Evidence map›Paper›PMID 33804133›Full record

ArticlePharmaceuticals (Basel, Switzerland)2021

Safety and Tolerability of Mass Diethylcarbamazine and Albendazole Administration for the Elimination of Lymphatic Filariasis in Kenya: An Active Surveillance Study.

Christabel Khaemba, Abbie Barry, Wyckliff P Omondi, Kefa Bota, Sultani Matendechero, Cecilia Wandera, Fred Siyoi, Elvis Kirui, Margaret Oluka, Pamela Nambwa and 4 more

Open access · goldAbstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Factors Associated with the Acceptability of Mass Drug Administration for Filariasis: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
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  3. Observational
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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

14 authors at 6 institutions in 2 countries.

Christabel KhaembaDivision of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, 14186 Stockholm, Sweden.ORCID 0000-0003-0543-9920
Abbie BarryDivision of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, 14186 Stockholm, Sweden.ORCID 0000-0002-3859-3660
Wyckliff P OmondiMinistry of Health -National Neglected Tropical Diseases Program, 30016-00100 Nairobi, Kenya.ORCID 0000-0002-6011-2253
Kefa BotaMinistry of Health -National Neglected Tropical Diseases Program, 30016-00100 Nairobi, Kenya.
Sultani MatendecheroMinistry of Health -National Neglected Tropical Diseases Program, 30016-00100 Nairobi, Kenya.
Cecilia WanderaMinistry of Health -National Neglected Tropical Diseases Program, 30016-00100 Nairobi, Kenya.
Fred SiyoiPharmacy and Poisons Board, 27663-00506 Nairobi, Kenya.
Elvis KiruiMinistry of Health -National Public Health Laboratory, Kenyatta National Hospital Grounds, 20750-00202 Nairobi, Kenya.
Margaret OlukaDepartment of Pharmacology and Pharmacognosy, School of Pharmacy, University of Nairobi, 19676-00202 Nairobi, Kenya.
Pamela NambwaPharmacy and Poisons Board, 27663-00506 Nairobi, Kenya.
Parthasarathi GurumurthyPharmacovigilance and Clinical Trials, Botswana Medicines Regulatory Authority, Gaborone 505155, Botswana.ORCID 0000-0002-5997-1157
Sammy M NjengaKenya Medical Research Institute (KEMRI), 54840-00200 Nairobi, Kenya.ORCID 0000-0001-6309-476X
Anastacia GuantaiDepartment of Pharmacology and Pharmacognosy, School of Pharmacy, University of Nairobi, 19676-00202 Nairobi, Kenya.
Eleni AklilluDivision of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, 14186 Stockholm, Sweden.ORCID 0000-0002-9788-0790
Ministry of Health · KEKarolinska University Hospital · SEPharmacy and Poisons Board · KEUniversity of Nairobi · KEKenya Medical Research Institute · KEKenyatta National Hospital · KE

Funding

European and Developing Countries Clinical Trials Partnership CSA2016S-1618Styrelsen för Internationellt Utvecklingssamarbete CSA2016S-1618
6 · The paper itself

Abstract

Preventive chemotherapy with diethylcarbamazine citrate (DEC) and albendazole (ALB) is the core intervention strategy to eliminate lymphatic filariasis (LF). We conducted a large-scale prospective active safety surveillance study to identify the incidence, type, severity, and risk factors for adverse events (AEs) following mass drug administration (MDA) of single-dose DEC and ALB in 10,010 participants from Kilifi County, Kenya. AEs were actively monitored and graded at 24 h, 48 h, and on day 7 Post-MDA. Out of 10,010 enrolled study participants, 1621 participants reported a total of 3102 AEs during a seven-day follow-up. The cumulative incidence of AEs was 16.2% (95% CI, 15.5-16.9%). The proportion of participants who experienced one, two, or ≥three types of AEs was 9.2%, 4.6%, 2.4%, respectively. AEs were mild (87.3%), moderate (12.4%), and severe (0.3%) and resolved within 72 h. The five most common AEs were dizziness (5.9%), headache (5.6%), loss of appetite (3.3%), fever (2.9%), and drowsiness (2.6%). Older age, taking concurrent medications, ≥three tablets of DEC, and type of meal taken before MDA were significant predictors of AEs. One in six participants experienced systemic mild-to-moderate severity grading and transient AEs. DEC and ALB co-administration for the elimination of LF is generally safe and well-tolerated.

Indexed as

adverse eventsalbendazolediethylcarbamazineKenyalymphatic filariasismass drug administration

Identifiers

PMID33804133
PMCPMC8001901
OpenAlexW3137604237

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.