Evidence map›Paper›PMID 41034293›Full record

Trial reportScientific reports2025

Safety and efficacy of one-dose nocturnal levetiracetam for the treatment of self-limited epilepsy with centrotemporal spikes: a randomized clinical trial.

Lijuan Fan, Yajun Shen, Jinxiu Zhang, Xiaoqian Wang, Yang Li, Xueyi Rao, Haorui Liu, Jun Chen, Jianjun Wang, Xue Gong and 4 more

Abstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

14 authors.

Lijuan FanDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Yajun ShenKey Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, WCSUH-Tianfu·Sichuan Provincial Children's Hospital, No. 898, Kesi Road, Dongpo District, Meishan City, 620010, Sichuan Province, China.
Jinxiu ZhangDepartment of Pediatrics, Air Force Hospital of Western Theater Command, Chengdu, China.
Xiaoqian WangDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Yang LiDepartment of Pediatrics, Meishan City People's Hospital, Meishan, China.
Xueyi RaoDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Haorui LiuDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Jun ChenDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Jianjun WangDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Xue GongDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Xin TongDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Jing GanKey Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, WCSUH-Tianfu·Sichuan Provincial Children's Hospital, No. 898, Kesi Road, Dongpo District, Meishan City, 620010, Sichuan Province, China. gordonrachel@scu.edu.cn.
Jielan ZhouDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China. zhoulan852463@163.com.
Rong LuoDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.

Funding

National Natural Science Foundation of China 82071686the clinical research fund of West China Second University Hospital No. KL115 and KL072
6 · The paper itself

Abstract

Self-limited epilepsy with centrotemporal spikes (SeLECTS) is associated with infrequent seizures but may cause behavioral problems and require more acceptable and effective intervention options. We aimed to compare the efficacy, adherence and safety of different levetiracetam administration methods for SeLECTS. We conducted a prospective, open-label and non-inferiority study; 192 children with SeLECTS were randomized into three groups: Group A (65 patients) received 2/3 of the daily dose in the evening and 1/3 in the morning; Group B (62 patients) took a single night-time dose; and Group C (65 patients) received equal split doses twice daily. After 6- and 12-months of treatment, Groups A and B were non-inferior to Group C in terms of seizure control and electroencephalogram normalization rate. Group B required the lowest effective dose, while Group C had higher blood drug concentrations (P < 0.05). Group B had lower Conners Parent Symptom Questionnaire scores for conduct problems, psychosomatic problems and anxiety compared to Group C (P < 0.05). Groups A and B had higher levels of satisfaction and adherence than Group C (P < 0.05), with no difference in adverse events. Collectively, these results demonstrated that for SeLECTS patients, a night-time single administration of levetiracetam ensures efficacy and improves both medication adherence and satisfaction.

Indexed as

AnticonvulsantsEpilepsy, RolandicLevetiracetamAdolescentChildChild, PreschoolElectroencephalographyFemaleHumansMaleProspective StudiesTreatment OutcomeAnticonvulsantsLevetiracetamAdherenceBehavioral problemsEpilepsyLevetiracetamSeLECTS

Identifiers

PMID41034293
PMCPMC12488847

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.