UCB presents new data advancing patient-focused scientific leadership at American Epilepsy Society Annual Meeting

Rhea-AI Summary

UCB, a global biopharmaceutical company, will present 29 abstracts, including 4 late breakers, at the American Epilepsy Society Annual Meeting 2023. The presentations will highlight clinical, health economic, and demographic studies in epilepsy, demonstrating the diversity, potential, and momentum of UCB's epilepsy and rare syndromes portfolio, including important fenfluramine and brivaracetam data.

Positive

• UCB's extensive program of 29 studies showcasing the innovation and impact of their evolving portfolio of innovative medicines
• The commitment to transforming outcomes and experiences for people living with epilepsies
• The focus on addressing unmet needs and advancing the next generation of epilepsy care
• The symposium and CME program to share expert consensus and best practices for rapid and early seizure termination and the evolving standard of care in developmental and epileptic encephalopathies

Negative

• The potential risks associated with the investigational treatment for potential termination of prolonged epileptic seizures
• The differences in provision of information between healthcare professionals and patients in SUDEP (Sudden Unexpected Death in Epilepsy)
• The survey results on health disparities in black patients living with epilepsy

• UCB will present 29 abstracts, including 4 late breakers, at American Epilepsy Society Annual Meeting 2023 highlighting clinical, health economic and demographic studies in epilepsy
• Presentations showcase diversity, potential and momentum of UCB's epilepsy and rare syndromes portfolio, including important fenfluramine and brivaracetam data
• Broad data sets reveal insights into different epilepsy types and different populations living with epilepsies
• Molecular, clinical, and real-world research focuses on current and future patient needs in epilepsy

ATLANTA, Dec. 1, 2023 /PRNewswire/ -- UCB, a global biopharmaceutical company, today unveiled its extensive program of 29 studies, including 4 late breakers, accepted for presentation at the AES Annual Meeting 2023, taking place from 1-5 December in Orlando, Florida.

"The data being presented at this year's American Epilepsy Society meeting highlight UCB's commitment to transforming outcomes and experiences for people living with epilepsies, redefining the future of epilepsy care. We are proud of the innovation and impact we have been able to deliver over the past three decades with our evolving portfolio of innovative medicines, and look forward to continuing to partner with patients, carers, and the scientific community to address unmet needs and advance the next generation of epilepsy care," said Mike Davis, Global Head of Epilepsy & Rare Syndromes, UCB.

Key scientific and patient-focused data include:

• In focal-onset seizures (FOS) - interim data from a post-marketing non-interventional study on effectiveness and quality of life (QoL) with adjunctive brivaracetam in earlier treatment lines.
• In Dravet syndrome - an analysis from an open-label extension study of adults treated with fenfluramine.
• In Lennox-Gastaut syndrome - a post hoc analysis evaluating the percentage of seizure-free days in patients treated with fenfluramine in the 14-week randomized control trial and its open-label extension (median treatment duration, 1 year).
• In prolonged seizures - three studies evaluating the safety, tolerability, and pharmacokinetics of single-use inhaled alprazolam (an investigational treatment for potential termination of prolonged epileptic seizures) in different populations.
• In SUDEP (Sudden Unexpected Death in Epilepsy) - a literature review highlighting the differences in provision of information between healthcare professionals and patients.
• In disease management - data from early research into mechanisms underlying Developmental and Epileptic Encephalopathies (DEE).
• In health equity - results from a survey of US neurologists on health disparities in black patients living with epilepsy.

"Knowledge illuminates a path toward innovative solutions and transformative breakthroughs. At this year's American Epilepsy Society meeting, we converge not just as researchers and clinicians, but as pioneers of progress. For three decades, we've been committed to people living with epilepsy and their families. We aim for a future where every discovery moves us closer to a seizure-free life. In unity, we work to surround the patient and caregiver through every step of their care journey – from diagnosis to treatment to support in helping them navigate those moments in their lives that matter most," said Brad Chapman, Head of U.S. Epilepsy and Rare Syndromes.

Symposia and CME
UCB will be hosting a symposium on December 2 at 6:00 p.m. ET entitled "The 'window of opportunity': Recognizing the importance of rapid and early seizure termination", to shed further light on seizure emergencies and data being presented at AES on the Seizure Termination Project*. The project consists of an expert consensus group sharing best practice for rapid and early seizure termination (REST) to prevent progression to a higher-level emergency.

