Evidence map›Paper›PMID 32432339›Full record

SynthesisActa neurologica Scandinavica2020

Time course of 75%-100% efficacy response of adjunctive brivaracetam.

Pavel Klein, Cédric Laloyaux, Sami Elmoufti, Teresa Gasalla, Melinda S Martin

3 registry-linked trialsOpen access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Acta neurologica Scandinavica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00464269 phase3completednot on this map

An International, Double-blind, Parallel-group, Placebo-controlled, Randomized Study: Evaluation of the Efficacy and Safety of Brivaracetam in Subjects (>= 16 to 70 Years Old) With Partial Onset Seizures

TypeinterventionalSponsorUCB PharmaRan2007 to 2009Enrolled400ConditionsEpilepsyArmsPlacebo, Brivaracetam 2.5 mg, Brivaracetam 10 mg, Brivaracetam 25 mg
NCT00490035 phase3completednot on this map

A Multi-center, Double-blind, Parallel-group, Placebo Controlled, Randomized Study: Evaluation of the Efficacy and Safety of Brivaracetam in Subjects (>= 16 to 70 Years Old) With Partial Onset Seizures.

TypeinterventionalSponsorUCB Pharma SARan2007 to 2009Enrolled399ConditionsEpilepsyArmsPlacebo, Brivaracetam
NCT01261325 phase3completednot on this map

A Randomized, Double-blind, Placebo-controlled, Multicenter, Parallel-group Study to Evaluate the Efficacy and Safety of Brivaracetam in Subjects (≥16 to 80 Years Old) With Partial Onset Seizures

TypeinterventionalSponsorUCB PharmaRan2010 to 2014Enrolled768ConditionsEpilepsyArmsPlacebo, Brivaracetam, Antiepileptic drugs with market authorization available per country
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Brivaracetam use in clinical practice: a Delphi consensus on its role as first add-on therapy in focal epilepsy and beyond.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Pavel KleinMid-Atlantic Epilepsy and Sleep Center, Bethesda, MD, USA.ORCID https://orcid.org/0000-0001-7244-3722
Cédric LaloyauxUCB Pharma, Brussels, Belgium.
Sami ElmouftiUCB Pharma, Raleigh, NC, USA.
Teresa GasallaUCB Pharma, Raleigh, NC, USA.
Melinda S MartinUCB Pharma, Smyrna, GA, USA.
UCB Pharma (United States) · USMid Atlantic Epilepsy and Sleep Center · USUCB Pharma (Belgium) · BE

Funding

UCB Pharma
6 · The paper itself

Abstract

backgroundTime to sustained seizure frequency reduction can provide clinically meaningful epilepsy outcomes. AIMS OF THE STUDY: To examine the time course of brivaracetam (BRV) efficacy in adults with focal seizures and focal to bilateral tonic-clonic seizures (FBTCS).

methodsPost hoc analysis of data pooled from three randomized controlled trials of oral adjunctive BRV in adults with epilepsy. Patients with focal epilepsy and a subpopulation with FBTCS receiving BRV 50, 100, or 200 mg/d (initiated without up-titration) or placebo for 12 weeks were analyzed for time to sustained ≥75%, ≥90%, and 100% seizure reduction without interruption from first day until trial ends.

resultsEvaluation included 1160 patients with focal seizures, including 352 patients with FBTCS. Sustained ≥75%, ≥90%, and 100% response in focal seizures was higher from day 1 for BRV 100 and 200 mg/d vs placebo (P < .01). Sustained ≥75% and 100% FBTCS reduction from day 1 was higher for BRV 100 and 200-mg/d groups vs placebo (P < .01).

conclusionsThe majority of patients achieving 75%-100% sustained seizure frequency reduction (all focal seizure types and the subpopulation with FBTCS) with oral BRV (100 or 200 mg/d) achieved this response on the first-treatment day.

Indexed as

AdultAnticonvulsantsClinical Trials, Phase III as TopicDouble-Blind MethodDrug Therapy, CombinationFemaleHumansMaleMiddle AgedPyrrolidinonesRandomized Controlled Trials as TopicSeizuresTime FactorsTreatment OutcomeAnticonvulsantsbrivaracetamPyrrolidinonesantiepileptic drugsfocal epilepsyfocal to bilateral tonic-clonic seizurespartial-onset seizuressustained seizure reduction

Identifiers

PMID32432339
PMCPMC7422720
OpenAlexW3028190675

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.