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Table 1 Clinical trials included in the analysis and fitted parameters for each trial. The study sites are shown in order of increasing transmission intensity, as estimated by the hidden semi-Markov model analysis. Prior EIRs are estimated from the Malaria Atlas Project slide prevalence for each location in the year of the trial [28, 29]

From: The duration of chemoprophylaxis against malaria after treatment with artesunate-amodiaquine and artemether-lumefantrine and the effects of pfmdr1 86Y and pfcrt 76T: a meta-analysis of individual patient data

Site and reference

Country, year

PCR correction: molecular markers

N (AL/AS-AQ)

AS-AQ manufacturer (formulation), target AQ dose*

Days of prophylaxis: posterior median (95% CI)

EIR

FOI†

Prevalence of pfmdr1 86Y, % (references)

Prevalence of pfcrt 76T, % (references)

     

AL

AS-AQ

Prior mean

Posterior median (95% CI)

   

Fougamou [23]

Gabon, 2007–2008

msp1,msp2,glurp

68/68

Sanofi-Aventis (FDC Coarsucam) 30 mg/kg

11.6 (6.0–16.8)

13.1 (7.6–18.6)

0.6

2.3 (1.1–4.2)

0.5

79.5 [30]

97.9 [31]

Ndola [23]

Zambia, 2007–2009

msp1,msp2,glurp

69/64

Sanofi-Aventis (FDC Coarsucam) 30 mg/kg

10.8 (6.0–14.8)

16.1 (9.7–25.0)

1.2

4.8 (2.4–8.4)

1.0

No matching survey

20.8 [32]

Pweto [33]

Democratic Republic of Congo 2008-2009

msp1,msp2,glurp

126/129

Sanofi-Aventis (AS-AQ Winthrop FDC) 30 mg/kg

11.3 (7.8–14.4)

17.9 (12.1–25.6)

50.0

9.3 (6.2–13.7)

2.0

No matching survey

No matching survey

Pamol [23]

Nigeria, 2007–2008

msp1,msp2,glurp

164/159

Sanofi-Aventis (FDC Coarsucam) 30 mg/kg

17.9 (12.3–22.5)

15.4 (10.3–21.7)

22.6

9.5 (4.7–21.6)

2.2

61.8 [34,35,36]

90.1 [37]

Bobo Dioulasso (unpublished‡)

Burkina Faso, 2010–2012

msp1,msp2

373/372

Sanofi-Aventis (FDC Coarsucam) 30 mg/kg

12.5 (10.6–14.4)

16.9 (14.0–19.9)

21.5

17.4 (13.3–23.1)

5.9

18.0 [38, 39]

28.5 [38,39,40,41,42]

Gourcy (unpublished‡)

Burkina Faso, 2010–2012

msp1,msp2

112/129

Sanofi-Aventis (FDC Coarsucam) 30 mg/kg

8.7 (6.2–10.9)

17.8 (13.7–22.1)

22.9

23.3 (15.9–33.7)

6.5

18.0 [38, 39]

24.8 [39, 41]

Kisumu (unpublished‡)

Kenya, 2005

msp1,msp2

179/178

Sanofi and Hoechst Marion Roussel (Loose NFDC) 30 mg/kg

18.6 (15.8–21.2)

14.2 (10.9–17.6)

6.9

26.5 (18.1–39.6)

5.7

66.6 [43,44,45,46]

90.3 [44, 46, 47]

Nimba [48]

Liberia, 2008–2009

msp1,msp2,glurp

127/141

Sanofi-Aventis (AS-AQ Winthrop FDC) 30 mg/kg

17.9 (15.1–20.6)

11.6 (8.8–14.3)

18.3

32.4 (26.1–40.0)

8.0

69.4 [49]

93.5 [49]

Sikasso [50]

Mali 2005-2007

msp1,msp2,CA1

236/233

Sanofi-Aventis (Coblistered NFDC. Arsucam) 30 mg/kg

10.2 (9.0–11.6)

18.7 (16.1–21.5)

25.2

37.2 (29.5–46.9)

11.3

35.5 [51]

70.2 [32, 51,52,53,54]

Tororo [55]

Uganda, 2009–2010

msp1,msp2,glurp

190/190

Sanofi (AS-AQ Winthrop FDC) 30 mg/kg

13.3 (11.8–14.6)

13.4 (11.7–15.1)

23.3

84.2 (72.9–96.9)

16.9

63.9 [56,57,58]

99.6 [56, 58]

Nanoro [23]

Burkina Faso, 2007–2008

msp1,msp2,glurp

257/273

Sanofi-Aventis (FDC Coarsucam) 30 mg/kg

10.1 (9.2–11.1)

17.0 (15.0–19.2)

52.2

91.9 (76.2–111.1)

18.9

31.6 [38, 59]

67.0 [32, 38, 42, 59]

Tororo [60]

Uganda, 2005

msp1,msp2

189/195

AQ: Parke-David, Pfizer, AS: Sanofi-Aventis (Loose NFDC) 25 mg/kg

12.4 (11.1–13.8)

10.2 (8.9–11.6)

64.6

117.1 (98.4–139.8)

23.3

79.4 [56, 61]

96.2 [62, 63]

  1. *FDC fixed-dose combination, NFDC non-fixed-dose combination. AS-AQ FDC was from Sanofi. For AL, all trials used the Novartis fixed-dose combination and the same dose regimen
  2. †FOI force of infection, estimated mean incidence of patent blood-stage infection in this trial population, given the age distribution and fitted EIR
  3. ‡ Unpublished study references: Bobo Dioulasso, Gourcy: Nikiema F, Zongo I, Some F, Ouedraogo J. Evolution of therapeutic efficacies of artemisinin-based combination therapies (ASAQ and AL) for treatment of uncomplicated falciparum malaria in Burkina Faso during five years of adoption as first-line treatments, unpublished. and Kisumu: Juma EA. Efficacy of co-administered amodiaquine plus artesunate and artemether/lumefantrine for the treatment of uncomplicated falciparum malaria in children less than five years in different epidemiological settings in Kenya, unpublished.