UCB is also supporting a CME program entitled 'Beyond Seizures: The Evolving Standard of Care in Developmental and Epileptic Encephalopathies' taking place on 1 December.

UCB data presentations at AES 2023

Saturday, December 2, 2023 (12:00 PM –2:00 PM ET)

Poster number and title		Authors
1.006	ΔFosB is part of a homeostatic mechanism that protects the epileptic brain from further deterioration	Clasadonte J, Mairet-Coello G, Stephens GS, Deprez T, Cortin PY, Boutier M, Frey A, Chin J, Rajman M
1.112	Electrophysiological and Behavioral Phenotypic Characterization of a Transgenic Mouse Model Associated with Syntaxin Binding protein-1 (STXBP1) Developmental and Epileptic Encephalopathy (DEE)	Rodriguez N, Van Den Herrewegen Y, Clasadonte J, Wolff C, Vallette B, Gomes AR, Mairet-Coello G, Widya M, Dedeurwaerdere S
1.286	Efficacy and Tolerability of Adjunctive Brivaracetam in Asian Patients With Focal Onset Seizures: A Phase 3 Randomized, Placebo-Controlled Trial	Inoue Y, Tiamkao S, Zhou D, Cabral-Lim L, Lim KS, Lim SH, Tsai JJ, Moseley B, Wang L, Sun W, Hayakawa Y, Sasamoto H, Sano T, McClung C, Bass A
1.290	Safety and Effectiveness of Lacosamide Monotherapy in Chinese Patients With Focal-Onset Seizures: Interim Results from a Real-World Study	Wu X, Wang D, Wang S, Schulz AL, Yu Y, Besson H, Chen S, Zhou D, Jiang Y
1.296	12-Month Effectiveness and Tolerability of Brivaracetam in Patients With Epilepsy and Cognitive or Psychiatric Comorbidities: Subgroup Data From the International EXPERIENCE Pooled Analysis	Villanueva V, D'Souza W, Faught E, Klein P, Reuber M, Rosenow F, Salas-Puig J, Soto-Insuga V, Strzelczyk A, Szaflarski JP, Besson H, Bourikas D, Daniels T, Floricel F, Friesen D, Laloyaux C, Sendersky V, Steinhoff BJ
1.303	Effectiveness and Tolerability of Brivaracetam in Adults With Epilepsy Etiology of Cerebral Neoplasm, Cerebrovascular Accident or Cranial Trauma: Pooled Data Analyses From Two Real-World Studies	Dave H, Sperling MR, Moseley B, Elmoufti S, Little A, Bourikas D, Steinhoff BJ
1.304	Expert Consensus Recommendations on Seizure Emergencies Suitable for Rapid and Early Seizure Termination (REST) and Timing of Intervention	Pina-Garza JE, Chez M, Cloyd J, Hirsch LJ, Kälviäinen R, Klein P, Lagae L, Sankar R, Specchio N, Strzelczyk A, Toledo M, Trinka E
1.374	A Survey of Rare Epilepsy Parents and Adult Siblings: To Assess Resources Needed to Prepare Families Living in the U.S. for Long-term Adult Care Planning for Their Loved One	Andrade DM, Bailey LD, Meskis MA, Hood V, Ferreira S, Dixon-Salazar T, Griffin J, Perry MS, Nascimento FA
1.376	Digital Health Technologies to Improve Health Outcomes for People Living With Epilepsy: A Scoping Review	Simic G, Fillios S, Hellier T, Vandenneucker J
1.377	Clinical and Economic Burden of Epilepsy According to the Number of Antiepileptic Drugs Received	Bénard M, Syed S, Aguilà Bargués M, Skornicki M, Ems D
1.378	Health Disparities in Black Patients Living With Epilepsy: Findings From a Survey of US Neurologists	Ebong I, Eads P, Charles G
1.387	Community Pharmacist-Centered Training Program Improves Confidence in Delivering Epilepsy Care	White HS, Guignet M, Novotny E, Stergachis A, Zaraa S, Nwogu IB, Ems D, Bacci J
1.435	Design of a Phase 3 Clinical Study to Examine the Safety, Effectiveness, and Pharmacokinetics of Fenfluramine in Infants with Dravet syndrome	Wheless J, Schoonjans A-S, Cleary E, Evans S, Morita D, Merazga Y
1.474	Systemic Exposure to Fenfluramine and its Active Metabolite Norfenfluramine in Patients With Lennox-Gastaut Syndrome	Mittur AM, Rubino C, Wheless J, Boyd B

