Pregabalin (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.
S16068
R66683
Christensen (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 1.21 [0.94;1.55] C
excluded (control group)
83/2,214   274/8,756 357 2,214
ref
S16025
R66522
Christensen (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 1.01 [0.80;1.27] 83/2,214   134,023/4,467,848 134,106 2,214
ref
S10045
R36362
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 0.60 [0.02;14.68] C
excluded (control group)
0/1,671   1/2,997 1 1,671
ref
S10046
R36385
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 1.28 [0.08;20.51] C 0/1,671   438/1,875,733 438 1,671
ref
S18025
R75961
Margulis (Pregabalin) (Indications other than epilepsy), 2019 Microcephaly (a head circumference of two or more SDs below the mean for gestational age at birth, using a local standard) during pregnancy (anytime or not specified) population based cohort retrospective exposed to other treatment, sick Adjustment: Yes 0.80 [0.30;2.10] -/487   -/1,767 - 487
ref
Total 3 studies 1.00 [0.80;1.25] 134,544 4,372
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 (All indications) (Controls unexposed, general population), 2024Christensen, 2024 1 1.01[0.80; 1.27]134,1062,21494%ROB confusion: criticalROB selection: lowROB classification: criticalROB missing: lowROB mesure: unclearROB reporting: moderate Blotière (Controls unexposed NOS) (Other indications), 2019Blotière, 2019 2 1.28[0.08; 20.51]4381,6711%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Margulis (Pregabalin) (Indications other than epilepsy), 2019Margulis, 2019 3 0.80[0.30; 2.10]-4875%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (3 studies) I2 = 0% 1.00[0.80; 1.25]134,5444,3720.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: All indications) (Controls unexposed, general population; 2: Controls unexposed NOS) (Other indications; 3: Pregabalin) (Indications other than epilepsy;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.00[0.80; 1.25]134,5444,3720%NAChristensen (All indications) (Controls unexposed, general population), 2024 Blotière (Controls unexposed NOS) (Other indications), 2019 Margulis (Pregabalin) (Indications other than epilepsy), 2019 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.01[0.80; 1.27]134,5443,8850%NAChristensen (All indications) (Controls unexposed, general population), 2024 Blotière (Controls unexposed NOS) (Other indications), 2019 2 exposed to other treatment, sickexposed to other treatment, sick 0.80[0.30; 2.12]-487 -NAMargulis (Pregabalin) (Indications other than epilepsy), 2019 1 Tags Adjustment   - No  - No 1.28[0.08; 20.51]4381,671 -NABlotière (Controls unexposed NOS) (Other indications), 2019 1   - Yes  - Yes 1.00[0.80; 1.25]134,1062,7010%NAChristensen (All indications) (Controls unexposed, general population), 2024 Margulis (Pregabalin) (Indications other than epilepsy), 2019 2 All studiesAll studies 1.00[0.80; 1.25]134,5444,3720%NAChristensen (All indications) (Controls unexposed, general population), 2024 Blotière (Controls unexposed NOS) (Other indications), 2019 Margulis (Pregabalin) (Indications other than epilepsy), 2019 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 10045, 16068

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.01[0.80; 1.27]134,5443,8850%NAChristensen (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 1.17[0.92; 1.49]3584,3720%NAChristensen (All indications) (Controls exposed to LTG), 2024 Blotière (Controls exposed to Lamotrigine, sick) (Other indications), 2019 Margulis (Pregabalin) (Indications other than epilepsy), 2019 30.510.01.0