Topiramate (All indications) 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.
S16627
R69717
Thomas (Topiramate) (Epilepsy) (Controls exposed to LTG), 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 exposed to other treatment, sick excluded Adjustment: No extrapolated (cont. endpoint) 1.38 [0.27;6.90]
excluded (control group)
-/6   -/26 - 6
ref
S16628
R69719
Thomas (Topiramate) (Epilepsy) (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) 0.51 [0.11;2.27] -/6   -/110 - 6
ref
S8615
R28765
Rihtman (Topiramate) (Mixed indications), 2012 M-FUN (based on the assessor questionnaire) (mean age around 4 years old) at least 1st trimester prospective cohort unexposed (general population or NOS) Adjustment: No extrapolated (cont. endpoint) Matched 4.10 [0.91;18.49] -/9   -/18 - 9
ref
Total 2 studies 1.45 [0.19;11.17] 0 15
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 Thomas (Topiramate) (Epilepsy) (Controls unexposed, sick), 2022Thomas, 2022 1 0.51[0.11; 2.27]-650%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: unclearROB mesure: lowROB reporting: moderate Rihtman (Topiramate) (Mixed indications), 2012Rihtman, 2012 2 4.10[0.91; 18.49]-950%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (2 studies) I2 = 73% 1.45[0.19; 11.17]-150.210.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Topiramate) (Epilepsy) (Controls unexposed, sick; 2: Topiramate) (Mixed indications;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.45[0.19; 11.17]-1573%NAThomas (Topiramate) (Epilepsy) (Controls unexposed, sick), 2022 Rihtman (Topiramate) (Mixed indications), 2012 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 4.10[0.91; 18.48]-9 -NARihtman (Topiramate) (Mixed indications), 2012 1 unexposed, sickunexposed, sick 0.51[0.11; 2.32]-6 -NAThomas (Topiramate) (Epilepsy) (Controls unexposed, sick), 2022 1 Tags Adjustment   - No  - No 1.45[0.19; 11.17]-1573%NAThomas (Topiramate) (Epilepsy) (Controls unexposed, sick), 2022 Rihtman (Topiramate) (Mixed indications), 2012 2 extrapolated (cont. endpoint)extrapolated (cont. endpoint) 1.45[0.19; 11.17]-1573%NAThomas (Topiramate) (Epilepsy) (Controls unexposed, sick), 2022 Rihtman (Topiramate) (Mixed indications), 2012 2 MatchedMatched 4.10[0.91; 18.48]-9 -NARihtman (Topiramate) (Mixed indications), 2012 1 All studiesAll studies 1.45[0.19; 11.17]-1573%NAThomas (Topiramate) (Epilepsy) (Controls unexposed, sick), 2022 Rihtman (Topiramate) (Mixed indications), 2012 20.210.01.0

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 16627

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 4.10[0.91; 18.48]-9 -NARihtman (Topiramate) (Mixed indications), 2012 1 unexposed, sick controlsunexposed, sick controls 0.51[0.11; 2.32]-6 -NAThomas (Topiramate) (Epilepsy) (Controls unexposed, sick), 2022 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.38[0.27; 6.98]-6 -NAThomas (Topiramate) (Epilepsy) (Controls exposed to LTG), 2022 10.510.01.0

Umbrella review (other published meta-analyses)

Published MAControlPeriodTE95% CIn exposedkI2 Veroniki b (NMA) (Psychomotor developmental delay)Veroniki b (NMA) (Psychomotor developmental delay) 3.89[0.41; 24.27]NA-Wwhatever (meta-analysis)Anyduring pregnancy (anytime or not specified)studies TTT-9 metaPregmetaPreg 1.45[0.19; 11.17]73%15----Thomas (Topiramate) (Epilepsy) (Controls unexposed, sick), 2022 Rihtman (Topiramate) (Mixed indications), 2012 20.510.01.0