Scolaris Content Display Scolaris Content Display

Post‐hoc subgroup analysis: Heterogenous data for average change scores (PANSS total scores, high = poor)
Figures and Tables -
Figure 1

Post‐hoc subgroup analysis: Heterogenous data for average change scores (PANSS total scores, high = poor)

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 1 Global state: 1.Global improvement (CGI‐I).
Figures and Tables -
Analysis 1.1

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 1 Global state: 1.Global improvement (CGI‐I).

Study

Intervention

Least Mean Square

SD

N

Notes

Goff 2006a

Adjuvant lamotrigine

‐0.2

0.82

101

Goff 2006a

Adjuvant placebo

‐0.5

0.82

104

Goff 2006b

Adjuvant lamotrigine

‐0.5

0.72

104

Goff 2006b

Adjuvant placebo

‐0.4

0.72

104

Figures and Tables -
Analysis 1.2

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 2 Global state: 2. Average total change score ‐ short term (CGI‐S, high change=good, data skewed).

Study

Intervention

Least Square Mean

SD

N

Notes

Goff 2006b

Adjuvant lamotrigine

0.07

7.18

87

Goff 2006b

Adjuvant placebo

‐0.31

7.22

88

Figures and Tables -
Analysis 1.3

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 3 Global state: 3. Average physical health change score ‐ short term (SF‐36, high change=good, data skewed).

Study

Intervention

Least Square Mean

SD

N

Notes

Goff 2006b

Adjuvant lamotrigine

0.21

8.21

87

Goff 2006b

Adjuvant placebo

1.32

8.16

88

Figures and Tables -
Analysis 1.4

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 4 Global state: 4. Average mental health change score ‐ short term (SF‐36, high change=good, data skewed).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 5 Mental state: 1.Treatment responders (> 20% reduction in PANSS total).
Figures and Tables -
Analysis 1.5

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 5 Mental state: 1.Treatment responders (> 20% reduction in PANSS total).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 6 Mental state: 2a. Average total endpoint score ‐ short term (PANSS, high=poor).
Figures and Tables -
Analysis 1.6

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 6 Mental state: 2a. Average total endpoint score ‐ short term (PANSS, high=poor).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 7 Mental state: 2b. Average total endpoint score ‐ short term (BPRS, high=poor).
Figures and Tables -
Analysis 1.7

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 7 Mental state: 2b. Average total endpoint score ‐ short term (BPRS, high=poor).

Study

Intervention

Least Square Mean

SD

N

Notes

Goff 2006a

Adjuvant lamotrigine

‐6.0

13.77

101

Goff 2006a

Adjuvant placebo

‐8.2

13.84

104

Goff 2006b

Adjuvant lamotrigine

‐12.9

12.34

103

Goff 2006b

Adjuvant placebo

‐12.0

12.40

104

Figures and Tables -
Analysis 1.8

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 8 Mental state: 2c. Average total change score ‐ short term (PANSS, high=poor, data skewed).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 9 Mental state: 3a. Average positive endpoint score ‐ short term (PANSS subscale, high=poor).
Figures and Tables -
Analysis 1.9

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 9 Mental state: 3a. Average positive endpoint score ‐ short term (PANSS subscale, high=poor).

Study

Intervention

Least Square Mean

SD

N

Notes

Goff 2006a

Adjuvant lamotrigine

‐2.2

4.39

101

Goff 2006a

Adjuvant placebo

‐3.2

4.51

104

Goff 2006b

Adjuvant lamotrigine

‐4.4

4.18

103

Goff 2006b

Adjuvant placebo

‐3.9

4.20

104

Figures and Tables -
Analysis 1.10

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 10 Mental state: 3b. Average positive change score ‐ short term (PANSS subscale, high change=good, data skewed).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 11 Mental state: 4a. Average negative endpoint score ‐ short term (PANSS subscale, high=poor).
Figures and Tables -
Analysis 1.11

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 11 Mental state: 4a. Average negative endpoint score ‐ short term (PANSS subscale, high=poor).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 12 Mental state: 4b. Average negative endpoint score ‐ short term (SANS, high=poor).
Figures and Tables -
Analysis 1.12

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 12 Mental state: 4b. Average negative endpoint score ‐ short term (SANS, high=poor).

