Evidence map›Paper›PMID 27206726›Full record

ArticleDrug safety2016

Artesunate/Amodiaquine-Induced Acute Extrapyramidal Reactions in Children and Younger Adults: Case Series Assessment.

Mulugeta Russom, Dawit Tesfai, Semere Gebregiorgis, Abdulmumini Usman, Selam Mihreteab, Iyassu Bahta, Elsa Mekonnen, Selamawit Ghebrehiwet, Gelila Abrham

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Article in Drug safety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Prevalence ofPharmacogenomics and personalized medicine · 2020
    Article
  5. Vitamin BDrug safety · 2018
    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

9 authors.

Mulugeta RussomEritrean Pharmacovigilance Centre, Ministry of Health, P.O. Box: 212, Asmara, Eritrea. satiswt@gmail.com.
Dawit TesfaiSchool of Pharmacy, Asmara College of Health Sciences, Asmara, Eritrea.
Semere GebregiorgisWorld Health Organization Country Office, Asmara, Eritrea.
Abdulmumini UsmanWorld Health Organization Country Office, Asmara, Eritrea.
Selam MihreteabNational Malaria Control Program, Ministry of Health, Asmara, Eritrea.
Iyassu BahtaNational Medicines and Food Administration, Ministry of Health, Asmara, Eritrea.
Elsa MekonnenEritrean Pharmacovigilance Centre, Ministry of Health, P.O. Box: 212, Asmara, Eritrea.
Selamawit GhebrehiwetEritrean Pharmacovigilance Centre, Ministry of Health, P.O. Box: 212, Asmara, Eritrea.
Gelila AbrhamTesseney Hospital, Tesseney, Eritrea.

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionSeveral studies conducted in African countries reported the artesunate and amodiaquine (AS/AQ) tablet as a safe and well-tolerated anti-malarial drug in children and younger adults. The aim of this case series assessment was to assess the causal relationship between the AS/AQ tablet and extrapyramidal reactions in children and younger adults and to investigate the factor(s) predisposing to the adverse drug reactions.

methodsThe causal relationship of all the cases was first assessed individually using the Naranjo Probability Scale and then subjected to a case series assessment using Austin Bradford-Hill criteria.

resultsA total of 43 acute extrapyramidal reactions associated with the AS/AQ tablet were reported between 2012 and 16 November, 2015 to the Eritrean Pharmacovigilance Centre. The causality was found to be probable or highly probable for 33 (76.7 %) of the cases and the rest (10; 23.3 %) of the cases had a possible causal association. The extrapyramidal reactions had more or less similar clinical features in most of the cases and were characterized by abnormal involuntary contractions of muscles. The median age and body weight of the cases were 15 years and 40 kg, respectively, and 70 % of them were males. 90.7% of the reactions manifested in children and younger adults (aged <26 years). In most of the cases, reactions manifested in the third day from the start of treatment and 88.3 % of cases were hospitalized.

conclusionThe causal relationship between the AS/AQ tablet and extrapyramidal reactions in children and younger adults was found to be apparent and possibly owing to dose accumulation or an overdose of amodiaquine.

Indexed as

AdolescentAdultAge FactorsAmodiaquineAntimalarialsArtemisininsBasal Ganglia DiseasesChildDose-Response Relationship, DrugDrug CombinationsDrug OverdoseFemaleHospitalizationHumansMaleMiddle AgedAmodiaquineamodiaquine, artesunate drug combinationAntimalarialsArtemisininsDrug Combinations

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Registered trials

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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.