Evidence map›Paper›PMID 35278335›Full record

ArticleEpilepsia2022

Sustained seizure freedom with adjunctive brivaracetam in patients with focal onset seizures.

Simona Lattanzi, Michele Ascoli, Laura Canafoglia, Maria Paola Canevini, Sara Casciato, Emanuele Cerulli Irelli, Valentina Chiesa, Filippo Dainese, Giovanni De Maria, Giuseppe Didato and 16 more

Open access · hybridAbstract read
In one paragraph

Article in Epilepsia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.0field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Observational
  5. Review
  6. 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
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. 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

26 authors at 16 institutions in 3 countries.

Simona LattanziNeurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.ORCID 0000-0001-8748-0083
Michele AscoliDepartment of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Laura CanafogliaDepartment of Epileptology, Carlo Besta Neurological Institute, Scientific Institute for Research and Health Care Foundation, Milan, Italy.ORCID 0000-0002-5385-761X
Maria Paola CaneviniEpilepsy Center, Child Neuropsychiatry Unit, AAST Santi Paolo Carlo, Milan, Italy.
Sara CasciatoNeuromed, Scientific Institute for Research and Health Care, Pozzilli, Italy.
Emanuele Cerulli IrelliDepartment of Human Neurosciences, Umberto I Polyclinic, Sapienza University of Rome, Rome, Italy.
Valentina ChiesaEpilepsy Center, Child Neuropsychiatry Unit, AAST Santi Paolo Carlo, Milan, Italy.
Filippo DaineseEpilepsy Center, Neurology Unit, Venice, Italy.
Giovanni De MariaClinical Neurophysiology Unit, Epilepsy Center, Civil Hospitals, Brescia, Italy.
Giuseppe DidatoEpilepsy Unit, Carlo Besta Neurological Institute, Scientific Institute for Research and Health Care Foundation, Milan, Italy.ORCID 0000-0002-4812-6310
Giancarlo Di GennaroNeuromed, Scientific Institute for Research and Health Care, Pozzilli, Italy.
Giovanni FalcicchioDepartment of Basic Medical Sciences, Neurosciences and Sense Organs, A. Moro University Hospital of Bari, Bari, Italy.ORCID 0000-0003-0745-5246
Martina FanellaDepartment of Human Neurosciences, Umberto I Polyclinic, Sapienza University of Rome, Rome, Italy.
Massimo GangitanoDepartment of Biomedicine, Neuroscience, and Advanced Diagnostics, University of Palermo, Palermo, Italy.
Angela La NeveDepartment of Basic Medical Sciences, Neurosciences and Sense Organs, A. Moro University Hospital of Bari, Bari, Italy.
Oriano MecarelliDepartment of Human Neurosciences, Umberto I Polyclinic, Sapienza University of Rome, Rome, Italy.
Elisa MontalentiEpilepsy Center, City AOU of Health and Science of Turin, Turin, Italy.
Alessandra MoranoDepartment of Human Neurosciences, Umberto I Polyclinic, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-3649-8990
Federico PiazzaRita Levi Montalcini Department of Neurosciences, University of Turin, Turin, Italy.
Chiara PizzanelliDepartment of Clinical and Experimental Medicine, Neurological Clinic, University of Pisa, Pisa, Italy.ORCID 0000-0001-5044-8944
Patrizia PulitanoDepartment of Human Neurosciences, Umberto I Polyclinic, Sapienza University of Rome, Rome, Italy.
Federica RanzatoEpilepsy Center, UOC Neurology, AULSS 8 Vicenza, Vicenza, Italy.
Eleonora RosatiDepartment of Neurology 2, Careggi University Hospital, Florence, Italy.
Laura TassiC. Munari Epilepsy Surgery Center, Niguarda Hospital, Milan, Italy.
Carlo Di BonaventuraDepartment of Human Neurosciences, Umberto I Polyclinic, Sapienza University of Rome, Rome, Italy.
BRIVAFIRST Group
Policlinico Umberto I · ITAOL (United States) · USFondazione IRCCS Istituto Neurologico Carlo Besta · ITIstituto Neurologico Mediterraneo · ITUniversity of Bari Aldo Moro · ITAzienda Industriali Municipali di Vicenza (Italy) · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITEpilepsy Foundation · AUMagna Graecia University · ITMarche Polytechnic University · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUniversity of Brescia · ITUniversity of Palermo · ITUniversity of Pisa · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The maintenance of seizure control over time is a clinical priority in patients with epilepsy. The aim of this study was to assess the sustained seizure frequency reduction with adjunctive brivaracetam (BRV) in real-world practice. Patients with focal epilepsy prescribed add-on BRV were identified. Study outcomes included sustained seizure freedom and sustained seizure response, defined as a 100% and a ≥50% reduction in baseline seizure frequency that continued without interruption and without BRV withdrawal through the 12-month follow-up. Nine hundred ninety-four patients with a median age of 45 (interquartile range = 32-56) years were included. During the 1-year study period, sustained seizure freedom was achieved by 142 (14.3%) patients, of whom 72 (50.7%) were seizure-free from Day 1 of BRV treatment. Sustained seizure freedom was maintained for ≥6, ≥9, and 12 months by 14.3%, 11.9%, and 7.2% of patients from the study cohort. Sustained seizure response was reached by 383 (38.5%) patients; 236 of 383 (61.6%) achieved sustained ≥50% reduction in seizure frequency by Day 1, 94 of 383 (24.5%) by Month 4, and 53 of 383 (13.8%) by Month 7 up to Month 12. Adjunctive BRV was associated with sustained seizure frequency reduction from the first day of treatment in a subset of patients with uncontrolled focal epilepsy.

Indexed as

AnticonvulsantsEpilepsies, PartialAdultDouble-Blind MethodDrug Therapy, CombinationFreedomHumansMiddle AgedPyrrolidinonesSeizuresTreatment OutcomeAnticonvulsantsbrivaracetamPyrrolidinonesantiseizure medicationbrivaracetamfocal seizuresseizure freedomsodium channel blockers

Identifiers

PMID35278335
PMCPMC9311068
OpenAlexW4220873732

What OpenQuestion holds

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Registered trials

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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.