Evidence map›Paper›PMID 19415120›Full record

Trial reportPloS one2009

Strong gametocytocidal effect of methylene blue-based combination therapy against falciparum malaria: a randomised controlled trial.

Boubacar Coulibaly, Augustin Zoungrana, Frank P Mockenhaupt, R Heiner Schirmer, Christina Klose, Ulrich Mansmann, Peter E Meissner, Olaf Müller

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00354380 (Safety and Efficacy of Methylene Blue Combined With Artesunate or Amodiaquine for Malaria Treatment in Children of Burkina Faso), which is not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
10.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00354380 phase2completednot on this map

Safety and Efficacy of Methylene Blue Combined With Artesunate or Amodiaquine for Malaria Treatment in Children of Burkina Faso: a Pilot Study

TypeinterventionalSponsorHeidelberg UniversityRan2006 to 2006ConditionsMalariaArmsMethylene blue, Artesunate, Amodiaquine
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 125 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Design of Al-decorated CRSC advances · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The activity of methylene blue against asexual and sexual stages ofFrontiers in cellular and infection microbiology · 2023
    Article
  11. Article
  12. Targeting Gametocytes of the Malaria ParasitePathogens (Basel, Switzerland) · 2021
    Review
  13. Review
  14. Article
  15. Review
  16. Hydrogen bonds and π-π inter-actions in two new crystalline phases of methyl-ene blue.Acta crystallographica. Section E, Crystallographic communications · 2018
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Boubacar CoulibalyCentre de Recherche en Santé de Nouna, Nouna, Burkina Faso.
Augustin Zoungrana
Frank P Mockenhaupt
R Heiner Schirmer
Christina Klose
Ulrich Mansmann
Peter E Meissner
Olaf Müller
Heidelberg University · DECentre de Recherche en Santé de Nouna · BFCharité - Universitätsmedizin Berlin · DELudwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the availability of new preventive and curative interventions, global malaria control has been strengthened significantly in recent years. Drugs effective in reducing malaria gametocytaemia might contribute to local elimination and possible long-term eradication. We here report on the effects of methylene blue (MB)-based malaria combination therapy on gametocytaemia during a randomised-controlled trial in Burkina Faso.

methodsAn open-label randomised controlled phase II study in 180 children aged 6-10 years with uncomplicated falciparum malaria was conducted in Nouna, north-western Burkina Faso. Children were randomised to MB-artesunate (AS), MB-amodiaquine (AQ), and AS-AQ (local standard of care). Overall follow-up was for 28 days, follow-up for gametocytaemia was for 14 days.

findingsThe treatment groups were similar in baseline characteristics and there was only one loss to follow-up. Compared to AS-AQ, both MB-containing regimens were associated with significantly reduced gametocyte carrier rates during follow-up days 3, 7, and 14. This effect was seen both in patients with and without P. falciparum gametocytaemia at baseline.

interpretationMB reveals pronounced gametocytocidal activity which appears to act against both existing and developing P. falciparum gametocytes. MB-based combination therapy thus has the potential to reduce transmission of P. falciparum malaria in endemic regions, which has important implications for future elimination and eradication strategies.

trial registration(ClinicalTrials.gov) NCT00354380.

Indexed as

AmodiaquineAnimalsAntimalarialsArtemisininsArtesunateBurkina FasoChildDrug Therapy, CombinationGerm CellsHumansMalaria, FalciparumMethylene BluePlasmodium falciparumTreatment OutcomeAmodiaquineAntimalarialsArtemisininsArtesunateMethylene Blue

Identifiers

PMID19415120
PMCPMC2673582
OpenAlexW2015821148

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.