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Table 1 Characteristics of included studies

From: Efficacy and safety of dihydroartemisinin–piperaquine versus artemether–lumefantrine for treatment of uncomplicated Plasmodium falciparum malaria in Ugandan children: a systematic review and meta-analysis of randomized control trials

S. no.

Author, Publication year

Study design

Study setting and period

Follow up

Subjects

Patient important outcome

DHA–PQ

AL

Number of participants

Inclusion age

DHA–PQ

AL

 

1

Kamya, 2007 [39]

Single blind RCT

Rural health center, March, 2006–July, 2006

42 days

253

256

6 months–10 years

Loss to follow up

0

0

ETF

0

0

LCF

19

30

LPF

73

89

ACPR

117

89

Fever clearance at day 1

137

137

Fever clearance at day 2

66

72

Fever clearance at day 3

52

57

Parasite clearance at day 2

1

2

Parasite clearance at day 3

0

0

Gametocyte carriage at baseline

9

18

Gametocyte carriage day 1–14

5

2

Gametocyte carriage at day 15–28

0

5

Gametocyte carriage at day 29–41

4

11

Hgb at baseline mean (SD)

9.5 (1.8)

9.7 (1.9)

Hgb g/dL at day 42 mean (SD)a

1.9 (1.8)

1.5 (1.8)

Vomiting

65

65

Diarrhea

25

19

Anorexia

90

91

Abdominal pain

19

20

Weakness/malaise

85

103

Cough

136

133

Coryza

127

121

Pruritus

14

22

SAE

4

2

2

Yeka, 2008 [40]

Single-blind RCT

Health center, August 2006–April 2007

42 days

234

227

6 months–10 years

Los to follow up

3

3

ETF

0

1

LCF

9

23

LPF

17

41

ACPR

186

131

Fever clearance at day 1

117

133

Fever clearance at day 2

44

37

Fever clearance at day 3

22

22

Parasite clearance at day 2

7

5

Parasite clearance at day 3

0

0

Gametocyte carriage at baseline

12

18

Gametocyte carriage day 1–14

4

1

Gametocyte carriage at day 15–28

1

7

Gametocyte carriage at day 29–41

4

13

Hgb at baseline mean (SD)

9.9 (2.1)

9.9 (1.8)

Hgb at day 42 mean (SD)a

1.8 (1.8)

1.7 (2.0)

Vomiting

35

35

Diarrhea

26

23

Anorexia

47

49

Abdominal pain

17

24

Weakness/malaise

28

27

Cough

164

150

Coryza

159

150

Pruritus

8

3

SAE

5

2

3

Arinaitwe, 2009 [35]

Open-label RCT

Local antenatal clinics in Tororo, August 2007–July 2008

63 days

119

111

6 weeks–12 months

Other anti-malaria use

1

2

Loss to follow up

5

2

Complicated malaria at day 0

0

1

Recurrent malaria caused by non-falciparum species

0

1

ETF

0

0

LCF

13

45

LPF

26

64

ACPR

306

205

Fever clearance at day 1

138

163

Fever clearance at day 2

13

17

Fever clearance at day 3

9

12

Parasite clearance at day 2

12

22

Parasite clearance at day 3

1

0

Gametocyte carriage at baseline

30

26

Gametocyte carriage day 1–14

10

1

Gametocyte carriage at day 15–28

1

0

Hgb at baseline mean (SD)

9.9 (1.5)

9.8 (1.5)

Hgb at day 28 mean (SD)a

0.6 (1.68)

0.6 (1.56)

Vomiting

23

20

Diarrhea

79

86

Anorexia

3

0

Weakness

1

0

Cough

177

153

Pruritus

0

0

SAE

3

1

4

Bassat, 2009 [76]

Open-label RCT (non-inferiority)

Rural sites and one peri-urban site, August 2005–July 2006

42 days

164

82

6–59 months

PCR-corrected

ACPR day 28

155

77

PCR-corrected

ACPCR day 42

154

77

5

Katrak, 2009 [42]

Open-label RCT

N/A, August, 2007–April, 2008

N/A

124

122

6 weeks–12 months

Vomiting

19

9

Diarrhea

64

76

Cough

200

164

SAE

3

2

6

4ABC, 2011 [36]

