U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C11H20N2O2
Molecular Weight 212.2887
Optical Activity UNSPECIFIED
Defined Stereocenters 2 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of BRIVARACETAM

SMILES

CCC[C@H]1CN([C@@H](CC)C(N)=O)C(=O)C1

InChI

InChIKey=MSYKRHVOOPPJKU-BDAKNGLRSA-N
InChI=1S/C11H20N2O2/c1-3-5-8-6-10(14)13(7-8)9(4-2)11(12)15/h8-9H,3-7H2,1-2H3,(H2,12,15)/t8-,9+/m1/s1

HIDE SMILES / InChI
Molecular Formula C11H20N2O2
Molecular Weight 212.2887
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 2 / 2
E/Z Centers 0
Optical Activity UNSPECIFIED

Description

Brivaracetam (UCB 34714, trade name Briviact), the 4-n-propyl analog of levetiracetam, is a racetam derivative with anticonvulsant properties. Briviact is indicated as adjunctive therapy in the treatment of partial-onset seizures in patients 16 years of age and older with epilepsy. Brivaracetam is believed to act by binding to the ubiquitous synaptic vesicle glycoprotein 2A (SV2A), like levetiracetam, but with 20-fold greater affinity. There is some evidence that racetams including levetiracetam and brivaracetam access the luminal side of recycling synaptic vesicles during vesicular endocytosis. They may reduce excitatory neurotransmitter release and enhance synaptic depression during trains of high-frequency activity, such as is believed to occur during epileptic activity.

CNS Activity

Originator

Approval Year

2016
495
Targets

Targets

Primary TargetPharmacologyConditionPotency
Modulator
828
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Approved
8429
BRIVIACT

Approved Use

BRIVIACT is indicated as adjunctive therapy in the treatment of partial-onset seizures in patients 16 years of age and older with epilepsy

Launch Date

2016
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
3.5 μg/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
200 mg 1 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7.7 μg/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
400 mg 1 times / day multiple, oral
dose: 400 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
13.3 μg/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
800 mg 1 times / day multiple, oral
dose: 800 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
9 μg/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
800 mg single, oral
dose: 800 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
2.2 μg/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
4.7 μg/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
28 μg × h/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
200 mg 1 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
55.4 μg × h/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
400 mg 1 times / day multiple, oral
dose: 400 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
90.8 μg × h/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
800 mg 1 times / day multiple, oral
dose: 800 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
104.1 μg × h/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
800 mg single, oral
dose: 800 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
27.5 μg × h/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
56 μg × h/mL
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
7.3 h
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
200 mg 1 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
6.8 h
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
400 mg 1 times / day multiple, oral
dose: 400 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
6.3 h
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
800 mg 1 times / day multiple, oral
dose: 800 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7.8 h
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
800 mg single, oral
dose: 800 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7.7 h
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7.3 h
EXPERIMENT
https://pubmed.ncbi.nlm.nih.gov/18341673
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BRIVARACETAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
80%
DRUG LABEL
https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/205836s005,205837s004,205838s003lbl.pdf
unknown, unknown
 BRIVARACETAM plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
1400 mg single, oral
Highest studied dose|MID
Dose: 1400 mg
Route: oral
Route: single
Dose: 1400 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Other AEs: Somnolence, Blurred vision...
Other AEs:
Somnolence (severe, 2 patients)
Blurred vision (1 patient)
Dizziness (2 patients)
Agitation (1 patient)
Bradyphrenia (1 patient)
Disorientation (1 patient)
Euphoric mood (1 patient)
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
1000 mg single, oral
MTD
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Other AEs: Somnolence, Blurred vision...
Other AEs:
Somnolence (2 patients)
Blurred vision (1 patient)
Dizziness (3 patients)
Agitation (1 patient)
Bradyphrenia (1 patient)
Disorientation (1 patient)
Euphoric mood (1 patient)
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
200 mg 1 times / day steady, oral (max)
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
unhealthy, 37.2 years
n = 2186
Health Status: unhealthy
Age Group: 37.2 years
Sex: M+F
Population Size: 2186
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
Disc. AE: Convulsion, Somnolence...
AEs leading to
discontinuation/dose reduction:
Convulsion (1.4%)
Somnolence (0.7%)
Depression (0.6%)
Dizziness (0.6%)
Fatigue (0.5%)
Suicidal ideation (0.5%)
Suicide attempt (0.5%)
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
800 mg 1 times / day steady, oral
Highest studied dose
Dose: 800 mg, 1 times / day
Route: oral
Route: steady
Dose: 800 mg, 1 times / day
Sources:
https://www.accessdata.fda.gov/drugsatfda_docs/nda/2016/205836Orig1s000_205837Orig1s000_205838Orig1s000MedR.pdf
Page: p. 28
healthy, 64.1 years
n = 7
Health Status: healthy
Age Group: 64.1 years
Population Size: 7
Sources:
https://www.accessdata.fda.gov/drugsatfda_docs/nda/2016/205836Orig1s000_205837Orig1s000_205838Orig1s000MedR.pdf
Page: p. 28
Other AEs: Somnolence, Dizziness...
Other AEs:
Somnolence (57.1%)
Dizziness (42.9%)
Sources:
https://www.accessdata.fda.gov/drugsatfda_docs/nda/2016/205836Orig1s000_205837Orig1s000_205838Orig1s000MedR.pdf
Page: p. 28
2 mg/kg 2 times / day steady, oral
Highest studied dose
Dose: 2 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 2 mg/kg, 2 times / day
Sources:
https://pubmed.ncbi.nlm.nih.gov/31250322
unhealthy, <8 years
Health Status: unhealthy
Condition: generalized epilepsy
Age Group: <8 years
Sex: M+F
Sources:
https://pubmed.ncbi.nlm.nih.gov/31250322
Sources:
https://pubmed.ncbi.nlm.nih.gov/31250322
AEs

