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

Preterm (< 37 weeks)

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.
S18014
R75990
Kernizan (Lamotrigine) (Bipolar disorder), 2024 Preterm delivery during pregnancy (anytime or not specified) retrospective cohort unexposed, sick Adjustment: No 0.42 [0.09;1.98] C 2/13   42/139 44 13
ref
S18077
R76124
Leite (Lamotrigine) (Epilepsy), 2024 Premature Delivery <37weeks during pregnancy (anytime or not specified) retrospective cohort unexposed, disease free Adjustment: No 2.34 [0.37;14.90] -/5   98/492 - 5
ref
S15218
R62392
Bromley (Lamotrigine) (Epilepsy), 2023 Preterm birth (gestational age < 37 weeks) during pregnancy (anytime or not specified) prospective cohort unexposed, sick Adjustment: No 1.03 [0.45;2.39] C 15/106   11/80 26 106
ref
S12611
R47525
Van Marter (Lamotrigine) (Controls unexposed, disease free), 2021 Premature (≤36 wk) at least 1st trimester prospective cohort unexposed, disease free excluded Adjustment: No 0.77 [0.31;1.94] C
excluded (control group)
9/110   11/106 20 110
ref
S12613
R47537
Van Marter (Lamotrigine) (Controls unexposed, sick), 2021 Premature (≤36 wk) at least 1st trimester prospective cohort unexposed, sick Adjustment: No 1.25 [0.15;10.61] C 9/110   1/15 10 110
ref
S8904
R30079
Aydin (Lamotrigine), 2020 Preterm delivery (before 37 weeks of gestation) throughout pregnancy retrospective cohort unexposed, sick Adjustment: No 0.60 [0.03;14.19] C 0/7   2/22 2 7
ref
S8978
R30431
Coste (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2020 Gestational age at birth (< 37 WA) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No 1.18 [1.01;1.37] C 175/2,813   90,991/1,707,707 91,166 2,813
ref
S8963
R30355
Cohen (Lamotrigine) (Mixed indications), 2019 Preterm birth (ICD-9 644.2, 774.2, 776.6, 362.20, 362.22, 362.27, 765 excluding 765.20, 765.29) early pregnancy retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes 0.96 [0.87;1.06] 392/2,682   160,604/1,440,631 160,996 2,682
ref
S12464
R46884
Kernizan, 2019 Premature delivery (<37 weeks) during pregnancy (anytime or not specified) retrospective cohort unexposed, sick Adjustment: No 0.42 [0.09;2.00] C 2/13   42/140 44 13
ref
S8913
R30122
Miškov (Lamotrigine) (Controls unexposed, disease free), 2016 Premature deliveries during pregnancy (anytime or not specified) prospective cohort unexposed, disease free excluded Adjustment: No 2.58 [0.45;14.91] C
excluded (control group)
2/26   4/128 6 26
ref
S8914
R30128
Miškov (Lamotrigine) (Controls unexposed, sick), 2016 Premature deliveries during pregnancy (anytime or not specified) prospective cohort unexposed, sick Adjustment: No 0.74 [0.03;18.97] C 2/26   0/4 2 26
ref
S8974
R30417
Hernández-Díaz (Lamotrigine) (Mixed indications), 2014 Preterm (< 37 weeks) throughout pregnancy prospective cohort unexposed, disease free Adjustment: No 1.30 [0.84;2.00] C 119/1,581   27/457 146 1,581
ref
S8975
R30422
Kilic (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2014 Preterm (< 37 weeks) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) excluded Adjustment: Yes 1.60 [1.30;2.00]
excluded (control group)
83/880   33,974/676,834 34,057 880
ref
S8976
R30425
Kilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014 Preterm (< 37 weeks) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: No Controls: epilepsy indication 1.34 [1.04;1.71] C 83/880   383/5,296 466 880
ref
S8902
R30062
Artama (Lamotrigine) (Controls unexposed, disease free), 2013 Preterm birth (<37 gestational weeks) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, disease free excluded Adjustment: Yes 0.98 [0.48;2.00]
excluded (control group)
8/173   30,027/719,509 30,035 173
ref
S8903
R30074
