Cochrane · systematic review · CD009945

Immunomodulatory interventions for focal epilepsy

Panebianco, M, Walker, L, Marson, AG · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

EpilepsyAMSTAR 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
3
No studies
4
Included studies
NR
No studies 4 · 57.1%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 1 · 14.3%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

Immunomodulatory interventions compared with placebo for focal epilepsy

Population: people with focal epilepsy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Seizure freedom
Immunomodulatory interventions vs placebo
no estimate extractedNRNo studies
50% or greater reduction in seizure frequency ‐ ITT analysis
Immunomodulatory interventions vs placebo
RR 2.33 studies · 172 participantsModerate
Downgraded: imprecision
Adverse events of glucocorticoids and immunosuppressive drugs
Immunomodulatory interventions vs placebo
RR 1.161 study · 66 participantsLow
Downgraded: imprecision
Treatment withdrawal
Immunomodulatory interventions vs placebo
RR 1.043 studies · 172 participantsLow
Downgraded: imprecision
Allergic reactions
Immunomodulatory interventions vs placebo
no estimate extractedNRNo studies
Cognitive effects
Immunomodulatory interventions vs placebo
no estimate extractedNRNo studies
Quality of life
Immunomodulatory interventions vs placebo
no estimate extractedNRNo studies