共 25 条
Efficacy and Safety of a Single Dose of Ivermectin, Diethylcarbamazine, and Albendazole for Treatment of Lymphatic Filariasis in Cote d'Ivoire: An Open-label Randomized Controlled Trial
被引:38
作者:

Bjerum, Catherine M.
论文数: 0 引用数: 0
h-index: 0
机构:
Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA

Ouattara, Allassane F.
论文数: 0 引用数: 0
h-index: 0
机构:
Ctr Suisse Rech Sci Cote dIvoire, Abidjan, Cote Ivoire
Univ Nangui Abrogoua, Abidjan, Cote Ivoire Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA

Aboulaye, Meite
论文数: 0 引用数: 0
h-index: 0
机构:
Programme Natl Lutte Schistosomiase Geohelminthia, Abidjan, Cote Ivoire Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA

Kouadio, Olivier
论文数: 0 引用数: 0
h-index: 0
机构:
Ctr Suisse Rech Sci Cote dIvoire, Abidjan, Cote Ivoire Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA

Marius, Vanga K.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Alassane Ouattara, Ctr Hosp Univ Bouake, Bouake, Cote Ivoire Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA

Andersen, Britt J.
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Dept Med, Div Infect Dis, St Louis, MO 63110 USA Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA

Weil, Gary J.
论文数: 0 引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Dept Med, Div Infect Dis, St Louis, MO 63110 USA Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA

Koudou, Benjamin G.
论文数: 0 引用数: 0
h-index: 0
机构:
Ctr Suisse Rech Sci Cote dIvoire, Abidjan, Cote Ivoire
Univ Nangui Abrogoua, Abidjan, Cote Ivoire Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA

King, Christopher L.
论文数: 0 引用数: 0
h-index: 0
机构:
Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA
Cleveland Vet Affairs Med Ctr, Vet Affairs Res Serv, Cleveland, OH USA Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA
机构:
[1] Case Western Reserve Univ, Sch Med, Ctr Global Hlth & Dis, Cleveland, OH 44106 USA
[2] Ctr Suisse Rech Sci Cote dIvoire, Abidjan, Cote Ivoire
[3] Univ Nangui Abrogoua, Abidjan, Cote Ivoire
[4] Programme Natl Lutte Schistosomiase Geohelminthia, Abidjan, Cote Ivoire
[5] Univ Alassane Ouattara, Ctr Hosp Univ Bouake, Bouake, Cote Ivoire
[6] Washington Univ, Sch Med, Dept Med, Div Infect Dis, St Louis, MO 63110 USA
[7] Cleveland Vet Affairs Med Ctr, Vet Affairs Res Serv, Cleveland, OH USA
基金:
比尔及梅琳达.盖茨基金会;
关键词:
lymphatic filariasis;
ivermectin;
diethylcarbamazine;
albendazole;
efficacy;
WUCHERERIA-BANCROFTI;
COMBINATION;
INSIGHTS;
CHILDREN;
ANTIGEN;
D O I:
10.1093/cid/ciz1050
中图分类号:
R392 [医学免疫学];
Q939.91 [免疫学];
学科分类号:
100102 ;
摘要:
Background. Improved drug regimens are needed to accelerate elimination of lymphatic filariasis in Africa. This study determined whether a single co-administered dose of ivermectin plus diethylcarbamazine plus albendazole [IDA] is noninferior to standard 3 annual doses of ivermectin plus albendazole (IA) used in many LF-endemic areas of Africa. Methods. Treatment-naive adults with Wuchereria bancrofti microfilaremia in Cbte d'Ivoire were randomized to receive a single dose of IDA (n = 43) or 3 annual doses of IA (n = 52) in an open-label, single-blinded trial. The primary endpoint was the proportion of participants who were microfilaria (Mf) negative at 36 months. Secondary endpoints were Mf clearance at 6,12, and 24 months; inactivation of adult worm nests; and safety. Results. At 36 months posttreatment with IDA, 18/33 (55%; 95% CI, 38-72%) cleared Mf versus 33/42 (79%; 67-91%) with IA (P = .045). At 6 and 12 months IDA was superior to IA in clearing Mf (89% [77-99%] and 71% [56-85%D, respectively, versus 34% (20-48%) and 26% (14-42%) (P < .001). IDA was equivalent to IA at 24 months (61% [45-77%] vs 54% [38-72%]; P = .53). IDA was superior to IA for inactivating adult worms at all time points. Both treatments were well tolerated, and there were no serious adverse events. Conclusions. A single dose of IDA was superior to 2 doses of IA in reducing the overall Mf burden by 24 months. Reinfection may have contributed to the lack of sustained clearance of Mf with IDA.
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收藏
页码:E68 / E75
页数:8
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Univ Warwick, Sch Life Sci, Coventry CV4 7AL, W Midlands, England
Univ Warwick, Math Inst, Coventry, W Midlands, England Univ Warwick, Sch Life Sci, Coventry CV4 7AL, W Midlands, England
[10]
Efficacy of single dose combinations of albendazole, ivermectin and diethylcarbamazine for the treatment of bancroftian filariasis
[J].
Ismail, MM
;
Jayakody, RL
;
Weil, GJ
;
Nirmalan, N
;
Jayasinghe, KSA
;
Abeyewickrema, W
;
Sheriff, MHR
;
Rajaratnam, HN
;
Amarasekera, N
;
de Silva, DCL
;
Michalski, ML
;
Dissanaike, AS
.
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE,
1998, 92 (01)
:94-97

Ismail, MM
论文数: 0 引用数: 0
h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Jayakody, RL
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h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Weil, GJ
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h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Nirmalan, N
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h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Jayasinghe, KSA
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h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Abeyewickrema, W
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h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Sheriff, MHR
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h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Rajaratnam, HN
论文数: 0 引用数: 0
h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Amarasekera, N
论文数: 0 引用数: 0
h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

de Silva, DCL
论文数: 0 引用数: 0
h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Michalski, ML
论文数: 0 引用数: 0
h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka

Dissanaike, AS
论文数: 0 引用数: 0
h-index: 0
机构: Univ Colombo, Fac Med, Colombo 8, Sri Lanka