AEs

AESignificanceDosePopulation
Agitation 1 patient
1400 mg single, oral
Highest studied dose|MID
Dose: 1400 mg
Route: oral
Route: single
Dose: 1400 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Blurred vision 1 patient
1400 mg single, oral
Highest studied dose|MID
Dose: 1400 mg
Route: oral
Route: single
Dose: 1400 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Bradyphrenia 1 patient
1400 mg single, oral
Highest studied dose|MID
Dose: 1400 mg
Route: oral
Route: single
Dose: 1400 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Disorientation 1 patient
1400 mg single, oral
Highest studied dose|MID
Dose: 1400 mg
Route: oral
Route: single
Dose: 1400 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Euphoric mood 1 patient
1400 mg single, oral
Highest studied dose|MID
Dose: 1400 mg
Route: oral
Route: single
Dose: 1400 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Dizziness 2 patients
1400 mg single, oral
Highest studied dose|MID
Dose: 1400 mg
Route: oral
Route: single
Dose: 1400 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Somnolence severe, 2 patients
1400 mg single, oral
Highest studied dose|MID
Dose: 1400 mg
Route: oral
Route: single
Dose: 1400 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Agitation 1 patient
1000 mg single, oral
MTD
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Blurred vision 1 patient
1000 mg single, oral
MTD
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Bradyphrenia 1 patient
1000 mg single, oral
MTD
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Disorientation 1 patient
1000 mg single, oral
MTD
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Euphoric mood 1 patient
1000 mg single, oral
MTD
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Somnolence 2 patients
1000 mg single, oral
MTD
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Dizziness 3 patients
1000 mg single, oral
MTD
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
healthy, 18-55 years
n = 6
Health Status: healthy
Age Group: 18-55 years
Sex: M
Population Size: 6
Sources:
https://pubmed.ncbi.nlm.nih.gov/17223857
Fatigue 0.5%
Disc. AE
200 mg 1 times / day steady, oral (max)
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
unhealthy, 37.2 years
n = 2186
Health Status: unhealthy
Age Group: 37.2 years
Sex: M+F
Population Size: 2186
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
Suicidal ideation 0.5%
Disc. AE
200 mg 1 times / day steady, oral (max)
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
unhealthy, 37.2 years
n = 2186
Health Status: unhealthy
Age Group: 37.2 years
Sex: M+F
Population Size: 2186
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
Suicide attempt 0.5%
Disc. AE
200 mg 1 times / day steady, oral (max)
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
unhealthy, 37.2 years
n = 2186
Health Status: unhealthy
Age Group: 37.2 years
Sex: M+F
Population Size: 2186
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
Depression 0.6%
Disc. AE
200 mg 1 times / day steady, oral (max)
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
unhealthy, 37.2 years
n = 2186
Health Status: unhealthy
Age Group: 37.2 years
Sex: M+F
Population Size: 2186
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
Dizziness 0.6%
Disc. AE
200 mg 1 times / day steady, oral (max)
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
unhealthy, 37.2 years
n = 2186
Health Status: unhealthy
Age Group: 37.2 years
Sex: M+F
Population Size: 2186
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
Somnolence 0.7%
Disc. AE
200 mg 1 times / day steady, oral (max)
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
unhealthy, 37.2 years
n = 2186
Health Status: unhealthy
Age Group: 37.2 years
Sex: M+F
Population Size: 2186
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
Convulsion 1.4%
Disc. AE
200 mg 1 times / day steady, oral (max)
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
unhealthy, 37.2 years
n = 2186
Health Status: unhealthy
Age Group: 37.2 years
Sex: M+F
Population Size: 2186
Sources:
https://pubmed.ncbi.nlm.nih.gov/27265725
Dizziness 42.9%
800 mg 1 times / day steady, oral
Highest studied dose
Dose: 800 mg, 1 times / day
Route: oral
Route: steady
Dose: 800 mg, 1 times / day
Sources:
https://www.accessdata.fda.gov/drugsatfda_docs/nda/2016/205836Orig1s000_205837Orig1s000_205838Orig1s000MedR.pdf
Page: p. 28
healthy, 64.1 years
n = 7
Health Status: healthy
Age Group: 64.1 years
Population Size: 7
Sources:
https://www.accessdata.fda.gov/drugsatfda_docs/nda/2016/205836Orig1s000_205837Orig1s000_205838Orig1s000MedR.pdf
Page: p. 28
Somnolence 57.1%
800 mg 1 times / day steady, oral
Highest studied dose
Dose: 800 mg, 1 times / day
Route: oral
Route: steady
Dose: 800 mg, 1 times / day
Sources:
https://www.accessdata.fda.gov/drugsatfda_docs/nda/2016/205836Orig1s000_205837Orig1s000_205838Orig1s000MedR.pdf
Page: p. 28
healthy, 64.1 years
n = 7
Health Status: healthy
Age Group: 64.1 years
Population Size: 7
Sources:
https://www.accessdata.fda.gov/drugsatfda_docs/nda/2016/205836Orig1s000_205837Orig1s000_205838Orig1s000MedR.pdf
Page: p. 28
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG
inducer
781

