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. 2006 Apr 19;2006(2):CD005966. doi: 10.1002/14651858.CD005966

Alonso 1994.

Methods Randomized controlled trial
Generation of allocation sequence: method not reported
Allocation concealment: code held by monitors
Blinding: double blind
Inclusion of all randomized participants 586/631 (92.9%) received all 3 doses
Length of follow up: 12 months after third dose
Participants 586 children
Inclusion criteria: age 1 to 5 years; resident in study area
Exclusion criteria: history of allergies leading to medical consultation or treatment; acute conditions warranting hospital admission; chronic conditions; packed cell volume < 25%
Interventions 1. 3 doses of SPf66, 2 mg per dose to > 5 year olds, 1 mg to under 5 year olds, at weeks 0, 4, and 25
 2. Tetanus toxoid plus aluminium hydroxide on same schedule
Blood stage parasitaemia cleared with Fansidar (25 mg sulfadoxine/0.75 mg pyrimethamine per kg body weight) before each vaccination
Outcomes 1. Incidence of first clinical malaria episode after (a) at least 2 doses, (b) 3 doses of vaccine (case definition: axillary temperature ≥ 37.5 ºC together with Plasmodium falciparum density > 20,000/µL)
 2. Total number of clinical malaria episodes (by active or passive case detection) after (a) at least 2 doses (b) 3 doses of vaccine
 3. Prevalence of P. falciparum parasitaemia
 4. Incidence of P. falciparum parasitaemia
 5. Density of P. falciparum parasitaemia
 6. Hospitalization
 7. Hospitalization with a diagnosis of malaria
 8. Death
 9. Death from malaria
 10. Packed cell volume
 11. Geometric mean anti‐SPf66 and anti‐P. falciparum antibody titre
 12. Chloroquine in urine
 13. Adverse events
Notes Location: Idete, Southern Tanzania, an area of intense perennial transmission
Date: 1993 to 1994
Method of surveillance: active follow up by weekly home visits by field assistants for a pre‐selected (randomized) subgroup; passive follow up from records of Idete dispensary