Randomized, comparative study of the efficacy and safety of artesunate plus amodiaquine, administered as a single daily intake versus two daily intakes in the treatment of uncomplicated falciparum malaria
2008

Comparing One Daily vs Two Daily Intakes of Artesunate and Amodiaquine for Malaria Treatment

Sample size: 316 publication 10 minutes Evidence: high

Author Information

Author(s): Ndiaye Jean Louis A, Faye Babacar, Diouf Amadou M, Kuété Thomas, Cisse Moustapha, Seck Papa A, Brasseur Phillipe, Same-Ekobo Albert, Lameyre Valerie, Gaye Oumar

Primary Institution: Department of Parasitology, Faculty of Medicine, Cheikh Anta Diop University, Dakar, Senegal

Hypothesis

Is the efficacy and safety of artesunate plus amodiaquine as a single daily intake non-inferior to two daily intakes in treating uncomplicated falciparum malaria?

Conclusion

The study confirms that artesunate plus amodiaquine is effective and well-tolerated whether administered as one or two daily intakes.

Supporting Evidence

  • The adequate responses to treatment were similar for both treatment regimens on D14.
  • The drug was well tolerated with similar safety profiles in both groups.
  • Gastrointestinal disorders and pruritus were the main adverse events reported.

Takeaway

This study shows that taking malaria medicine once a day is just as good as taking it twice a day, which might make it easier for people to take their medicine.

Methodology

A randomized, comparative, open-label study with a three-day treatment and 14-day follow-up, involving patients with confirmed malaria.

Potential Biases

Potential bias due to the open-label design and lack of placebo control.

Limitations

The study only followed patients for 14 days, which may not capture long-term efficacy and safety.

Participant Demographics

Patients included were adults and children weighing more than 10 kg with uncomplicated malaria.

Statistical Information

P-Value

0.0389

Confidence Interval

(-3.00; 1.11]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-7-16

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