substrate
1737
inhibitor
1767

inducer
389

substrate
1037
inhibitor
1852
inhibitor
1612

OverviewOther

Other InhibitorOther SubstrateOther Inducer
CYP1A2
1524

CYP2A6
707

CYP2B6
810

CYP2C8
911

CYP2C19
1478

CYP3A4/5
278

BCRP
699

BSEP
402

MATE1
306

MATE2
263

P-gp
1461

MRP2
383

OAT1
599

OAT3
642

OCT1
512

OCT2
647

OATP1B1
788

OATP1B3
706
P-gp
1537

MRP1
107

MRP2
205

CYP2C19
991

CYP2C8
693
CYP1A2
701

CYP2B6
547

CYP2C19
293
Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
OAT3
644
 no [IC50 541 uM]
OCT2
648
 no [IC50 740 uM]
OATP1B1
803
 no [Inhibition 200 uM]
CYP2C9
1819
 no [Inhibition 650 uM]
MATE1
308
 no [Inhibition 650 uM]
OCT1
543
 no [Inhibition 650 uM]
BCRP
773
 no
BSEP
403
 no
CYP1A2
1692
 no
CYP1A2
1692
 no
CYP2A6
739
 no
CYP2B6
1001
 no
CYP2B6
1001
 no
CYP2C19
1553
 no
CYP2C19
1553
 no
CYP2C8
965
 no
CYP2C9
1819
 no
CYP2D6
1891
 no
CYP3A4
1925
 no
CYP3A4/5
335
 no
MATE2
263
 no
MRP2
475
 no
OAT1
603
 no
OATP1B3
715
 no
P-gp
1650
 no
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
MRP1
107
 no
MRP2
205
 no
P-gp
1537
 no
CYP2C19
991
 yes [Km 70 uM]
CYP2C8
693
 yes
CYP2C9
1037
 yes
CYP3A4
1737
 yes
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
hERG
1647
Sourcing