Sunday, December 3, 2023 (12:00 PM –2:00 PM ET)

Poster number and title		Authors
2.254	Long-term Efficacy and Tolerability of Brivaracetam in Pediatric Patients With Focal-onset Seizures and Cognitive or Learning Comorbidities: Post Hoc Analysis of an Open-label Trial	Lagae L, Bourikas D, Dickson N, Dimova S, Elmoufti S, Moseley B, Kang H
2.255	Pulmonary Safety of **Staccato® Alprazolam in Healthy Participants and Participants with Mild Asthma: Phase 1, Randomized, Double-Blind, Placebo-Controlled Trial	Miller SD, LaForce CF, Barlow L, King A, Burian M, Chanteux H
2.261	Pharmacokinetics and Tolerability of Single-dose **Staccato® Alprazolam in Adolescents with Epilepsy and Population PK Analysis to Support Dose Selection in Adolescents	Klein P, Aungaroon G, Biton V, Liow KK, Phillips S, Wychowski T, Sadek A, Elshoff JP, Roebling R, King A, Ford A, Rospo CC, Schoemaker R, Chanteux H
2.262	Pharmacokinetics of **Staccato® Alprazolam in Healthy Adult Participants: Phase 1, Randomized, Placebo-Controlled Ethno-Bridging Study	Roebling R, Hayakawa Y, Rospo CC, Bartmann AP, King A, Chanteux H
2.267	Fenfluramine Increases Seizure-Free Days in Patients With Lennox-Gastaut Syndrome	Auvin S, Scheffer IE, Gil-Nagel A, Lothe A, Polega S, Lagae L, Knupp KG
2.270	Brivaracetam Adjunctive Therapy in Earlier Treatment Lines in Adults With Focal-Onset Seizures in Europe and Canada: Interim Results of 12-month Real-World Data from BRITOBA	Knake S, de Curtis M, Kobayashi E, Lema-Facal T, Maillard LG, Réhel B, Rheims S, Schulz AL, Leunikava I
2.271	Treatment Satisfaction, Work Productivity, and Quality of Life Under Adjunctive Brivaracetam in Earlier Treatment Lines in Adults With Focal-Onset Seizures: 6-Month Real-World Data from BRITOBA	Winter Y, Boero G, Didato G, Didelot A, Hirsch E, Kühn F, Navarro V, Réhel B, Schulz AL, Leunikava I
2.290	Pregnancy Outcomes Following Exposure to Lacosamide: Prospective Data From Spontaneous and Solicited Reports	Perucca P, Voinescu PE, Vadlamudi L, Bourikas D, Chellun D, Werhahn KJ, Kumke T, Schmitz B
2.376	Bridging The Gap Between Neurologists and People With Epilepsy/Caregivers: Systematic Literature Review About SUDEP Conversations	Ryvlin P, Stanton T, Shaw S, Mearns K, Luker J
2.445	Behavior and Executive Functioning During Adjunctive Brivaracetam Treatment of Pediatric Patients With Focal Seizures With or Without Cognitive or Learning Comorbidities	Bourikas D, Dickson N, de la Loge C, Dimova S, Elmoufti S, Moseley B, Lagae L
2.081	Seizure and Behavioral Phenotype in a Haploinsufficient Mouse Model with the Human SLC6A1 S295L Mutation Associated with Developmental and Epileptic Encephalopathy	Van Den Herrewegen Y, Clasadonte J, Rodriguez N, Lugara E, Goursaud E, Gillent E, Bonnaillie P, Mairet-Coello G, Widya M, Vandenplas C, Wolff C, Vallette B, Dedeurwaerdere S

*The Seizure Termination Project was funded by UCB Pharma.

**The safety and efficacy of STACCATO^® alprazolam has not been established and it is not currently approved for use in this indication by any regulatory authority worldwide.