Artama (Lamotrigine) (Controls unexposed, sick), 2013 Preterm birth (<37 gestational weeks) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: Yes 1.00 [0.46;2.16] 8/173   85/1,793 93 173
ref
S8953
R30311
Veiby (Lamotrigine) (Controls unexposed, disease free) b, 2013 Preterm delivery (< 37 weeks) during pregnancy (anytime or not specified) prospective cohort unexposed, disease free excluded Adjustment: No 0.90 [0.40;2.00]
excluded (control group)
7/103   7,269/106,899 7,276 103
ref
S8954
R30325
Veiby (Lamotrigine) (Controls unexposed, sick) b, 2013 Preterm delivery (< 37 weeks) during pregnancy (anytime or not specified) prospective cohort unexposed, sick Adjustment: No 0.87 [0.37;2.03] C 7/103   30/386 37 103
ref
S8942
R30233
Cummings (Lamotrigine), 2011 Preterm (35-37 weeks) throughout pregnancy retrospective cohort (registry) unexposed, disease free Adjustment: No 16.22 [0.86;304.56] C 5/35   0/44 5 35
ref
Total 14 studies 1.10 [0.96;1.26] 253,037 8,547
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 Kernizan (Lamotrigine) (Bipolar disorder), 2024Kernizan, 2024 1 0.42[0.09; 1.98]44131%ROB confusion: criticalROB selection: unclearROB classification: criticalROB missing: unclearROB mesure: moderateROB reporting: moderate Leite (Lamotrigine) (Epilepsy), 2024Leite, 2024 2 2.34[0.37; 14.90]-51%ROB confusion: criticalROB selection: unclearROB classification: criticalROB missing: unclearROB mesure: moderateROB reporting: critical Bromley (Lamotrigine) (Epilepsy), 2023Bromley, 2023 3 1.03[0.45; 2.39]261062%ROB confusion: criticalROB selection: moderateROB classification: moderateROB missing: moderateROB mesure: moderateROB reporting: low Van Marter (Lamotrigine) (Controls unexposed, sick), 2021Van Marter, 2021 4 1.25[0.15; 10.61]101100%ROB confusion: criticalROB selection: lowROB classification: lowROB missing: lowROB mesure: moderateROB reporting: low Aydin (Lamotrigine), 2020Aydin, 2020 5 0.60[0.03; 14.19]270%ROB confusion: criticalROB selection: criticalROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Coste (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2020Coste, 2020 6 1.18[1.01; 1.37]91,1662,81328%ROB confusion: criticalROB selection: moderateROB classification: moderateROB missing: moderateROB mesure: moderateROB reporting: moderate Cohen (Lamotrigine) (Mixed indications), 2019Cohen, 2019 7 0.96[0.87; 1.06]160,9962,68236%ROB confusion: moderateROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Kernizan, 2019Kernizan, 2019 0.42[0.09; 2.00]44131%ROB confusion: criticalROB selection: unclearROB classification: unclearROB missing: unclearROB mesure: unclearROB reporting: moderate Miškov (Lamotrigine) (Controls unexposed, sick), 2016Miškov, 2016 8 0.74[0.03; 18.97]2260%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: criticalROB mesure: moderateROB reporting: moderate Hernández-Díaz (Lamotrigine) (Mixed indications), 2014Hernández-Díaz, 2014 9 1.30[0.84; 2.00]1461,5818%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: moderateROB mesure: moderateROB reporting: moderate Kilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014Kilic, 2014 10 1.34[1.04; 1.71]46688018%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Artama (Lamotrigine) (Controls unexposed, sick), 2013Artama, 2013 11 1.00[0.46; 2.16]931733%ROB confusion: moderateROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Veiby (Lamotrigine) (Controls unexposed, sick) b, 2013Veiby, 2013 12 0.87[0.37; 2.03]371032%ROB confusion: seriousROB selection: lowROB classification: lowROB missing: moderateROB mesure: moderateROB reporting: moderate Cummings (Lamotrigine), 2011Cummings, 2011 13 16.22[0.86; 304.56]5350%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: unclearROB mesure: lowROB reporting: moderate Total (14 studies) I2 = 24% 1.10[0.96; 1.26]253,0378,5470.250.