Table 2. Interim analyses and non-comparative efficacy analysis for primary (day 210) and secondary (day 30) end points.
Multiple dose | Single dose | Single dose | |||||||
7×3 mg/kg | 7.5 mg/kg | 10 mg/kg | |||||||
Parasite clearance at day 30 (IC) | No of patients(N) | No. cured(n) (%) | 95% CI* | N | n (%) | 95% CI* | N | n (%) | 95% CI* |
Interim analysis 1‡ | 18 | 16 (89) | 65–99 | 20 | 10 (50) | 27–73 | - | - | - |
Interim analysis 2** | 25 | 19 (74) | 55–91 | - | - | - | 20 | 16 (80) | 56–94 |
Interim analysis 3§ | 44 | 37 (84) | 70–93 | - | - | - | 40 | 29 (73) | 56–85 |
Cure at Day 30 | |||||||||
Overall | 62φ | 53 (85) | 74–93 | 20 | 10 (50) | 27–73 | 40 | 29 (73) | 56–85 |
Kassab, Sudan | 18 | 16 (89) | 65–99 | - | - | - | 18 | 13 (72) | 47–90 |
Gondar, Ethiopia | 20 | 13 (65) | 41–85 | 9 | 2(22) | 3–60 | 9 | 3 (33) | 7–70 |
Arba Minch, Ethiopia | 24 | 24 (100) | 86–100† | 11 | 8 (73) | 39–94 | 13 | 13 (100) | 75–100† |
Cure at Day 210 (6 months follow-up) | |||||||||
Overall | 54φ | 46 (85) | 73–93 | 20 | 8 (40) | 19–64 | 40 | 23 (58) | 41–73 |
Kassab, Sudan | 17 | 13 (76) | 50–93 | - | - | - | 18 | 7 (39) | 17–64 |
Gondar, Ethiopia | 14 | 10 (71) | 42–92 | 9 | 1 (11) | <1–48 | 9 | 3 (33) | 7–70 |
Arba Minch, Ethiopia | 23 | 23 (100) | 83–100† | 11 | 7 (64) | 31–89 | 13 | 13 (100) | 75–100† |
Intention-to-Treat and Per-Protocol complete-case analysis populations were identical at day 30 & day 210.
Exact binomial 95% confidence interval (CI).
One-sided 97.5% confidence interval.
Multiple versus 7.5 mg/kg single dose; p-value = 0.015 (Fisher's exact test): Dose escalation rule met; increase dosage to 10 mg/kg & continue recruitment.
Multiple versus 10 mg/kg single dose; p value = 0.748 from chi-square test of difference between arms: Dose escalation rule not met; continue recruitment (same dosage in single-dose arm).
Includes patients in Interim analysis 2. Multiple versus 10 mg/kg single dose; p-value = 0.196 from chi-square test of difference between arms: Dose escalation rule not met; concerns arose regarding low cure in each arm and recruitment not continued.
8 patients lost to follow-up by day 210 (all from the multiple-dose arm).