Cochrane · systematic review · CD011501

Brivaracetam add‐on therapy for drug‐resistant epilepsy

Bresnahan, R, Panebianco, M, Marson, AG · Cochrane Database of Systematic Reviews · 2022 · 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 60%Moderate 2 · 40%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

Current version only

Brivaracetam compared to placebo as add‐on therapy for focal epilepsy

Population: people with drug‐resistant focal epilepsy
CD011501.PUB3 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
50% or greater reduction in seizure frequency (responder rate)
Brivaracetam vs placebo
RR 1.81 [1.53, 2.14]6 studies · 2411 participantsModerate
Downgraded: risk of bias
Seizure freedom
Brivaracetam vs placebo
RR 5.89 [2.3, 15.13]6 studies · 2411 participantsLow
Downgraded: risk of bias, imprecision
Treatment withdrawal
Brivaracetam vs placebo
RR 1.27 [0.94, 1.74]6 studies · 2411 participantsLow
Downgraded: risk of bias, imprecision
Proportion of participants who experienced adverse events leading to treatment withdrawal
Brivaracetam vs placebo
RR 1.54 [1.02, 2.33]6 studies · 2411 participantsLow
Downgraded: risk of bias, imprecision
Proportion of participants who experienced any adverse events
Brivaracetam vs placebo
RR 1.08 [1, 1.17]5 studies · 2011 participantsModerate
Downgraded: risk of bias

Brivaracetam compared to placebo for add‐on therapy for focal epilepsy

Population: patients with drug‐resistant focal epilepsy
CD011501.PUB2 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
50% or greater reduction in seizure frequency (responder rate)
Brivaracetam vs placebo
RR 1.81 [1.53, 2.14]6 studies · 2411 participantsModerate
Downgraded: risk of bias
Seizure freedom
Brivaracetam vs placebo
RR 5.89 [2.3, 15.13]6 studies · 2411 participantsModerate
Downgraded: risk of bias
Treatment withdrawal
Brivaracetam vs placebo
RR 1.27 [0.94, 1.74]6 studies · 2411 participantsLow
Downgraded: risk of bias
Proportion of participants who experienced adverse events leading to treatment withdrawal
Brivaracetam vs placebo
RR 1.54 [1.02, 2.33]6 studies · 2411 participantsLow
Downgraded: risk of bias
Proportion of participants who experienced any adverse events
Brivaracetam vs placebo
RR 1.08 [1, 1.17]5 studies · 2011 participantsModerate
Downgraded: risk of bias