Study

Intervention

Least Mean Square

SD

N

Notes

Goff 2006a

Adjuvant lamotrigine

‐2.6

12.65

97

Goff 2006a

Adjuvant placebo

‐6.2

13.16

100

Goff 2006b

Adjuvant lamotrigine

‐4.8

11.69

101

Goff 2006b

Adjuvant placebo

‐5.7

11.69

102

Figures and Tables -
Analysis 1.13

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 13 Mental state: 4c. Average negative change score ‐ short term (SANS, high change=good, data skewed).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 14 Mental state: 5a. Average general psychopathology endpoint score ‐ short term (PANSS, high=poor).
Figures and Tables -
Analysis 1.14

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 14 Mental state: 5a. Average general psychopathology endpoint score ‐ short term (PANSS, high=poor).

Study

Intervention

Least Mean Squares

SD

N

Notes

Goff 2006a

Adjuvant lamotrigine

‐2.4

7.45

101

High change=good

Goff 2006a

Adjuvant placebo

‐3.7

7.48

104

Goff 2006b

Adjuvant lamotrigine

‐5.5

6.63

103

Goff 2006b

Adjuvant placebo

‐5.3

6.56

104

Figures and Tables -
Analysis 1.15

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 15 Mental state: 5c. Average general psychopathology change score ‐ short term (PANSS subscale, data skewed).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 16 Mental state: 6a. Average depression endpoint score (HAM‐D 21, high=poor).
Figures and Tables -
Analysis 1.16

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 16 Mental state: 6a. Average depression endpoint score (HAM‐D 21, high=poor).

Study

Intervention

Least Square Mean

SD

N

Notes

Goff 2006a

Adjuvant lamotrigine

‐0.2

3.57

97

Goff 2006a

Adjuvant placebo

‐0.8

3.59

101

Goff 2006b

Adjuvant lamotrigine

‐0.8

2.96

100

Goff 2006b

Adjuvant placebo

‐1.2

2.97

102

Figures and Tables -
Analysis 1.17

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 17 Mental state: 6b. Average depression change score (CDSS, high change=good, data skewed).

Study

Intervention

Least Square Mean

SD

N

Notes

Goff 2006b

Adjuvant lamotrigine

2.7

22.8

86

Goff 2006b

Adjuvant placebo

1.8

22.71

86

Figures and Tables -
Analysis 1.18

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 18 Mental state: 6c. Average depression change score ‐ short term (WHO‐5, high change=good, data skewed).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 19 Cognitive state: 1. Treatment response (BACS).
Figures and Tables -
Analysis 1.19

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 19 Cognitive state: 1. Treatment response (BACS).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 20 Cognitive state: 2. Average change score ‐ short term (Stroop test, high difference from baseline=good).
Figures and Tables -
Analysis 1.20

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 20 Cognitive state: 2. Average change score ‐ short term (Stroop test, high difference from baseline=good).

Study

Intervention

Least Square mean

SD

N

Notes

Goff 2006a

Adjuvant lamotrigine

0.22

0.61

74

Goff 2006a

Adjuvant placebo

0.23

0.51

84

Goff 2006b

Adjuvant lamotrigine

0.44

0.68

103

Goff 2006b

Adjuvant placebo

0.19

0.70

103

Figures and Tables -
Analysis 1.21

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 21 Cognitive state: 3. Average change score ‐ short term (BACS, high change=good, data skewed).

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 22 Leaving the study early ‐ short term.
Figures and Tables -
Analysis 1.22

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 22 Leaving the study early ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 23 Adverse effects: 1. Death, self harm, ideation about harm to self or others ‐ short term.
Figures and Tables -
Analysis 1.23

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 23 Adverse effects: 1. Death, self harm, ideation about harm to self or others ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 24 Adverse effects: 2a. Specific ‐ any adverse effect ‐ short term.
Figures and Tables -
Analysis 1.24

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 24 Adverse effects: 2a. Specific ‐ any adverse effect ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 25 Adverse effects: 2b. Specific ‐ cardiovascular ‐ short term.
Figures and Tables -
Analysis 1.25

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 25 Adverse effects: 2b. Specific ‐ cardiovascular ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 26 Adverse effects: 2c. Specific ‐ dermatological ‐ short term.
Figures and Tables -
Analysis 1.26

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 26 Adverse effects: 2c. Specific ‐ dermatological ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 27 Adverse effects: 2d. Specific ‐ gastrointestinal ‐ short term.
Figures and Tables -
Analysis 1.27

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 27 Adverse effects: 2d. Specific ‐ gastrointestinal ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 28 Adverse effects: 2e. Specific ‐ metabolic parameters ‐ short term.
Figures and Tables -
Analysis 1.28

