Methods | Randomised, double‐blind, placebo‐controlled, cross‐over study, based on a response‐dependent design. Two treatment arms: one TGB, one PCB. Participants randomly assigned to one of two sequences. TGB started during screening phase at 12 mg/d QID. Seven‐week double‐blind treatment period during which participants continued on TGB or crossed over to PCB arm | |
Participants | Multi‐centre study (five centres: two in UK, two in The Netherlands and one in Denmark) 44 participants with drug‐resistant partial epilepsy were randomly assigned (30 male), aged 18 to 53 years Participants already taking one to three background AEDs Median baseline seizure frequency = 2.7/wk. | |
Interventions | Group one: PCB Group two: TGB (optimal dose 64 mg/d) Mean daily dose for all randomly assigned participants was 46 mg during the double‐blind phase |
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Outcomes |
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Notes | From the 44 people randomly assigned to the double‐blind phase, seven were excluded from the intent‐to‐treat analysis. All participants were evaluated for adverse events | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Participants randomly assigned in a 1:1 ratio at each centre to one of two sequences. No further details on how the sequences were generated |
Allocation concealment (selection bias) | Low risk | Sequentially allocated sealed packages used |
Blinding (performance bias and detection bias) All outcomes | Low risk | Used identical packaging and medication |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Attrition rates reported and intention‐to‐treat analysis employed |
Selective reporting (reporting bias) | Low risk | All outcomes reported in methods section were reported in text; however, no protocol is available for comparison of outcomes |