Skip to main content
. Author manuscript; available in PMC: 2007 Nov 19.
Published in final edited form as: Lancet. 2007 Mar 24;369(9566):1000–1015. doi: 10.1016/S0140-6736(07)60460-7

Table 4.

Seizure outcomes by drug

Events/total Year 1 Year 2 Year 3 Year 4 Year 5 Year 6
Time to 12-month remission—intention to treat
Number at risk
   Carbamazepine   254/362 347 120 73 41  16  6
   Gabapentin   215/359 337 141 76 45  25  7
   Lamotrigine   245/365 356 126 59 36  19  4
   Topiramate   225/358 338 126 74 50  24  5
   Oxcarbazepine   128/200 189  58 21  3
Percentage of 12-month remission (95% CI)
   Carbamazepine   254/362  36 (31 to 41)  60 (55 to 66)  69 (63 to 74) 77 (72 to 82)  82 (77 to 87) 85 (79 to 91)
Difference in percentage of 12-month remission compared with carbamazepine (95% CI)
   Gabapentin   215/359 −12 (−19 to −5)  −9 (−16 to −1) −6 (−13 to 2) −6 (−14 to 1)  −9 (−17 to −1) −9 (−18 to 0)
   Lamotrigine   245/365  −7 (−13 to 0)  −3 (−11 to 4)  3 (−4 to 11) −1 (−8 to 7)  −3 (−10 to 5) −2 (−11 to 7)
   Topiramate   225/358  −3 (−10 to 4)  −5 (−13 to 2) −2 (−10 to 5) −6 (−14 to 1)  −7 (−14 to 1) −4 (−14 to 6)
   Oxcarbazepine   128/200  −1 (−11 to 9)  −3 (−13 to 7) −1 (−12 to 9) −2 (−15 to 10)
Time to 12-month remission—per protocol
Number at risk
   Carbamazepine   164/352 222  47 26 13   5
   Gabapentin   126/351 194  42 16  8   5
   Lamotrigine   170/358 264  66 25 16   6
   Topiramate   138/353 203  40 15  5   3
   Oxcarbazepine   80/195 117  25  6
Percentage of 12-month remission (95% CI)
   Carbamazepine   164/352  29 (24 to 34)  44 (39 to 50) 48 (42 to 53) 50 (44 to 55)  53 (47 to 58)
Difference in percentage of 12-month remission compared with carbamazepine (95% CI)
   Gabapentin   126/351  −9 (−16 to −3)  −9 (−17 to −2) −9 (−17 to −1) −9 (−17 to −1) −12 (−20 to −4)
   Lamotrigine   170/358  −4 (−11 to 3)   0 (−8 to 7)   4 (−4 to 12)  5 (−3 to 12)   3 (−5 to 11)
   Topiramate   138/353  −4 (−11 to 3) −6(−13 to 2) −6 (−14 to 1) −6 (−14 to 2)  −8 (−16 to 0)
   Oxcarbazepine   80/195  −2 (−12 to 7) −7(−17 to 4)  −5 (−16 to 6)
Time to 24 months remission—intention to treat
Number at risk
   Carbamazepine   168/362 295 116 71 28   8
   Gabapentin   132/359 283 125 74 36   8
   Lamotrigine   155/365 296 120 67 30   9
   Topiramate   140/358 284 124 80 41  12
   Oxcarbazepine   68/200 138  39  5
Percentage of 24 month remission (95% CI)
   Carbamazepine   168/362  32 (27 to 37)  50 (44 to 56) 57 (51 to 63) 65 (58 to 72) 69 (61 to 78)
Difference in percentage of 24 month remission compared with carbamazepine (95% CI)
   Gabapentin   132/359 −13 (−20 to −6) −12 (−21 to −4) −7 (−16 to 2) −7 (−17 to 4) −8 (−20 to 4)
   Lamotrigine   155/365  −6 (−13 to 1)  −7 (−15 to 1) −1 (−9 to 8) −3 (−13 to 6) −5 (−17 to 6)
   Topiramate   140/358  −5 (−12 to 3)  −7 (−16 to 1) −6 (−15 to 3) −11 (−21 to −2) −8 (−20 to 4)
   Oxcarbazepine   68/200  −4 (−15 to 7) −6 (−19 to 6)  0 (−18 to 17)
Time to first seizure—intention to treat
Number at risk
   Carbamazepine   259/362 126 92 53 34 17  4
   Gabapentin   288/359  83 53 39 18  7  1
   Lamotrigine   290/365 106 76 48 29 10  5
   Topiramate   268/358 112 76 50 33 13  4
   Oxcarbazepine⁠*   144/200  67 42 11
Percentage of first seizure (95% CI)
   Carbamazepine   259/362  63 (58 to 68) 69 (64 to 73) 73 (68 to 78) 73 (68 to 78) 74 (69 to 79) 78 (69 to 87)
Difference in percentage of first seizure compared with carbamazepine (95% CI)
   Gabapentin   288/359  12 (5 to 19) 11 (4 to 17)  8 (1 to 14)  9 (3 to 16) 11 (3 to 18)  6 (−4 to 17)
   Lamotrigine   290/365   7 (1 to 14)  6 (0 to 13)  7 (0 to 13)  8 (2 to 15) 10 (3 to 17)  5 (−5 to 15)
   Topiramate   268/358   4 (−3 to 11)  5 (−2 to 11)  3 (−4 to 9)  5 (−2 to 12)  4 (−3 to 11)  0 (−10 to 10)
   Oxcarbazepine⁠*   144/200   1 (−8 to 10)  1 (−8 to 10)  5 (−4 to 15)
*

Figures in this row for use data for oxcarbazepine and carbamazepine only from patients randomised after June 1, 2001.