Evidence map›Paper›PMID 20065053›Full record

Trial reportAntimicrobial agents and chemotherapy2010

Amodiaquine dosage and tolerability for intermittent preventive treatment to prevent malaria in children.

M Cairns, B Cisse, C Sokhna, C Cames, K Simondon, E H Ba, J-F Trape, O Gaye, B M Greenwood, P J M Milligan

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06173206 (Effect of Single-course Malaria Chemoprevention on Clearance of and Protection From Plasmodium Falciparum Infection in the Presence of Resistance-associated Genotypes in Cameroon), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% 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.

NCT06173206 phase3completednot on this mapstarted 2024, after this paper: background citation

Effect of Single-course Malaria Chemoprevention on Clearance of and Protection From Plasmodium Falciparum Infection in the Presence of Resistance-associated Genotypes in Cameroon

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2024 to 2025Enrolled902ConditionsMalariaArmsSP (Macleods Pharmaceuticals Ltd), SPAQ (Guilin Pharmaceuticals), AS (Guilin Pharmaceuticals)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  10. Worldwide study of the taste of bitter medicines and their modifiers.bioRxiv : the preprint server for biology · 2024
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  13. An epigrammatic status of the 'RSC medicinal chemistry · 2020
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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

10 authors at 4 institutions in 2 countries.

M CairnsInfectious Disease Epidemiology Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom. matthew.cairns@lshtm.ac.uk
B Cisse
C Sokhna
C Cames
K Simondon
E H Ba
J-F Trape
O Gaye
B M Greenwood
P J M Milligan
Institut de Recherche pour le Développement · SNLondon School of Hygiene & Tropical Medicine · GBCheikh Anta Diop University · SNUniversity of London · GB

Funding

Medical Research Council G0700837
6 · The paper itself

Abstract

Sulfadoxine-pyrimethamine with amodiaquine (SP-AQ) is a highly efficacious regimen for intermittent preventive treatment to prevent malaria in children (IPTc), but the amodiaquine component is not always well tolerated. We determined the association between amodiaquine dosage by body weight and mild adverse events (AEs) and investigated whether alternative age-based regimens could improve dosing accuracy and tolerability, using data from two trials of IPTc in Senegal, one in which AQ dose was determined by age and the other in which it was determined by weight category. Both dosage strategies resulted in some children receiving AQ doses above the recommended therapeutic range. The odds of vomiting increased with increasing amodiaquine dosage. In one study, incidence of fever also increased with increasing dosage. Anthropometric data from 1,956 children were used to predict the dosing accuracy of existing and optimal alternative regimens. Logistic regression models describing the probability of AEs by dosage were used to predict the potential reductions in mild AEs for each regimen. Simple amendments to current AQ dosing schedules based on the child's age could substantially increase dosing accuracy and thus improve the tolerability of IPTc using SP-amodiaquine in situations where weighing the child is impractical.

Indexed as

Age FactorsAmodiaquineAntimalarialsBody WeightChildChild, PreschoolDose-Response Relationship, DrugDrug Administration ScheduleDrug CombinationsDrug Therapy, CombinationHumansInfantMalariaPyrimethamineSeasonsSulfadoxineAmodiaquineAntimalarialsDrug Combinationsfanasil, pyrimethamine drug combinationPyrimethamineSulfadoxine

Identifiers

PMID20065053
PMCPMC2825997
OpenAlexW2148667838

What OpenQuestion holds

Textmetadata
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.