Table 2.
Adverse reactions by MedDRA system organ classification
|
Number of events |
Number of patients (%) |
|||||
|---|---|---|---|---|---|---|
| Lamotrigine | Levetiracetam | Zonisamide | Lamotrigine (n=328) | Levetiracetam (n=330) | Zonisamide (n=324) | |
| Psychiatric disorders | 58 | 147 | 103 | 43 (13%) | 98 (30%) | 73 (23%) |
| Nervous system disorders | 88 | 81 | 85 | 53 (16%) | 55 (17%) | 60 (19%) |
| General disorders and administration site conditions* | 23 | 37 | 44 | 17 (5%) | 32 (10%) | 39 (12%) |
| Gastrointestinal disorders | 30 | 29 | 35 | 25 (8%) | 22 (7%) | 26 (8%) |
| Skin and subcutaneous tissue disorders† | 29 | 14 | 28 | 24 (7%) | 12 (4%) | 21 (7%) |
| Investigations | 6 | 11 | 16 | 6 (2%) | 11 (3%) | 16 (5%) |
| Metabolism and nutrition disorders | 4 | 2 | 17 | 3 (1%) | 2 (1%) | 16 (5%) |
| Musculoskeletal and connective tissue disorders | 5 | 1 | 8 | 5 (2%) | 1 (<1%) | 7 (2%) |
| Eye disorders | 1 | 1 | 5 | 1 (<1%) | 1 (<1%) | 5 (2%) |
| Renal and urinary disorders | 1 | 0 | 6 | 1 (<1%) | 0 | 5 (2%) |
| Cardiac disorders | 2 | 2 | 1 | 2 (<1%) | 2 (1%) | 1 (<1%) |
| Respiratory, thoracic, and mediastinal disorders | 1 | 1 | 2 | 1 (<1%) | 1 (<1%) | 2 (1%) |
| Injury, poisoning, and procedural complications | 2 | 0 | 0 | 2 (1%) | 0 | 0 |
| Ear and labyrinth disorders | 0 | 1 | 0 | 0 | 1 (<1%) | 0 |
| Endocrine disorders | 0 | 1 | 0 | 0 | 1 (<1%) | 0 |
| Pregnancy, puerperium, and perinatal conditions | 0 | 0 | 1 | 0 | 0 | 1 (<1%) |
| Vascular disorders | 1 | 0 | 0 | 1 (<1%) | 0 | 0 |
| Total events and patients with at least one adverse reaction | 251 | 328 | 351 | 108 (33%) | 144 (44%) | 146 (45%) |
88 (85%) of 104 adverse reactions in this category were fatigue.
42 events were rash: 22 events in the lamotrigine group, eight events in the levetiracetam group, and 12 events in the zonisamide group. Two of these were categorised as severe: one dermatitis allergic in the lamotrigine group and one Stevens Johnson syndrome in the levetiracetam group.