Outcome summaries · provisional pilot

CBD and convulsive seizures in Dravet syndrome

Selected human studies, their reported effects and the limits of this source set.

Provisional · source checks 2026-11-08 UTC · scientific editorial review pending

The question and its scope

Population
Children and young people with treatment-resistant Dravet syndrome on background antiseizure treatment
Studied preparation
Defined purified/pharmaceutical CBD oral solution, adjunctive use
Route
oral
Primary outcome
Change in convulsive-seizure frequency during randomized treatment
Study scope
Two distinct randomized cohorts; multiple active arms share their trial control and are not counted as separate trials

Reported finding · selected human evidence

Both selected randomized cohorts reported fewer convulsive seizures with adjunctive purified CBD than placebo. These results concern the studied treatment and population.

Two selected cohorts do not represent every Dravet study. Effects use different statistical measures and are not pooled.

2 distinct randomized cohorts in this source set. Safety Part A, overlapping open-label extension, and mouse mechanism study are not additional independent human efficacy trials.

Reported effects and harms

Estimates retain their original comparator, units and 95% confidence interval (CI). Different measures are not pooled. Study regimens identify the research; they are not treatment instructions.

Human · primary randomized study

Devinsky et al. (2017)

GWPCARE1 Part B · NCT02091375 ↗

120 randomized children and young people; 14-week treatment.

The primary convulsive-seizure outcome favored CBD.

ContrastMeasureEstimate95% CI
CBD versus placeboAdjusted median between-group difference in change−22.8 percentage points−41.1 to −5.4 percentage points
Harms reported
The abstract reports more adverse events and withdrawals with CBD. Detailed rates are not extracted here.
Interpretation limits
Abstract-only assessment; no formal risk-of-bias judgement.
Source depth
Author abstract only; full paper not assessed for this pilot.

Human · primary randomized study

Miller et al. (2020)

GWPCARE2 · NCT02224703 ↗

199 randomized; 198 eligible for intention-to-treat analysis. The two CBD arms share one placebo group.

Both assigned CBD regimens reduced the primary seizure-frequency outcome relative to placebo.

ContrastMeasureEstimate95% CI
10 mg/kg/day study arm versus placeboModel-reported reduction relative to placebo29.8 %8.4 to 46.2 %
20 mg/kg/day study arm versus placeboModel-reported reduction relative to placebo25.7 %2.9 to 43.2 %
Harms reported
Treatment-emergent events: 56/64 in the lower-dose safety group, 62/69 in the higher-dose group, 58/65 with placebo. Two participants changed dose groups for safety analysis.
Interpretation limits
GW Research supported and participated in the study. Safety and efficacy denominators differ; higher assigned treatment is not a recommendation.
Source depth
Primary full text: Results, adverse events and Table 2 footnotes.

Context kept separate

These records do not add independent primary human trials to the count above.

Human context

Animal context

Laboratory context

No laboratory context selected in this pilot source set.

Source checks and notices

The selected PubMed records were checked 2026-11-08 UTC. No other notice signals were returned for these records at that check; missing metadata signals do not prove that no notice exists. This monitor checks citation relations, not every full-text change, and never rewrites a finding automatically.

Read this question’s selection record and omitted-source limits →