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. 2020 Jan 6;2020(1):CD006282. doi: 10.1002/14651858.CD006282.pub5

11. Oral valproic acid versus placebo outcomes (Kissel 2014).

  Valproic acid Placebo Difference (95% CI)a P value
Number (%) of participants randomised first 6 months (cross‐over setting) 16 (100%) 17 (100%)
Number (%) of participants evaluable for analysis after 12 months 30 (91%) 30 (91%)
Analysis after 6 months before cross‐over
Number (%) of participants evaluable for analysis SMAFRS 14 (88%) 17 (100%)
Mean (SD) change in SMAFRS ‐0.29 (1.59) ‐0.35 (2.32) 0.06 (‐1.32 to 1.44) 0.93
Number (%) of participants evaluable for analysis upper extremity 14 16
Mean (SD) change in MVICT upper extremity (Newton) ‐0.24 (1.17) ‐0.01 (1.05) ‐0.23 (‐1.03 to 0.57) 0.54
Number (%) of participants evaluable for analysis lower extremity 13 16
Mean (SD) change in lower extremity MVICT (Newton) ‐0.02 (0.65) 0.35 (1.30) ‐0.37 (‐1.09 to 0.35) 0.36
Number (%) of participants evaluable for analysis pulmonary function (FVC) 14 (88%) 17 (100%)
Mean (SD; range) change in pulmonary function (FVC improvement in litres) ‐0.04 (0.35) 0.30 (1.20) ‐0.34 (‐0.94 to 0.26) 0.31
Number of participants evaluable for QoL analysis 14 17
Mean (SD) change in mini‐SIP for QoL ‐0.19 (2.80) 0.91 (4.78) ‐1.1 (‐3.8 to 1.6) 0.53
  Valproic acid Placebo Risk ratio (95% CI)a P value
Number of adverse events 30 66
Number of participants with adverse events 12 15 0.8 (0.44 to 1.44)  
Number of severe adverse events 2 3
Number of participants with severe adverse events 2 2 1.0 (0.15 to 6.69)
Number (%) of participants discontinued intervention NA NA

CI: confidence interval; FVC: forced vital capacity; mini‐SIP: mini‐Sickness Illness Profile; MVICT: maximum voluntary isometric contraction; NA: not available; QoL: quality of life; SD: standard deviation; SMAFRS: Spinal Muscular Atrophy Functional Rating Scale.

aCalculated with available data.