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

Intrauterine deaths (as a whole or unspecified)

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.
S16754
R70382
Vajda a (Oxcarbazepine) (Controls exposed to LTG) (Epilepsy), 2024 Intra uterine foetal death (including both spontaneous abortions and stillbirths, but not elective termination) during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick excluded Adjustment: No 2.43 [0.29;20.44] C
excluded (control group)
1/14   10/326 11 14
ref
S16202
R67132
Vajda a (Oxcarbazepine) (Controls unexposed sick) (Epilepsy), 2024 Intra uterine foetal death (including both spontaneous abortions and stillbirths, but not elective termination) during pregnancy (anytime or not specified) prospective cohort unexposed, sick Adjustment: No 35.64 [1.38;921.29] C 1/14   0/149 1 14
ref
S9078
R31076
Trivedi (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2018 Spontaneous fetal loss (both spontaneous abortion before 20 weeks of gestation and stillbirths occurring after 20 weeks of gestation) 1st trimester prospective cohort exposed to other treatment, sick excluded Adjustment: No 1.08 [0.27;4.27] C
excluded (control group)
5/56   4/48 9 56
ref
S9079
R31077
Trivedi (Oxcarbazepine) (Controls unexposed, sick), 2018 Spontaneous fetal loss (both spontaneous abortion before 20 weeks of gestation and stillbirths occurring after 20 weeks of gestation) 1st trimester prospective cohort unexposed, sick Adjustment: Yes 7.53 [1.54;36.89] 5/56   5/178 10 56
ref
S9077
R31074
Tomson (Oxcarbazepine), 2015 Intrauterine death at least 1st trimester prospective cohort exposed to other treatment, sick Adjustment: No 1.08 [0.67;1.72] C 22/262   150/1,910 172 262
ref
Total 3 studies 4.29 [0.62;29.59] 183 332
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 Vajda a (Oxcarbazepine) (Controls unexposed sick) (Epilepsy), 2024Vajda a, 2024 1 35.64[1.38; 921.29]11420%ROB confusion: criticalROB selection: criticalROB classification: unclearROB missing: unclearROB mesure: moderateROB reporting: moderate Trivedi (Oxcarbazepine) (Controls unexposed, sick), 2018Trivedi, 2018 2 7.53[1.54; 36.89]105635%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Tomson (Oxcarbazepine), 2015Tomson, 2015 3 1.08[0.67; 1.72]17226245%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (3 studies) I2 = 78% 4.29[0.62; 29.59]1833320.5100.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Oxcarbazepine) (Controls unexposed sick) (Epilepsy; 2: Oxcarbazepine) (Controls unexposed, sick; 3: Oxcarbazepine;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 4.29[0.62; 29.59]18333278%NAVajda a (Oxcarbazepine) (Controls unexposed sick) (Epilepsy), 2024 Trivedi (Oxcarbazepine) (Controls unexposed, sick), 2018 Tomson (Oxcarbazepine), 2015 3 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 10.16[2.44; 42.32]11700%NAVajda a (Oxcarbazepine) (Controls unexposed sick) (Epilepsy), 2024 Trivedi (Oxcarbazepine) (Controls unexposed, sick), 2018 2 exposed to other treatment, sickexposed to other treatment, sick 1.08[0.67; 1.72]172262 -NATomson (Oxcarbazepine), 2015 1 Tags Adjustment   - No  - No 4.21[0.15; 119.65]17327677%NAVajda a (Oxcarbazepine) (Controls unexposed sick) (Epilepsy), 2024 Tomson (Oxcarbazepine), 2015 2   - Yes  - Yes 7.53[1.54; 36.85]1056 -NATrivedi (Oxcarbazepine) (Controls unexposed, sick), 2018 1 All studiesAll studies 4.29[0.62; 29.59]18333278%NAVajda a (Oxcarbazepine) (Controls unexposed sick) (Epilepsy), 2024 Trivedi (Oxcarbazepine) (Controls unexposed, sick), 2018 Tomson (Oxcarbazepine), 2015 30.5100.01.0

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 9078, 16754

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed, sick controlsunexposed, sick controls Out of scale10.16[2.44; 42.32]11700%NAVajda a (Oxcarbazepine) (Controls unexposed sick) (Epilepsy), 2024 Trivedi (Oxcarbazepine) (Controls unexposed, sick), 2018 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.11[0.72; 1.72]1923320%NAVajda a (Oxcarbazepine) (Controls exposed to LTG) (Epilepsy), 2024 Trivedi (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2018 Tomson (Oxcarbazepine), 2015 30.510.01.0

Umbrella review (other published meta-analyses)

Published MAControlPeriodTE95% CIn exposedkI2 Veroniki a (NMA) (All indications) (Combined ...Veroniki a (NMA) (All indications) (Combined fetal losses) 1.66[0.50; 4.50]NA-Wwhatever (meta-analysis)Anyduring pregnancy (anytime or not specified)studies TTT-9 metaPregmetaPreg 4.29[0.62; 29.59]78%332----Vajda a (Oxcarbazepine) (Controls unexposed sick) (Epilepsy), 2024 Trivedi (Oxcarbazepine) (Controls unexposed, sick), 2018 Tomson (Oxcarbazepine), 2015 30.510.01.0