Evidence map›Paper›PMID 26573814›Full record

Trial reportMalaria journal2015

High efficacy of two artemisinin-based combinations: artesunate + sulfadoxine-pyrimethamine and artemether-lumefantrine for falciparum malaria in Yemen.

Ahmed A Adeel, Niaz Abdo Saeed, Adel Aljasari, Amar M Almohager, Mohamed H Galab, Amar AlMahdi, Mansor H Mahammed, Mohammed AlDarsi, Yahiya A Salaeah, Hoda Atta and 5 more

Open access · goldAbstract readClinical 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. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

15 authors at 4 institutions in 3 countries.

Ahmed A AdeelCollege of Medicine, King Saud University, Riyadh, Saudi Arabia. aaadeel@yahoo.com.
Niaz Abdo SaeedThe National Malaria Control Programme, Ministry of Public Health and Population, Sanaa, Yemen. niazabdo@yahoo.com.
Adel AljasariThe National Malaria Control Programme, Ministry of Public Health and Population, Sanaa, Yemen. aljasari@hotmail.com.
Amar M AlmohagerMinistry of Public Health and Population, Sanaa, Yemen. almohaget76@gmail.com.
Mohamed H GalabMinistry of Public Health and Population, Sanaa, Yemen. Dr.ghalab.husami@gmail.com.
Amar AlMahdiMinistry of Public Health and Population, Sanaa, Yemen. Amaryahya2016@gmail.com.
Mansor H MahammedMinistry of Public Health and Population, Sanaa, Yemen. mansour777788436@gmail.com.
Mohammed AlDarsiMinistry of Public Health and Population, Sanaa, Yemen. Mohammedaldarasi@yahoo.com.
Yahiya A SalaeahMinistry of Public Health and Population, Sanaa, Yemen. yaamer2010@gmail.com.
Hoda AttaMalaria Control and Elimination, Division of Communicable Diseases Control, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt. attah@who.int.
Ghasem ZamaniMalaria Control and Elimination, Division of Communicable Diseases Control, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt. zamanig@who.int.
Marian WarsameGlobal Malaria Programme, World Health Organization, Geneva, Switzerland. warsamem@who.int.
Amy BarretteGlobal Malaria Programme, World Health Organization, Geneva, Switzerland. barrettea@who.int.
Hanan El MohammadyNaval Medical Research Unit-3, Cairo, Egypt. Hanan.ElMohammady.eg@med.navy.mil.
Rania A NadaNaval Medical Research Unit-3, Cairo, Egypt. Rania.AbdelKhalek.eg@med.navy.mil.
United States Naval Medical Research Unit III · EGWorld Health Organization · CHWorld Health Organization Regional Office for the Eastern Mediterranean · EGKing Saud University · SA

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundArtesunate + sulfadoxine-pyrimethamine (AS + SP) has been the first-line treatment and artemether-lumefantrine (AL) the second-line treatment for uncomplicated falciparum malaria in Yemen since 2005. This paper reports the results of studies conducted to monitor therapeutic efficacy of these two drugs in sentinel sites in Yemen.

methodsEight therapeutic efficacy studies were conducted in six sentinel sites during the period 2009-2013 in Yemen. Five studies were for the evaluation of AS + SP (total of 465 patients) and three studies (total of 268 patients) for the evaluation of AL. The studies were done according to standard WHO protocol 2009 with 28-day follow-up.

resultsIn the evaluation of AS + SP, the PCR-corrected cure rate was 98 % (95 % CI 92.2-99.5 %) in one site and 100 % in all of the other four sites. In the sites where AL was evaluated, the PCR-corrected cure rate was 100 % in all the sites. All patients were negative for asexual parasitaemia on day 3 in both the AS + SP and the AL groups. There was a higher rate of clearance of gametocytaemia in the AL-treated group when compared with the AS + SP groups from day 7 onwards.

conclusionAS + SP remains the effective drug for uncomplicated falciparum malaria in Yemen. AL is also highly effective and can be an appropriate alternative to AS + SP for the treatment of falciparum malaria. AL demonstrated a higher efficacy in clearing microscopic gametocytaemia than AS + SP.

trial registrationTrial registration number ACTRN12610000696099.

Indexed as

AdolescentAdultAgedArtemether, Lumefantrine Drug CombinationArtemisininsChildChild, PreschoolDrug CombinationsEthanolaminesFluorenesHumansInfantMalaria, FalciparumMaleMiddle AgedProspective StudiesArtemether, Lumefantrine Drug CombinationArtemisininsDrug CombinationsEthanolaminesFluorenesPyrimethamineSulfadoxinesulfadoxine-pyrimethamine-artesunate

Identifiers

PMID26573814
PMCPMC4647513
OpenAlexW2172459683

What OpenQuestion holds

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LicenceCC BY
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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.