Trial Outcomes & Findings for Optimal Chemopreventive Regimens to Prevent Malaria and Improve Birth Outcomes in Uganda (NCT NCT04336189)

NCT ID: NCT04336189

Last Updated: 2025-11-06

Results Overview

Composite adverse birth outcome defined as the occurrence of any of the following: * Spontaneous abortion: Fetal loss at \< 28 weeks gestational age * Stillbirth: Infant born deceased at \> 28 weeks gestational age * Low Birth Weight (LBW): Live birth with birth weight \< 2500 gm * Preterm birth: Live birth at \< 37 weeks gestational age * Small-for-gestational age (SGA): Live birth with weight-for-gestational age \< 10th percentile of reference population * Neonatal death: Live birth with neonatal death within the first 28 days of life

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

2757 participants

Primary outcome timeframe

Time from first dose of study drugs up to 28 days postpartum, an average of 6 months

Results posted on

2025-11-06

Participant Flow

Participant milestones

Participant milestones
Measure
SP + DP placebo every 4 weeks
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Overall Study
STARTED
918
920
919
Overall Study
COMPLETED
842
846
850
Overall Study
NOT COMPLETED
76
74
69

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Data not collected from 29 participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SP + DP placebo every 4 weeks
n=918 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=920 Participants
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=919 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Total
n=2757 Participants
Total of all reporting groups
Age, Continuous
24.5 years
STANDARD_DEVIATION 6.2 • n=918 Participants
24.7 years
STANDARD_DEVIATION 6.3 • n=920 Participants
24.2 years
STANDARD_DEVIATION 6.0 • n=919 Participants
24.5 years
STANDARD_DEVIATION 6.2 • n=2757 Participants
Sex: Female, Male
Female
918 Participants
n=918 Participants
920 Participants
n=920 Participants
919 Participants
n=919 Participants
2757 Participants
n=2757 Participants
Sex: Female, Male
Male
0 Participants
n=918 Participants
0 Participants
n=920 Participants
0 Participants
n=919 Participants
0 Participants
n=2757 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=918 Participants
0 Participants
n=920 Participants
0 Participants
n=919 Participants
0 Participants
n=2757 Participants
Race (NIH/OMB)
Asian
0 Participants
n=918 Participants
0 Participants
n=920 Participants
0 Participants
n=919 Participants
0 Participants
n=2757 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=918 Participants
0 Participants
n=920 Participants
0 Participants
n=919 Participants
0 Participants
n=2757 Participants
Race (NIH/OMB)
Black or African American
918 Participants
n=918 Participants
920 Participants
n=920 Participants
919 Participants
n=919 Participants
2757 Participants
n=2757 Participants
Race (NIH/OMB)
White
0 Participants
n=918 Participants
0 Participants
n=920 Participants
0 Participants
n=919 Participants
0 Participants
n=2757 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=918 Participants
0 Participants
n=920 Participants
0 Participants
n=919 Participants
0 Participants
n=2757 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=918 Participants
0 Participants
n=920 Participants
0 Participants
n=919 Participants
0 Participants
n=2757 Participants
Region of Enrollment
Uganda
918 participants
n=918 Participants
920 participants
n=920 Participants
919 participants
n=919 Participants
2757 participants
n=2757 Participants
Gestational age
15.8 weeks
STANDARD_DEVIATION 2.6 • n=918 Participants
15.7 weeks
STANDARD_DEVIATION 2.5 • n=920 Participants
16.0 weeks
STANDARD_DEVIATION 2.6 • n=919 Participants
15.8 weeks
STANDARD_DEVIATION 2.6 • n=2757 Participants
Gestational age categories
12-16 weeks
522 Participants
n=918 Participants
530 Participants
n=920 Participants
481 Participants
n=919 Participants
1533 Participants
n=2757 Participants
Gestational age categories
>16 weeks
396 Participants
n=918 Participants
390 Participants
n=920 Participants
438 Participants
n=919 Participants
1224 Participants
n=2757 Participants
Gravidity
Primigravidae
230 Participants
n=918 Participants
234 Participants
n=920 Participants
262 Participants
n=919 Participants
726 Participants
n=2757 Participants
Gravidity
Multigravidae
688 Participants
n=918 Participants
686 Participants
n=920 Participants
657 Participants
n=919 Participants
2031 Participants
n=2757 Participants
Bednet ownership
None
423 Participants
n=918 Participants
