Trial country |
Treatment regimen |
Blind ing |
Total failure | Comparison |
Risk ratio (95% CI) (or P‐value if 0 failures) |
Cure day 28 (95% CI) |
P. vivax | ||||||
Dunne 2005A India | 1) Azithromycin 1 g/day for 3 days | P | 12/97 | 1 vs. 2 | 12.62 (1.67‐95.22) | 88 (79‐93) |
2) Chloroquine 0.6 g on day 1 to 2, 0.3 g on day 3 | P | 1/102 | 99 (94‐100) | |||
Pukrittayakamee 2001 Thailand |
1) Azithromycin 0.5 g/day for 3 days | O | 10/18 | 44 (22‐69)§ | ||
2) Tetracycline 250 mg 4x/day for 7 days | O | 4/18 | 1 vs. 2 | 2.50 (0.96‐6.52) | 78 (52‐93)§ | |
3) Doxycycline 200 mg/day for 7 days | O | 8/18 | 1 vs. 3 | 1.25 (0.65‐2.42) | 56 (31‐78)§ | |
4) Clindamycin 300 mg 4x/day for 7 days | O | 5/12 | 1 vs. 4 | 1.33 (0.61‐2.93) | 58 (29‐84)§ | |
P. falciparum | ||||||
Dunne 2005B India |
1) Azithromycin 1 g/day for 3 days | P | 9/14 | 1 vs. 2 | 0.88 (0.53‐1.44) | 36 (14‐64) |
2) Chloroquine 0.6 g on day 1 to 2, 0.3 g on day 3 | P | 11/15 | 3 vs. 2 ¶ | 0.04 (0.01‐0.18) | 27 (9‐55) | |
3) Azithromycin 1 g/day for 3 days, chloroquine 0.6 g on day 1 to 2, 0.3 g on day 3 | O | 2/63 | 3 vs. 1 ¶ | 0.05 (0.01‐0.20) | 97 (88‐99) | |
Krudsood 2000 Thailand |
1) Azithromycin 0.5 g/day, artesunate 200 mg/day for 3 days | O | 24/55 | 56 (42‐69)§ | ||
2) Artesunate 200 mg/day for 3 days, mefloquine 10 mg/kg on day 1 to 2, 5 mg/kg on day 3 | O | 1/55 | 1 vs. 2 | 24.00 (3.36‐171.27) | 98 (89‐100)§ | |
3) Artesunate 200 mg/day for 3 days | O | 34/61 | 1 vs. 3 | 0.78 (0.54‐1.14) | 44 (32‐57)§ | |
Miller 2006 Thailand |
1) Azithromycin 0.5 g 2x/day and quinine 10 mg/kg 3x/day for 3 days | O | 1/10 | 1 vs. 2 1 vs. 3 ¶ 1 vs. 4 |
P=0.33 (Fisher) P=0.33 (Fisher) P=1.0 (Fisher) |
90 (54‐99)* |
2) Azithromycin 0.5 g 2x/day and quinine 10 mg/kg 3x/day for 5 days | O | 0/20 | 2 vs. 1 2 vs. 3 ¶ 2 vs. 4 |
P=0.33 (Fisher) P=1.0 (Fisher) P=1.0 (Fisher) |
100 (80‐100) | |
3) Azithromycin 0.5 g 3x/days and quinine 10 mg/kg 3x/day for 3 days | O | 0/20 | 3 vs. 1 ¶ 3 vs. 2 ¶ 3 vs. 4 ¶ |
P=0.33 (Fisher) P=1.0 (Fisher) P=1.0 (Fisher) |
100 (80‐100) | |
4) Doxycycline 100 mg 2x/day and quinine 10 mg/kg 3x/day for 7 days | O | 0/10 | 100 (66‐100) | |||
Na‐Bangchang 1996 Thailand |
1) Azithromycin 0.5 g at start, 0.25 g at 24 and 48 hrs, and artemether 300 mg at start | O | 23/27 | 1 vs. 2 | 1.83 (1.21‐2.76) | 15 (5‐35) |
2) Doxycycline 100 mg 2x/day for 5 days and artemether 300 mg at start and 100 mg after 12 hours | O | 14/30 | 53 (35‐71) | |||
Noedl 2006 Thailand |
1) Azithromycin 0.75 g 2x/day and artesunate 100 mg 2x/day for 3 days | O | 2/25 | 1 vs. 2 1 vs. 3 1 vs. 4 |
0.72 (0.13‐3.96) 0.30 (0.06‐1.44) 1.00 (0.15‐6.55) |
92 (73‐99)§ |
2) Azithromycin 1 g/day and artesunate 200 mg/day for 3 days | O | 3/27 | 2 vs. 1 2 vs. 3 2 vs. 4 |
1.39 (0.25‐7.64) 0.42 (0.11‐1.62) 1.39 (0.25‐7.64) |
89 (70‐97)§ | |
3) Azithromycin 0.75 g 2x/day and quinine 10 mg/kg 2x/day for 3 days | O | 4/15 | 3 vs. 1 3 vs. 2 3 vs. 4 |
3.33 (0.69‐16.06) 2.40 (0.62‐9.33) 3.33 (0.69‐16.06) |
73 (45‐91)§ | |
4) Azithromycin 0.5 g 3x/day and quinine 10 mg/kg 3x/day for 3 days | O | 2/25 | 4 vs. 1 4 vs. 2 4 vs. 3 |
