Cochrane · systematic review · CD001416

Zonisamide add‐on therapy for focal epilepsy

Brigo, F, Lattanzi, S, Igwe, SC, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Epilepsy3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 6 · 85.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 3 versions

Zonisamide compared to placebo for focal epilepsy

Population: patients with focal epilepsy
7 questions
OutcomeEffectEvidenceStatus / GRADE
50% responder rate (whole treatment period; any dose)
Zonisamide vs placebo
RR 1.86 [1.6, 2.17]7 studies · 1429 participantsModerate
Downgraded: risk of bias
Withdrawal rates (whole treatment period; any dose)
Zonisamide vs placebo
RR 1.44 [1.08, 1.93]6 studies · 1156 participantsModerate
Downgraded: risk of bias
Adverse effects: ataxia (whole treatment period; any dose)
Zonisamide vs placebo
RR 3.854 studies · 734 participantsLow
Downgraded: risk of bias, imprecision
Adverse effects: dizziness (whole treatment period; any dose)
Zonisamide vs placebo
RR 1.47 studies · 1429 participantsModerate
Downgraded: risk of bias
Adverse effects: fatigue (whole treatment period; any dose)
Zonisamide vs placebo
RR 1.416 studies · 1045 participantsModerate
Downgraded: risk of bias
Adverse effects: nausea (whole treatment period; any dose)
Zonisamide vs placebo
RR 1.15 studies · 805 participantsModerate
Downgraded: risk of bias
Adverse effects: somnolence (whole treatment period; any dose)
Zonisamide vs placebo
RR 1.528 studies · 1636 participantsModerate
Downgraded: risk of bias