Monday, December 4, 2023 (12:00 PM –1:45 PM ET)

Poster number and title		Authors
3.277	Descriptive Analysis of Fenfluramine Use in Adult Patients With Dravet Syndrome Enrolled in an Open-Label Extension Study	Sánchez-Carpintero R, Devinsky O, Gil-Nagel A, Morita D, Langlois M, Lothe A, Polega S, Jacobs-Le Van J, Scheffer IE, Healy P
3.294	Modeling Systemic Exposure to Fenfluramine and its Active Metabolite, Norfenfluramine, in Patients with Dravet Syndrome	Mittur AM, Rubino C, Auvin S, Specchio N, Boyd B
3.490	A 12-Month Persistence Analysis of Fenfluramine, Valproate, and Levetiracetam in Individuals with Dravet Syndrome: A Comparison Using US Claims Data	Jaganathan S, Ems D, Sederman R, Chen C, Wu S
3.021	A Longitudinal Monitoring of Neurobehaviors and Brain GABA Concentration in Slc6a1+/S295L and Slc6a1+/A288V Mouse Models Associated with Developmental Epileptic Encephalopathies	Randhave K, Clasadonte J, Biven M, Zavalin K, Paffenroth K, Allison J, Shen W, Khan M, Harrison F, Dedeurwaerdere S, Kang J

For further information, contact UCB:

Corporate Communications
Becky Malone, U.S. Media Relations
T +919.605.9600
Email Becky.Malone@ucb.com

Investor Relations
Antje Witte
T +32.2.559.94.14
Email antje.witte@ucb.com 

About UCB 
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 of the immune system or of the central nervous system. With approximately 8,600 people in approximately 40 countries, the company generated revenue of €5.5 billion in 2022. UCB is listed on Euronext Brussels (symbol: UCB). Follow us on Twitter: @UCB_news.

Important Safety Information about FINTEPLA^® (fenfluramine) in the US¹

FINTEPLA is indicated for the treatment of seizures associated with Dravet syndrome (DS) and Lennox-Gastaut syndrome (LGS) in patients 2 years of age and older.

FINTEPLA is available only through a restricted distribution program called the FINTEPLA REMS. Further information is available at www.FinteplaREMS.com or by telephone at +1 877 964 3649.

IMPORTANT SAFETY INFORMATION

BOXED WARNING: VALVULAR HEART DISEASE and PULMONARY ARTERIAL HYPERTENSION

• There is an association between serotonergic drugs with 5-HT2B receptor agonist activity, including fenfluramine (the active ingredient in FINTEPLA), and valvular heart disease and pulmonary arterial hypertension.
• Echocardiogram assessments are required before, during, and after treatment with FINTEPLA.
• FINTEPLA is available only through a restricted program called the FINTEPLA REMS.

CONTRAINDICATIONS
FINTEPLA is contraindicated in patients with hypersensitivity to fenfluramine or any of the excipients in FINTEPLA and with concomitant use, or within 14 days of the administration, of monoamine oxidase inhibitors because of an increased risk of serotonin syndrome.

WARNINGS AND PRECAUTIONS

Valvular Heart Disease and Pulmonary Arterial Hypertension (see Boxed Warning): Because of the association between serotonergic drugs with 5-HT2B receptor agonist activity, including fenfluramine (the active ingredient in FINTEPLA), and valvular heart disease (VHD) and pulmonary arterial hypertension (PAH), cardiac monitoring via echocardiogram is required prior to starting treatment, during treatment, and after treatment with FINTEPLA concludes. Cardiac monitoring via echocardiogram can aid in early detection of these conditions. In clinical trials for DS and LGS of up to 3 years in duration, no patient receiving FINTEPLA developed VHD or PAH.

Monitoring: Prior to starting treatment, patients must undergo an echocardiogram to evaluate for VHD and PAH. Echocardiograms should be repeated every 6 months, and once at 3-6 months post treatment with FINTEPLA.

The prescriber must consider the benefits versus the risks of initiating or continuing treatment with FINTEPLA if any of the following signs are observed via echocardiogram: valvular abnormality or new abnormality; VHD indicated by mild or greater aortic regurgitation or moderate or greater mitral regurgitation, with additional characteristics of VHD (eg, valve thickening or restrictive valve motion); PAH indicated by elevated right heart/pulmonary artery pressure (PASP >35 mmHg).

