Health Canada Approves BRIVLERA? (brivaracetam) to treat partial-onset seizures in pediatric epilepsy patients
- BRIVLERA is approved as an adjunctive therapy in patients four years of age and older with partial-onset seizures after conventional therapy.
- Health?Canada's?approval of BRIVLERA provides pediatric epilepsy patients with a treatment option which can be initiated at a therapeutic dose from day one.
- BRIVLERA has been available in?Canada?for the treatment of epilepsy in adults (>18 years of age) since 2016, broadening clinical application for UCB's newest anti-epilepsy drug.
- Epilepsy affects approximately 260,000 Canadians[i], of which 75-85% of patients are diagnosed before age 18ii, making pediatric epilepsy the most common, serious neurological disorder among children and young adults.
Epilepsy is a chronic neurological disorder affecting approximately 50 million people worldwidevii, including about 1 in 100 people in?Canada?viii. While epilepsy has the highest rate of new cases in seniors and young children, it can affect people of any age, race and sexviii.?Next to migraine headaches, epilepsy is the most common neurological disorderix. It is defined as one or more unprovoked seizures with a risk of future seizures. Around one third of people with epilepsy live with uncontrolled seizures.x About BRIVLERA
BRIVLERA (brivaracetam) is a newer 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 BRIVLERA exerts its anticonvulsant activity is not known.i In?Canada, BRIVLERA is indicated for the adjunctive treatment of partial-onset seizures in patients with epilepsy 4 years of age and older. As the safety of BRIVLERA injection in pediatric patients has not been established, BRIVLERA injection is indicated for the treatment of partial-onset seizures only in adult patients (18 years of age and older).i Brivaracetam (marketed as BRIVIACT?) is also approved in?the United States?and the European Union. Important and complete safety information about BRIVLERA can be found by accessing the?product monograph at?https://www.ucb-canada.ca/en/Our-Medicines/overview. About UCB in Epilepsy?
UCB has a rich heritage in epilepsy with over 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. We contribute to cutting-edge research leading to the identification of novel AED targetsxi?and validation of mechanisms that will pave the way for future therapeutic solutions for epilepsy patientsxii. We partner and create super-networks with world-leading scientists and clinicians in academic institutions, pharmaceutical companies and other organizations who share our goals. We are proud supporters of Canadian researchers and to date, more than 6,000 Canadians have participated in over 20 global clinical trials through leading centres across the country.?At UCB, we are inspired by patients, and driven by science in our commitment to support patients with epilepsy. For more information, please visit?https://www.ucb-canada.ca/.
?References: |
|
i |
Public Health Agency of Canada. "Scope (Prevalence And Incidence) Of Neurological Conditions".?Mapping Connections: An Understanding Of Neurological Conditions In Canada. 2014. Available at:?http://www.phac-aspc.gc.ca/publicat/cd-mc/mc-ec/section-3-eng.php. Last accessed on May 12, 2020. |
ii |
Statistics Canada.?Table? 105-1300??? Neurological conditions, by age group and sex, household population aged 0 and over, 2010/2011,??CANSIM (database).? |
iii |
BRIVLERA? Canadian Product Monograph. Available at:?https://www.ucb-canada.ca/_up/ucbpharma_ca_en/documents/2020-05-01%20brivlera-pm-en.pdf. |
iv |
Berg AT, Vickrey BG, Testa FM, Levy SR, Shinnar S, DiMario F, et al. How long does it take for epilepsy to become intractable? A prospective investigation.?Ann Neurol. 2006;60:73-79.? |
v |
Berg A, Shinnar S, Levy S, Testa F, Smith-Rapaport S,?Beckerman B. Early?development of intractable epilepsy in children: a prospective study.?Neurology. 2001;56:1445-1452. |
vi |
Geerts A, Arts WF, Stroink H, Peeters E, Brouwer O, Peters B, et al. Course and outcome of childhood epilepsy: a 15-y follow-up of the Dutch study of epilepsy in childhood.?Epilepsia. 2010;51:1189?97. |
vii |
World Health Organization. Epilepsy. Available at:?https://www.who.int/news-room/fact-sheets/detail/epilepsy. June 2019. Last accessed on May 12, 2020. |
viii |
Epilepsy Ontario. What is Epilepsy?? Available at:?https://epilepsyontario.org/about-epilepsy/what-is-epilepsy/?Last accessed on May 12, 2020. |
ix |
World Health Organization.? Neurological Disorders. Available at:?https://www.who.int/mental_health/neurology/neurological_disorders_report_web.pdf. Last accessed on May 12, 2020. |
x |
Carmant L., Stafstrom Carl E. Seizures and Epilepsy: An Overview for Neuroscientists.?Cold Spring Harb Perspect Med. 2015 Jun; 5(6): a022426 Available at:?https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4448698/?Last accessed on May 20, 2020 |
xi |
Kaminski R.M., Gillard M. & Klitgaard H. Targeting SV2A for Discovery of Antiepileptic Drugs. Jasper's Basic Mechanisms of The Epilepsies. 4th Edition, 2012:1-12 |
xii |
Mazzuferi M., Kumar G., van Eyll J., Danis B., Foerch P.& Kaminski R.M. Nrf2 defense pathway: Experimental evidence for its protective role in epilepsy. Ann Neurol. 2013 74(4):560-568 |