Levetiracetam (Epilepsy) updated on 04-22-2025

Small for gestational age (weight)

R analysis
id Study   Lib. in paper Exposition period    Study type  Control type 
 
Tags OR 95%CI x1/n1 x0/n0 no cases no exposed ROB Ref.
S16084
R66746
Christensen (Levetiracetam) (Epilepsy) (Controls exposed to LTG), 2024 Small for gestational age (a z-score for birth weight ≤10th percentile for gestational week, sex, and country (including newborns with congenital malformations)) during pregnancy (anytime or not specified) population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No 1.16 [0.94;1.43] C
excluded (control group)
125/1,063   546/5,299 671 1,063
ref
S16038
R66571
Christensen (Levetiracetam) (Epilepsy) (Controls unexposed, general population), 2024 Small for gestational age (a z-score for birth weight ≤10th percentile for gestational week, sex, and country (including newborns with congenital malformations)) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: Yes 1.10 [0.90;1.34] 125/1,063   2,416/22,227 2,541 1,063
ref
S15842
R65217
Bromley (Levetiracetam) (Controls exposed to LTG), 2023 Small for gestation (calculated using gender-specific scales) during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick excluded Adjustment: No 0.67 [0.24;1.86] C
excluded (control group)
6/70   13/106 19 70
ref
S15843
R65230
Bromley (Levetiracetam) (Controls unexposed, sick), 2023 Small for gestation (calculated using gender-specific scales) during pregnancy (anytime or not specified) prospective cohort unexposed, sick Adjustment: No 0.48 [0.17;1.35] C 6/70   13/80 19 70
ref
S12619
R47572
Van Marter (Levetiracetam) (Controls unexposed, disease free), 2021 Small for gestational age (weight for gestational age <10th percentile) at least 1st trimester prospective cohort unexposed, disease free excluded Adjustment: No 0.75 [0.26;2.19] C
excluded (control group)
6/89   9/102 15 89
ref
S12616
R47554
Van Marter (Levetiracetam) (Controls unexposed, sick), 2021 Small for gestational age (weight for gestational age <10th percentile) at least 1st trimester prospective cohort unexposed, sick Adjustment: No 2.13 [0.11;39.98] C 6/89   0/14 6 89
ref
S8083
R24690
Aydin (Levetiracetam) (Controls exposed to Lamotrigine, sick), 2020 Small for gestational age (birth weight) throughout pregnancy retrospective cohort exposed to other treatment, sick excluded Adjustment: No 7.00 [0.30;164.40] C
excluded (control group)
3/10   0/7 3 10
ref
S8081
R24670
Aydin (Levetiracetam) (Controls unexposed, sick), 2020 Small for gestational age (birth weight) throughout pregnancy retrospective cohort unexposed, sick Adjustment: No 23.15 [1.05;509.05] C 3/10   0/22 3 10
ref
S7807
R23112
Coste (Levetiracetam) (Controls unexposed, NOS), 2020 Small for gestational age (weight) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No 1.40 [1.11;1.77] C 82/621   167,376/1,710,441 167,458 621
ref
Total 5 studies 1.18 [0.84;1.67] 170,027 1,853
x1: number of endpoints among exposed, n1: number of exposed; x0: number of endpoints among non exposed, n0: number of non exposed; C: calculated odds ratio from numbers of events and effectives

