Trial country |
Treatment regimen | Blinding |
AE treatment related (TR) (%) |
Risk ratio AE* (95% CI) | AE any cause (AC) (%) | Number AE | |
TR (average AE/person) |
AC (average AE/person) |
||||||
P. vivax | |||||||
Dunne 2005A India | 1) Azithromycin 1 g/day for 3 days | P | 13/97 (13.4) | 0.57 (0.31‐1.05) | 15/97 (0.2) | ||
2) Chloroquine 0.6 g on day 1 to 2, 0.3 g on day 3 | P | 24/102 (23.5) | Reference | 35/102 (0.3) | |||
Pukrittayakamee 2001 Thailand |
1) Azithromycin 0.5 g/day for 3 days | O | 6/18 (33.3)^ | P = 0.06 (Fisher) | |||
2) Tetracycline 250 mg 4x/day for 7 days | O | 0/18 (0.0) | |||||
3) Doxycycline 200 mg/day for 7 days | O | 0/18 (0.0) | |||||
4) Clindamycin 300 mg 4x/day for 7 days | O | 0/12 (0.0) | Reference | ||||
P. falciparum | |||||||
Dunne 2005B India |
1) Azithromycin 1 g/day for 3 days | P | 8/16 (50.0) | 0.78 (0.42‐1.46) | 8/16 (0.5) | ||
2) Chloroquine 0.6 g on day 1 to 2, 0.3 g on day 3 | P | 9/16 (56.3) | Reference | 10/16 (0.6) | |||
3) Azithromycin 1 g/day for 3 days, chloroquine 0.6 g on day 1 to 2, 0.3 g on day 3 | O | 13/63 (20.6) | 0.37 (0.19‐0.70) | 18/63 (0.3) | |||
Krudsood 2000 Thailand |
1) Azithromycine 0.5 g/day, Artesunate 200 mg/day for 3 days | O | NR | "Most adverse events were mild to moderate severity, difficult to distinguish from complaints of malaria, and disappeared within a week after the drugs were administered." | |||
2) Artesunate 200 mg/day for 3 days, mefloquine 10 mg/kg on day 1 to 2, 5 mg/kg on day 3 | O | NR | |||||
3) Artesunate 200 mg/day for 3 days | O | NR | |||||
Miller 2006 Thailand |
1) Azithromycin 0.5 g 2x/day and quinine 10 mg/kg 3x/day for 3 days | O | 10/10 (100) |
16/10 (1.6) | 32/10 (3.2) | ||
2) Azithromycin 0.5 g 2x/day and quinine 10 mg/kg 3x/day for 5 days | O | 20/20 (100) | 28/20 (1.4) | 45/20 (2.3) | |||
3) Azithromycin 0.5 mg 3x/day and quinine 10 mg/kg 3x/day for 3 days | O | 21/21 (100) | 32/21 (1.5) | 55/21 (2.6) | |||
4) Doxycycline 100 mg 2x/day and quinine 10 mg/kg 3x/day for 7 days | O | 10/10 (100) | 20/10 (2.0) | 31/10 (3.1) | |||
Na‐Bangchang 1996 Thailand |
1) Azithromycin 0.5 g at start, 0.25 g at 24 hours and 48 hours, and artemether 300 mg at start | O | NR | 0.28 (0.09‐0.88) | 3/27 (11.1) | ||
2) Doxycycline 100 mg 2x/day for 5 days and artemether 300 mg at start and 100 mg after 12 hours | O | NR | Reference | 12/30 (40.0) | |||
Noedl 2006 Thailand |
1) Azithromycin 0.75 g 2x/day and artesunate 100 mg 2x/day for 3 days | O | 1/27 (3.7) | 0.05 (0.01‐0.37) | 26/27 (96.3) | 113/27(4.2) | |
2) Azithromycin 1 g/day and artesunate 200 mg/day for 3 days | O | 3/27 (11.1) | 0.16 (0.05‐0.47) | 27/27 (100) | 154/27 (5.7) | ||
3) Azithromycin 0.75 g 2x/day and quinine 10 mg/kg 2x/day for 3 days | O | 8/16 (50.0) | 0.71 (0.41‐1.23) | 16/16 (100) | 102/16 (6.4) | ||
4) Azithromycin 0.5 g 3x/day and quinine 10 mg/kg 3x/day for 3 days | O | 19/27 (70.4) | Reference | 27/27 (100) | 169/27 (6.3) | ||
Pfizer74841^^ India |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P/O | NR | 7/83 (0.1) | 24/83 (0.3) | ||