434 Participants
n=920 Participants
415 Participants
n=919 Participants
1272 Participants
n=2757 Participants
Bednet ownership
Untreated net
43 Participants
n=918 Participants
40 Participants
n=920 Participants
42 Participants
n=919 Participants
125 Participants
n=2757 Participants
Bednet ownership
Long-lasting insecticide-treated net
452 Participants
n=918 Participants
446 Participants
n=920 Participants
462 Participants
n=919 Participants
1360 Participants
n=2757 Participants
Household wealth index
Lowest tertile
308 Participants
n=908 Participants • Data not collected from 29 participants
294 Participants
n=909 Participants • Data not collected from 29 participants
295 Participants
n=911 Participants • Data not collected from 29 participants
897 Participants
n=2728 Participants • Data not collected from 29 participants
Household wealth index
Middle tertile
293 Participants
n=908 Participants • Data not collected from 29 participants
319 Participants
n=909 Participants • Data not collected from 29 participants
309 Participants
n=911 Participants • Data not collected from 29 participants
921 Participants
n=2728 Participants • Data not collected from 29 participants
Household wealth index
Highest tertile
307 Participants
n=908 Participants • Data not collected from 29 participants
296 Participants
n=909 Participants • Data not collected from 29 participants
307 Participants
n=911 Participants • Data not collected from 29 participants
910 Participants
n=2728 Participants • Data not collected from 29 participants
Highest level of education
None
44 Participants
n=918 Participants
31 Participants
n=920 Participants
36 Participants
n=919 Participants
111 Participants
n=2757 Participants
Highest level of education
Primary school
592 Participants
n=918 Participants
593 Participants
n=920 Participants
600 Participants
n=919 Participants
1785 Participants
n=2757 Participants
Highest level of education
Secondary school
263 Participants
n=918 Participants
276 Participants
n=920 Participants
264 Participants
n=919 Participants
803 Participants
n=2757 Participants
Highest level of education
Higher
19 Participants
n=918 Participants
20 Participants
n=920 Participants
19 Participants
n=919 Participants
58 Participants
n=2757 Participants
Weight in kg
57.3 kg
STANDARD_DEVIATION 9.4 • n=918 Participants
57.6 kg
STANDARD_DEVIATION 9.8 • n=920 Participants
57.1 kg
STANDARD_DEVIATION 8.9 • n=919 Participants
57.4 kg
STANDARD_DEVIATION 9.4 • n=2757 Participants
Height in cm
159 cm
STANDARD_DEVIATION 6 • n=918 Participants
159 cm
STANDARD_DEVIATION 7 • n=920 Participants
159 cm
STANDARD_DEVIATION 6 • n=919 Participants
159 cm
STANDARD_DEVIATION 6 • n=2757 Participants
Maternal MUAC
26 cm
STANDARD_DEVIATION 4 • n=918 Participants
26 cm
STANDARD_DEVIATION 3 • n=920 Participants
26 cm
STANDARD_DEVIATION 3 • n=919 Participants
26 cm
STANDARD_DEVIATION 3 • n=2757 Participants
Mean hemoglobin
11.6 g/dL
STANDARD_DEVIATION 1.3 • n=918 Participants
11.7 g/dL
STANDARD_DEVIATION 1.3 • n=920 Participants
11.5 g/dL
STANDARD_DEVIATION 1.4 • n=919 Participants
11.6 g/dL
STANDARD_DEVIATION 1.4 • n=2757 Participants
Prevalence of dhfr/dhps quintuple mutant markers of antifolate resistance
dhfr/dhps quintuple mutant
72 participants
n=72 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
64 participants
n=65 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
62 participants
n=63 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
198 participants
n=200 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
Prevalence of dhfr/dhps quintuple mutant markers of antifolate resistance
dhfr l164L
14 participants
n=72 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
19 participants
n=65 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
8 participants
n=63 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
41 participants
n=200 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
Prevalence of dhfr/dhps quintuple mutant markers of antifolate resistance
dhps A581G
1 participants
n=72 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
2 participants
n=65 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
1 participants
n=63 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
4 participants
n=200 Participants • Randomly subset of 200 participant samples with parasite density \>100/microliter
Detection of malaria parasites by microscopy or qPCR
634 Participants
n=918 Participants
637 Participants
n=920 Participants
657 Participants
n=919 Participants
1928 Participants
n=2757 Participants