Open-label RCT

N/A, July 2007–June 2009

63 days

422

421

6–59 months

Day 28 PCR-unadjusted ACPR

360

313

Day 28 PCR-adjusted ACPR

407

393

Day 63 PCR-unadjusted ACPR

234

209

Day 63 PCR-adjusted ACPR

375

371

7

Yeka, 2013 [37]

Single-blind RCT

Health center, December, 2007–April, 2009

28 days

72

35

6–59 months

LTF

0

0

ETF

0

0

LCF

6

7

LPF

12

14

ACPR

54

14

Fever clearance at day 1

48

14

Fever clearance at day 2

15

21

Fever clearance at day 3

4

2

Parasite clearance at day 2

2

5

Parasite clearance at day 3

0

0

Gametocyte carriage at baseline

0

0

Gametocyte carriage day 1–14

0

0

Gametocyte carriage at day 15–28

0

0

Hgb at baseline mean (SD)

10.8 (1.34)

10.6 (1.41)

Hgb at day 28 mean (SD)a

0.8 (1.7)

0.9 (1.7)

Vomiting

3

2

Diarrhea

1

2

Anorexia

12

3

Abdominal pain

5

0

Weakness/malaise

1

0

Cough

47

20

SAE

0

0

8

Kakuru, 2014 [77]

RCT

District Hospital, August 2007 and April 2008

N/A

21

22

6 weeks–12 months

Loss to follow up

2

2

ETF

0

0

LCF

3

19

LPF

11

53

ACPR

149

127

Fever clearance at day 1

46

106

Fever clearance at day 2

7

16

Fever clearance at day 3

5

3

Parasite clearance at day 2

5

32

Parasite clearance at day 3

1

3

Gametocyte carriage at baseline

15

9

Gametocyte carriage at day 15–28

30

15

Hgb at baseline mean (SD)

9.6 (1.5)

10.1 (1.4)

Hgb at day 28 mean (SD)a

1.0 (1.4)

0.6 (1.5)

Vomiting

8

18

Diarrhea

27

23

Anorexia

6

4

Weakness/malaise

2

2

Cough

64

74

9

Muhindo, 2014 [30]

Open-label, RCT

October District Hospital, October 2011–December, 2012

28 days

106

96

6 weeks–12 months

  

16

Loss to follow up

13

ETF

1

0

LCF

7

74

LPF

22

137

ACPR

311

189

Fever clearance at day 1

65

124

Fever clearance at day 2

11

8

Fever clearance at day 3

7

7

Parasite clearance at day 1

181

269

Parasite clearance at day 2

20

23

Parasite clearance at day 3

1

0

Hgb at baseline mean (SD)

11.2 (1.5)

11.1 (1.5)

10

Wanzira, 2014 [38]

Open-label, RCT

District Hospital, February 2009–2012

28 days

154

158

4 weeks–12 months

Other anti-malaria use

3

5

Loss to follow up

21

19

Withdrawn consent

1

2

ETF

2

15

LCF

48

475

LPF

182

894

ACPR

2403

1494

11

Yeka, 2019 [41]

Single-blind RCT

Health center and Hospital, October 2015–December, 2016

42 days

299

300

6–59 months

No outcome

11

10

ETF

0

0

LCF

32

50

LPF

43

85

ACPR

213

155

Fever clearance at day 1

208

231

Fever clearance at day 2

71

72

Fever clearance at day 3

31

18

Parasite clearance at day 1

219

245

Parasite clearance at day 2

22

34

Parasite clearance at day 3

3

3

Gametocyte carriage at baseline

59

60

Gametocyte carriage at day 1–42

43

46

Hgb at day 42 mean (SD)a

1.3 (1.69)

0.8 (1.8)

Vomiting

56

61

Diarrhea

155

114

Anorexia

12

3

Abdominal pain

41

45

Headaches

18

24

Weakness/malaise

42

33

Cough

233

203

Pallor

22

13

Skin rash

56

42

Pruritus

24

16

SAE

6

6

  1. LTF loss to follow up, ETF early treatment failure, LCT late clinical failure, LPF late parasitological failure, ACPR Adequate clinical and parasitological response, AL artemether–lumefantrine, DHA–PQ dihydroartemisinin–piperaquine, Hgb hemoglobin, SD standard deviation, PCR polymerase chain reaction, SAE serious adverse event, N/A not available
  2. aThe mean increase in hemoglobin values from the baseline