FINTEPLA REMS Program (see Boxed Warning): FINTEPLA is available only through a restricted distribution program called the FINTEPLA Risk Evaluation and Mitigation Strategy (REMS) Program. Prescribers must be certified by enrolling in the FINTEPLA REMS. Prescribers must counsel patients receiving FINTEPLA about the risk of VHD and PAH, how to recognize signs and symptoms of VHD and PAH, the need for baseline (pretreatment) and periodic cardiac monitoring via echocardiogram during FINTEPLA treatment, and cardiac monitoring after FINTEPLA treatment. Patients must enroll in the FINTEPLA REMS and comply with ongoing monitoring requirements. The pharmacy must be certified by enrolling in the FINTEPLA REMS and must only dispense to patients who are authorized to receive FINTEPLA. Wholesalers and distributors must only distribute to certified pharmacies. Further information is available at www.FinteplaREMS.com or by telephone at 1-877-964-3649.

Decreased Appetite and Decreased Weight: FINTEPLA can cause decreases in appetite and weight. Decreases in weight appear to be dose related. Approximately half of the patients with LGS and most patients with DS resumed the expected measured increases in weight during the open-label extension studies. Weight should be monitored regularly during treatment with FINTEPLA, and dose modifications should be considered if a decrease in weight is observed.

Somnolence, Sedation, and Lethargy: FINTEPLA can cause somnolence, sedation, and lethargy. Other central nervous system (CNS) depressants, including alcohol, could potentiate these effects of FINTEPLA. Prescribers should monitor patients for somnolence and sedation and should advise patients not to drive or operate machinery until they have gained sufficient experience on FINTEPLA to gauge whether it adversely affects their ability to drive or operate machinery.

Suicidal Behavior and Ideation: Antiepileptic drugs (AEDs), including FINTEPLA, increase the risk of suicidal thoughts or behaviors in patients taking these drugs for any indication. Patients treated with an AED for any indication should be monitored for the emergence or worsening of depression, suicidal thoughts or behaviors, or any unusual changes in mood or behavior.

Anyone considering prescribing FINTEPLA or any other AED must balance the risk of suicidal thoughts or behaviors with the risks of untreated illness. Epilepsy and many other illnesses for which AEDs are prescribed are themselves associated with morbidity and mortality and an increased risk of suicidal thoughts and behaviors. Should suicidal thoughts and behaviors emerge during treatment, consider whether the emergence of these symptoms in any given patient may be related to the illness being treated.

Withdrawal of Antiepileptic Drugs: As with most AEDs, FINTEPLA should generally be withdrawn gradually because of the risk of increased seizure frequency and status epilepticus. If withdrawal is needed because of a serious adverse reaction, rapid discontinuation can be considered.

Serotonin Syndrome: Serotonin syndrome, a potentially life-threatening condition, may occur with FINTEPLA, particularly during concomitant administration of FINTEPLA with other serotonergic drugs, including, but not limited to, selective serotonin-norepinephrine reuptake inhibitors (SNRIs), selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs), bupropion, triptans, dietary supplements (eg, St. John's Wort, tryptophan), drugs that impair metabolism of serotonin (including monoamine oxidase inhibitors [MAOIs], which are contraindicated with FINTEPLA), dextromethorphan, lithium, tramadol, and antipsychotics with serotonergic agonist activity. Patients should be monitored for the emergence of signs and symptoms of serotonin syndrome, which include mental status changes (eg, agitation, hallucinations, coma), autonomic instability (eg, tachycardia, labile blood pressure, hyperthermia), neuromuscular signs (eg, hyperreflexia, incoordination), and/or gastrointestinal symptoms (eg, nausea, vomiting, diarrhea). If serotonin syndrome is suspected, treatment with FINTEPLA should be stopped immediately and symptomatic treatment should be started.

Increase in Blood Pressure: FINTEPLA can cause an increase in blood pressure. Rare cases of significant elevation in blood pressure, including hypertensive crisis, has been reported in adult patients treated with fenfluramine, including patients without a history of hypertension. In clinical trials for DS and LGS of up to 3 years in duration, no pediatric or adult patient receiving FINTEPLA developed hypertensive crisis. Monitor blood pressure in patients treated with FINTEPLA.

