Table 3.
Country | Year | Trial arms | N | Findings |
---|---|---|---|---|
Uganda[110] | 2004–2007 | SP vs SP+ITN vs ITN+placebo | 5775 | No differences between treatment arms |
Mali[100] | 2006–2008 | SP 3 vs 2 doses | 814 | SP3 vs SP2: 50% reduction in placental parasitaemia, LBW, pre-term births |
Ghana[107] | 2004–2007 | SP, AQ, SP+AQ | 3643 | No difference peripheral parasitaemia, adverse events more frequent with AQ |
Benin[109] | 2005–2008 | MQ, SP | 1601 | No difference in LBW, MQ more efficacious than SP in preventing malaria, MQ had more adverse events |
Burkina Faso [37] ** | 2004–2006 | SP | 1441 | SP2 vs SP0c At delivery, 96% reduction placental infection, increase PCV, reduction LBW in primigravidae |
Benin[108] | 2005–2006 | CQ, SP | 1699 | SP vs CQ decreased LBW by 50%, placental infection by 80% |
Mozambique[101] | 2003–2005 | SP, PBa | 1030 | No reduction of LBW, anaemia at delivery and placenta malaria; 40% reduction incidence of clinical malaria |
Mozambique*[57] | 2003–2005 | SP, PBa | 1030 | PE 61.3% neonatal mortality |
Ghana[26] | 2007–2008 | IPTp-SP, IST | 3333 | No difference between study arms but increase in Hb after intervention |
Nigeria[102] | 2003–2005 | SP, CQ | 352 | PE against anaemia: 49.5 SP vs CQ |
Nigeria[103] | 2002 | SP, CQ-P | 500 | SP better than CQ-P |
Mozambique[104] | 2001–2002 | SP vs?? | 600 | Parasite prevalence SP 6.3% vs 13.6%, 2.4 vs 13.3, high loss to follow-up |
PB=placebo, SP=sulfadoxine-pyrimethamine, AQ=amodiaquine, CQ=chloroquine, P=pyrimethamine;
12–28 weeks;
SP2=2 doses of SP, SP0=no dose of SP;
maternal and birth outcomes up to 8 weeks have been reported in [101];
community trial;
PE=parasitological efficacy; IST: Intermittent Screening and Treatment