2) Azithromycin 0.5 g/day and chloroquine 0.6 g/day for 3 days | P | NR | 2/67 (0.03) | 20/67 (0.3) | |||
3) Sulfadoxine‐pyrimethamine 1500 mg/75 mg at start, chloroquine 600 mg on day 1 to 2, 300 mg on day 3 | O | NR | 3/80 (0.04) | 22/80 (0.3) | |||
Pfizer 82563 Kenya |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P | 7/7 (100) | 7/7 (1.0) | |||
2) Chloroquine 0.6 g/day for 3 days | P | 7/7 (100) | 18/7 (2.6) | ||||
Pfizer 82576 Ghana, Kenya, Mali, Uganda, Zambia |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P | 89/114 (78.1) | 1.26 (1.06‐1.50) | 106/114 (93.0) | 175/114 (1.5) | 327/114 (2.9) |
2) Azithromycin 0.5 g/day and chloroquine 0.6 g/day for 3 days | P | 4/9 (44.4) | 0.72 (0.34‐1.52) | 6/9 (66.7) | 7/9 (0.8) | 11/9 (1.2) | |
3) Mefloquine 750 mg at start, 500 mg after 6 hours | P | 71/115 (61.7) | Reference | 107/115 (93.0) | 150/115 (1.3) | 337/115 (2.9) | |
Pfizer 84227^^ Colombia/Surinam |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P | NR | 1.41 (1.09‐1.83) | 68/114 (59.6) | ||
2) Azithromycin 0.5 g/day and chloroquine 0.6 g/day for 3 days | P | NR | 1.52 (0.98‐7.80) | 9/14 (64.3) | |||
3) Atovaquone 1000 mg/day and proguanil 400 mg/day for 3 days | P | NR | Reference | 49/116 (42.2) | |||
Pfizer 84240 Indonesia |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | P | 8/13 (61.5) | 1.48 (0.67‐3.27) | 10/13 (76.9) | 22/13 (1.7) | 46/13 (3.5) |
2) Azithromycin 0.5 g/day and chloroquine 0.6 g/day for 3 days | P | 6/7 (85.7) | 2.06 (0.99‐4.29) | 7/7 (100) | 12/7 (1.7) | 26/7 (3.7) | |
3) Sulfadoxine‐Pyrimethamine 1500mg /75 mg at start, chloroquine 0.6 g on day 1 to 2, 0.3 g on day 3 | P | 5/12 (41.7) | Reference | 7/12 (58.3) | 8/12 (0.7) | 18/12 (1.5) | |
Pfizer 367653 Burkina Faso, Ghana, Kenya, Mali, Senegal, Zambia |
1) Azithromycin 1 g/day and chloroquine 0.6 g/day for 3 days | O | 80/113 (70.8) | 1.14 (0.95‐1.37) | 95/113 (84.1) | 173/113 (1.5) | 264/113 (2.3) |
2) Mefloquine 750 mg at start, 500 mg after six to10 hours | O | 72/116 (62.1) | Reference | 92/116 (79.3) | 175/116 (1.5) | 281/116 (2.4) | |
Sykes 2009 Tanzania |
1) Azithromycine 20 mg/kg/day and artesunate 4 mg/kg/day for 3 days | O | 1.21 (0.81‐1.80) | 39/129 (30.2) | 44/129 (0.3) | ||
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 | Reference | 33/132 (25.0) | 38/132 (0.3) | |||
Thriemer 2010 Bangadesh |
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 | 27/128 (0.2) | ||||
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 | 33/65 (0.5) | |||||
Excluded studies (P. falciparum) | |||||||
Krudsood 2002 Thailand |
1) Azithromycin 0.5 g/day and dihydroartemisinin 80 mg/day for 3 days | O | NR | "Regarding safety, it was difficult to distinguish between symptoms of acute malaria and drug‐related effects. All signs and symptoms and parasitaemia simultaneously disappeared within few days." | |||
2) Mefloquine 10 mg/kg on day 1 and 2, and 5 mg/kg on day 3, dihydroartemisinin 80 mg/day for 3 days | |||||||
Pfizer 282918 India, Colombia |
1) Azithromycin 2 g/day and chloroquine 0.6 g/day for 3 days | O | 48/110 (43.6) | NR | 78/110 (0.7) |