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 28 Adverse effects: 2e. Specific ‐ metabolic parameters ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 29 Adverse effects: 2f. Specific ‐ neurological ‐ short term.
Figures and Tables -
Analysis 1.29

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 29 Adverse effects: 2f. Specific ‐ neurological ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 30 Adverse effects: 2g. Specific ‐ psychiatric ‐ short term.
Figures and Tables -
Analysis 1.30

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 30 Adverse effects: 2g. Specific ‐ psychiatric ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 31 Adverse effects: 2h. Specific ‐ respiratory ‐ short term.
Figures and Tables -
Analysis 1.31

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 31 Adverse effects: 2h. Specific ‐ respiratory ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 32 Adverse effects: 2i. Specific ‐ others ‐ short term.
Figures and Tables -
Analysis 1.32

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 32 Adverse effects: 2i. Specific ‐ others ‐ short term.

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 33 Adverse effects: 3. Events ‐ co‐incident with trial ‐ short term.
Figures and Tables -
Analysis 1.33

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 33 Adverse effects: 3. Events ‐ co‐incident with trial ‐ short term.

Study

Intervention

Mean

SD

N

Notes

Akhondzadeh 2005

Lamotrigine

2.93

2.99

18

p=0.78

Akhondzadeh 2005

Placebo

3.25

3.27

18

Figures and Tables -
Analysis 1.34

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 34 Adverse effects: 4a. Movement disorders ‐ average endpoint score (ESRS, high = poor, data skewed).

Study

Intervention

Mean

SD

N

Notes

Akhondzadeh 2005

Lamotrigine

100.33

81.38

17

p=0.19

Akhondzadeh 2005

Placebo

137.66

87.00

17

Figures and Tables -
Analysis 1.35

Comparison 1 ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO, Outcome 35 Adverse effects: 4b. Movement disorders ‐ average dose (biperiden, mg, high = poor, data skewed).

Table 1. Suggestions for a trial of lamotrigine for schizophrenia

Methods

Participants

Interventions

Outcomes

Notes

Allocation: centralised sequence generation with table of random numbers or computer generated code, stratified by severity of illness, sequence concealed till interventions assigned.
Blinding: those recruiting and assigning participants, those administering intervention, those assessing outcomes, all blind to allocated group, masking by means of identical looking tablets in same schedules.
Duration: minimum of 24 weeks.

Diagnosis: schizophrenia (DSM IV), subtypes and schizoaffective disorder included and numbers in each category clearly reported.
N=300.*
Age: adults.
Sex: men and women.
Setting: anywhere.
History: baseline score on scale such as BPRS or PANSS, stratified by cutoff points into moderate and severe illness, taking routine drugs except lamotrigine or other anticonvulsants.
Exclusion: allergy to lamotrigine, pregnant or lactating women, participation in other drug trials.

1. Lamotrigine: dose 400 mg/ day + routine antipsychotic therapy. N=150.
2. Placebo + routine antipsychotic therapy. N=150.

Qualtiy of life: healthy days,** SF‐36.
Service outcomes: days in hospital, time attending psychiatric outpatient clinic.
Satisfaction with care: patients/carers.
Global state: CGI.***
Mental state: CGI.
Functioning.
Adverse effects: including mortality.
Cognitive function.

* size of study to detect a 10% difference in improvement with 80% certainity.

** Primary outcome.

*** If scales are used to measure outcome then there should be binary cut off points, defined before study starts, of clinically important improvement.

Figures and Tables -
Table 1. Suggestions for a trial of lamotrigine for schizophrenia
Comparison 1. ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Global state: 1.Global improvement (CGI‐I) Show forest plot

1

208

Risk Ratio (M‐H, Random, 95% CI)

1.06 [0.73, 1.54]

2 Global state: 2. Average total change score ‐ short term (CGI‐S, high change=good, data skewed) Show forest plot

Other data

No numeric data

3 Global state: 3. Average physical health change score ‐ short term (SF‐36, high change=good, data skewed) Show forest plot

Other data

No numeric data

4 Global state: 4. Average mental health change score ‐ short term (SF‐36, high change=good, data skewed) Show forest plot

Other data

No numeric data

5 Mental state: 1.Treatment responders (> 20% reduction in PANSS total) Show forest plot

3

297

Risk Ratio (M‐H, Random, 95% CI)

