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 |
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| 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% |
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| 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 |
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| 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 |
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