Artemisinin-based combination therapy for ... - The Cochrane Library

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Analysis 5.2. Comparison 5 Dihydroartemisinin-piperaquine vs Amodiaquine plus sulfadoxinepyrimethamine, Outcome 2 Total Failure (P. falciparum) Day 28 PCR adjusted. Review: Artemisinin-based combination therapy for treating uncomplicated malaria Comparison: 5 Dihydroartemisinin-piperaquine vs Amodiaquine plus sulfadoxine-pyrimethamine Outcome: 2 Total Failure (P. falciparum) Day 28 PCR adjusted Study or subgroup DHA-P AQ+SP Risk Ratio Weight Risk Ratio 1 Africa n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI Karema 2004 RWA 10/236 38/227 84.5 % 0.25 [ 0.13, 0.50 ] Zongo 2007 BFA 4/172 7/167 15.5 % 0.55 [ 0.17, 1.86 ] 0.01 0.1 1 10 100 Favours DHA-P Favours AQ+SP Analysis 5.3. Comparison 5 Dihydroartemisinin-piperaquine vs Amodiaquine plus sulfadoxinepyrimethamine, Outcome 3 Total Failure (P. falciparum) Day 42 PCR unadjusted. Review: Artemisinin-based combination therapy for treating uncomplicated malaria Comparison: 5 Dihydroartemisinin-piperaquine vs Amodiaquine plus sulfadoxine-pyrimethamine Outcome: 3 Total Failure (P. falciparum) Day 42 PCR unadjusted Study or subgroup DHA-P AQ+SP Risk Ratio Weight Risk Ratio 1 Africa n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI Zongo 2007 BFA 13/172 20/169 100.0 % 0.64 [ 0.33, 1.24 ] 0.01 0.1 1 10 100 Favours DHA-P Favours AQ+SP Artemisinin-based combination therapy for treating uncomplicated malaria (Review) Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 152
Analysis 5.4. Comparison 5 Dihydroartemisinin-piperaquine vs Amodiaquine plus sulfadoxinepyrimethamine, Outcome 4 Total Failure (P. falciparum) Day 42 PCR adjusted. Review: Artemisinin-based combination therapy for treating uncomplicated malaria Comparison: 5 Dihydroartemisinin-piperaquine vs Amodiaquine plus sulfadoxine-pyrimethamine Outcome: 4 Total Failure (P. falciparum) Day 42 PCR adjusted Study or subgroup DHA-P AQ+SP Risk Ratio Weight Risk Ratio 1 Africa n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI Zongo 2007 BFA 4/163 7/156 100.0 % 0.55 [ 0.16, 1.83 ] 0.01 0.1 1 10 100 Favours DHA-P Favours AQ+SP Analysis 5.5. Comparison 5 Dihydroartemisinin-piperaquine vs Amodiaquine plus sulfadoxinepyrimethamine, Outcome 5 Gametocyte development. Review: Artemisinin-based combination therapy for treating uncomplicated malaria Comparison: 5 Dihydroartemisinin-piperaquine vs Amodiaquine plus sulfadoxine-pyrimethamine Outcome: 5 Gametocyte development Study or subgroup DHA-P AQ+SP Risk Ratio Weight Risk Ratio n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI Zongo 2007 BFA 7/184 10/183 100.0 % 0.70 [ 0.27, 1.79 ] Total (95% CI) 184 183 100.0 % 0.70 [ 0.27, 1.79 ] Total events: 7 (DHA-P), 10 (AQ+SP) Heterogeneity: not applicable Test for overall effect: Z = 0.75 (P = 0.45) 0.2 0.5 1 2 5 Favours DHA-P Favours AQ+SP Artemisinin-based combination therapy for treating uncomplicated malaria (Review) Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 153
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Artemisinin-based combination thera
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Analysis 2.2. Comparison 2 Dihydroa
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Analysis 10.5. Comparison 10 Arteme
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[Intervention Review] Artemisinin-b
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B A C K G R O U N D Malaria is a di
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drugs and the treatment comparisons
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this analysis into participants who
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Figure 1. Methodological quality su
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confidence intervals of the estimat
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Anaemia Hasugian 2005 IDN found tha
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Three trials report significantly m
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or those treated for P. vivax at ba
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Early vomiting Not reported. D I S
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Figure 4. Olliaro-Vaillant plot. Da
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Figure 10. Olliaro-Vaillant plot. D
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of findings tables’. For these ta
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Huambo and Bie provinces, central A
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References to studies excluded from
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Adjuik 2004 Adjuik M, Babiker A, Ga
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C H A R A C T E R I S T I C S O F S
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Ashley 2003a THA (Continued) Outcom
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Ashley 2003b THA (Continued) Alloca
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Ashley 2005 THA (Continued) Exclusi
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Bonnet 2004 GIN (Continued) Item Au
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Bukirwa 2005 UGA Methods Trial desi
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Djimde 2004 MLI (Continued) • AS
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Dorsey 2006 UGA (Continued) Item Au
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Fanello 2004 RWA Methods Trial desi
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Faye 2003 SEN (Continued) Outcomes
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Grande 2005 PER (Continued) Allocat
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Guthmann 2004 AGO (Continued) All d
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Hasugian 2005 IDN Methods Trial des
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Hutagalung 2002 THA (Continued) 5.