1.26 [0.81, 1.97]

6 Mental state: 2a. Average total endpoint score ‐ short term (PANSS, high=poor) Show forest plot

2

67

Mean Difference (IV, Random, 95% CI)

‐16.88 [‐25.18, ‐8.57]

7 Mental state: 2b. Average total endpoint score ‐ short term (BPRS, high=poor) Show forest plot

1

31

Mean Difference (IV, Random, 95% CI)

‐2.80 [‐12.44, 6.84]

8 Mental state: 2c. Average total change score ‐ short term (PANSS, high=poor, data skewed) Show forest plot

Other data

No numeric data

9 Mental state: 3a. Average positive endpoint score ‐ short term (PANSS subscale, high=poor) Show forest plot

2

65

Mean Difference (IV, Random, 95% CI)

‐5.10 [‐8.86, ‐1.34]

10 Mental state: 3b. Average positive change score ‐ short term (PANSS subscale, high change=good, data skewed) Show forest plot

Other data

No numeric data

11 Mental state: 4a. Average negative endpoint score ‐ short term (PANSS subscale, high=poor) Show forest plot

2

67

Mean Difference (IV, Random, 95% CI)

‐5.25 [‐7.07, ‐3.43]

12 Mental state: 4b. Average negative endpoint score ‐ short term (SANS, high=poor) Show forest plot

1

31

Mean Difference (IV, Random, 95% CI)

‐8.80 [‐19.73, 2.13]

13 Mental state: 4c. Average negative change score ‐ short term (SANS, high change=good, data skewed) Show forest plot

Other data

No numeric data

14 Mental state: 5a. Average general psychopathology endpoint score ‐ short term (PANSS, high=poor) Show forest plot

2

67

Mean Difference (IV, Random, 95% CI)

‐10.74 [‐16.53, ‐4.96]

15 Mental state: 5c. Average general psychopathology change score ‐ short term (PANSS subscale, data skewed) Show forest plot

Other data

No numeric data

16 Mental state: 6a. Average depression endpoint score (HAM‐D 21, high=poor) Show forest plot

1

31

Mean Difference (IV, Random, 95% CI)

0.10 [‐3.69, 3.89]

17 Mental state: 6b. Average depression change score (CDSS, high change=good, data skewed) Show forest plot

Other data

No numeric data

18 Mental state: 6c. Average depression change score ‐ short term (WHO‐5, high change=good, data skewed) Show forest plot

Other data

No numeric data

19 Cognitive state: 1. Treatment response (BACS) Show forest plot

2

329

Risk Ratio (M‐H, Random, 95% CI)

1.10 [0.59, 2.04]

20 Cognitive state: 2. Average change score ‐ short term (Stroop test, high difference from baseline=good) Show forest plot

1

Mean Difference (IV, Random, 95% CI)

Subtotals only

20.1 Stroop ‐ color naming time

1

36

Mean Difference (IV, Random, 95% CI)

‐29.45 [‐53.69, ‐5.21]

20.2 Stroop ‐ color naming error

1

36

Mean Difference (IV, Random, 95% CI)

‐8.28 [‐12.85, ‐3.71]

20.3 Stroop ‐ word reading time

1

36

Mean Difference (IV, Random, 95% CI)

0.61 [‐10.81, 12.03]

20.4 Stroop ‐ word reading error

1

36

Mean Difference (IV, Random, 95% CI)

‐0.33 [‐2.46, 1.80]

21 Cognitive state: 3. Average change score ‐ short term (BACS, high change=good, data skewed) Show forest plot

Other data

No numeric data

22 Leaving the study early ‐ short term Show forest plot

5

537

Risk Ratio (M‐H, Random, 95% CI)

0.96 [0.71, 1.29]

23 Adverse effects: 1. Death, self harm, ideation about harm to self or others ‐ short term Show forest plot

2

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

23.1 death

2

429

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

23.2 any one or more fatalistic acts/impulses

2

429

Risk Ratio (M‐H, Random, 95% CI)

2.38 [0.90, 6.30]

23.3 suicide attempt

1

217

Risk Ratio (M‐H, Random, 95% CI)

2.97 [0.12, 72.18]

23.4 ideation ‐ homicidal

1

217

Risk Ratio (M‐H, Random, 95% CI)

4.95 [0.24, 102.01]

23.5 ideation ‐ suicidal

2

429

Risk Ratio (M‐H, Random, 95% CI)

