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Table 2 Assumptions, parameters, and sample size estimations for the longitudinal cohorts in Mali, Kenya, and Zambia

From: Attractive targeted sugar bait phase III trials in Kenya, Mali, and Zambia

 

Mali

Kenya

Zambia

Clusters per arm (overall)

38 (76)

35 (70)

35 (70)

Trial duration in calendar years (seasonality of FU) (total FU per participant time in months)

2 years (8-month seasons) (16 months FU)

2 years (12-month seasons) (24 months FU)

2 years (6-month seasons) (12 months FU)

α (type 1 error probability for 2-year trial)

0.05 (Haybittle-Peto with one interim analysis)

0.05 (Haybittle-Peto with two interim analyses at approx. 50% and 75%)

0.05 (Haybittle-Peto with one interim analysis)

Power

88%

80%

80%

Baseline incidence of clinical malaria in the target age group

0.40 events per person year (based on 0.6 incident events during an 8-month malaria season) (5y–<15y)

0.845 events per person year during a 12-m malaria transmission season (1y–<15y)a

0.50 events per 6-month malaria season (Jan–Jun) (1y–<15y)

Reduction in baseline incidence (incidence rate ratio = 0.70)

30%

30%

30%

Coefficient of variation

0.40

0.40

0.40

Assumed loss of person-time, including true LTFU plus loss due to exclusion of person-time following each treatment with AL

20%

20%

34%

Total person-years required (number enrolled per cluster before loss to follow-up)

3850 person-years (obtained by enrolling 38 individuals per cluster to account for loss to follow-up, followed for total of 16 months)

1260 person-years (obtained by enrolling 13.5 individuals per cluster to account for loss to follow-up, followed for total of 24 months)

1610 person-years (obtained by enrolling 35 individuals per cluster to account for loss to follow-up, followed for total of 12 months)

  1. aThe observed event rate in this age group was 1128 per 1000 person-years in the control arm of a recently completed mass test-and-treat trial in this area. A more conservative event rate of 845/1000 will be used to account for an anticipated 25% reduction in clinical malaria in children 1–<5 years of age (28.6% of the sample study cohort) due to the implementation of the RTS,S/AS01E vaccine in two-thirds of the study area (resulting in an estimated 7.4% reduction in event rates in children 1–<15 years), plus a further 17.6% reduction in malaria due to unforeseen changes in environmental factors, or boosting of other malaria control measures such as the scaling up of integrated community-based case management