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. 2014 Oct 10;2014(10):CD000169. doi: 10.1002/14651858.CD000169.pub3

Nosten 1994 THA.

Methods Trial design: RCT
Data collected: 1987 to 1990
Length of follow‐up: from first antenatal visit at > 20 weeks of estimated gestation to 2 years after delivery
Frequency of follow‐up: weekly
Participants Parity: all
Number: 339
Inclusion criteria: antenatal attendees > 20 weeks of gestation
Excluded: none stated
Interventions
  1. Mefloquine: weekly

  2. Nothing


Other: treated antenatally if parasitaemic; given folic acid and iron if anaemic
Administration supervised: yes
Outcomes
  1. Antenatal episodes of parasitaemia

  2. Anaemia

  3. Preterm birth

  4. Birthweight

  5. Perinatal death

Notes Location: Thailand
Urban/rural: rural (camps Wangka, Shoklo, Bonoko)
Malaria transmission: unstable malarious area (mesoendemic)
Drug resistance: multiple drug resistance present
Funding: United Nations Development Programme/World Bank/WHO Special Programme for Research and Training in Tropical Diseases; Wellcome Trust of Great Britain; Prevention Foundation, The Hague
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Trial described as "a double‐blind, placebo‐controlled trial". No details provided of the sequence generation method used.
Allocation concealment (selection bias) Unclear risk No details provided.
Blinding (performance bias and detection bias) 
 All outcomes Low risk Placebo tablets identical with treatments were used.
"The investigators were unaware of the randomization".
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Blinding of outcome assessors not mentioned.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Attrition rate 8% (10/119) in Phase 1 and 8% (18/220) in Phase 2. Across groups: 7.1% (12/170) were excluded from the mefloquine group and 9.5% (16/169) were excluded from the placebo group. Explanation provided.
Selective reporting (reporting bias) Low risk No apparent risk.
Other bias Low risk None identified.