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Lamotrigine) (Bipolar disorder; 2: Lamotrigine) (Epilepsy; 3: Lamotrigine) (Epilepsy; 4: Lamotrigine) (Controls unexposed, sick; 5: Lamotrigine; 6: Lamotrigine) (Controls unexposed NOS) (Mixed indications; 7: Lamotrigine) (Mixed indications; 8: Lamotrigine) (Controls unexposed, sick; 9: Lamotrigine) (Mixed indications; 10: Lamotrigine) (Controls unexposed, sick) (Mixed indications; 11: Lamotrigine) (Controls unexposed, sick; 12: Lamotrigine) (Controls unexposed, sick) ; 13: Lamotrigine;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.10[0.96; 1.26]253,0378,54724%NAKernizan (Lamotrigine) (Bipolar disorder), 2024 Leite (Lamotrigine) (Epilepsy), 2024 Bromley (Lamotrigine) (Epilepsy), 2023 Van Marter (Lamotrigine) (Controls unexposed, sick), 2021 Aydin (Lamotrigine), 2020 Coste (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2020 Cohen (Lamotrigine) (Mixed indications), 2019 Kernizan, 2019 Miškov (Lamotrigine) (Controls unexposed, sick), 2016 Hernández-Díaz (Lamotrigine) (Mixed indications), 2014 Kilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014 Artama (Lamotrigine) (Controls unexposed, sick), 2013 Veiby (Lamotrigine) (Controls unexposed, sick) b, 2013 Cummings (Lamotrigine), 2011 14 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.12[0.91; 1.38]252,3137,11661%NALeite (Lamotrigine) (Epilepsy), 2024 Coste (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2020 Cohen (Lamotrigine) (Mixed indications), 2019 Hernández-Díaz (Lamotrigine) (Mixed indications), 2014 Cummings (Lamotrigine), 2011 5 unexposed, sickunexposed, sick 1.19[0.96; 1.47]7241,4310%NAKernizan (Lamotrigine) (Bipolar disorder), 2024 Bromley (Lamotrigine) (Epilepsy), 2023 Van Marter (Lamotrigine) (Controls unexposed, sick), 2021 Aydin (Lamotrigine), 2020 Kernizan, 2019 Miškov (Lamotrigine) (Controls unexposed, sick), 2016 Kilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014 Artama (Lamotrigine) (Controls unexposed, sick), 2013 Veiby (Lamotrigine) (Controls unexposed, sick) b, 2013 9 Tags Adjustment   - No  - No 1.20[1.07; 1.36]91,9485,6920%NAKernizan (Lamotrigine) (Bipolar disorder), 2024 Leite (Lamotrigine) (Epilepsy), 2024 Bromley (Lamotrigine) (Epilepsy), 2023 Van Marter (Lamotrigine) (Controls unexposed, sick), 2021 Aydin (Lamotrigine), 2020 Coste (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2020 Kernizan, 2019 Miškov (Lamotrigine) (Controls unexposed, sick), 2016 Hernández-Díaz (Lamotrigine) (Mixed indications), 2014 Kilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014 Veiby (Lamotrigine) (Controls unexposed, sick) b, 2013 Cummings (Lamotrigine), 2011 12   - Yes  - Yes 0.96[0.87; 1.06]161,0892,8550%NACohen (Lamotrigine) (Mixed indications), 2019 Artama (Lamotrigine) (Controls unexposed, sick), 2013 2 Controls   - epilepsy indication  - epilepsy indication 1.34[1.04; 1.71]466880 -NAKilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014 1 All studiesAll studies 1.10[0.96; 1.26]253,0378,54724%NAKernizan (Lamotrigine) (Bipolar disorder), 2024 Leite (Lamotrigine) (Epilepsy), 2024 Bromley (Lamotrigine) (Epilepsy), 2023 Van Marter (Lamotrigine) (Controls unexposed, sick), 2021 Aydin (Lamotrigine), 2020 Coste (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2020 Cohen (Lamotrigine) (Mixed indications), 2019 Kernizan, 2019 Miškov (Lamotrigine) (Controls unexposed, sick), 2016 Hernández-Díaz (Lamotrigine) (Mixed indications), 2014 Kilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014 Artama (Lamotrigine) (Controls unexposed, sick), 2013 Veiby (Lamotrigine) (Controls unexposed, sick) b, 2013 Cummings (Lamotrigine), 2011 140.250.01.0

