Evidence map›Paper›PMID 26389799›Full record

Observational studyPLoS neglected tropical diseases2015

Outcome after Discontinuing Long-Term Benzimidazole Treatment in 11 Patients with Non-resectable Alveolar Echinococcosis with Negative FDG-PET/CT and Anti-EmII/3-10 Serology.

Rudolf W Ammann, Katrin D M Stumpe, Felix Grimm, Peter Deplazes, Sabine Huber, Kaja Bertogg, Dorothee R Fischer, Beat Müllhaupt

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in PLoS neglected tropical diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00658294 (Analysis of the Potentially Parasitocidal Effect of a Long Term Chemotherapy With Benzimidazoles in Patients With Inoperable Alveolar Echinococcosis Using PET-CT and EmII/3-10 Serology), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.0field-weighted citation impact, top 6% 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.

NCT00658294 completednot on this map

Analysis of the Potentially Parasitocidal Effect of a Long Term Chemotherapy With Benzimidazoles in Patients With Inoperable Alveolar Echinococcosis Using PET-CT and EmII/3-10 Serology

TypeobservationalSponsorUniversity of ZurichRan2008 to 2012Enrolled34ConditionsAlveolar EchinococcosisArmsStop treatment
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Extracts and Terpenoids fromMolecules (Basel, Switzerland) · 2024
    Article
  10. Article
  11. Review
  12. Pathogens (Basel, Switzerland) · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

8 authors at 3 institutions in 1 country.

Rudolf W AmmannDepartment of Gastroenterology and Hepatology, University Hospital of Zurich, Zürich, Switzerland.
Katrin D M StumpeInstitute of Radiology, Hirslanden Hospital, Zürich, Switzerland.
Felix GrimmInstitute of Parasitology, University of Zurich, Zurich, Switzerland.
Peter DeplazesInstitute of Parasitology, University of Zurich, Zurich, Switzerland.
Sabine HuberDepartment of Gastroenterology and Hepatology, University Hospital of Zurich, Zürich, Switzerland.
Kaja BertoggDepartment of Gastroenterology and Hepatology, University Hospital of Zurich, Zürich, Switzerland.
Dorothee R FischerDivision of Nuclear Medicine, University Hospital Zurich, Zürich, Switzerland.
Beat MüllhauptDepartment of Gastroenterology and Hepatology, University Hospital of Zurich, Zürich, Switzerland; Swiss HPB (Hepato-Pancreato-Biliary) Center, University Hospital of Zurich, Zürich, Switzerland.
University Hospital of Zurich · CHUniversity of Zurich · CHKlinik Hirslanden · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsBenzimidazoles are efficacious for treating non-resectable alveolar echinococcosis (AE), but their long-term parasitocidal (curative) effect is disputed. In this study, we prospectively analyzed the potential parasitocidal effect of benzimidazoles and whether normalization of FDG-PET/CT scans and anti-Emll/3-10-antibody levels could act as reliable "in vivo" parameters of AE-inactivation permitting to abrogate chemotherapy with a low risk for AE-recurrence.

methodThis prospective study included 34 patients with non-resectable AE subdivided into group A (n = 11), followed-up after diagnosis and begin of chemotherapy at months 6, 12 and 24, and group B (n = 23) with a medium duration of chemotherapy of 10 (range 2-25) years. All patients were assessed by FDG-PET/CT examinations and anti-EmII/3-10 serology. Chemotherapy was abrogated in patients with normalization of FDG-PET/CT and serum anti-EmII/3-10 levels. These patients were closely followed-up for AE recurrence. Endpoint (parasitocidal efficacy) was defined by the absence of AE-recurrence >24 months after stopping treatment.

resultsNormalization of FDG-PET/CT scan and anti-EmII/3-10 levels occurred in 11 of 34 patients (32%). After abrogation of chemotherapy in these 11 patients, there was no evidence of AE-recurrence within a median of 70.5 (range 16-82) months. However, the patients' immunocompetence appears pivotal for the described long-term parasitocidal effect of benzimidazoles.

conclusionsThe combination of negative FDG-PET/CT-scans and anti-EmII/3-10 antibody levels seem to be reliable parameters for assessing in vivo AE-larval inactivity after long-term benzimidazole chemotherapy.

trial registrationclinicaltrials.gov: NCT00658294.

Indexed as

AdultAgedAnthelminticsAntibodies, HelminthBenzimidazolesDrug MonitoringEchinococcosisEchinococcosis, HepaticFemaleHumansLiverMaleMiddle AgedPositron-Emission TomographyProspective StudiesTomography, X-Ray ComputedAnthelminticsAntibodies, HelminthbenzimidazoleBenzimidazoles

Identifiers

PMID26389799
PMCPMC4577091
OpenAlexW2157389356

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.