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. 2019 Feb 8;2019(2):CD003032. doi: 10.1002/14651858.CD003032.pub4

Callaghan 1982.

Methods Randomised, parallel open study designed to compare ESM with VPS treatment. Followed up for 18 months to 4 years, mean 3 years.
Participants 28 drug‐naive participants (13 male, 15 female), aged between 4 to 15 years. All participants with typical AS.
Interventions Monotherapy with ESM or VPS.
Outcomes Complete or partial (50% to 90%) remission of seizures confirmed by 6 hours telemetry and observation by parents and teachers.
Notes The report acknowledged support from Warner‐Lambert Pharmaceuticals, manufacturers of ethosuximide.
One patient in the ethosuximide group was subsequently treated with valproate, but failed to respond to either single drug and did not improve when both drugs were used in combination. The outcomes of this patient on combined treatment were therefore counted twice ("no remission").
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information to permit judgement.
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement.
Blinding (performance bias and detection bias) 
 All outcomes High risk No blinding.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No blinding.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk No blinding.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing outcome data.
Selective reporting (reporting bias) Low risk The study protocol is not available but it is clear that the published reports include all expected outcomes.