Evidence map›Paper›PMID 21242496›Full record

SynthesisNeurology2011

Adverse antiepileptic drug effects in new-onset seizures: a case-control study.

P Perucca, A Jacoby, A G Marson, G A Baker, S Lane, E K T Benn, D J Thurman, W A Hauser, F G Gilliam, D C Hesdorffer

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in Neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03689114 (Efficacy and Tolerability of Low vs. Standard Daily Doses of Antiepileptic Drugs in Newly Diagnosed, Previously Untreated Epilepsy), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03689114 phase4completednot on this mapstarted 2021, after this paper: background citation

Efficacy and Tolerability of Low vs. Standard Daily Doses of Antiepileptic Drugs in Newly Diagnosed, Previously Untreated Epilepsy (STANDLOW). A Multicenter, Randomized, Single-blind, Parallel-group Trial

TypeinterventionalSponsorMario Negri Institute for Pharmacological ResearchRan2021 to 2024Enrolled58ConditionsEpilepsies, PartialArmsLow dose carbamazepine, Standard dose carbamazepine, Low dose levetiracetam, Standard dose levetiracetam, Low dose valproate
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

P PeruccaInstitute of Neurology IRCCS C. Mondino Foundation, University of Pavia, Pavia, Italy. piero.perucca@libero.it
A Jacoby
A G Marson
G A Baker
S Lane
E K T Benn
D J Thurman
W A Hauser
F G Gilliam
D C Hesdorffer
Urology Foundation · GB

Funding

Clinical Research in Epilepsy and Associated DisordersK24NS047551 · NINDS · WASHINGTON UNIVERSITY · PI GILLIAM, FRANK G · 2004 to 2007
$563k
Medical Research Council G0800792Medical Research Council G9125317NINDS NIH HHS K24 NS047551PHS HHS MM-0322
6 · The paper itself

Abstract

objectiveAdverse effects (AEs) are a major concern when starting antiepileptic drug (AED) treatment. This study quantified the extent to which AE reporting in people with new-onset seizures started on AEDs is attributable to the medication per se, and investigated variables contributing to AE reporting.

methodsWe pooled data from 2 large prospective studies, the Multicenter Study of Early Epilepsy and Single Seizures and the Northern Manhattan Study of incident unprovoked seizures, and compared adverse event profile (AEP) total and factor scores between adult cases prescribed AEDs for new-onset seizures and untreated controls, adjusting for several demographic and clinical variables. Differences in AEP scores were also tested across different AED monotherapies and controls, and between cases and controls grouped by number of seizures.

resultsA total of 212 cases and 206 controls were identified. Most cases (94.2%) were taking low AED doses. AEP scores did not differ significantly between the 2 groups. Depression, female gender, symptomatic etiology, younger seizure onset age, ≥2 seizures, and history of febrile seizures were associated with higher AEP scores. There were no significant differences in AEP scores across different monotherapies and controls. AEP scores increased in both cases and controls with increasing number of seizures, the increment being more pronounced in cases.

conclusionsWhen AED treatment is started at low doses following new-onset seizures, AE reporting does not differ from untreated individuals. Targeting specific factors affecting AE reporting could lead to improved tolerability of epilepsy treatment.

Indexed as

AdolescentAdultAnalysis of VarianceAnticonvulsantsCase-Control StudiesCognitionFemaleHumansMaleMiddle AgedMotor SkillsMulticenter Studies as TopicProspective StudiesSeizuresSleepYoung AdultAnticonvulsants

Identifiers

PMID21242496
PMCPMC3034391
OpenAlexW1972830576

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.