Methods | Randomised, multicentre, double‐blind trial conducted in 41 centres in Europe and Australia 2 treatment arms: GBP and LTG |
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Participants | Participants > 16 years with at least 2 partial seizures with or without secondary generalisation or primary generalised tonic clonic seizures in the last 12 months. All participants were untreated in the previous 6 months or AED naive Number randomised: GBP = 158, LTG = 151. Evaluable population (exclusions due to protocol violations): GBP = 148, LTG = 143 152 male participants (52%) out of evaluable population 233 participants with partial epilepsy (80%) out of evaluable population Mean age of evaluable population (SD, range): GBP: 35.8 years (16.4, 13‐78), LTG: 37.9 (16.7, 16‐78) |
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Interventions | Monotherapy with GBP or LTG Titration of 2 weeks for GBP to a dose range of 1200 mg/d‐3600 mg/d and titration of 6 weeks for LTG to a dose range of 100 mg/d‐300 mg/d Titration period followed by 24‐week maintenance period. Range of follow‐up not stated |
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Outcomes | Time to exit Percentage of completers/time to withdrawal for any reason Time to first seizure Percentage who remained seizure‐free during the final 12 weeks of the 30‐week evaluation period Withdrawal rate due to adverse events |
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Notes | IPD requested from trial sponsor Pfizer but data could not be provided due to time elapsed since the trial was completed. Additional information provided in a clinical study report. Aggregate data extracted for time to exit from the trial and time to first seizure extracted from the publication | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation was performed with permuted blocks, stratified within each centre by seizure type. |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Masking was achieved by double‐dummy dosing. A dose range was permitted within the trial to maintain the blind of two drugs with different titration rates (2 weeks for GBP and 6 weeks for LTG) |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No information provided |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Attrition rates reported, all randomised participants included in an ITT analysis (even though demographics presented for 'evaluable population' only) |
Selective reporting (reporting bias) | Low risk | All efficacy and tolerability outcomes specified in the methods sections were reported well in the results section. No protocol was available. |
Other bias | Low risk | None identified |