Van Vugt 2002.
Methods | Randomized controlled trial Length of follow up: 42 d Generation of allocation sequence: block randomization Allocation concealment: sealed envelopes Blinding: none Inclusion of all randomized participants in the final analysis: 1063 analysed/1063 randomized (100%) |
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Participants | Number enrolled:1063 Age range: 2 to 70 years Gender: male and female Inclusion criteria: age 2 to 70 years; slide confirmed acute uncomplicated falciparum malaria; weight > 10 kg; written informed consent by patient or guardian; not pregnant; not received mefloquine in the previous 63 d; not obtunded; not vomiting; no other clinical or laboratory signs of severe illness Exclusion criteria: severe malaria; presence of mixed infections with other Plasmodium species; presence of concomitant disease (intercurrent febrile infections); 2‐week history of antimalarial administration; pregnancy; breastfeeding mother |
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Interventions | 1. Atovaquone plus proguanil (atovaquone 15 mg/kg/d, proguanil 8 mg/kg/d for 3 d)
2. Artesunate plus mefloquine (artesunate 4 mg/kg/d for 3 d; mefloquine 15 mg/kg on day 1 and 10 mg/kg on day 2) Participants with axillary temperature > 38 °C given antipyretics and cooled by tepid sponging before drug administration |
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Outcomes | 1. Incidence of microscopically and genetically confirmed recrudescent infections 2. Parasite clearance time 3. Fever clearance time 4. Adverse events 5. Degree of anaemia | |
Notes | Location: Thailand Drug resistance: multiple‐drug resistance except artemisinin derivatives |