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Table 2 Summary of adverse events recorded up to day 28, safety population (both studies)

From: Tolerability and safety of artesunate-amodiaquine and artemether-lumefantrine fixed dose combinations for the treatment of uncomplicated Plasmodium falciparum malaria: two open-label, randomized trials in Nimba County, Liberia

 

Study-T (> 5 years)

Study-E (6-59 months)

Patients N (%)

ASAQ

AL

ASAQ

AL

N = 496

N = 502

N = 149

N = 150

AE summary

At least one AE (any grade)

457 (92.1)

453 (90.2)

141 (94.6)

132 (88.0)

At least one AE ≥ grade 3

17 (3.4)

8 (1.6)

6 (4.0)

4 (2.7)

Serious AE (SAE)

1 (0.2) *

0 (0)

2 (1.3)

1 (0.7)

AE leading to treatment discontinuation

0

0

0

1 (0.7)

Common clinical- or laboratory AEs (≥5% in at least one study arm, any severity grade) #

Fatigue **

200 (39.8)

81 (16.3)

43 (28.9)

20 (13.3)

Headache

52 (10.5)

42 (8.4)

2 (1.3)

2 (1.3)

AE Vomiting (any)

35 (7.1)

8 (1.6)

16 (10.7)

10 (6.7)

AE Vomiting (after drug intake)

2 (0.4)

0

9 (6.0)

4 (2.7)

Abdominal pain

29 (5.8)

18 (3.6)

3 (2.0)

4 (2.7)

Anorexia

29 (5.8)

7 (1.4)

2 (1.3)

2 (1.3)

Cough

-

-

28 (18.8)

21 (14.0)

Diarrhoea

20 (4.0)

14 (2.8)

14 (9.4)

14 (9.3)

Eosinophilia ≠

144 (29.0)

185 (36.9)

6 (4.0)

9 (6.0)

Neutropaenia

94 (19.0)

110 (21.9)

6 (4.0)

8 (5.3)

Leukopaenia

37 (7.5)

29 (5.8)

10 (6.7)

3 (2.0)

Leukocytosis

21 (4.2)

44 (8.8)

10 (6.7)

11 (7.3)

Anaemia

74 (14.9)

49 (9.8)

34 (22.8)

23 (15.3)

AST increased

17 (3.4)

21 (4.2)

8 (5.4)

12 (8.0)

ALT increased

11 (2.2)

17 (3.4)

10 (6.7)

12 (8.0)

  1. AE = adverse event, AST = aspartate aminotransferase, ALT = alanine aminotransferase.
  2. # This section provides a summary of the most common AEs recorded (≥5%, any treatment arm), regardless of the severity or relationship to the study drug.
  3. In cursive letters: ≥5% in at least one arm of any of the two parallel studies, respectively.
  4. * SAE spontaneous abortion (ASAQ arm, Study-T).
  5. ** Pooled were reported events of “weakness”, “fatigue” and “asthenia”.
  6. ≠ AE recorded if above normal range (0.2-2.0 < 6 years; 0.3-0.8 × 103/μL ≥ 6 - <12 years, 0.04 -0.4 × 103/μL ≥12 years).