Sourcing

Vendor/AggregatorIDURL
ChEBI
CHEBI:133013
https://www.ebi.ac.uk/chebi/searchId.do?chebiId=CHEBI:133013
ZINC
ZINC000003979899
http://zinc15.docking.org/substances/ZINC000003979899
PubMed

PubMed

TitleDatePubMed
Discovery of 4-substituted pyrrolidone butanamides as new agents with significant antiepileptic activity.
2004 Jan 29
Antiepileptic drug discovery: lessons from the past and future challenges.
2005
Gateways to clinical trials.
2005 Jan-Feb
Brivaracetam UCB.
2005 Jul
New antiepileptic drugs that are second generation to existing antiepileptic drugs.
2006 Jun
Diverse mechanisms of antiepileptic drugs in the development pipeline.
2006 Jun
Brivaracetam is superior to levetiracetam in a rat model of post-hypoxic myoclonus.
2007
Brivaracetam (UCB 34714).
2007 Jan
Progress report on new antiepileptic drugs: a summary of the Eigth Eilat Conference (EILAT VIII).
2007 Jan
Pharmacological management of epilepsy: recent advances and future prospects.
2008
The effectiveness of anticonvulsants in psychiatric disorders.
2008
Gateways to clinical trials.
2008 Apr
Effect of brivaracetam on cardiac repolarisation--a thorough QT study.
2008 Aug
Brivaracetam: a rational drug discovery success story.
2008 Aug
Treatment of Lennox-Gastaut syndrome: overview and recent findings.
2008 Dec
Debate: Does genetic information in humans help us treat patients? PRO--genetic information in humans helps us treat patients. CON--genetic information does not help at all.
2008 Dec
Brivaracetam and seletracetam, two new SV2A ligands, improve paroxysmal dystonia in the dt sz mutant hamster.
2008 Dec 28
New molecular targets for antiepileptic drugs: alpha(2)delta, SV2A, and K(v)7/KCNQ/M potassium channels.
2008 Jul
The pharmacokinetics, CNS pharmacodynamics and adverse event profile of brivaracetam after multiple increasing oral doses in healthy men.
2008 Jul
Gateways to clinical trials.
2008 Mar
Brivaracetam: a new drug in development for epilepsy and neuropathic pain.
2008 Mar
Progress report on new antiepileptic drugs: a summary of the Ninth Eilat Conference (EILAT IX).
2009 Jan
Third-generation antiepileptic drugs: mechanisms of action, pharmacokinetics and interactions.
2009 Mar-Apr
Recent advances in adjunctive therapy for epilepsy: focus on sodium channel blockers as third-generation antiepileptic drugs.
2010 Apr
Gateways to clinical trials.
2010 Apr
Adjunctive brivaracetam for refractory partial-onset seizures: a randomized, controlled trial.
2010 Aug 10
New drugs for pediatric epilepsy.
2010 Dec
Progress report on new antiepileptic drugs: a summary of the Tenth Eilat Conference (EILAT X).
2010 Dec
Piracetam and piracetam-like drugs: from basic science to novel clinical applications to CNS disorders.
2010 Feb 12
Gateways to clinical trials.
2010 Mar
Antiepileptic drug interactions - principles and clinical implications.
2010 Sep
Brivaracetam does not alter spatial learning and memory in both normal and amygdala-kindled rats.
2010 Sep
Patents

