A randomized, open-label, comparative efficacy trial of artemether-lumefantrine suspension versus artemether-lumefantrine tablets for treatment of uncomplicated Plasmodium falciparum malaria in children in western Kenya
2008

Comparing Two Forms of Malaria Treatment in Children

Sample size: 245 publication 10 minutes Evidence: moderate

Author Information

Author(s): Juma Elizabeth A, Obonyo Charles O, Akhwale Willis S, Ogutu Bernhards R

Primary Institution: Kenya Medical Research Institute

Hypothesis

Is the artemether-lumefantrine suspension as effective as the tablets for treating uncomplicated malaria in children?

Conclusion

The artemether-lumefantrine suspension was not superior to the tablets for treating uncomplicated malaria in young children.

Supporting Evidence

  • Both treatments effectively cleared gametocytes and were well tolerated.
  • The PCR-corrected cure rate was 96.0% for tablets and 93.4% for suspension at Day 28.
  • No significant difference in adverse events between the two treatment groups.

Takeaway

This study looked at two ways to treat malaria in kids: one with tablets and one with a liquid. Both worked well, but the liquid wasn't better than the tablets.

Methodology

A randomized, controlled, open-label trial comparing the efficacy of artemether-lumefantrine tablets and suspension in treating malaria in children.

Potential Biases

Parents were aware of their children's treatment assignment, which could influence reporting of outcomes.

Limitations

The open-label design could introduce bias, and the sample size may not have been sufficient to detect significant differences.

Participant Demographics

Children aged 6–59 months, predominantly rural population in western Kenya.

Statistical Information

P-Value

0.40

Confidence Interval

95% CI 90.8 – 98.7 for tablets; 95% CI 87.4 – 97.1 for suspension

Statistical Significance

p = 0.40

Digital Object Identifier (DOI)

10.1186/1475-2875-7-262

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