Methods |
Randomized (computer-generated) to PQ or bulaquine (1:2 ratio) after primary treatment with quinine + doxycycline |
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Participants |
93 participants in India Inclusion criteria: 1. = 16 years 2. Male 3. Uncomplicated Pf only 4. = 55 P. falciparum gametocytes/μL on admission Exclusion criteria: 1. Antimalarial treatment in previous two weeks 2. Allergy to trial drug 3. G6PD deficient |
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Interventions |
All patients: Quinine days 1 to 7: 30 mg/kg/day (10 mg/kg/day three times per day) + 100 mg doxycycline Randomization and treatment on day 4 1. PQ 2. Bulaquine |
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Outcomes |
Gametocyte prevalence, density and viability on days 1, 4, 15, 22 and 29 Adverse events |
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Notes |
Gametocyte viability assessed by Shute's technique (exflagellation) |
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Risk of bias |
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Bias |
Authors' judgement |
Support for judgement |
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Random sequence generation (selection bias) |
Low risk |
Computer-generated randomization. |
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Allocation concealment (selection bias) |
Unclear risk |
Not reported. |
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Incomplete outcome data (attrition bias) All outcomes |
Low risk |
No evidence of incomplete data. Three participants (two bulaquine, one PQ) did not return for follow-up. |
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Selective reporting (reporting bias) |
Low risk |
No evidence of selective reporting. |
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Other bias |
Low risk |
None noted. |
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Blinding of participants and personnel (performance bias) All outcomes |
Unclear risk |
Not reported. |
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Blinding of outcome assessment (detection bias) All outcomes |
Low risk |
Slide readers were blinded. |