Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

283 questions · 285 findings · 33 reviews · Epilepsy

No studies found 31 · 10.9%GRADE not reported 13 · 4.6%Very low 33 · 11.6%Low 80 · 28.1%Moderate 96 · 33.7%High 32 · 11.2%

Carbamazepine vs phenytoin

Time to treatment failure (any reason related to treatment) Subgroup: focal onset seizures Range of · adults and children with newly onset partial or generalised epilepsy

Carbamazepine showed no clear difference in time to treatment failure (any reason related to treatment)… compared with phenytoin (time to treatment failure) (moderate certainty).

1 finding from 1 review

Carbamazepine vs phenytoin

Time to treatment failure (any reason related to treatment) Subgroup: generalised onset seizures (tonic‐clonic only) Range of · adults and children with newly onset partial or generalised epilepsy

Carbamazepine may leads to higher time to treatment failure (any reason related to treatment)… compared with phenytoin (time to treatment failure) (low certainty).

1 finding from 1 review

Carbamazepine vs phenytoin

Time to first seizure (post‐randomisation) All participants Range of · adults and children with newly onset partial or generalised epilepsy

Carbamazepine showed no clear difference in time to first seizure after randomisationAll participants Range of compared with phenytoin (secondary outcomes) (moderate certainty).

1 finding from 1 review

Carbamazepine vs phenytoin

Time to first seizure (post‐randomisation) Subgroup: focal onset seizures Range of · adults and children with newly onset partial or generalised epilepsy

Carbamazepine showed no clear difference in time to first seizure after randomisation Subgroup: focal onset… compared with phenytoin (secondary outcomes) (moderate certainty).

1 finding from 1 review

Carbamazepine vs phenytoin

Time to first seizure (post‐randomisation) ‐ stratified by epilepsy type: generalised onset seizures (tonic‐clonic only) Range of · adults and children with newly onset partial or generalised epilepsy

Carbamazepine showed no clear difference in time to first seizure after randomisationSubgroup: generalisedonset… compared with phenytoin (secondary outcomes) (low certainty).

1 finding from 1 review

Carbamazepine vs phenytoin

Time to achieve 12‐month remissionAll participants Range of · adults and children with newly onset partial or generalised epilepsy

Carbamazepine showed no clear difference in time to achieve 12‐month remissionAll participants Range of compared with phenytoin (secondary outcomes) (moderate certainty).

1 finding from 1 review

Carbamazepine vs phenytoin

Time to achieve 12‐month remission (seizure‐free period) Subgroup: focal onset seizures Range of · adults and children with newly onset partial or generalised epilepsy

Carbamazepine showed no clear difference in time to achieve 12‐month remissionSubgroup: focal onset seizures… compared with phenytoin (secondary outcomes) (moderate certainty).

1 finding from 1 review

Carbamazepine vs phenytoin

Time to 12‐month remission ‐ stratified by epilepsy type ‐ Generalized onset seizures (tonic‐clonic only) Range of · adults and children with newly onset partial or generalised epilepsy

Carbamazepine showed no clear difference in time to achieve 12‐month remissionSubgroup: generalisedonset tonic… compared with phenytoin (secondary outcomes) (low certainty).

1 finding from 1 review

Losigamone vs placebo

50% or greater reduction in seizure frequency · people with focal epilepsy

Losigamone probably leads to higher 50% or greater reduction in seizure frequency compared with placebo (moderate certainty).

1 finding from 1 review

Losigamone vs placebo

Treatment withdrawal · people with focal epilepsy

Losigamone probably leads to higher treatment withdrawal compared with placebo (moderate certainty).

1 finding from 1 review

Losigamone vs placebo

Proportion of participants experiencing adverse events · people with focal epilepsy

Losigamone showed no clear difference in the proportion of participants experiencing any adverse events compared with placebo (moderate certainty).

1 finding from 1 review

Sulthiame add‐on vs placebo

50% or greater reduction in seizure frequency · patients between 3 to 15 months of age with West syndrome

The review found no eligible studies for this question.

1 finding from 1 review

Sulthiame add‐on vs placebo

Complete cessation of seizures 9 days · patients between 3 to 15 months of age with West syndrome

It is very uncertain whether sulthiame add‐on changes complete cessation of seizures during compared with placebo (very low certainty).

1 finding from 1 review