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. 2020 Oct 22;143(2):154–163. doi: 10.1111/ane.13351

Table 2.

Meta‐analyses of reduction from baseline in primary seizures and ≥50% responder rates for LGS populations, overall and on clobazam (intention‐to‐treat population)

Trial Treatment arm vs placebo Overall On clobazam
Interaction p‐value Treatment/odds ratio a (95% CI) p‐value Interaction p‐value Treatment/odds ratio a (95% CI) p‐value
Reduction in drop seizure frequency
GWPCARE3 CBD10 0.71 (0.56‐0.89) 0.0032 0.9727 0.70 (0.51‐0.98) 0.0355
CBD20 0.66 (0.53‐0.83) 0.0005 0.0067 0.46 (0.33‐0.64) <0.0001
GWPCARE4 CBD20 0.73 (0.59‐0.90) 0.0036 0.0123 0.54 (0.40‐0.73) <0.0001
Meta‐analysis CBD10 + CBD20 0.8244 0.70 (0.62‐0.80) <0.0001 0.1948 0.56 (0.47‐0.67) <0.0001
CBD20 0.5363 0.70 (0.60‐0.82) <0.0001 0.4734 0.51 (0.41‐0.63) <0.0001
≥50% responder rate
GWPCARE3 CBD10 3.30 (1.48‐7.35) 0.0035 0.5021 2.72 (0.96‐7.67) 0.0584
CBD20 3.87 (1.76‐8.53) 0.0008 0.7015 5.12 (1.81‐14.54) 0.0021
GWPCARE4 CBD20 2.61 (1.35‐5.06) 0.0044 0.6190 3.14 (1.26‐7.81) 0.0140
Meta‐analysis CBD10 + CBD20 0.7482 3.14 (2.04‐4.81) <0.0001 0.6720 3.48 (1.96‐6.17) <0.0001
CBD20 0.4545 3.07 (1.85‐5.10) <0.0001 0.4879 3.88 (1.95‐7.71) <0.0001

Results are based on a fixed‐effects meta‐analysis. The interaction p‐value tested the null hypothesis of homogeneity of the treatment effect across trials/dose comparisons.

Abbreviations: CBD10, cannabidiol 10 mg/kg/day; CBD20, cannabidiol 20 mg/kg/day; CI, confidence interval; LGS, Lennox–Gastaut syndrome.

a

Reductions in drop seizure frequency are displayed using treatment ratios; ≥50% responder rates are displayed using odds ratios.