학술논문

Effect Modification by Baseline Mortality in the MORDOR Azithromycin Trial.
Document Type
article
Source
The American journal of tropical medicine and hygiene. 103(3)
Subject
Humans
Macrolides
Azithromycin
Anti-Bacterial Agents
Child Mortality
Proportional Hazards Models
Child
Clinical Trials as Topic
Medical and Health Sciences
Tropical Medicine
Language
Abstract
We examined whether baseline mortality risk, as a function of child age and site, modified the azithromycin mortality-reduction effect in the Macrolide Oraux pour Réduire les Décès avec un Oeil sur la Résistance (MORDOR) clinical trial. We used the Cox proportional hazards model with an interaction term. Three models were examined representing three sources for the baseline-risk covariate: two using sources external to MORDOR and the third leveraging data within MORDOR. All three models provided moderate evidence for the effect becoming stronger with increasing baseline mortality (P = 0.02, 0.02, and 0.07, respectively) at the rate of approximately 6-12% additional mortality reduction per doubling of baseline mortality. Etiological and programmatic implications of these findings are discussed.