1.05 [0.15, 7.06]

24 Adverse effects: 2a. Specific ‐ any adverse effect ‐ short term Show forest plot

2

429

Risk Ratio (M‐H, Random, 95% CI)

1.19 [1.02, 1.38]

25 Adverse effects: 2b. Specific ‐ cardiovascular ‐ short term Show forest plot

2

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

25.1 chest pain

2

429

Risk Ratio (M‐H, Random, 95% CI)

1.68 [0.18, 15.99]

25.2 electrocardiogram abnormal

1

212

Risk Ratio (M‐H, Random, 95% CI)

3.00 [0.12, 72.82]

25.3 hypertension

1

212

Risk Ratio (M‐H, Random, 95% CI)

2.50 [0.50, 12.60]

25.4 tachycardia

1

212

Risk Ratio (M‐H, Random, 95% CI)

0.33 [0.01, 8.09]

26 Adverse effects: 2c. Specific ‐ dermatological ‐ short term Show forest plot

3

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

26.27 hair loss

1

36

Risk Ratio (M‐H, Random, 95% CI)

3.00 [0.13, 69.09]

26.34 itching

1

36

Risk Ratio (M‐H, Random, 95% CI)

4.0 [0.49, 32.39]

26.45 rash

3

465

Risk Ratio (M‐H, Random, 95% CI)

0.74 [0.24, 2.28]

27 Adverse effects: 2d. Specific ‐ gastrointestinal ‐ short term Show forest plot

3

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

27.1 constipation

1

212

Risk Ratio (M‐H, Random, 95% CI)

0.33 [0.04, 3.15]

27.2 decreased appetite

1

217

Risk Ratio (M‐H, Random, 95% CI)

0.11 [0.01, 2.02]

27.3 diarrhea

3

465

Risk Ratio (M‐H, Random, 95% CI)

1.56 [0.39, 6.16]

27.4 dyspepsia

1

212

Risk Ratio (M‐H, Random, 95% CI)

4.0 [0.45, 35.20]

27.5 nausea

3

465

Risk Ratio (M‐H, Random, 95% CI)

2.26 [1.05, 4.88]

27.6 vomiting

2

253

Risk Ratio (M‐H, Random, 95% CI)

3.17 [0.77, 13.02]

28 Adverse effects: 2e. Specific ‐ metabolic parameters ‐ short term Show forest plot

2

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

28.1 alanine aminotransferase increase

1

217

Risk Ratio (M‐H, Random, 95% CI)

2.97 [0.12, 72.18]

28.2 aspartate aminotransferase

1

217

Risk Ratio (M‐H, Random, 95% CI)

2.97 [0.12, 72.18]

28.3 blood creatine phosphokinase

1

212

Risk Ratio (M‐H, Random, 95% CI)

0.33 [0.01, 8.09]

28.4 blood glucose increase

1

212

Risk Ratio (M‐H, Random, 95% CI)

1.5 [0.26, 8.80]

29 Adverse effects: 2f. Specific ‐ neurological ‐ short term Show forest plot

3

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

29.1 ataxia

1

36

Risk Ratio (M‐H, Random, 95% CI)

5.00 [0.26, 97.37]

29.2 blurred vision

1

36

Risk Ratio (M‐H, Random, 95% CI)

2.0 [0.20, 20.15]

29.3 dizziness

3

465

Risk Ratio (M‐H, Random, 95% CI)

1.17 [0.51, 2.70]

29.4 headache

3

465

Risk Ratio (M‐H, Random, 95% CI)

1.36 [0.88, 2.08]

29.5 loss of consciousness

1

212

Risk Ratio (M‐H, Random, 95% CI)

5.0 [0.24, 102.92]

29.6 paraesthesia

1

212

Risk Ratio (M‐H, Random, 95% CI)

3.00 [0.12, 72.82]

29.7 hypoaesthesia

1

212

Risk Ratio (M‐H, Random, 95% CI)

7.00 [0.37, 133.88]

29.8 tremor

1

217

Risk Ratio (M‐H, Random, 95% CI)

4.95 [0.59, 41.71]

30 Adverse effects: 2g. Specific ‐ psychiatric ‐ short term Show forest plot

2

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

30.1 aggression

1

217

Risk Ratio (M‐H, Random, 95% CI)

2.97 [0.12, 72.18]

30.2 agitation

1

212

Risk Ratio (M‐H, Random, 95% CI)

0.5 [0.09, 2.67]