Patents

07629474
1
20030040631
3
JP2007515387A
1
JP2010024156A
2
JP2011507800A
48
JP2011513246A
25
JP4658937B2
1

Sample Use Guides

In Vivo Use Guide
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). BRIVIACT (brivaracetam) injection may be used when oral administration is temporarily not feasible. BRIVIACT injection should be administered at the same dosage and same frequency as BRIVIACT tablets and oral solution.
Route of Administration: Other
In Vitro Use Guide
Brivaracetam (BRV) is able to modulate the voltage-activated Na(+) inflow in cortical neurons. Voltage-activated Na(+) currents were recorded by whole-cell patch-clamp on neuronal somas of rat neocortical neurons, grown in dissociated cell culture for up to 12 days. BRV, dissolved at the desired final concentration (between 0.2 microM and 1 mM) was applied by a multi-barrel pipette system near the soma of the recorded neuron. BRV produced a concentration-dependent inhibition of voltage-dependent Na(+) currents with IC(50) values of 41 microM at the holding potential of -100 mV, and of 6.5 microM at the holding potential of -60 mV. The voltage-dependence of activation and the kinetics of fast inactivation were not modified in the presence of BRV (30 microM).
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:48:27 GMT 2023
Edited
by admin
on Fri Dec 15 15:48:27 GMT 2023
Record UNII
U863JGG2IA
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
BRIVARACETAM
DASH   INN   MART.   MI   USAN   WHO-DD  
USAN   INN  
Official Name English
BRIVARACETAM [MART.]
Common Name English
brivaracetam [INN]
Common Name English
Brivaracetam [WHO-DD]
Common Name English
BRIVARACETAM [USAN]
Common Name English
BRIVARACETAM [MI]
Common Name English
UCB 34714
Code English
BRIVARACETAM [JAN]
Common Name English
BRIVIACT
Brand Name English
UCB-34714
Code English
(2S)-2-[(4R)-2-Oxo-4-propylpyrrolidin-1-yl]butanamide
Systematic Name English
(2S)-2-((4R)-2-OXO-4-PROPYLTETRAHYDRO-1H-PYRROL-1-YL) BUTANAMIDE
Systematic Name English
1-PYRROLIDINEACETAMIDE, .ALPHA.-ETHYL-2-OXO-4-PROPYL (.ALPHA.S,4R)-
Common Name English
BRIVARACETAM [ORANGE BOOK]
Common Name English
Classification Tree Code System Code
EU-Orphan Drug EU/3/05/315
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
WHO-ATC N03AX23
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
FDA ORPHAN DRUG 207305
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
FDA ORPHAN DRUG 724019
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
FDA ORPHAN DRUG 711119
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
Code System Code Type Description
WIKIPEDIA
BRIVARACETAM
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
DRUG CENTRAL
5068
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
PUBCHEM
9837243
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
CHEBI
133013
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
EPA CompTox
DTXSID00905081
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
ChEMBL
CHEMBL607400
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
INN
8642
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
NDF-RT
N0000192345
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY Epoxide Hydrolase Inhibitors [MoA]
DAILYMED
U863JGG2IA
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
NCI_THESAURUS
C65270
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
EVMPD
SUB25397
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
DRUG BANK
DB05541
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
LACTMED
Brivaracetam
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
USAN
QQ-109
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
RXCUI
1739745
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
FDA UNII
U863JGG2IA
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
CAS
357336-20-0
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
SMS_ID
100000089410
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY
MERCK INDEX
m2654
Created by admin on Fri Dec 15 15:48:27 GMT 2023 , Edited by admin on Fri Dec 15 15:48:27 GMT 2023
PRIMARY Merck Index
Related Record Type Details
CYTOCHROME P450 2C19
METABOLIC ENZYME -> SUBSTRATE
MAJOR
CYTOCHROME P450 2C9
METABOLIC ENZYME -> SUBSTRATE
Structure of BRIVARACETAM
EXCRETED UNCHANGED
AMOUNT EXCRETED
URINE
PLASMA PROTEIN FRACTION (HUMAN)
BINDER->LIGAND
BINDING
SYNAPTIC VESICLE GLYCOPROTEIN 2A
TARGET->LIGAND
Related Record Type Details
Structure of UCB-100406-1
METABOLITE INACTIVE -> PARENT
AMOUNT EXCRETED
URINE
Structure of UCB-100406-1
METABOLITE INACTIVE -> PARENT
MAJOR
PLASMA
Structure of BRIVARACETAM ACID
METABOLITE INACTIVE -> PARENT
AMOUNT EXCRETED
URINE
Structure of (.ALPHA.S,4R)-.ALPHA.-ETHYL-4-((2S)-2-HYDROXYPROPYL)-2-OXO-1-PYRROLIDINEACETIC ACID
METABOLITE INACTIVE -> PARENT
Related Record Type Details
Structure of Brivaracetam, (αR,4S)-
IMPURITY -> PARENT
Structure of 3-(Hydroxymethyl)hexanoic acid, (3R)-
IMPURITY -> PARENT
Related Record Type Details
Structure of BRIVARACETAM
ACTIVE MOIETY
Name Property Type Amount Referenced Substance Defining Parameters References
Tmax PHARMACOKINETIC
Volume of Distribution PHARMACOKINETIC
Biological Half-life PHARMACOKINETIC
NIH
NCATS
PRIVACY ACT
ACCESSIBILITY
DISCLAIMER
HHS VULNERABILITY DISCLOSURE
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