Evidence map›Paper›PMID 38632262›Full record

Trial reportNature communications2024

Malnutrition enteropathy in Zambian and Zimbabwean children with severe acute malnutrition: A multi-arm randomized phase II trial.

Kanta Chandwe, Mutsa Bwakura-Dangarembizi, Beatrice Amadi, Gertrude Tawodzera, Deophine Ngosa, Anesu Dzikiti, Nivea Chulu, Robert Makuyana, Kanekwa Zyambo, Kuda Mutasa and 19 more

Open access · goldAbstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Review
  5. Review
  6. Article
  7. Loss of GLP-2R signaling in Glp2rMolecular metabolism · 2026
    Article
  8. Article
  9. Article
  10. Review
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

29 authors at 7 institutions in 4 countries.

Kanta Chandwe *Tropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Mutsa Bwakura-Dangarembizi *Zvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.
Beatrice AmadiTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Gertrude TawodzeraZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.
Deophine NgosaTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Anesu DzikitiZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.
Nivea ChuluTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Robert MakuyanaZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.
Kanekwa ZyamboTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.ORCID http://orcid.org/0000-0001-5686-5319
Kuda MutasaZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.
Chola MulengaTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Ellen BesaTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.ORCID http://orcid.org/0000-0001-5606-9435
Jonathan P SturgeonZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.ORCID http://orcid.org/0000-0003-1318-1739
Shepherd MudzingwaZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.
Bwalya SimunyolaTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Lydia KazhilaTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Masuzyo ZyamboDepartment of Anaesthesia, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Hazel SonkweDepartment of Anaesthesia, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Batsirai MutasaZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.
Miyoba ChipunzaTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Virginia SaurambaZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.
Lisa LanghaugZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.ORCID http://orcid.org/0000-0002-9131-8158
Victor MudendaTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.
Simon H MurchWarwick University Medical School, Coventry, UK.ORCID http://orcid.org/0000-0002-3870-8229
Susan HillGreat Ormond Street Hospital, London, UK.
Raymond J PlayfordUniversity of West London, Ealing, London, UK.ORCID http://orcid.org/0000-0003-1235-8504
Kelley VanBuskirkTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia.ORCID http://orcid.org/0009-0004-9110-9059
Andrew J PrendergastZvitambo Institute for Maternal and Child Health Research, McLaughlin Avenue, Meyrick Park, Harare, Zimbabwe.ORCID http://orcid.org/0000-0001-7904-7992
Paul KellyTropical Gastroenterology & Nutrition group, University of Zambia School of Medicine, Nationalist Road, Lusaka, Zambia. m.p.kelly@qmul.ac.uk.ORCID http://orcid.org/0000-0003-0844-6448
University of Zambia · ZMZvitambo Institute for Maternal and Child Health Research · ZWQueen Mary University of London · GBGreat Ormond Street Hospital · GBUniversity of Warwick · GBUniversity of West London · GBUniversity of Zimbabwe · ZW

Funding

Medical Research Council MR/P024033/1Wellcome Trust
6 · The paper itself

Abstract

Malnutrition underlies almost half of all child deaths globally. Severe Acute Malnutrition (SAM) carries unacceptable mortality, particularly if accompanied by infection or medical complications, including enteropathy. We evaluated four interventions for malnutrition enteropathy in a multi-centre phase II multi-arm trial in Zambia and Zimbabwe and completed in 2021. The purpose of this trial was to identify therapies which could be taken forward into phase III trials. Children of either sex were eligible for inclusion if aged 6-59 months and hospitalised with SAM (using WHO definitions: WLZ <-3, and/or MUAC <11.5 cm, and/or bilateral pedal oedema), with written, informed consent from the primary caregiver. We randomised 125 children hospitalised with complicated SAM to 14 days treatment with (i) bovine colostrum (n = 25), (ii) N-acetyl glucosamine (n = 24), (iii) subcutaneous teduglutide (n = 26), (iv) budesonide (n = 25) or (v) standard care only (n = 25). The primary endpoint was a composite of faecal biomarkers (myeloperoxidase, neopterin, α

Indexed as

Intestinal DiseasesMalnutritionSevere Acute MalnutritionAcetylglucosamineAnimalsBiomarkersBudesonideCattleChild, PreschoolEdemaHumansInfantZambiaZimbabweAcetylglucosamineBiomarkersBudesonide

Identifiers

PMID38632262
PMCPMC11024201
OpenAlexW4394882052

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.