30.3 anxiety

2

429

Risk Ratio (M‐H, Random, 95% CI)

0.73 [0.09, 5.76]

30.4 crying

1

212

Risk Ratio (M‐H, Random, 95% CI)

0.33 [0.01, 8.09]

30.5 hallucination, auditory

1

217

Risk Ratio (M‐H, Random, 95% CI)

10.90 [0.61, 194.74]

30.6 insomnia

2

429

Risk Ratio (M‐H, Random, 95% CI)

2.02 [0.04, 96.25]

30.7 paranoia

2

429

Risk Ratio (M‐H, Random, 95% CI)

1.99 [0.37, 10.75]

30.8 somnolence

2

429

Risk Ratio (M‐H, Random, 95% CI)

1.21 [0.51, 2.87]

31 Adverse effects: 2h. Specific ‐ respiratory ‐ short term Show forest plot

1

424

Risk Ratio (M‐H, Fixed, 95% CI)

3.0 [0.48, 18.89]

31.1 cough

1

212

Risk Ratio (M‐H, Fixed, 95% CI)

7.0 [0.37, 133.88]

31.2 influenza

1

212

Risk Ratio (M‐H, Fixed, 95% CI)

1.0 [0.06, 15.78]

32 Adverse effects: 2i. Specific ‐ others ‐ short term Show forest plot

2

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

32.1 abnormal dreams

1

217

Risk Ratio (M‐H, Random, 95% CI)

0.33 [0.01, 8.02]

32.2 asthenia

1

217

Risk Ratio (M‐H, Random, 95% CI)

0.33 [0.01, 8.02]

32.3 back pain

1

217

Risk Ratio (M‐H, Random, 95% CI)

0.99 [0.30, 3.33]

32.4 dry mouth

1

212

Risk Ratio (M‐H, Random, 95% CI)

1.0 [0.21, 4.84]

32.5 fatigue

1

217

Risk Ratio (M‐H, Random, 95% CI)

1.39 [0.45, 4.24]

32.6 lymphadenopathy

2

429

Risk Ratio (M‐H, Random, 95% CI)

2.99 [0.31, 28.48]

32.7 urine abnormality

1

212

Risk Ratio (M‐H, Random, 95% CI)

3.00 [0.12, 72.82]

32.8 weight increase

1

212

Risk Ratio (M‐H, Random, 95% CI)

3.00 [0.12, 72.82]

33 Adverse effects: 3. Events ‐ co‐incident with trial ‐ short term Show forest plot

2

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

33.1 abscess

1

212

Risk Ratio (M‐H, Random, 95% CI)

3.00 [0.12, 72.82]

33.2 arthropod bite

1

212

Risk Ratio (M‐H, Random, 95% CI)

0.33 [0.01, 8.09]

33.3 endometrial cancer

1

212

Risk Ratio (M‐H, Random, 95% CI)

3.00 [0.12, 72.82]

33.5 joint injury

1

217

Risk Ratio (M‐H, Random, 95% CI)

2.97 [0.12, 72.18]

33.6 local swelling

1

217

Risk Ratio (M‐H, Random, 95% CI)

2.97 [0.12, 72.18]

33.7 nasopharyngitis

2

429

Risk Ratio (M‐H, Random, 95% CI)

1.42 [0.28, 7.15]

33.8 pharyngolaryngeal pain

1

212

Risk Ratio (M‐H, Random, 95% CI)

3.00 [0.12, 72.82]

33.9 post‐procedural pain

1

217

Risk Ratio (M‐H, Random, 95% CI)

2.97 [0.12, 72.18]

33.10 tooth abscess

1

217

Risk Ratio (M‐H, Random, 95% CI)

2.97 [0.12, 72.18]

33.11 toothache

1

217

Risk Ratio (M‐H, Random, 95% CI)

0.40 [0.08, 2.00]

33.12 upper respiratory tract infection

2

429

Risk Ratio (M‐H, Random, 95% CI)

1.05 [0.22, 4.94]

34 Adverse effects: 4a. Movement disorders ‐ average endpoint score (ESRS, high = poor, data skewed) Show forest plot

Other data

No numeric data

35 Adverse effects: 4b. Movement disorders ‐ average dose (biperiden, mg, high = poor, data skewed) Show forest plot

Other data

No numeric data

Figures and Tables -
Comparison 1. ADJUNCTIVE LAMOTRIGINE vs ADJUNCTIVE PLACEBO