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. 2018 Oct 24;2018(10):CD001415. doi: 10.1002/14651858.CD001415.pub3

Leach 1997.

Methods Double‐blind, random order, cross‐over, placebo‐controlled study in the UK
12 weeks' treatment or placebo
No baseline period, however all participants reported at least 4 seizures/month for 3 months and AED doses had remained unchanged for ≥ 3 months prior to study
Participants Single centre (Western Infirmary in Glasgow, UK)
Adults with focal seizures refractory to 1 or 2 AEDs
Total randomised: 27 participants; 23 analysed after withdrawals
Aged 16‐67 years, mean 28.4 years
37% men prior to withdrawals
Interventions 3 sequential doses of gabapentin 400 mg, 600 mg and 800 mg TDS, each dose increase after 4 weeks)
Placebo
Outcomes Seizure frequency
Seizure freedom
Adverse effects (scored, individual adverse effects not mentioned)
Neuropsychological tests (psychomotor, memory, cognition, dysphoria, temper, fatigue, worry, tiredness)
Notes No baseline period, therefore not included in meta‐analysis
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No details of randomisation provided
Allocation concealment (selection bias) Unclear risk No details provided
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Double‐blind and matched placebo but no further details provided.
Incomplete outcome data (attrition bias) 
 All outcomes High risk 25% of participants excluded and not analysed on an ITT basis
Selective reporting (reporting bias) Low risk Included all prespecified expected outcomes
Other bias High risk Trial sponsored by Parke Davis
Study appeared free of other sources of bias