Glaucoma: Fenfluramine can cause mydriasis and can precipitate angle closure glaucoma. Consider discontinuing treatment with FINTEPLA in patients with acute decreases in visual acuity or ocular pain.

ADVERSE REACTIONS
The most common adverse reactions observed in DS studies (incidence at least 10% and greater than placebo) were decreased appetite; somnolence, sedation, lethargy; diarrhea; constipation; abnormal echocardiogram; fatigue, malaise, asthenia; ataxia, balance disorder, gait disturbance; blood pressure increased; drooling, salivary hypersecretion; pyrexia; upper respiratory tract infection; vomiting; decreased weight; fall; status epilepticus.

The most common adverse reactions observed in the LGS study (incidence at least 10% and greater than placebo) were diarrhea; decreased appetite; fatigue; somnolence; vomiting.

DRUG INTERACTIONS
Strong CYP1A2, CYP2B6, or CYP3A Inducers: Coadministration with strong CYP1A2, CYP2B6, or CYP3A inducers will decrease fenfluramine plasma concentrations. If coadministration of a strong CYP1A2, CYP2B6, or CYP3A inducer with FINTEPLA is necessary, monitor the patient for reduced efficacy and consider increasing the dosage of FINTEPLA as needed. If a strong CYP1A2, CYP2B6, or CYP3A inducer is discontinued during maintenance treatment with FINTEPLA, consider gradual reduction in the FINTEPLA dosage to the dose administered prior to initiating the inducer.

Strong CYP1A2 or CYP2D6 Inhibitors: Coadministration with strong CYP1A2 or CYP2D6 inhibitors will increase fenfluramine plasma concentrations. If FINTEPLA is coadministered with strong CYP1A2 or CYP2D6 inhibitors, the maximum daily dosage of FINTEPLA is 20 mg. If a strong CYP1A2 or CYP2D6 inhibitor is discontinued during maintenance treatment with FINTEPLA, consider gradual increase in the FINTEPLA dosage to the dose recommended without CYP1A2 or CYP2D6 inhibitors. If FINTEPLA is coadministered with stiripentol and a strong CYP1A2 or CYP2D6 inhibitor, the maximum daily dosage of FINTEPLA is 17 mg.

USE IN SPECIFIC POPULATIONS
In patients with severe impairment of kidney function (estimated glomerular filtration rate [eGFR]) 15 to 29 mL/min/1.73m², dosage adjustments are recommended. FINTEPLA has not been studied in patients with kidney failure (eGFR <15 mL/min/1.73m²).
Combined molar exposures of fenfluramine and norfenfluramine were increased in subjects with various degrees of hepatic impairment (Child-Pugh Class A, B, and C), necessitating a dosage adjustment in these patients.

To report SUSPECTED ADVERSE REACTIONS, contact UCB, Inc. at 1‑844-599-2273 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see full Prescribing Information, including Boxed Warning and Medication Guide, for additional Important Safety Information on FINTEPLA.

Important Safety Information about BRIVIACT^® (brivaracetam) in the US²

BRIVIACT^® (brivaracetam) CV is indicated for the treatment of partial-onset seizures in patients 1 month of age and older.

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. 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 in adult and pediatric patients. 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.

DOSING CONSIDERATIONS
Dose adjustments are recommended for patients with all stages of hepatic impairment.

When BRIVIACT is co-administered with rifampin, an increase in the BRIVIACT dose is recommended.

ADVERSE REACTIONS
In adult adjunctive therapy placebo-controlled clinical trials, the most common adverse reactions (at least 5% for BRIVIACT and at least 2% more frequently than placebo) were somnolence and sedation, dizziness, fatigue, and nausea and vomiting symptoms. Adverse reactions reported in clinical studies of pediatric patients were generally similar to those in adult patients. Adverse reactions with BRIVIACT injection in adult and pediatric patients were generally similar to those observed with BRIVIACT tablets. Other adverse events that occurred in adult patients who received BRIVIACT injection included dysgeusia, euphoric mood, feeling drunk, and infusion site pain.

BRIVIACT is a Schedule V controlled substance.

Please refer to the full Prescribing Information and visit www.BRIVIACThcp.com.

