Evidence map›Paper›PMID 21332573›Full record

Trial reportBritish journal of clinical pharmacology2011

Pharmacokinetics of combined treatment with praziquantel and albendazole in neurocysticercosis.

Hector H Garcia, Andres G Lescano, Vera L Lanchote, E Javier Pretell, Isidro Gonzales, Javier A Bustos, Osvaldo M Takayanagui, Pierina S Bonato, John Horton, Herbert Saavedra and 3 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00441285 (Antiparasitic Therapy for Neurocysticercosis), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00441285 phase2 / phase3completednot on this map

Antiparasitic Therapy for Neurocysticercosis: Phase II/III Study on Safety and Efficacy of Combined Treatment With Praziquantel and Albendazole

TypeinterventionalSponsorUniversidad Peruana Cayetano HerediaRan2010 to 2013Enrolled156ConditionsNeurocysticercosis, EpilepsyArmsPraziquantel, Albendazole, ABZ Placebo, PZQ Placebo
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Cysticidal Efficacy of Combined Treatment With Praziquantel and Albendazole for Parenchymal Brain Cysticercosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Trial
  3. Trial
  4. Article
  5. Review
  6. Disseminated Human Subarachnoid Coenurosis.Tropical medicine and infectious disease · 2022
    Article
  7. Article
  8. Review
  9. Review
  10. Frequency and Determinant Factors for Calcification in Neurocysticercosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  11. Parasitic Infections of the Nervous System.Continuum (Minneapolis, Minn.) · 2021
    Review
  12. Mortality in Parenchymal and Subarachnoid Neurocysticercosis.The American journal of tropical medicine and hygiene · 2021
    Article
  13. Review
  14. Albendazole Sulfoxide Plasma Levels and Efficacy of Antiparasitic Treatment in Patients With Parenchymal Neurocysticercosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  15. Effect of nitazoxanide on albendazole pharmacokinetics in cerebrospinal fluid and plasma in rats.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2017
    Article
  16. Review
  17. Update on the Diagnosis and Management of Neurocysticercosis.Current infectious disease reports · 2016
    Review
  18. Article
  19. Article
  20. Novel rat model for neurocysticercosis using Taenia solium.The American journal of pathology · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 4 countries.

Hector H GarciaCysticercosis Unit, Department of Transmissible Diseases, Instituto Nacional de Ciencias Neurologicas, Jr. Ancash 1271, Barrios Altos, Lima. hgarcia@jhsph.edu
Andres G Lescano
Vera L Lanchote
E Javier Pretell
Isidro Gonzales
Javier A Bustos
Osvaldo M Takayanagui
Pierina S Bonato
John Horton
Herbert Saavedra
Armando E Gonzalez
Robert H Gilman
Cysticercosis Working Group in Peru
Instituto Nacional de Ciencias NeurológicasUniversidade de São Paulo · BRUniversidad Peruana Cayetano Heredia · PEAnimal Free Research UK · GBJohns Hopkins University · USNational University of San Marcos · PENaval Medical Research Unit Six · PE

Funding

Peru Infectious Diseases Epidemiology Research Training ConsortiumD43TW007393 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI Andres G Lescano · 2005 to 2026
$5.9M
FIC NIH HHS D43 TW007393FIC NIH HHS TW001140PHS HHS R01 054805Wellcome Trust 091077
6 · The paper itself

Abstract

aimsNeurocysticercosis is the most common cause of acquired epilepsy in the world. Antiparasitic treatment of viable brain cysts is of clinical benefit, but current antiparasitic regimes provide incomplete parasiticidal efficacy. Combined use of two antiparasitic drugs may improve clearance of brain parasites. Albendazole (ABZ) has been used together with praziquantel (PZQ) before for geohelminths, echinococcosis and cysticercosis, but their combined use is not yet formally recommended and only scarce, discrepant data exist on their pharmacokinetics when given together. We assessed the pharmacokinetics of their combined use for the treatment of neurocysticercosis.

methodsA randomized, double-blind, placebo-controlled phase II evaluation of the pharmacokinetics of ABZ and PZQ in 32 patients with neurocysticercosis was carried out. Patients received their usual concomitant medications including an antiepileptic drug, dexamethasone, and ranitidine. Randomization was stratified by antiepileptic drug (phenytoin or carbamazepine). Subjects had sequential blood samples taken after the first dose of antiparasitic drugs and again after 9 days of treatment, and were followed for 3 months after dosing.

resultsTwenty-one men and 11 women, aged 16 to 55 (mean age 28) years were included. Albendazole sulfoxide concentrations were increased in the combination group compared with the ABZ alone group, both in patients taking phenytoin and patients taking carbamazepine. PZQ concentrations were also increased by the end of therapy. There were no significant side effects in this study group.

conclusionsCombined ABZ + PZQ is associated with increased albendazole sulfoxide plasma concentrations. These increased concentrations could independently contribute to increased cysticidal efficacy by themselves or in addition to a possible synergistic effect.

Indexed as

AdolescentAdultAlbendazoleAnimalsAnthelminticsDrug Therapy, CombinationFemaleHumansMaleNeurocysticercosisPeruPraziquantelTaenia soliumYoung AdultAlbendazoleAnthelminticsPraziquantel

Identifiers

PMID21332573
PMCPMC3141188
OpenAlexW1802120668

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.