Cochrane · systematic review · CD012121

Carisbamate add‐on therapy for drug‐resistant focal epilepsy

Lu, C, Zheng, J, Cao, Y, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 57.1%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

Carisbamate compared to placebo for drug‐resistant focal epilepsy

Population: people with drug‐resistant focal epilepsy
7 questions
OutcomeEffectEvidenceStatus / GRADE
50% or greater reduction in seizure frequency (responder rate)
Carisbamate vs placebo
RR 1.36 [1.14, 1.62]4 studies · 2211 participantsModerate
Downgraded: risk of bias
Seizure freedom
Carisbamate vs placebo
RR 2.43 [0.84, 7.03]1 study · 540 participantsVery low
Downgraded: risk of bias, imprecision
Treatment withdrawal for any reason
Carisbamate vs placebo
RR 1.32 [0.82, 2.12]4 studies · 2211 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Treatment withdrawal due to adverse events
Carisbamate vs placebo
RR 1.8 [0.78, 4.17]4 studies · 2211 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Proportion of participants who experienced atleast 1 adverse event
Carisbamate vs placebo
RR 1.1 [0.93, 1.3]2 studies · 1084 participantsLow
Downgraded: risk of bias, inconsistency
Adverse events: dizziness
Carisbamate vs placebo
RR 2.06 [1.23, 3.44]4 studies · 2211 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse events: somnolence
Carisbamate vs placebo
RR 1.82 [1.28, 2.58]4 studies · 2211 participantsLow
Downgraded: risk of bias, imprecision