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This entry refers to the comparative study of brivaracetam and levetiracetam, two antiseizure medications that target the synaptic vesicle glycoprotein 2A (SV2A). Brivaracetam is a high-affinity SV2A ligand with greater lipophilicity than its predecessor, levetiracetam. The specific context provided involves a randomized, double-blind, crossover clinical trial (NCT03580707) led by William E. Rosenfeld, M.D., which evaluated the speed of onset and pharmacodynamic effects of these drugs in patients with photosensitive epilepsy. The study utilized the suppression of the photoparoxysmal response (PPR) on EEG as a marker for central nervous system activity to determine if brivaracetam's higher affinity and lipophilicity result in a faster clinical effect compared to levetiracetam.
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