Table 3.
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 convulsive seizure frequency | |||||||
GWPCARE2 | CBD10 | 0.70 (0.54‐0.92) | 0.0095 | 0.1691 | 0.63 (0.46‐0.86) | 0.0042 | |
CBD20 | 0.74 (0.57‐0.97) | 0.0299 | 0.5702 | 0.69 (0.50‐0.96) | 0.0297 | ||
GWPCARE1 | CBD20 | 0.67 (0.50‐0.90) | 0.0082 | 0.57 (0.40‐0.83) | 0.0032 | ||
Meta‐analysis | CBD10 + CBD20 | 0.8808 | 0.71 (0.60‐0.83) | <0.0001 | 0.7490 | 0.63 (0.52‐0.77) | <0.0001 |
CBD20 | 0.6170 | 0.71 (0.58‐0.86) | 0.0006 | 0.4490 | 0.64 (0.50‐0.81) | 0.0003 | |
≥50% responder rate | |||||||
GWPCARE2 | CBD10 | 2.24 (1.06‐4.73) | 0.0346 | 0.9722 | 2.33 (0.96‐5.68) | 0.0623 | |
CBD20 | 2.77 (1.32‐5.82) | 0.0073 | 0.8188 | 3.26 (1.28‐8.26) | 0.0130 | ||
GWPCARE1 | CBD20 | 2.04 (0.93‐4.51) | 0.0768 | 0.2517 | 2.88 (1.06‐7.84) | 0.0382 | |
Meta‐analysis | CBD10 + CBD20 | 0.8512 | 2.34 (1.51‐3.63) | 0.0001 | 0.8763 | 2.78 (1.62‐4.77) | 0.0002 |
CBD20 | 0.5837 | 2.40 (1.40‐4.13) | 0.0015 | 0.8612 | 3.08 (1.56‐6.08) | 0.0012 |
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; DS, Dravet syndrome.
Reductions in convulsive seizure frequency are displayed using treatment ratios; ≥50% responder rates are displayed using odds ratios.