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Janssens 2003 KHM (Continued) Free
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Karema 2004 RWA (Continued) Interve
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Karunajeewa 2007 PNG (Continued) Ri
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Kobbe 2007 GHA (Continued) Exclusio
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Koram 2003 GHA (Continued) Adequate
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Martensson 2003 TZA Methods Trial d
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Mayxay 2003 LAO (Continued) 1. Feve
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Menard 2006 MDG Methods Trial desig
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Mens 2007 KEN (Continued) Risk of b
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Mutabingwa 2004 TZA (Continued) •
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Owusu-Agyei 2006 GHA (Continued) Fr
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Sagara 2005b MLI (Continued) • 25
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Smithuis 2004 MMR (Continued) Risk
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Stohrer 2003 LAO Methods Trial desi
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Swarthout 2004 ZAR (Continued) Note
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Tran 2002 VNM Methods Trial design:
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Van den Broek 2003a BGD (Continued)
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Van Vugt 1998 THA Methods Trial des
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Page 111 and 112: Zongo 2007 BFA (Continued) Novartis
Page 113 and 114: (Continued) Fofana 2005 Conference
Page 115 and 116: D A T A A N D A N A L Y S E S Compa
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Page 119 and 120: Comparison 5. Dihydroartemisinin-pi
Page 121 and 122: Comparison 8. Artesunate plus meflo
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Page 127 and 128: 5.2 DHA-P 3 doses 3 1116 Risk Ratio
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Page 139 and 140: Analysis 1.12. Comparison 1 Dihydro
Page 141 and 142: (... Continued) Study or subgroup D
Page 157: Analysis 4.5. Comparison 4 Dihydroa
Page 163 and 164: (... Continued) Study or subgroup A
Page 165 and 166: Analysis 6.6. Comparison 6 Artesuna
Page 173 and 174: Analysis 9.2. Comparison 9 Artemeth
Page 177 and 178: Analysis 9.8. Comparison 9 Artemeth
Page 183 and 184: Analysis 10.2. Comparison 10 Arteme
Page 197 and 198: Analysis 12.2. Comparison 12 Artesu
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Analysis 15.2. Comparison 15 Dihydr
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Analysis 17.1. Comparison 17 Artesu
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(... Continued) Study or subgroup D
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Analysis 20.1. Comparison 20 How do
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Analysis 21.1. Comparison 21 How do
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(Continued) 2. How does artesunate
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(Continued) Sensitivity analysis 1
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(Continued) Smithuis 2004 MMR (652
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Dihydroartemisinin-piperaquine vs A
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(Continued) Mayxay 2003 LAO (220 pa
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Artesunate plus mefloquine vs Amodi
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(Continued) Faye 2003 SEN (509 part
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Artemether-lumefantrine vs Artesuna
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(Continued) Zongo 2005 BFA (521 par
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(Continued) Faye 2003 SEN (521 part
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PCR = polymerase chain reaction PCV
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(Continued) Proportion with anaemia
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(Continued) Vivax efficacy: P. viva
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(Continued) Efficacy: Total Failure
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(Continued) Outcomes Illustrative c
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(Continued) GRADE Working Group gra
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Footnotes 1 Data were also availabl
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8 Very serious imprecision: There w
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(Continued) justed Vivax efficacy:
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(Continued) Harms: Serious adverse
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(Continued) Harms: Early vomiting -
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1 Dorsey 2006 UGA; Faye 2003 SEN; K
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