Gabapentin (All indications) updated on 04-22-2025

Microcephaly / Small head circumference for gestational age

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.
S16070
R66691
Christensen (Gabapentin) (All indications) (Controls exposed to LTG), 2024 Microcephaly (z-score for head circumference ≤3rd 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 0.76 [0.52;1.10] C
excluded (control group)
32/1,336   274/8,756 306 1,336
ref
S16034
R66557
Christensen (Gabapentin) (All indications) (Controls unexposed, general population), 2024 Microcephaly (z-score for head circumference ≤3rd percentile for gestational week, sex, and country (including newborns with congenital malformations)) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes 0.67 [0.46;0.97] 32/1,336   134,023/4,467,848 134,055 1,336
ref
S10033
R36103
Blotière (Controls exposed to Lamotrigine, sick) (Other indications), 2019 Microcephaly (until 24 months of age, identifiable by: Q02; brain MRI; according to the EUROCAT definition) 1st trimester retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No Controls: mixed indications 2.74 [0.11;67.37] C
excluded (control group)
0/365   1/2,997 1 365
ref
S10034
R36126
Blotière (Controls unexposed NOS) (Other indications), 2019 Microcephaly (until 24 months of age, identifiable by: Q02; brain MRI; according to the EUROCAT definition) 1st trimester retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No 5.87 [0.37;94.12] C 0/365   438/1,875,733 438 365
ref
Total 2 studies 1.26 [0.18;8.69] 134,493 1,701
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 (Gabapentin) (All indications) (Controls unexposed, general population), 2024Christensen, 2024 1 0.67[0.46; 0.97]134,0551,33671%ROB confusion: criticalROB selection: lowROB classification: criticalROB missing: lowROB mesure: unclearROB reporting: moderate Blotière (Controls unexposed NOS) (Other indications), 2019Blotière, 2019 2 5.87[0.37; 94.12]43836529%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (2 studies) I2 = 57% 1.26[0.18; 8.69]134,4931,7010.220.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Gabapentin) (All indications) (Controls unexposed, general population; 2: Controls unexposed NOS) (Other indications;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.26[0.18; 8.69]134,4931,70157%NAChristensen (Gabapentin) (All indications) (Controls unexposed, general population), 2024 Blotière (Controls unexposed NOS) (Other indications), 2019 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.26[0.18; 8.69]134,4931,70157%NAChristensen (Gabapentin) (All indications) (Controls unexposed, general population), 2024 Blotière (Controls unexposed NOS) (Other indications), 2019 2 Tags Adjustment   - No  - No 5.87[0.37; 94.12]438365 -NABlotière (Controls unexposed NOS) (Other indications), 2019 1   - Yes  - Yes 0.67[0.46; 0.97]134,0551,336 -NAChristensen (Gabapentin) (All indications) (Controls unexposed, general population), 2024 1 All studiesAll studies 1.26[0.18; 8.69]134,4931,70157%NAChristensen (Gabapentin) (All indications) (Controls unexposed, general population), 2024 Blotière (Controls unexposed NOS) (Other indications), 2019 20.220.01.0

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 10033, 16070

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.26[0.18; 8.69]134,4931,70157%NAChristensen (Gabapentin) (All indications) (Controls unexposed, general population), 2024 Blotière (Controls unexposed NOS) (Other indications), 2019 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 0.77[0.53; 1.12]3071,7010%NAChristensen (Gabapentin) (All indications) (Controls exposed to LTG), 2024 Blotière (Controls exposed to Lamotrigine, sick) (Other indications), 2019 20.510.01.0