| Methods | Randomised, multicentre, open‐label, parallel‐group trial conducted in Europe and Mexico 2 treatment arms: LTG and CBZ randomised in a 2:1 ratio |
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| Participants | Adults and children over the age of 2 with newly diagnosed or currently untreated partial epilepsy with 2 or more seizures in the previous 6 months and with at least 1 seizure in the last 3 months Number randomised: LTG = 420, CBZ = 202 329 males (53%) 619 with partial seizures (99.5%) Not stated how many participants had received previous AED treatment Mean age (range): 27 (2 to 84) years |
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| Interventions | Monotherapy with LTG or CBZ for 24 weeks 6‐week escalation phase leading to minimum of LTG 2 mg/kg/day age range 2 to 12 years, 200 mg/day age range 13 to 64 years and 100 mg/day age > 65 years. CBZ aged 2 to 12 years 5 to 40 mg/kg, age > 12 years 100 to 1500 mg/day Range of follow‐up: 0 to 245 days |
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| Outcomes | Proportion of patients seizure‐free during the last 16 weeks of treatment Efficacy success: proportion of patients who did not withdraw before the end of week 18 and were seizure‐free in the last 16 weeks of the trial Time to withdrawal from the trial (proportion of patients completing the trial) Proportion of patients experiencing adverse events Withdrawals due to adverse events |
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| Notes | IPD provided by trial sponsor GlaxoSmithKline for time to treatment withdrawal and time to first seizure (plus seizure freedom rates at 24 weeks) Dates of seizures during the first 4 weeks not provided with individual participant data |
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| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Computer‐generated random sequence. Participants randomised in a 2:1 ratio (LTG:CBZ), stratified by age group and country |
| Allocation concealment (selection bias) | Low risk | Allocation concealed by individual sealed, opaque envelopes |
| Blinding of participants and personnel (performance bias) All outcomes | High risk | Open‐label trial |
| Blinding of outcome assessment (detection bias) All outcomes | High risk | Open‐label trial |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | Attrition rates reported; all randomised participants analysed from IPD provided (see footnote 2) |
| Selective reporting (reporting bias) | Low risk | Protocol provided. All outcomes reported or calculated with IPD provided (see footnote 2) |
| Other bias | Low risk | None identified |