PRIMARY outcome

Timeframe: Time from first dose of study drugs up to 28 days postpartum, an average of 6 months

Composite adverse birth outcome defined as the occurrence of any of the following: * Spontaneous abortion: Fetal loss at \< 28 weeks gestational age * Stillbirth: Infant born deceased at \> 28 weeks gestational age * Low Birth Weight (LBW): Live birth with birth weight \< 2500 gm * Preterm birth: Live birth at \< 37 weeks gestational age * Small-for-gestational age (SGA): Live birth with weight-for-gestational age \< 10th percentile of reference population * Neonatal death: Live birth with neonatal death within the first 28 days of life

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=842 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=846 Participants
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=850 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Risk of Having a Composite Adverse Birth Outcome
222 Participants
261 Participants
255 Participants

PRIMARY outcome

Timeframe: Time from first dose of study drugs up to 28 days postpartum, an average of 6 months

SAEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Serious Adverse Events (SAE) Per Time at Risk
0.06 Events per person-years
0.06 Events per person-years
0.06 Events per person-years

PRIMARY outcome

Timeframe: Time from first dose of study drugs up to 28 days postpartum, an average of 6 months

Grade 3 and 4 AEs or SAEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 Person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 Person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 Person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Any Grade 3 or 4 or Serious Adverse Events Per Time at Risk
0.23 Events per person-year
0.19 Events per person-year
0.21 Events per person-year

SECONDARY outcome

Timeframe: Time of delivery

Spontaneous abortion defined as fetal loss at \< 28 weeks gestational age

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=842 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=846 Participants
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=850 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Number of Participants With Spontaneous Abortion
12 Participants
16 Participants
13 Participants

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 Person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 Person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 Person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Anemia Adverse Event Per Time at Risk
53 Events per person-years
28 Events per person-years
44 Events per person-years

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs possibly or definitely related to study drug defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 Person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 Person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 Person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Grade 3-4 AEs Possibly Related to Study Drugs
50 Events per person-years
29 Events per person-years
41 Events per person-years

SECONDARY outcome

Timeframe: At the time of delivery

Detection of malaria parasites or pigment by histopathology

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=776 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=795 Participants
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=784 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Risk of Placental Malaria
472 Participants
324 Participants
393 Participants

SECONDARY outcome

Timeframe: Day study drugs first given until delivery, an average of 6 months

Episodes of symptomatic malaria (incidence per person year at risk following initiation of study drugs)

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=367 Person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=369 Person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=367 Person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Malaria During Pregnancy
1.15 Events per person-years
0.02 Events per person-years
0.04 Events per person-years

SECONDARY outcome

Timeframe: Day study drugs first given until delivery, an average of 6 months

Proportion of routine samples with asexual parasites detected by microscopy

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=4350 Routine visits
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=4348 Routine visits
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=4354 Routine visits
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Microscopic Parasitemia During Pregnancy
771 Routine visits with parasitemia
25 Routine visits with parasitemia
60 Routine visits with parasitemia

SECONDARY outcome

Timeframe: Day study drugs are first given until delivery

Proportion of routine hemoglobin measurements \< 11 g/dL

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=2232 Routine visits
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=2252 Routine visits
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=2229 Routine visits
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Prevalence of Anemia During Pregnancy
965 Routine visits with anemia
827 Routine visits with anemia
880 Routine visits with anemia

SECONDARY outcome

Timeframe: Time of delivery

Stillbirth defined as infant born deceased at \> 28 weeks gestational age

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=830 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=830 Participants
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=837 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Stillbirth
15 Participants
16 Participants
7 Participants

SECONDARY outcome

Timeframe: Time of delivery

Low birth weight defined as live birth with birth weight \< 2500 gm

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=815 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=812 Participants
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=830 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Low Birth Rate
47 Participants
59 Participants
71 Participants

SECONDARY outcome

Timeframe: Time of delivery

Preterm delivery defined as live birth at \< 37 weeks gestational age

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=815 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=814 Participants
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=830 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Preterm Delivery
48 Participants
25 Participants
44 Participants

SECONDARY outcome

Timeframe: Time of delivery

Small-for-gestational age defined as live birth with weight-for-gestational age \< 10th percentile of reference population

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=815 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=812 Participants
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=830 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Small-for-gestational Age
152 Participants
206 Participants
194 Participants

