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

Belizario 2003.

Methods Design: parallel group randomized trial
Duration of study: second half of 1998
Duration of follow‐up: 7–14 days
Participants Country: Republic of the Philippines
Setting: school
Number included in study: 784
Age: 6–12 years
Sex: not reported
Inclusion criteria: boys or girls; aged 6–12 years; informed consent; A lumbricoides or T trichiura (or both) eggs in stool samples; and compliance with protocol, requiring stool samples at the specified times after treatment
Exclusion criteria: previous hypersensitivity reaction to benzimidazole, ivermectin, diethylcarbamazine, or any related compound; other helminths; without the target helminths listed; diarrhoea disease; receipt of any anthelmintic in the 2 weeks before enrolment; receipt of an anthelmintic during the study period; and concomitant infection or underlying disease compromising evaluation of the response to the medications being studied
Lost at follow‐up: 29 (3.7%)
Number positive for A lumbricoides: 528
Number included in review: 306
Interventions Treatment strategy: screening and treat all included participants
  • Group 1: albendazole 400 mg single dose + placebo (n = 99)

  • Group 2: ivermectin 200 μg/kg bodyweight + placebo (n = 102)

  • Group 3: albendazole 400 mg + ivermectin 200 μg/kg bodyweight (n = 105)

  • Group 4: diethylcarbamazine 150 mg + placebo (not included)

  • Group 5: albendazole 400 mg + diethylcarbamazine 150 mg (not included)

Outcomes Outcomes included:Ascaris prevalence pre‐ and post‐treatment, cure rate, pre‐ and post‐treatment AM epg, ERR
Outcomes not included in review: efficacy of anthelmintic treatment for Trichuris; efficacy of diethylcarbamazine and albendazole + diethylcarbamazine for A lumbricoides.
Notes Diagnostic technique: Kato‐Katz
Funding support: World Health Organization
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Details not reported.
Allocation concealment (selection bias) Unclear risk Details not reported.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Quote: "Placebo resembling albendazole was used together with the one‐drug treatments in order to make it appear that all pupils were receiving a combination of two drugs."
Comment: ivermectin not blinded.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Details not reported.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 29 (3.7%) participants lost at follow‐up and not included in analysis.
Selective reporting (reporting bias) High risk Adverse events not reported.
Other bias Low risk No obvious source of bias.