Publication bias and p-hacking diagnosis

funnel plot
0.0-3.94.01.9820.000Kernizan (Lamotrigine) (Bipolar disorder), 2024Leite (Lamotrigine) (Epilepsy), 2024Bromley (Lamotrigine) (Epilepsy), 2023Van Marter (Lamotrigine) (Controls unexposed, sick), 2021Aydin (Lamotrigine), 2020Coste (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2020Cohen (Lamotrigine) (Mixed indications), 2019Kernizan, 2019Miškov (Lamotrigine) (Controls unexposed, sick), 2016Hernández-Díaz (Lamotrigine) (Mixed indications), 2014Kilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014Artama (Lamotrigine) (Controls unexposed, sick), 2013Veiby (Lamotrigine) (Controls unexposed, sick) b, 2013Cummings (Lamotrigine), 2011

Asymetry test p-value = 0.5999 (by Egger's regression)

slope=0.0307 (0.0575); intercept=0.2133 (0.3959); t=0.5387; p=0.5999

p values plot
0.01.00.01.0

Sub-groups analysis using all included studies

excluded 8902, 8953, 8975, 8913, 12611

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.19[0.97; 1.46]323,7968,40865%NALeite (Lamotrigine) (Epilepsy), 2024 Van Marter (Lamotrigine) (Controls unexposed, disease free), 2021 Coste (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2020 Cohen (Lamotrigine) (Mixed indications), 2019 Miškov (Lamotrigine) (Controls unexposed, disease free), 2016 Hernández-Díaz (Lamotrigine) (Mixed indications), 2014 Kilic (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2014 Artama (Lamotrigine) (Controls unexposed, disease free), 2013 Veiby (Lamotrigine) (Controls unexposed, disease free) b, 2013 Cummings (Lamotrigine), 2011 10 unexposed, sick controlsunexposed, sick controls 1.19[0.96; 1.47]7241,4310%NAKernizan (Lamotrigine) (Bipolar disorder), 2024 Bromley (Lamotrigine) (Epilepsy), 2023 Van Marter (Lamotrigine) (Controls unexposed, sick), 2021 Aydin (Lamotrigine), 2020 Kernizan, 2019 Miškov (Lamotrigine) (Controls unexposed, sick), 2016 Kilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014 Artama (Lamotrigine) (Controls unexposed, sick), 2013 Veiby (Lamotrigine) (Controls unexposed, sick) b, 2013 90.510.01.0

Umbrella review (other published meta-analyses)

Published MAControlPeriodTE95% CIn exposedkI2 Veroniki a (NMA) (Preterm birth)Veroniki a (NMA) (Preterm birth) 1.05[0.70; 1.48]-Wwhatever (meta-analysis)Anyduring pregnancy (anytime or not specified)studies TTT10 metaPregmetaPreg 1.10[0.96; 1.26]24%8,547----Kernizan (Lamotrigine) (Bipolar disorder), 2024 Leite (Lamotrigine) (Epilepsy), 2024 Bromley (Lamotrigine) (Epilepsy), 2023 Van Marter (Lamotrigine) (Controls unexposed, sick), 2021 Aydin (Lamotrigine), 2020 Coste (Lamotrigine) (Controls unexposed NOS) (Mixed indications), 2020 Cohen (Lamotrigine) (Mixed indications), 2019 Kernizan, 2019 Miškov (Lamotrigine) (Controls unexposed, sick), 2016 Hernández-Díaz (Lamotrigine) (Mixed indications), 2014 Kilic (Lamotrigine) (Controls unexposed, sick) (Mixed indications), 2014 Artama (Lamotrigine) (Controls unexposed, sick), 2013 Veiby (Lamotrigine) (Controls unexposed, sick) b, 2013 Cummings (Lamotrigine), 2011 140.510.01.0