Table 2.
Incidence of malaria by trial arm, follow-up time, trial site, adherence to trial drug and ITN use.
| Trial arm | Episodes | Person-years | Rate/100 person-years (95% CI)a | Rate ratioa | P value (CTX vs. placebo) | P value (for interaction)b | |
| Clinical malaria | |||||||
| CTX | 103 | 2540 | 4.1 (3.3–5.0) | 1 | <0.001 | ||
| Placebo | 350 | 2515 | 14.1 (12.5–15.0) | 3.5 (2.5–4.4) | |||
| Severe malariac,d | |||||||
| CTX | 2 | 2543 | 0.08 (0.02–0.31) | 1 | 0.004 | ||
| Placebo | 13 | 2524 | 0.52 (0.30–0.89) | 6.55 (1.48–29.01) | |||
| Stratified analyses | |||||||
| Stratum variable | |||||||
| Follow-up time | |||||||
| 1st year | CTX | 51 | 1065 | 4.8 (3.6–6.3) | 1 | <0.001 | 0.097 |
| Placebo | 183 | 1062 | 17.3 (14.8–20.2) | 3.6 (2.6–5.0) | |||
| 2nd year | CTX | 29 | 939 | 3.1 (2.1–4.5) | 1 | <0.001 | |
| Placebo | 120 | 924 | 13.1 (10.8–15.8) | 4.2 (2.8–6.4) | |||
| After 2nd year | CTX | 23 | 536 | 4.3 (2.8–6.5) | 1 | 0.004 | |
| Placebo | 47 | 528 | 9.0 (6.7–12.1) | 2.1 (1.3–3.5) | |||
| Site | |||||||
| Entebbe | CTX | 19 | 1215 | 1.6 (1.0–2.5) | 1 | <0.001 | <0.001 |
| Placebo | 127 | 1209 | 10.6 (8.8–12.8) | 6.8 (4.1–11.1) | |||
| Masaka | CTX | 84 | 1325 | 6.3 (5.1–7.9) | 1 | <0.001 | |
| Placebo | 223 | 1306 | 17.2 (14.8–20.0) | 2.7 (2.1–3.6) | |||
| Trial drug adherence | |||||||
| Good adherence at | |||||||
| ≥80% of visitse,f | CTX | 57 | 1724 | 3.3 (2.5–4.4) | 1 | 0.01 | 0.25 |
| <80% of visitse,f | CTX | 46 | 816 | 5.6 (4.1–7.6) | 1.7 (1.1–2.6) | ||
| ≥80% of visitse,g | Placebo | 205 | 1617 | 12.8 (12.0–14.9) | 1 | 0.05 | |
| <80% of visitse,g | Placebo | 145 | 897 | 16.4 (13.6–19.8) | 1.3 (1.0–1.6) | ||
| ITN use | |||||||
| Reported always using ITN at | |||||||
| ≥90% of visits | CTX | 86 | 2124 | 4.1 (3.3–5.1) | 1 | P = 0.98 | 0.39 |
| <90% off visits | CTX | 17 | 416 | 4.1 (2.5–6.7) | 1.0 (0.6–1.7) | ||
| ≥90% of visits | Placebo | 267 | 2038 | 13.3 (11.6–15.2) | 1 | P = 0.06 | |
| <90% off visits | Placebo | 83 | 476 | 17.5 (13.6–22.5) | 1.3 (1.0–1.8) | ||
CTX, cotrimoxazole; ITN, insecticide-treated bed net.
arates and rate ratios adjusted for clustering of multiple episodes within participant using random effects Poisson regression.
bP value for interaction between stratum variable with treatment arm.
cP. falciparum malaria with clinical or laboratory features of severity.
dRates and rate ratios from Poisson regression without adjustment for clustering since no participant had more than one episode.
e‘Good’ adherence defined as 80–105% of expected tablets taken, based on pill counts.
fRate ratio and P value for comparison in CTX arm.
gRate ratio and P value for comparison in placebo arm.