1.00 (0.15‐6.55) 0.72 (0.13‐3.96) 0.30 (0.06‐1.44) |
92 (73‐99)§ | |
Pfizer74841 India |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P/O | 12/73 | 1 vs. 2 1 vs. 3 |
0.48 (0.26‐0.91) 2.96 (1.00‐8.75) |
84 (73‐91) |
2) Azithromycin 0.5 g/day and chloroquine 0.6 g/day for 3 days | P | 20/59 | 2 vs. 1 2 vs. 3 |
2.06 (1.10‐3.86) 6.10 (2.21‐16.87) |
66 (53‐78) | |
3) Sulfadoxine‐pyrimethamine 1500 mg/75 mg at start, chloroquine 600 mg on day 1 to 2, 300 mg on day 3 | O | 4/72 | 94 (86‐98) | |||
Pfizer 82563 Kenya |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P | 1/5 | 1 vs. 2 | 0.70 (0.09‐5.76) | 80 (30‐99) |
2) Chloroquine 0.6 g/day for 3 days | P | 2/7 | 86 (42‐99)* | |||
Pfizer 82576 Ghana, Kenya, Mali, Uganda, Zambia |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P | 5/103 | 1 vs. 3 | 2.50 (0.50‐12.59) | 98 (92‐100)* |
2) Azithromycin 0.5 g/day and chloroquine 0.6 g/day for 3 days | P | NR | ||||
3) Mefloquine 750 mg at start, 500 mg after 6 hours | P | 2/103 | 99 (94‐100)* | |||
Pfizer 84227 Colombia/Surinam |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P | 48/112 | 1 vs. 3 | 48.43 (6.80‐344.84) | 61 (51‐70)** |
2) Azithromycin 0.5 g/day and chloroquine 0.6 g/day for 3 days | P | NR | ||||
3) Atovaquone 1000 mg/day and proguanil 400 mg/day for 3 days | P | 1/113 | 100 (96‐100)* | |||
Pfizer 84240 Indonesia |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P | 9/13 | 1 vs. 3 | 2.31 (0.84‐6.36) | 31 (10‐61)** |
2) Azithromycin 0.5 g/day and chloroquine 0.6 g/day for 3 days | P | NR | ||||
3) Sulfadoxine‐pyrimethamine 1500 mg/75 mg at start, chloroquine 0.6 g on day 1 to 2, 0.3 g on day 3 | P | 3/10 | 80 (44‐96)* | |||
Pfizer 367653 Burkina Faso, Ghana, Kenya, Mali, Senegal, Zambia |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | O | 1/107 | 1 vs. 2 | 1.05 (0.07‐16.52) | 100 (96‐100)* |
2) Mefloquine 750 mg at start, 500 mg after 6to 10 hours | O | 1/112 | 99 (94‐100)* | |||
Sykes 2009 Tanzania |
1) Azithromycine 20 mg/kg/day and artesunate 4 mg/kg/day for 3 days | O | 69/119 | 1 vs. 2 | 2.90 (1.96‐4.28) | 66 (57‐75)** |
2) Artemether 20 mg and lumefantrine 120 mg 2x/day for < 15 kg and 40 mg/240 mg 2x/day for ≥15 kg for 3 days | O | 24/120 | 90 (93‐95)** | |||
Thriemer 2010 Bangladesh |
1) Azithromycin 1.5 g/day and artesunate 200 mg/day for 3 days. Children < 35 kg: azithromycin 30 mg/kg/day, and artesunate 4 mg/kg/day for 3 days. | O | 13/142 | 1 vs. 2 | 6.32 (0.84‐47.31) | 94 (89‐97)* |
2) Artemether 80 mg and lumefantrine 480 mg 2x/day for 3 days. Children < 35 kg: artemether 4 mg/kg and lumefantrine 24 mg/kg 2x/day for 3 days | O | 1/69 | 100 (93‐100)* | |||
Excluded studies (P. falciparum) | ||||||
Krudsood 2002 Thailand |
1) Azithromycin 0.5 g/day and dihydroartemisinin 80 mg/day for 3 days | O | 46/66 | 1 vs. 2 | P < 0.001 (Fisher) | 70 (57‐80)§ |
2) Mefloquine 10 mg/kg on day 1 and 2, and 5 mg/kg on day 3, and dihydroartemisinin 80 mg/day for 3 days | O | 0/68 | 100 (93‐100)§ | |||
Pfizer 282918 India, Colombia |
1) Azithromycin 2 g/day and chloroquine 600 mg/day for 3 days | O | 5/107 | 97 (91‐99)* |