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. 2020 Apr 14;2020(4):CD010599. doi: 10.1002/14651858.CD010599.pub2

Albonico 2002.

Methods Design: parallel group randomized trial
Duration of study: September to October 2000
Duration of follow‐up: mean 21 days (range 20–23 days)
Participants Country: United Republic of Tanzania
Setting: school
Number included in study: 1435
Age: 8–13 years (mean 9.4 years)
Sex: 795 girls, 640 boys
Inclusion criteria: 1st and 2nd grade school children from 7 primary public school randomly selected among 72 schools
Exclusion criteria: significant comorbidities (e.g. severe diarrhoea, severe anaemia, high fever); and had received anthelmintic treatment in previous month
Lost at follow‐up: 106 (7.4%)
Number of participants positive for A lumbricoides: 310
Number of participants included in review: 210
Interventions Treatment strategy: screening and treat all included participants
  • Group 1: mebendazole 500 mg single dose (n = 107)

  • Group 2: placebo (n = 103)

  • Group 3: pyrantel‐oxantel single dose: bodyweight 15–20 kg: 150 mg; 21–30 kg: 300 mg; 31–40 kg: 450 mg (n = 103; not included)

Outcomes Outcomes included:Ascaris cure rates, pre‐ and post‐treatment GM epg, ERR, adverse events
Outcomes not included in review: efficacy of anthelmintic treatment for Trichuris; efficacy of pyrantel‐oxantel for Ascaris
Notes Diagnostic technique: Kato‐Katz
Funding support: Parasitic and Vector Control, Division of Communicable Diseases, World Health Organization Pharmamed (Malta) donated placebo and mebendazole, and Pfizer (Indonesia) donated pyrantel‐oxantel.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Randomization was blocked on weight and a computer‐generated program was used to create 3 randomized treatment list."
Allocation concealment (selection bias) Low risk Quote: "Treatments were placed in sealed, opaque envelopes and coded with a number."
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "Placebo pills resembled mebendazole in colour, size, taste, and shape."
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "All laboratory investigations were blinded, i.e. the technicians examining the slides were unaware of the treatment regimen of the patients."
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 106 (7.4%) participants lost at follow‐up and not included in analysis.
Selective reporting (reporting bias) Low risk All stated outcomes were reported.
Other bias Low risk No other obvious source of bias.