Evidence map›Paper›PMID 26006260›Full record

Trial reportMalaria journal2015

Malaria preventive therapy in pregnancy and its potential impact on immunity to malaria in an area of declining transmission.

Andrew Teo, Wina Hasang, Louise M Randall, Holger W Unger, Peter M Siba, Ivo Mueller, Graham V Brown, Stephen J Rogerson

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

Trial report in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01136850 (Intermittent Preventive Treatment With Azithromycin-containing Regimens for the Prevention of Malarial Infections and Anaemia and the Control of Sexually Transmitted Infections in Pregnant Women in Papua New Guinea), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT01136850 phase3completednot on this map

Intermittent Preventive Treatment With Azithromycin-containing Regimens for the Prevention of Malarial Infections and Anaemia and the Control of Sexually Transmitted Infections in Pregnant Women in Papua New Guinea

TypeinterventionalSponsorUniversity of MelbourneRan2009 to 2013Enrolled2,793ConditionsMalaria in Pregnancy, Sexually Transmitted Infections, AnaemiaArmschloroquine, sulphadoxine pyrimethamine, LLIN, azithromycin, sulphadoxine pyrimethamine, LLIN
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

8 authors at 5 institutions in 2 countries.

Andrew TeoUniversity of Melbourne, Department of Medicine (Royal Melbourne Hospital), Melbourne, VIC, Australia. andrew.teo@uqconnect.edu.au.
Wina HasangUniversity of Melbourne, Department of Medicine (Royal Melbourne Hospital), Melbourne, VIC, Australia. whasang@unimelb.edu.au.
Louise M RandallUniversity of Melbourne, Department of Medicine (Royal Melbourne Hospital), Melbourne, VIC, Australia. louise.randall@unimelb.edu.au.
Holger W UngerUniversity of Melbourne, Department of Medicine (Royal Melbourne Hospital), Melbourne, VIC, Australia. hwunger@doctors.org.uk.
Peter M SibaPapua New Guinea Institute of Medical Research, Goroka, Papua New Guinea. peter.siba@pngimr.org.pg.
Ivo MuellerThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia. mueller@wehi.edu.au.
Graham V BrownUniversity of Melbourne, Department of Medicine (Royal Melbourne Hospital), Melbourne, VIC, Australia. g.brown@unimelb.edu.au.
Stephen J RogersonUniversity of Melbourne, Department of Medicine (Royal Melbourne Hospital), Melbourne, VIC, Australia. sroger@unimelb.edu.au.
The Royal Melbourne Hospital · AUPeter Doherty Institute · AUPapua New Guinea Institute of Medical Research · PGUniversity of Melbourne · AUWalter and Eliza Hall Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegular anti-malarial therapy in pregnancy, a pillar of malaria control, may affect malaria immunity, with therapeutic implications in regions of reducing transmission.

methodsPlasma antibodies to leading vaccine candidate merozoite antigens and opsonizing antibodies to endothelial-binding and placental-binding infected erythrocytes were quantified in pregnant Melanesian women receiving sulfadoxine-pyrimethamine (SP) with chloroquine taken once, or three courses of SP with azithromycin.

resultsMalaria prevalence was low. Between enrolment and delivery, antibodies to recombinant antigens declined in both groups (p<0.0001). In contrast, median levels of opsonizing antibodies did not change, although levels for some individuals changed significantly. In multivariate analysis, the malaria prevention regimen did not influence antibody levels.

conclusionDifferent preventive anti-malarial chemotherapy regimens used during pregnancy had limited impact on malarial-immunity in a low-transmission region of Papua New Guinea. TRIAL REGISTRATIONS: NCT01136850.

Indexed as

AdultAntibodies, ProtozoanAntimalarialsAzithromycinChloroquineDrug CombinationsErythrocytesFemaleHumansMalaria, FalciparumPapua New GuineaPregnancyPregnancy Complications, ParasiticPyrimethamineSulfadoxineYoung AdultAntibodies, ProtozoanAntimalarialsAzithromycinChloroquineDrug Combinationsfanasil, pyrimethamine drug combinationPyrimethamineSulfadoxine

Identifiers

PMID26006260
PMCPMC4449596
OpenAlexW2155683931

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.