Evidence map›Paper›PMID 21858097›Full record

Trial reportPloS one2011

Morbidity from malaria in children in the year after they had received intermittent preventive treatment of malaria: a randomised trial.

Amadou T Konaté, Jean Baptiste Yaro, Amidou Z Ouédraogo, Amidou Diarra, Adama Gansané, Issiaka Soulama, David T Kangoyé, Youssouf Kaboré, Espérance Ouédraogo, Alphonse Ouédraogo and 8 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00738946 (A Trial of the Combined Impact of Intermittent Preventive Treatment and Insecticide Treated Bednets in Reducing Morbidity From Malaria in African Children), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 8% 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.

NCT00738946 nacompletednot on this map

A Trial of the Combined Impact of Intermittent Preventive Treatment and Insecticide Treated Bednets in Reducing Morbidity From Malaria in African Children

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2008 to 2009Enrolled6,000ConditionsMalariaArmsIntermittent preventive treatment with AQ+ SP
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Intermittent preventive treatment for malaria in infants.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Intermittent preventive treatment for malaria in infants.The Cochrane database of systematic reviews · 2019
    Pooled it
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  8. Article
  9. Resurgent and delayed malaria.Malaria journal · 2022
    Review
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  19. Review
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

18 authors at 3 institutions in 2 countries.

Amadou T KonatéCentre National de Recherche et de Formation sur le Paludisme, Ouagadougou, Burkina Faso.
Jean Baptiste Yaro
Amidou Z Ouédraogo
Amidou Diarra
Adama Gansané
Issiaka Soulama
David T Kangoyé
Youssouf Kaboré
Espérance Ouédraogo
Alphonse Ouédraogo
Alfred B Tiono
Issa N Ouédraogo
Daniel Chandramohan
Simon Cousens
Paul J Milligan
Sodiomon B Sirima
Brian M Greenwood
Diadier A Diallo
Centre National de Recherche et de Formation sur le Paludisme · BFLondon School of Hygiene & Tropical Medicine · GBUniversity of London · GB

Funding

Medical Research Council G0700837
6 · The paper itself

Abstract

backgroundInterventions that reduce exposure to malaria infection may lead to delayed malaria morbidity and mortality. We investigated whether intermittent preventive treatment of malaria in children (IPTc) was associated with an increase in the incidence of malaria after cessation of the intervention.

methodsAn individually randomised, trial of IPTc, comparing three courses of sulphadoxine pyrimethamine (SP) plus amodiaquine (AQ) with placebos was implemented in children aged 3-59 months during the 2008 malaria transmission season in Burkina Faso. All children in the trial were given a long lasting insecticide treated net; 1509 children received SP+AQ and 1505 received placebos. Passive surveillance for malaria was maintained until the end of the subsequent malaria transmission season in 2009, and active surveillance for malaria infection, anaemia and malnutrition was conducted.

resultsOn thousand, four hundred and sixteen children (93.8%) and 1399 children (93.0%) initially enrolled in the intervention and control arms of the trial respectively were followed during the 2009 malaria transmission season. During the period July 2009 to November 2009, incidence rates of clinical malaria were 3.84 (95%CI; 3.67-4.02) and 3.45 (95%CI; 3.29-3.62) episodes per child during the follow up period in children who had previously received IPT or placebos, indicating a small increase in risk for children in the former intervention arm (IRR = 1.12; 95%CI 1.04-1.20) (P = 0.003). Children who had received SP+AQ had a lower prevalence of malaria infection (adjusted PR: 0.88 95%CI: 0.79-0.98) (P = 0.04) but they had a higher parasite density (P = 0.001) if they were infected. There was no evidence that the risks of moderately severe anaemia (Hb<8 g/dL), wasting, stunting, or of being underweight in children differed between treatment arms.

conclusionIPT with SP+AQ was associated with a small increase in the incidence of clinical malaria in the subsequent malaria transmission season.

trial registrationClinicalTrials.gov NCT00738946.

Indexed as

AmodiaquineAnemiaAntimalarialsBody WeightBurkina FasoChild, PreschoolDouble-Blind MethodDrug Administration ScheduleDrug CombinationsDrug Therapy, CombinationFemaleFollow-Up StudiesHumansIncidenceInfantKaplan-Meier EstimateAmodiaquineAntimalarialsDrug Combinationsfanasil, pyrimethamine drug combinationPyrimethamineSulfadoxine

Identifiers

PMID21858097
PMCPMC3155539
OpenAlexW2035457096

What OpenQuestion holds

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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.