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Efficacy comparison of oxcarbazepine and levetiracetam monotherapy among patients with newly diagnosed focal epilepsy in China: A multicenter,open‐label,randomized study
Authors:Haoyue Zhu  Xuejun Deng  Li Feng  Yajun Lian  Xiong Han  Zhenli Guo  Yulan Gou  Yuanmin Du  Longshan Xie  Dongai Yao  Yonghong Liu  Qiang Wu  Song Lan  Kaisheng Liu  Peiyan Zhan  Xiahong Wang  Jingxia Dang  Yunqi Hou  Keqiang Chen  Yulan Zhu  Yuliang Shi  Yunli Yu  Bo Xiao  Suiqiang Zhu  Hongmei Meng
Abstract:AimsThis multicenter, open‐label, randomized study (Registration No. ChiCTR‐OCH‐14004528) aimed to compare the efficacy and effects of oxcarbazepine (OXC) with levetiracetam (LEV) as monotherapies on patient quality of life and mental health for patients with newly diagnosed focal epilepsy from China.MethodsPatients with newly diagnosed focal epilepsy who had experienced 2 or more unprovoked seizures at greater than a 24‐h interval during the previous year were recruited. Participants were randomly assigned to the OXC group or LEV group. Efficacy, safety, quality of life, and mental health were evaluated over 12‐week and 24‐week periods.ResultsIn total, we recruited 271 newly diagnosed patients from 23 centers. Forty‐four patients were excluded before treatment for reasons. The rate of seizure freedom of OXC was significantly superior to that of LEV at 12 weeks and 24 weeks (p < 0.05). The quality of life (except for the seizure worry subsection) and anxiety scale scores also showed significant differences from before to after treatment in the OXC and LEV groups.ConclusionsOXC monotherapy may be more effective than LEV monotherapy in patients with newly diagnosed focal epilepsy. Both OXC and LEV could improve the quality of life and anxiety state in adult patients with focal epilepsy.
Keywords:anxiety and depression   focal epilepsy   levetiracetam   oxcarbazepine   quality of life
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