Oxcarbazepine (Epilepsy) updated on 04-22-2025

Psychomotor developmental disorders/delay

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.
S19469
R83056
Straub (Controls unexposed, sick) (Oxcarbazepine) (Epilepsy), 2026 Coordination disorders - ICD-10 codes: F82 - Mean follow up (full cohort): 3.4 years during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed, sick Adjustment: Yes 1.06 [0.45;2.50] -/660   91/8,887 - 660
ref
S16785
R70462
Thomas (Controls exposed to LTG), 2022 Delayed motor development quotient (< 84, i.e one SD of the mean) - The developmental assessment scale for Indian infants (DASII) - Between 12-24 months of age (mean (SD): 15.3 (3.9) months)) during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick excluded Adjustment: No 4.17 [0.47;36.77] C
excluded (control group)
6/42   1/26 7 42
ref
S16786
R70463
Thomas (Controls unexposed, sick), 2022 The motor development quotient (MODQ) - The developmental assessment scale for Indian infants (DASII) - Between 12-24 months of age (mean (SD): 15.3 (3.9) months)) during pregnancy (anytime or not specified) prospective cohort unexposed, sick Adjustment: No extrapolated (cont. endpoint) 0.89 [0.47;1.69] -/42   -/110 - 42
ref
S9934
R35695
Videman (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2016 Griffiths Mental Developmental Scale - Locomotor (at the age of 7 months) during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick excluded Adjustment: No extrapolated (cont. endpoint) 0.37 [0.07;2.08]
excluded (control group)
-/10   -/8 - 10
ref
S9941
R35737
Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 Griffiths Mental Developmental Scale - Locomotor (at the age of 7 months) during pregnancy (anytime or not specified) prospective cohort unexposed, disease free Adjustment: No extrapolated (cont. endpoint) 2.33 [0.69;7.93] -/10   -/59 - 10
ref
Total 3 studies 1.08 [0.68;1.74] 0 712
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 Straub (Controls unexposed, sick) (Oxcarbazepine) (Epilepsy), 2026Straub, 2026 1 1.06[0.45; 2.50]-66030%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: unclearROB mesure: criticalROB reporting: moderate Thomas (Controls unexposed, sick), 2022Thomas, 2022 2 0.89[0.47; 1.69]-4255%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: unclearROB mesure: lowROB reporting: moderate Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016Videman, 2016 3 2.33[0.69; 7.93]-1015%ROB confusion: unclearROB selection: lowROB classification: moderateROB missing: criticalROB mesure: lowROB reporting: moderate Total (3 studies) I2 = 0% 1.08[0.68; 1.74]-7120.25.01.0ROB: A: confounding, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, sick) (Oxcarbazepine) (Epilepsy; 2: Controls unexposed, sick; 3: Oxcarbazepine) (Controls unexposed, disease free;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.08[0.68; 1.74]-7120%NAStraub (Controls unexposed, sick) (Oxcarbazepine) (Epilepsy), 2026 Thomas (Controls unexposed, sick), 2022 Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 2.33[0.69; 7.90]-10 -NAVideman (Oxcarbazepine) (Controls unexposed, disease free), 2016 1 unexposed, sickunexposed, sick 0.95[0.57; 1.58]-7020%NAStraub (Controls unexposed, sick) (Oxcarbazepine) (Epilepsy), 2026 Thomas (Controls unexposed, sick), 2022 2 Tags Adjustment   - No  - No 1.24[0.51; 3.06]-5247%NAThomas (Controls unexposed, sick), 2022 Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 2   - Yes  - Yes 1.06[0.45; 2.50]-660 -NAStraub (Controls unexposed, sick) (Oxcarbazepine) (Epilepsy), 2026 1 extrapolated (cont. endpoint)extrapolated (cont. endpoint) 1.24[0.51; 3.06]-5247%NAThomas (Controls unexposed, sick), 2022 Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 2 All studiesAll studies 1.08[0.68; 1.74]-7120%NAStraub (Controls unexposed, sick) (Oxcarbazepine) (Epilepsy), 2026 Thomas (Controls unexposed, sick), 2022 Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 30.25.01.0

Publication bias and p-hacking diagnosis

funnel plot

Funnel plot not drawn. Less than 3 points.

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

not enought points

p values plot

Funnel plot not drawn. Less than 3 points.

Sub-groups analysis using all included studies

excluded 9934, 16785

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 2.33[0.69; 7.90]-10 -NAVideman (Oxcarbazepine) (Controls unexposed, disease free), 2016 1 unexposed, sick controlsunexposed, sick controls 0.95[0.57; 1.58]827020%NAStraub (Controls unexposed, sick) (Oxcarbazepine) (Epilepsy), 2026 Thomas (Controls unexposed, sick), 2022 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.12[0.11; 11.95]75266%NAThomas (Controls exposed to LTG), 2022 Videman (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2016 20.510.01.0