Evidence map›Paper›PMID 23143901›Full record

Trial reportThe Journal of antimicrobial chemotherapy2013

Oseltamivir and inhaled zanamivir as influenza prophylaxis in Thai health workers: a randomized, double-blind, placebo-controlled safety trial over 16 weeks.

T Anekthananon, S Pukrittayakamee, S Pukritayakamee, W Ratanasuwan, P Jittamala, P Werarak, P Charunwatthana, S Suwanagool, S Lawpoolsri, K Stepniewska and 8 more

Erratum issuedOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of antimicrobial chemotherapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Transmission and Control of Respiratory Viral Infections in the Healthcare Setting.Current treatment options in infectious diseases · 2018
    Review
  5. Antiviral Medications in Seasonal and Pandemic Influenza.Deutsches Arzteblatt international · 2016
    Review
4 · The record

Corrections and comments

  • Erratum issued
    Pukritayakamee, S [corrected to Pukrittayakamee, S]
5 · Who and what money

Authors and funding

18 authors at 5 institutions in 2 countries.

T AnekthananonDepartment of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkoknoi, Bangkok, Thailand. tanek@hotmail.com
S Pukrittayakamee
S Pukritayakamee
W Ratanasuwan
P Jittamala
P Werarak
P Charunwatthana
S Suwanagool
S Lawpoolsri
K Stepniewska
P Sapchookul
P Puthavathana
C Fukuda
N Lindegardh
J Tarning
N J White
N Day
W R J Taylor
Mahidol University · THMahidol Oxford Tropical Medicine Research Unit · THUniversity of Oxford · GBNuffield Orthopaedic Centre · GBSiriraj Hospital · TH

Funding

Wellcome Trust 089275Wellcome Trust 093956
6 · The paper itself

Abstract

objectivesLong-term chemoprophylaxis using neuraminidase inhibitors may be needed during influenza epidemics but safety data are limited to several weeks. We sought to assess the tolerability of oseltamivir and zanamivir as primary prophylaxis over 16 weeks.

methodsWe conducted a parallel group, double blind, 2 (active drug) :1 (placebo) randomized trial of oral oseltamivir/placebo or inhaled zanamivir/placebo over 16 weeks in healthy, Thai hospital professionals at two Bangkok hospitals. The primary endpoint was study withdrawal due to drug-related (possibly, probably, definitely) serious or adverse events (AEs) graded ≥ 2.

resultsRecruited subjects numbered 129 oseltamivir/65 placebo and 131 zanamivir/65 placebo. A total of 102 grade ≥ 2 AEs were reported or detected in 69 subjects: 23/129 (17.8%) versus 15/65 (23.1%) (P=0.26), and 23/131 (17.6%) versus 8/65 (12.3%) (P=0.28). Intercurrent infections/fevers [26/102 (25.5%)], abnormal biochemistry [25/102 (24.5%)] and gastrointestinal symptoms [18/102 (17.6%)] were the most frequently reported AEs. There were no drug-related study withdrawals. Eight serious AEs were all due to intercurrent illnesses. Laboratory, lung function and ECG parameters were similar between drugs and placebos.

conclusionsOseltamivir and zanamivir were well tolerated in healthy hospital professionals. Both drugs can be recommended for primary influenza prophylaxis for up to 16 weeks.

Indexed as

Health PersonnelAdministration, InhalationAdultAntiviral AgentsChemopreventionDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsFemaleHumansInfluenza, HumanMaleMiddle AgedOseltamivirPlacebosThailandYoung AdultAntiviral AgentsOseltamivirPlacebosZanamivir

Identifiers

PMID23143901
PMCPMC3566665
OpenAlexW2121342113

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.