Glantz 1996.
Methods | Random allocation, double‐blind, placebo‐controlled design with calculation of sample size | |
Participants | Metastatic or primary brain tumors without history of seizures Placebo group: Lung cancer (n=28), non‐Hodgkin lymphoma (n=2), glioblastoma (n=4), melanoma (n=1), other (n=2). Treatment group: lung cancer (n=23), breast cancer (n=4), GBM (n=5), melanoma (n=1), and other tumors (n=4) |
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Interventions | Patients took placebo or valproic acid. Dose of valproic acid was adjusted to levels 50‐100 ug/mL | |
Outcomes | There was no difference between valproic acid and placebo to prevent seizures (P=0.7, Fisher test) | |
Notes | This trial had the highest methodological validity. It also avoided the confounding effect of surgery on seizures since participants entered the trial after 14 days of diagnosis | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment? | Low risk | A ‐ Adequate |