-482.
UCB, Brussels, Belgium (www.ucb.com) is a global biopharmaceutical company focused on the discovery and development of innovative medicines and solutions to transform the lives of people living with severe diseases in immunology and neurology. With more than 7500 people in approximately 40 countries, the company generated revenue of €3.9 billion in 2015. UCB is listed on Euronext Brussels (symbol: UCB). Follow us on Twitter: @UCB_news
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