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

Low birth weight (< 2500g)

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.
S16072
R66697
Christensen (Topiramate) (All indications) (Controls exposed to LTG), 2024 Low birth weight (<2500 g) during pregnancy (anytime or not specified) population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No 1.42 [1.01;1.98] C
excluded (control group)
40/638   395/8,756 435 638
ref
S16040
R66577
Christensen (Topiramate) (All indications) (Controls unexposed, general population), 2024 Low birth weight (<2500 g) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes 1.51 [1.09;2.10] 40/638   141,442/4,467,848 141,482 638
ref
S10103
R36815
Coste (Topiramate) (Controls exposed to Lamotrigine, sick) (Mixed indications), 2020 Weight at birth <2500 g during pregnancy (anytime or not specified) retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No 1.10 [0.74;1.62] C
excluded (control group)
32/477   179/2,916 211 477
ref
S8613
R28733
Coste (Topiramate) (Controls unexposed, NOS) (Mixed indications), 2020 Weight at birth <2500 g during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No 1.27 [0.89;1.82] C 32/477   91,455/1,710,441 91,487 477
ref
S8599
R28628
Hernández-Díaz (Topiramate) (Mixed indications) (Controls exposed to Lamotrigine, sick), 2014 Low birth weight (< 2500g) during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick excluded Adjustment: No 1.86 [1.19;2.90] C
excluded (control group)
29/347   74/1,581 103 347
ref
S8600
R28631
Hernández-Díaz (Topiramate) (Mixed indications) (Controls unexposed, disease free), 2014 Low birth weight (< 2500g) during pregnancy (anytime or not specified) prospective cohort unexposed, disease free Adjustment: No 2.22 [1.21;4.08] C 29/347   18/457 47 347
ref
Total 3 studies 1.50 [1.17;1.94] 233,016 1,462
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 (Topiramate) (All indications) (Controls unexposed, general population), 2024Christensen, 2024 1 1.51[1.09; 2.10]141,48263845%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Coste (Topiramate) (Controls unexposed, NOS) (Mixed indications), 2020Coste, 2020 2 1.27[0.89; 1.82]91,48747739%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Hernández-Díaz (Topiramate) (Mixed indications) (Controls unexposed, disease free), 2014Hernández-Díaz, 2014 3 2.22[1.21; 4.08]4734716%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: moderateROB mesure: moderateROB reporting: moderate Total (3 studies) I2 = 18% 1.50[1.17; 1.94]233,0161,4620.55.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Topiramate) (All indications) (Controls unexposed, general population; 2: Topiramate) (Controls unexposed, NOS) (Mixed indications; 3: Topiramate) (Mixed indications) (Controls unexposed, disease free;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.50[1.17; 1.94]233,0161,46218%NAChristensen (Topiramate) (All indications) (Controls unexposed, general population), 2024 Coste (Topiramate) (Controls unexposed, NOS) (Mixed indications), 2020 Hernández-Díaz (Topiramate) (Mixed indications) (Controls unexposed, disease free), 2014 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.50[1.17; 1.94]233,0161,46218%NAChristensen (Topiramate) (All indications) (Controls unexposed, general population), 2024 Coste (Topiramate) (Controls unexposed, NOS) (Mixed indications), 2020 Hernández-Díaz (Topiramate) (Mixed indications) (Controls unexposed, disease free), 2014 3 Tags Adjustment   - No  - No 1.59[0.93; 2.72]91,53482459%NACoste (Topiramate) (Controls unexposed, NOS) (Mixed indications), 2020 Hernández-Díaz (Topiramate) (Mixed indications) (Controls unexposed, disease free), 2014 2   - Yes  - Yes 1.51[1.09; 2.10]141,482638 -NAChristensen (Topiramate) (All indications) (Controls unexposed, general population), 2024 1 All studiesAll studies 1.50[1.17; 1.94]233,0161,46218%NAChristensen (Topiramate) (All indications) (Controls unexposed, general population), 2024 Coste (Topiramate) (Controls unexposed, NOS) (Mixed indications), 2020 Hernández-Díaz (Topiramate) (Mixed indications) (Controls unexposed, disease free), 2014 30.55.01.0

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 8599, 10103, 16072

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.50[1.17; 1.94]233,0161,46218%NAChristensen (Topiramate) (All indications) (Controls unexposed, general population), 2024 Coste (Topiramate) (Controls unexposed, NOS) (Mixed indications), 2020 Hernández-Díaz (Topiramate) (Mixed indications) (Controls unexposed, disease free), 2014 3 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.40[1.07; 1.85]7491,46234%NAChristensen (Topiramate) (All indications) (Controls exposed to LTG), 2024 Coste (Topiramate) (Controls exposed to Lamotrigine, sick) (Mixed indications), 2020 Hernández-Díaz (Topiramate) (Mixed indications) (Controls exposed to Lamotrigine, sick), 2014 30.510.01.0