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. 2020 Jul 24;2020(7):CD001416. doi: 10.1002/14651858.CD001416.pub5

Brodie 2005.

Study characteristics
Methods Randomised, double‐blind, placebo‐controlled, parallel‐group study
Allocation concealment using telephone randomisation
Random permuted blocks of 6 per participating centre
Blinded using identical tablets and packaging
12 week pre‐randomisation baseline period, 24‐week treatment period including 6‐week dose titration
Participants Multicentre study, 49 centres in Europe and 5 in South Africa
351 participants. At least 12 seizures during 12‐week baseline period, with no period of more than 3 weeks seizure‐free
Taking 1 to 3 AEDs
Aged 12 to 77
51% male
Interventions Placebo, 100 mg, 300 mg, or 500 mg placebo, randomised in 2:1:1:2 ratio
Outcomes Reduction in seizure frequency, proportion with a 50% or greater reduction in seizure frequency
Adverse events
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Patients were randomised sequentially in blocks of six"
Allocation concealment (selection bias) Unclear risk Insufficient details were provided
Blinding of participants and personnel (performance bias)
All outcomes Low risk "Treatments were blinded using a double dummy technique throughout the study"
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Insufficient details about blinding of outcome assessors was provided
Incomplete outcome data (attrition bias)
All outcomes Low risk A modified ITT analysis was conducted as "all patients who received at least one dose of study drug were included in the safety analysis".  4 participants not included in the analysis were spread fairly evenly among groups (1 participant lost from 2 groups, 2 participants lost from 1 group)
Selective reporting (reporting bias) Low risk This study was deemed to be at a low risk of selective reporting
Funding Source Low risk Reported (sponsored by industry)
Conflicts of interest Unclear risk Not specified
Other bias Low risk Allocation to groups led to different durations of stable‐dose phase