Forest plot

StudyTE95% CIn casesn exposedweightROBABCDEF Christensen (Levetiracetam) (Epilepsy) (Controls unexposed, general population), 2024Christensen, 2024 1 1.10[0.90; 1.34]2,5411,06345%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Bromley (Levetiracetam) (Controls unexposed, sick), 2023Bromley, 2023 2 0.48[0.17; 1.35]19709%ROB confusion: criticalROB selection: moderateROB classification: moderateROB missing: moderateROB mesure: moderateROB reporting: low Van Marter (Levetiracetam) (Controls unexposed, sick), 2021Van Marter, 2021 3 2.13[0.11; 39.98]6891%ROB confusion: criticalROB selection: lowROB classification: lowROB missing: lowROB mesure: moderateROB reporting: low Aydin (Levetiracetam) (Controls unexposed, sick), 2020Aydin, 2020 4 23.15[1.05; 509.05]3101%ROB confusion: criticalROB selection: criticalROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Coste (Levetiracetam) (Controls unexposed, NOS), 2020Coste, 2020 5 1.40[1.11; 1.77]167,45862143%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (5 studies) I2 = 56% 1.18[0.84; 1.67]170,0271,8530.250.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Levetiracetam) (Epilepsy) (Controls unexposed, general population; 2: Levetiracetam) (Controls unexposed, sick; 3: Levetiracetam) (Controls unexposed, sick; 4: Levetiracetam) (Controls unexposed, sick; 5: Levetiracetam) (Controls unexposed, NOS;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.18[0.84; 1.67]170,0271,85356%NAChristensen (Levetiracetam) (Epilepsy) (Controls unexposed, general population), 2024 Bromley (Levetiracetam) (Controls unexposed, sick), 2023 Van Marter (Levetiracetam) (Controls unexposed, sick), 2021 Aydin (Levetiracetam) (Controls unexposed, sick), 2020 Coste (Levetiracetam) (Controls unexposed, NOS), 2020 5 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.40[1.11; 1.77]167,458621 -NACoste (Levetiracetam) (Controls unexposed, NOS), 2020 1 unexposed, sickunexposed, sick 1.12[0.45; 2.75]2,5691,23253%NAChristensen (Levetiracetam) (Epilepsy) (Controls unexposed, general population), 2024 Bromley (Levetiracetam) (Controls unexposed, sick), 2023 Van Marter (Levetiracetam) (Controls unexposed, sick), 2021 Aydin (Levetiracetam) (Controls unexposed, sick), 2020 4 Tags Adjustment   - No  - No 1.31[0.49; 3.51]167,48679059%NABromley (Levetiracetam) (Controls unexposed, sick), 2023 Van Marter (Levetiracetam) (Controls unexposed, sick), 2021 Aydin (Levetiracetam) (Controls unexposed, sick), 2020 Coste (Levetiracetam) (Controls unexposed, NOS), 2020 4   - Yes  - Yes 1.10[0.90; 1.34]2,5411,063 -NAChristensen (Levetiracetam) (Epilepsy) (Controls unexposed, general population), 2024 1 All studiesAll studies 1.18[0.84; 1.67]170,0271,85356%NAChristensen (Levetiracetam) (Epilepsy) (Controls unexposed, general population), 2024 Bromley (Levetiracetam) (Controls unexposed, sick), 2023 Van Marter (Levetiracetam) (Controls unexposed, sick), 2021 Aydin (Levetiracetam) (Controls unexposed, sick), 2020 Coste (Levetiracetam) (Controls unexposed, NOS), 2020 50.250.01.0

Publication bias and p-hacking diagnosis

funnel plot
0.0-3.83.91.8920.000Christensen (Levetiracetam) (Epilepsy) (Controls unexposed, general population), 2024Bromley (Levetiracetam) (Controls unexposed, sick), 2023Van Marter (Levetiracetam) (Controls unexposed, sick), 2021Aydin (Levetiracetam) (Controls unexposed, sick), 2020Coste (Levetiracetam) (Controls unexposed, NOS), 2020

Asymetry test p-value = 0.7576 (by Egger's regression)

slope=0.1395 (0.1914); intercept=0.3801 (1.1245); t=0.3381; p=0.7576

p values plot
0.01.00.01.0

Sub-groups analysis using all included studies

excluded 8083, 12619, 15842, 16084

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.28[0.84; 1.97]167,47371021%NAVan Marter (Levetiracetam) (Controls unexposed, disease free), 2021 Coste (Levetiracetam) (Controls unexposed, NOS), 2020 2 unexposed, sick controlsunexposed, sick controls 1.12[0.45; 2.75]2,5691,23253%NAChristensen (Levetiracetam) (Epilepsy) (Controls unexposed, general population), 2024 Bromley (Levetiracetam) (Controls unexposed, sick), 2023 Van Marter (Levetiracetam) (Controls unexposed, sick), 2021 Aydin (Levetiracetam) (Controls unexposed, sick), 2020 4 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.11[0.73; 1.68]6931,14314%NAChristensen (Levetiracetam) (Epilepsy) (Controls exposed to LTG), 2024 Bromley (Levetiracetam) (Controls exposed to LTG), 2023 Aydin (Levetiracetam) (Controls exposed to Lamotrigine, sick), 2020 30.510.01.0