SECONDARY outcome

Timeframe: Time of delivery

Neonatal death defined as live birth with neonatal death within the first 28 days of life

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=815 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=814 Participants
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=830 Participants
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Neonatal Death
4 Participants
5 Participants
12 Participants

SECONDARY outcome

Timeframe: Day study drugs first given until delivery, an average of 6 months

Proportion of routine samples with asexual parasites detected by microscopy or qPCR

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=4350 routine visits
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=4348 routine visits
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=4354 routine visits
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Microscopic or Sub-microscopic Parasitemia During Pregnancy
2099 routine visits with parasitemia
551 routine visits with parasitemia
60 routine visits with parasitemia

SECONDARY outcome

Timeframe: Day study drugs are first given until delivery, an average of 6 months

Proportion of routine hemoglobin measurements \< 8 g/dL

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=2232 Routine visits
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=2252 Routine visits
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=2229 Routine visits
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Prevalence of Severe Anemia During Pregnancy
29 Routine visits with severe anemia
9 Routine visits with severe anemia
12 Routine visits with severe anemia

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Stillbirth Adverse Event Per Time at Risk
15 Events per person-year
16 Events per person-year
7 Events per person-year

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Congenital Anomaly Adverse Event Per Time at Risk
4 Events per person-year
13 Events per person-year
10 Events per person-year

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Neutropenia Adverse Event Per Time at Risk
5 Events per person-year
10 Events per person-year
7 Events per person-year

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Proteinuria Adverse Event Per Time at Risk
3 Events per person-years
4 Events per person-years
8 Events per person-years

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Thrombocytopenia Adverse Event Per Time at Risk
7 Events per person-years
1 Events per person-years
2 Events per person-years

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Postpartum Hemorrhage Adverse Event Per Time at Risk
2 Events per person-years
3 Events per person-years
2 Events per person-years

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Pre-eclampsia Adverse Event Per Time at Risk
3 Events per person-years
0 Events per person-years
2 Events per person-years

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Preterm Birth <28 Gestational Age Adverse Event Per Time at Risk
0 Events per person-years
0 Events per person-years
3 Events per person-years

SECONDARY outcome

Timeframe: Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months

Grade 3-4 AEs as defined by the July 2017 NIH DAIDS Toxicity Tables

Outcome measures

Outcome measures
Measure
SP + DP placebo every 4 weeks
n=432 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=434 person years
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=433 person years
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Incidence of Elevated Temperature Adverse Event Per Time at Risk
2 Events per person-year
1 Events per person-year
0 Events per person-year

Adverse Events

SP + DP placebo every 4 weeks

Serious events: 25 serious events
Other events: 896 other events
Deaths: 1 deaths

DP + SP placebo every 4 weeks

Serious events: 26 serious events
Other events: 902 other events
Deaths: 2 deaths

SP + DP given every 4 weeks

Serious events: 27 serious events
Other events: 908 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
SP + DP placebo every 4 weeks
n=896 participants at risk
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=902 participants at risk
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=908 participants at risk
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Renal and urinary disorders
Urinary tract infection
0.00%
0/896 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/902 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.11%
1/908 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Blood and lymphatic system disorders
Anemia
0.89%
8/896 • Number of events 8 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.22%
2/902 • Number of events 2 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.66%
6/908 • Number of events 6 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Blood and lymphatic system disorders
Neutropenia
0.33%
3/896 • Number of events 3 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.44%
4/902 • Number of events 4 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.44%
4/908 • Number of events 4 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Pregnancy, puerperium and perinatal conditions
Post-partum hemmorrha
0.22%
2/896 • Number of events 2 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.33%
3/902 • Number of events 3 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.22%
2/908 • Number of events 2 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Infections and infestations
Septicemia
0.11%
1/896 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/902 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/908 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Pregnancy, puerperium and perinatal conditions
Premature rupture of membranes
0.11%
1/896 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/902 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.11%
1/908 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Pregnancy, puerperium and perinatal conditions
Abruptio placenta
0.11%
1/896 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/902 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.11%
1/908 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Pregnancy, puerperium and perinatal conditions
Congenital anomoly
0.45%
4/896 • Number of events 4 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
1.4%
13/902 • Number of events 13 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
1.1%
10/908 • Number of events 10 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Cardiac disorders
Cardiac arrest
0.00%
0/896 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.11%
1/902 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/908 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Pregnancy, puerperium and perinatal conditions
Pre-eclampsia
0.33%
3/896 • Number of events 3 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/902 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.22%
2/908 • Number of events 2 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Nervous system disorders
Transverse myelitis
0.00%
0/896 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.11%
1/902 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/908 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Infections and infestations
Puerperal sepsis
0.22%
2/896 • Number of events 2 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/902 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/908 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Infections and infestations
COVID-19
0.00%
0/896 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.11%
1/902 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/908 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Injury, poisoning and procedural complications
Deep laceration
0.00%
0/896 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.11%
1/902 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/908 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017

