Cochrane · systematic review · CD008841

Lacosamide add‐on therapy for focal epilepsy

Babar, RK, Bresnahan, R, Gillespie, CS, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Epilepsy2 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 4 · 57.1%High 2 · 28.6%

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 2 versions

Any dose of lacosamide compared to placebo as add‐on therapy for drug‐resistant focal epilepsy

Population: adults and children with drug‐resistant focal epilepsy
7 questions
OutcomeEffectEvidenceStatus / GRADE
50% or greater reduction in seizure frequency
Any dose of lacosamide vs placebo
RR 1.79 [1.55, 2.08]5 studies · 2199 participantsHigh
Seizure freedom
Any dose of lacosamide vs placebo
RR 2.27 [1.35, 3.83]5 studies · 2199 participantsLow
Downgraded: imprecision
Treatment withdrawal
Any dose of lacosamide vs placebo
RR 1.57 [1.24, 1.98]5 studies · 2199 participantsModerate
Downgraded: imprecision
Dizziness
Any dose of lacosamide vs placebo
RR 2.965 studies · 2199 participantsHigh
Headache
Any dose of lacosamide vs placebo
RR 1.345 studies · 2199 participantsModerate
Downgraded: imprecision
Vomiting
Any dose of lacosamide vs placebo
RR 2.945 studies · 2199 participantsModerate
Downgraded: imprecision
Serious adverse events
Any dose of lacosamide vs placebo
RR 1.535 studies · 2199 participantsModerate
Downgraded: imprecision