Important Safety Information about VIMPAT^® (lacosamide) in the US³

VIMPAT^® is indicated for treatment of partial-onset seizures in patients 1 month of age and older, and as adjunctive therapy in the treatment of primary generalized tonic-clonic seizures in patients 4 years of age and older.

VIMPAT IMPORTANT SAFETY INFORMATION
VIMPAT is associated with important warnings and precautions including suicidal behavior and ideation, dizziness and ataxia, cardiac rhythm and conduction abnormalities, syncope, and Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), also known as multi-organ hypersensitivity.

Partial-Onset Seizures
In the adult adjunctive placebo-controlled trials for partial-onset seizures, the most common adverse reactions (≥10% and greater than placebo) were dizziness, headache, nausea, and diplopia. In the adult monotherapy clinical trial, adverse reactions were generally similar to those observed and attributed to drug in adjunctive placebo-controlled trials, with the exception of insomnia (observed at a higher rate of ≥2%).

Primary Generalized Tonic-Clonic Seizures
In the adjunctive therapy placebo-controlled trial for primary generalized tonic-clonic seizures, the adverse reactions were generally similar to those that occurred in the partial-onset seizures trials. The adverse reactions most commonly reported were dizziness, somnolence, headache, and nausea.

Pediatric Patients
Adverse reactions reported in clinical studies for partial-onset seizures in patients 1 month to less than 17 years of age and for primary generalized tonic-clonic seizures for patients 4 to less than 17 years of age were similar to those seen in adult patients.

Injection
In adult adjunctive therapy clinical trials for partial-onset seizures, adverse reactions with intravenous administration generally were similar to those that occurred with the oral formulation, although intravenous administration was associated with local adverse reactions such as injection site pain or discomfort (2.5%), irritation (1%), and erythema (0.5%). When administering a loading dose, the incidence of CNS adverse reactions, such as dizziness, somnolence, and paresthesia, may be higher with 15-minute administration than over a 30- to 60-minute period. The adverse reactions associated with VIMPAT injection in adult patients with primary generalized tonic-clonic seizures are expected to be similar to those seen in adults with partial- onset seizures. The adverse reactions associated with VIMPAT injection in pediatric patients are expected to be similar to those noted in adults. Infusion times less than 30 minutes were not adequately studied in pediatric patients.

VIMPAT (lacosamide) is a Schedule V controlled substance. 
Please refer to the full Prescribing Information.

­­­­References:

1. Fintepla^® US PI. FINTEPLA (fenfluramine) oral solution: U.S. prescribing information. Smyrna, GA: UCB, Inc.
2. BRIVIACT (brivaracetam) prescribing information. Smyrna, GA: UCB, Inc.
3. VIMPAT (lacosamide): US prescribing information. Smyrna, GA: UCB, Inc.

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FAQ

What will UCB present at the American Epilepsy Society Annual Meeting 2023?

UCB will present 29 abstracts, including 4 late breakers, highlighting clinical, health economic, and demographic studies in epilepsy.

What is the focus of UCB's presentations at the AES Annual Meeting 2023?

The presentations will showcase the diversity, potential, and momentum of UCB's epilepsy and rare syndromes portfolio, including important fenfluramine and brivaracetam data.

What is the purpose of UCB's symposium at the AES Annual Meeting 2023?

UCB will be hosting a symposium to shed further light on seizure emergencies and data being presented at AES on the Seizure Termination Project.

What is the CME program supported by UCB at the AES Annual Meeting 2023?

UCB is supporting a CME program entitled 'Beyond Seizures: The Evolving Standard of Care in Developmental and Epileptic Encephalopathies'.

What is the potential risk associated with UCB's investigational treatment for potential termination of prolonged epileptic seizures?

The potential risks associated with the investigational treatment for potential termination of prolonged epileptic seizures.

What are the differences highlighted in the provision of information between healthcare professionals and patients in SUDEP?

The differences in provision of information between healthcare professionals and patients in SUDEP (Sudden Unexpected Death in Epilepsy).

What are the survey results on health disparities in black patients living with epilepsy?

Results from a survey of US neurologists on health disparities in black patients living with epilepsy.

What is the focus of UCB's research into mechanisms underlying Developmental and Epileptic Encephalopathies (DEE)?

Data from early research into mechanisms underlying Developmental and Epileptic Encephalopathies (DEE).