Other adverse events

Other adverse events
Measure
SP + DP placebo every 4 weeks
n=896 participants at risk
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets.
DP + SP placebo every 4 weeks
n=902 participants at risk
Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
SP + DP given every 4 weeks
n=908 participants at risk
Sulfadoxine-pyrimethamine (SP): SP (Kamsidar) will be supplied by Kampala Pharmaceutical Industries (KPI), Uganda. SP will be given as a single dose consisting of 3 full strength tablets. Dihydroartemisinin-piperaquine (DP): DP (Duo-Cotecxin) will be supplied by Holley-Cotec, Beijing, China. DP will consist of 3 full strength tablets given once a day for 3 consecutive days.
Gastrointestinal disorders
Epigastric pain
6.2%
56/896 • Number of events 83 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
8.0%
72/902 • Number of events 79 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
6.6%
60/908 • Number of events 62 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Blood and lymphatic system disorders
Anemia
5.0%
45/896 • Number of events 45 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
2.9%
26/902 • Number of events 26 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
4.2%
38/908 • Number of events 38 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Pregnancy, puerperium and perinatal conditions
Stillbirth
1.7%
15/896 • Number of events 15 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
1.8%
16/902 • Number of events 16 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.77%
7/908 • Number of events 7 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Blood and lymphatic system disorders
Neutropenia
0.22%
2/896 • Number of events 2 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.67%
6/902 • Number of events 6 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.33%
3/908 • Number of events 3 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Renal and urinary disorders
Proteinuria
0.33%
3/896 • Number of events 3 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.44%
4/902 • Number of events 4 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.88%
8/908 • Number of events 8 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Renal and urinary disorders
Dysuria
29.8%
267/896 • Number of events 379 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
2.8%
25/902 • Number of events 324 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
26.4%
240/908 • Number of events 324 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
17.3%
155/896 • Number of events 189 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
15.3%
138/902 • Number of events 164 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
15.5%
141/908 • Number of events 167 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Gastrointestinal disorders
Diarrhea
15.2%
136/896 • Number of events 174 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
13.6%
123/902 • Number of events 143 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
12.6%
114/908 • Number of events 140 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
General disorders
Fatigue
9.2%
82/896 • Number of events 101 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
6.9%
62/902 • Number of events 79 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
5.4%
49/908 • Number of events 56 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
General disorders
Chills
7.5%
67/896 • Number of events 67 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
7.0%
63/902 • Number of events 90 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
6.1%
55/908 • Number of events 66 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Gastrointestinal disorders
Abdominal pain
69.2%
620/896 • Number of events 1532 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
68.8%
621/902 • Number of events 1431 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
64.3%
584/908 • Number of events 1364 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Respiratory, thoracic and mediastinal disorders
Cough
58.7%
526/896 • Number of events 1064 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
59.9%
540/902 • Number of events 1130 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
58.0%
527/908 • Number of events 1004 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Nervous system disorders
Headache
56.9%
510/896 • Number of events 947 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
52.9%
477/902 • Number of events 865 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
48.0%
436/908 • Number of events 769 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Renal and urinary disorders
Thrombocytopenia
0.78%
7/896 • Number of events 7 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.11%
1/902 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.22%
2/908 • Number of events 2 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
Pregnancy, puerperium and perinatal conditions
Preterm birth
0.00%
0/896 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/902 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.33%
3/908 • Number of events 3 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
General disorders
Elevated temperature
0.22%
2/896 • Number of events 2 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.11%
1/902 • Number of events 1 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017
0.00%
0/908 • Day study drugs are first given until when study participants reach 28 days postpartum or early study termination, an average of 6 months
Division of AIDS (DAIDS) Table for grading the severity of adult and pediatric adverse events, version 2017

Additional Information

Grant Dorsey

UCSF

Phone: 415-310-0525

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place