Evidence map›Paper›PMID 32309880›Full record

SynthesisThe Cochrane database of systematic reviews2020

Clonazepam add-on therapy for drug-resistant epilepsy.

Lin Song, Fang Liu, Yao Liu, Ruoqi Zhang, Huanhuan Ji, Yuntao Jia

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 35% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Prehospital rescue treatment of cluster epileptic seizures and status epilepticus.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Lin SongChildren's Hospital of Chongqing Medical University, Pharmacy Department, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, No.136, Section 2, Zhongshan Road, Chongqing, China, 400014.
Fang LiuFirst Affiliated Hospital of Third Military Medical University (Army Medical University), Pharmacy Department, 30 Gaotanyan Street, Shapingba District, Chongqing, China, 400038.
Yao LiuArmy Medical University, Pharmacy Department, Daping Hospital, 10 changjiang zhi lu, Daping district, Chongqing, Chongqing, China, 400038.
Ruoqi ZhangChengdu University of Traditional Chinese Medicine, Pharmacy College, No.1166, Liutai Avenue, Chengdu, Sichuan, China, 610041.
Huanhuan JiChildren's Hospital of Chongqing Medical University, Pharmacy Department, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, No.136, Section 2, Zhongshan Road, Chongqing, China, 400014.
Yuntao JiaChildren's Hospital of Chongqing Medical University, Pharmacy Department, China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, No.136, Section 2, Zhongshan Road, Chongqing, China, 400014.
Army Medical University · CNChongqing Medical University · CNChengdu University of Traditional Chinese Medicine · CNChildren's Hospital of Chongqing Medical University · CN

Funding

National Institute for Health Research
6 · The paper itself

Abstract

backgroundThis is an updated version of the original Cochrane Review published in 2018, Issue 5. Epilepsy affects over 70 million people worldwide, and nearly a quarter of patients with seizures have drug-resistant epilepsy. People with drug-resistant epilepsy have increased risks of premature death, injuries, psychosocial dysfunction, and a reduced quality of life.

objectivesTo assess the efficacy and tolerability of clonazepam when used as an add-on therapy for adults and children with drug-resistant focal onset or generalised onset epileptic seizures, when compared with placebo or another antiepileptic agent. SEARCH

methodsFor the latest update we searched the following databases on 4 June 2019: Cochrane Register of Studies (CRS Web), MEDLINE (Ovid) 1946 to 3 June, 2019. The Cochrane Register of Studies (CRS Web) includes the Cochrane Epilepsy Group Specialized Register, the Cochrane Central Register of Controlled Trials (CENTRAL), and randomised or quasi-randomised, controlled trials from Embase, ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform (ICTRP). SELECTION CRITERIA: Double-blind randomised controlled studies of add-on clonazepam in people with resistant focal or generalised onset seizures, with a minimum treatment period of eight weeks. The studies could be of parallel or cross-over design. DATA COLLECTION AND ANALYSIS: Two review authors independently selected studies for inclusion, extracted relevant data, and assessed trial quality. We contacted study authors for additional information. MAIN

resultsWe found no double-blind randomised controlled trials which met the inclusion criteria. AUTHORS'

conclusionsThere is no evidence from double-blind randomised controlled trials for or against the use of clonazepam as an add-on therapy for adults and children with drug-resistant focal or generalised onset epileptic seizures. Since the last version of this review no new studies have been found.

Indexed as

AdultAnticonvulsantsChildClonazepamDrug Resistant EpilepsyHumansAnticonvulsantsClonazepam

Identifiers

PMID32309880
PMCPMC7168574
OpenAlexW2981446684

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.