Singhasivanon 1994
Methods | Individually RCT Dates of trial: not stated. | |
Participants | 23 people with uncomplicated P. falciparum malaria, parasitaemia between 1 to 5 per 1000 rbc. Age 5 to 12 years, sex not stated. Exclusion criteria: Antimalarial drugs, urine with quinoline and sulfonamide drugs, other diseases, hematocrit ≤ 20%, inability to take oral medication. | |
Interventions | 1. MSP: MQ 20 mg/kg; S 40 mg base/kg; P 2 mg/kg; single dose 2. MSP + PQ: As above plus PQ 0.75 mg/kg single dose. MSP+PQ crushed and mixed with 30 mL syrup (83% dextrose) | |
Outcomes | 1. Gametocyte clearance time (days) (assessed twice daily until negative, then once daily, by blood slide) 2. Adverse drug reactions, assessed once daily in first week then once a week 3. Parasite clearance time (hrs) 4. Fever clearance time (hrs) 5. Cure rate | |
Notes | Those who vomited within three hours of Rx were excluded - this is a post randomization exclusion. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No information given. |
Allocation concealment (selection bias) | Unclear risk | No information given. |
Incomplete outcome data (attrition bias) All outcomes | High risk | Outcomes only reported for 18 of the 23 participants. |
Selective reporting (reporting bias) | Unclear risk | No information given. |
Other bias | High risk | Those who vomited within three hours of Rx were excluded- this is a post randomization exclusion. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not stated. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not stated. |