Evidence map›Paper›PMID 26123954›Full record

ArticleThe American journal of tropical medicine and hygiene2015

Safety, Tolerability, and Compliance with Long-Term Antimalarial Chemoprophylaxis in American Soldiers in Afghanistan.

David L Saunders, Eric Garges, Jessica E Manning, Kent Bennett, Sarah Schaffer, Andrew J Kosmowski, Alan J Magill

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05203744 (Safety, Tolerability and Pharmacokinetics of Tafenoquine After Weekly and Escalating Monthly Doses of Tafenoquine in Healthy Vietnamese Volunteers), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT05203744 phase4unknown statusnot on this mapstarted 2022, after this paper: background citation

Safety, Tolerability and Pharmacokinetics of Tafenoquine After Weekly and Escalating Monthly Doses of Tafenoquine in Healthy Vietnamese Volunteers

TypeinterventionalSponsorNaval Medical Research CenterRan2022 to 2022Enrolled200ConditionsProphylaxisArmsTafenoquine prophylaxis
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Mefloquine for preventing malaria during travel to endemic areas.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Monoclonal antibodies for malaria prevention.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Approval of Tafenoquine for Malaria Chemoprophylaxis.The American journal of tropical medicine and hygiene · 2019
    Article
  16. Article
  17. Neuropsychiatric Outcomes After Mefloquine Exposure Among U.S. Military Service Members.The American journal of tropical medicine and hygiene · 2017
    Article
  18. Article
  19. Article
  20. 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

7 authors at 3 institutions in 2 countries.

David L SaundersArmed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Walter Reed Army Institute of Research, Silver Spring, Maryland; University of Maryland School of Medicine, Baltimore, Maryland; 10th Mountain Division, Fort Drum, New York; Bill and Melinda Gates Foundation, Seattle, Washington david.saunders@afrims.org.
Eric GargesArmed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Walter Reed Army Institute of Research, Silver Spring, Maryland; University of Maryland School of Medicine, Baltimore, Maryland; 10th Mountain Division, Fort Drum, New York; Bill and Melinda Gates Foundation, Seattle, Washington.
Jessica E ManningArmed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Walter Reed Army Institute of Research, Silver Spring, Maryland; University of Maryland School of Medicine, Baltimore, Maryland; 10th Mountain Division, Fort Drum, New York; Bill and Melinda Gates Foundation, Seattle, Washington.
Kent BennettArmed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Walter Reed Army Institute of Research, Silver Spring, Maryland; University of Maryland School of Medicine, Baltimore, Maryland; 10th Mountain Division, Fort Drum, New York; Bill and Melinda Gates Foundation, Seattle, Washington.
Sarah SchafferArmed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Walter Reed Army Institute of Research, Silver Spring, Maryland; University of Maryland School of Medicine, Baltimore, Maryland; 10th Mountain Division, Fort Drum, New York; Bill and Melinda Gates Foundation, Seattle, Washington.
Andrew J KosmowskiArmed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Walter Reed Army Institute of Research, Silver Spring, Maryland; University of Maryland School of Medicine, Baltimore, Maryland; 10th Mountain Division, Fort Drum, New York; Bill and Melinda Gates Foundation, Seattle, Washington.
Alan J MagillArmed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Walter Reed Army Institute of Research, Silver Spring, Maryland; University of Maryland School of Medicine, Baltimore, Maryland; 10th Mountain Division, Fort Drum, New York; Bill and Melinda Gates Foundation, Seattle, Washington.
University of Maryland, Baltimore · USBill & Melinda Gates Foundation · USWalter Reed Army Institute of Research · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
NCATS NIH HHS UL1 TR001425
6 · The paper itself

Abstract

Long-term antimalarial chemoprophylaxis is currently used by deployed U.S. military personnel. Previous small, short-term efficacy studies have shown variable rates of side effects among patients taking various forms of chemoprophylaxis, though reliable safety and tolerability data on long-term use are limited. We conducted a survey of troops returning to Fort Drum, NY following a 12-month deployment to Operation Enduring Freedom, Afghanistan from 2006 to 2007. Of the 2,351 respondents, 95% reported taking at least one form of prophylaxis during their deployment, and 90% were deployed for > 10 months. Compliance with daily doxycycline was poor (60%) compared with 80% with weekly mefloquine (MQ). Adverse events (AEs) were reported by approximately 30% with both MQ and doxycycline, with 10% discontinuing doxycycline compared with 4% of MQ users. Only 6% and 31% of soldiers reported use of bed nets and skin repellents, respectively. Compliance with long-term malaria prophylaxis was poor, and there were substantial tolerability issues based on these anonymous survey results, though fewer with MQ than doxycycline. Given few long-term antimalarial chemoprophylaxis options, there is an unmet medical need for new antimalarials safe for long-term use.

Indexed as

Drug MonitoringAdolescentAdultAfghan Campaign 2001-AfghanistanAntimalarialsDoxycyclineFemaleHumansMalariaMaleMefloquineMilitary PersonnelRetrospective StudiesUnited StatesYoung AdultAntimalarialsDoxycyclineMefloquine

Identifiers

PMID26123954
PMCPMC4559701
OpenAlexW2395027183

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.