Evidence map›Paper›PMID 37957702›Full record

Trial reportMalaria journal2023

Feasibility and safety of integrating mass drug administration for helminth control with seasonal malaria chemoprevention among Senegalese children: a randomized controlled, observer-blind trial.

Muhammed O Afolabi, Doudou Sow, Schadrac C Agbla, El Hadji Babacar Fall, Fatimata Bintou Sall, Amadou Seck, Isaac Akhénaton Manga, Ibrahima Marietou Mbaye, Mor Absa Loum, Baba Camara and 11 more

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

Trial report in Malaria journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05354258 (Feasibility and Effectiveness of Delivering Mass Drug Administration for Helminths Through the Seasonal Malaria Chemoprevention), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% 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.

NCT05354258 naunknown statusnot on this map

Feasibility and Effectiveness of Delivering Mass Drug Administration for Helminths Through the Seasonal Malaria Chemoprevention (SMC) Platform in a West African Paediatric Population

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2022 to 2023Enrolled600ConditionsMalaria, Soil Transmitted Helminths, Schistosomiasis, Integrated ControlArmsAlbendazole, Praziquantel, Amodiaquine, Sulfadoxine pyrimethamine
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

21 authors at 5 institutions in 2 countries.

Muhammed O AfolabiLondon School of Hygiene & Tropical Medicine, London, UK. Muhammed.Afolabi@lshtm.ac.uk.
Doudou SowUniversité Gaston Berger de Saint-Louis, Saint-Louis, Senegal.
Schadrac C AgblaLondon School of Hygiene & Tropical Medicine, London, UK.
El Hadji Babacar FallUniversité de Thies, Thies, Senegal.
Fatimata Bintou SallUniversité de Thies, Thies, Senegal.
Amadou SeckUniversité de Thies, Thies, Senegal.
Isaac Akhénaton MangaUniversité Cheikh Anta Diop, Dakar, Senegal.
Ibrahima Marietou MbayeUniversité de Thies, Thies, Senegal.
Mor Absa LoumUniversité de Thies, Thies, Senegal.
Baba CamaraSaraya Health Centre, Saraya, Senegal.
Diatou NiangSaraya Health Centre, Saraya, Senegal.
Babacar GueyeMinistry of Health and Social Action, Dakar, Senegal.
Doudou SeneMinistry of Health and Social Action, Dakar, Senegal.
Ndéye M'backé KaneMinistry of Health and Social Action, Dakar, Senegal.
Boubacar DiopMinistry of Health and Social Action, Dakar, Senegal.
Awa DioufUniversité de Thies, Thies, Senegal.
Ndéye Aida GayeUniversité de Thies, Thies, Senegal.
Marie Pierre DioufUniversité de Thies, Thies, Senegal.
Aminata Colle LoUniversité Cheikh Anta Diop, Dakar, Senegal.
Brian GreenwoodLondon School of Hygiene & Tropical Medicine, London, UK.
Jean Louis A NdiayeUniversité de Thies, Thies, Senegal.
Université de Thiès · SNCheikh Anta Diop University · SNLondon School of Hygiene & Tropical Medicine · GBUniversité Gaston Berger · SNUniversity of Liverpool · GB

Funding

Medical Research Council MR/S03286X/1
6 · The paper itself

Abstract

backgroundThe overlap in the epidemiology of malaria and helminths has been identified as a potential area to exploit for the development of an integrated control strategy that may help to achieve elimination of malaria and helminths. A randomized, controlled, observer-blind trial was conducted to assess the feasibility and safety of combining mass drug administration (MDA) for schistosomiasis and soil transmitted helminths (STH) with seasonal malaria chemoprevention (SMC) among children living in Senegal.

methodsFemale and male children aged 1-14 years were randomized 1:1:1, to receive Vitamin A and Zinc on Day 0, followed by SMC drugs (sulfadoxine-pyrimethamine and amodiaquine) on Days 1-3 (control group); or praziquantel and Vitamin A on Day 0, followed by SMC drugs on Days 1-3 (treatment group 1); or albendazole and praziquantel on Day 0, followed by SMC drugs on Days 1-3 (treatment group 2). Safety assessment was performed by collecting adverse events from all children for six subsequent days following administration of the study drugs. Pre- and post-intervention, blood samples were collected for determination of haemoglobin concentration, malaria microscopy, and PCR assays. Stool samples were analyzed using Kato-Katz, Merthiolate-iodine-formalin and PCR methods. Urine filtration, PCR and circulating cathodic antigen tests were also performed.

resultsFrom 9 to 22 June 2022, 627 children aged 1-14 years were randomized into the three groups described above. Mild, transient vomiting was observed in 12.6% (26/206) of children in treatment group 2, in 10.6% (22/207) in group 1, and in 4.2% (9/214) in the control group (p = 0.005). Pre-intervention, the geometric mean value of Plasmodium falciparum parasite density was highest among children who received albendazole, praziquantel with SMC drugs. Post-intervention, the parasite density was highest among children who received SMC drugs only. Children who received praziquantel and SMC drugs had a lower risk of developing severe anaemia than their counterparts who received SMC drugs alone (OR = 0.81, 95% CI 0.13-5.00, p = 0.63).

conclusionsIntegration of MDA for helminths with SMC drugs was safe and feasible among Senegalese children. These findings support further evaluation of the integrated control model.

trial registrationThe study is registered at Clinical Trial.gov NCT05354258.

Indexed as

AntimalarialsHelminthsMalariaAlbendazoleAnimalsChemopreventionChildFeasibility StudiesFemaleHumansMaleMass Drug AdministrationPraziquantelSeasonsVitamin AAlbendazoleAntimalarialsPraziquantelVitamin ACo-infectionFalciparum malariaIntegrated control strategySchistosomiasisSoil-transmitted helminthiasis

Identifiers

PMID37957702
PMCPMC10642045
OpenAlexW4388631321

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.