Evidence map›Paper›PMID 26170395›Full record

Trial reportThe Journal of infectious diseases2016

Effect of Repeated Anthelminthic Treatment on Malaria in School Children in Kenya: A Randomized, Open-Label, Equivalence Trial.

Stella Kepha, Fred Nuwaha, Birgit Nikolay, Paul Gichuki, Charles S Mwandawiro, Pauline N Mwinzi, Maurice R Odiere, Tansy Edwards, Elizabeth Allen, Simon J Brooker

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

Trial report in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01658774 (Impact of Repeated Anthelminthic Treatment on Malaria in School Children), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 29% 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.

NCT01658774 nacompletednot on this map

Impact of Repeated Anthelminthic Treatment on Malaria in School Children: an Individual Randomized, Double-blind, Placebo-controlled Trial in Western Kenya

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2013 to 2015Enrolled2,377ConditionsIntestinal Helminthiasis, Ascariasis, Hookworm, MalariaArmsAlbendazole, Vitamin C
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Repurposing Drugs to Fight Hepatic Malaria Parasites.Molecules (Basel, Switzerland) · 2020
    Review
  6. Article
  7. Article
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 3 countries.

Stella KephaSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
Fred NuwahaSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
Birgit NikolayLondon School of Hygiene and Tropical Medicine, United Kingdom.
Paul GichukiEastern and Southern Africa Centre of International Parasite Control, Kenya Medical Research Institute (KEMRI).
Charles S MwandawiroEastern and Southern Africa Centre of International Parasite Control, Kenya Medical Research Institute (KEMRI).
Pauline N MwinziNeglected Tropical Diseases Research Unit, Center for Global Health Research, KEMRI, Kisumu, Kenya.
Maurice R OdiereNeglected Tropical Diseases Research Unit, Center for Global Health Research, KEMRI, Kisumu, Kenya.
Tansy EdwardsLondon School of Hygiene and Tropical Medicine, United Kingdom.
Elizabeth AllenLondon School of Hygiene and Tropical Medicine, United Kingdom.
Simon J BrookerLondon School of Hygiene and Tropical Medicine, United Kingdom KEMRI-Wellcome Trust Research Programme, Nairobi.
Kenya Medical Research Institute · KELondon School of Hygiene & Tropical Medicine · GBMakerere University · UGWellcome Trust · GB

Funding

Medical Research Council MR/K012126/1Wellcome Trust 087540
6 · The paper itself

Abstract

backgroundSchool children living in the tropics are often concurrently infected with plasmodium and helminth parasites. It has been hypothesized that immune responses evoked by helminths may modify malaria-specific immune responses and increase the risk of malaria.

methodsWe performed a randomized, open-label, equivalence trial among 2436 school children in western Kenya. Eligible children were randomized to receive either 4 repeated doses or a single dose of albendazole and were followed up during 13 months to assess the incidence of clinical malaria. Secondary outcomes were Plasmodium prevalence and density, assessed by repeat cross-sectional surveys over 15 months. Analysis was conducted on an intention-to-treat basis with a prespecified equivalence range of 20%.

resultsDuring 13 months of follow-up, the incidence rate of malaria was 0.27 episodes/person-year in the repeated treatment group and 0.26 episodes/person-year in the annual treatment group (incidence difference, 0.01; 95% confidence interval, -.03 to .06). The prevalence and density of malaria parasitemia did not differ by treatment group at any of the cross-sectional surveys.

conclusionsOur findings suggest that repeated deworming does not alter risks of clinical malaria or malaria parasitemia among school children and that school-based deworming in Africa may have no adverse consequences for malaria. CLINICAL TRIALS REGISTRATION: NCT01658774.

Indexed as

AdolescentAlbendazoleAnthelminticsChildDrug Administration ScheduleFemaleHelminthiasisHumansKenyaMalaria, FalciparumMaleParasitemiaRisk FactorsAlbendazoleAnthelminticsdeworminghelminthsKenyamalariaschool children

Identifiers

PMID26170395
PMCPMC4690148
OpenAlexW1904225324

What OpenQuestion holds

Textmetadata
LicenceTDM
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.