Evidence map›Paper›PMID 26596935›Full record

ArticleAntimicrobial agents and chemotherapy2016

New Scheme of Intermittent Benznidazole Administration in Patients Chronically Infected with Trypanosoma cruzi: a Pilot Short-Term Follow-Up Study with Adult Patients.

María Gabriela Álvarez, Yolanda Hernández, Graciela Bertocchi, Marisa Fernández, Bruno Lococo, Juan Carlos Ramírez, Carolina Cura, Constanza Lopez Albizu, Alejandro Schijman, Marcelo Abril and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 5 pooled it
6.3field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 87 citations in OpenAlex.

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  4. Ideal benznidazole dose regimen in chronic chagasic patients: a systematic review.Revista do Instituto de Medicina Tropical de Sao Paulo · 2020
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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

12 authors at 3 institutions in 1 country.

María Gabriela ÁlvarezHospital Interzonal General de Agudos Eva Perón, San Martín, Buenos Aires, Argentina.
Yolanda HernándezInstituto Nacional de Parasitología Dr. Mario Fatala Chaben, Buenos Aires, Argentina.
Graciela BertocchiHospital Interzonal General de Agudos Eva Perón, San Martín, Buenos Aires, Argentina.
Marisa FernándezInstituto Nacional de Parasitología Dr. Mario Fatala Chaben, Buenos Aires, Argentina.
Bruno LococoHospital Interzonal General de Agudos Eva Perón, San Martín, Buenos Aires, Argentina.
Juan Carlos RamírezInstituto de Ingeniería Genética y Biología Molecular (INGEBI), Buenos Aires, Argentina.
Carolina CuraInstituto Nacional de Parasitología Dr. Mario Fatala Chaben, Buenos Aires, Argentina.
Constanza Lopez AlbizuInstituto Nacional de Parasitología Dr. Mario Fatala Chaben, Buenos Aires, Argentina.
Alejandro SchijmanInstituto de Ingeniería Genética y Biología Molecular (INGEBI), Buenos Aires, Argentina.
Marcelo AbrilFundación Mundo Sano, Buenos Aires, Argentina.
Sergio Sosa-EstaniInstituto Nacional de Parasitología Dr. Mario Fatala Chaben, Buenos Aires, Argentina.
Rodolfo ViottiHospital Interzonal General de Agudos Eva Perón, San Martín, Buenos Aires, Argentina rviotti@arnet.com.ar.
Administración Nacional de Laboratorios e Institutos de Salud · ARExperimental Medicine and Biology Institute · ARFundación Pro Salud y Medio Ambiente · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a clinical need to test new schemes of benznidazole administration that are expected to be at least as effective as the current therapeutic scheme but safer. This study assessed a new scheme of benznidazole administration in chronic Chagas disease patients. A pilot study with intermittent doses of benznidazole at 5 mg/kg/day in two daily doses every 5 days for a total of 60 days was designed. The main criterion of response was the comparison of quantitative PCR (qPCR) findings prior to and 1 week after the end of treatment. The safety profile was assessed by the rate of suspensions and severity of adverse effects. Twenty patients were analyzed for safety, while qPCR was tested for 17 of them. The average age was 43 ± 7.9 years; 55% were female. Sixty-five percent of treated subjects showed detectable qPCR results prior to treatment of 1.45 (0.63 to 2.81) and 2.1 (1.18 to 2.78) parasitic equivalents per milliliter of blood (par.eq/ml) for kinetoplastic DNA (kDNA) qPCR and nuclear repetitive sequence satellite DNA (SatDNA) qPCR, respectively. One patient showed detectable PCR at the end of treatment (1/17), corresponding to 6% treatment failure, compared with 11/17 (65%) patients pretreatment (P = 0.01). Adverse effects were present in 10/20 (50%) patients, but in only one case was treatment suspended. Eight patients showed mild adverse effects, whereas moderate reactions with increased liver enzymes were observed in two patients. The main accomplishment of this pilot study is the promising low rate of treatment suspension. Intermittent administration of benznidazole emerges a new potential therapeutic scheme, the efficacy of which should be confirmed by long-term assessment posttreatment.

Indexed as

AdultChagas DiseaseChronic DiseaseDNA, KinetoplastDNA, SatelliteDrug Administration ScheduleFemaleFollow-Up StudiesHumansLiverMaleMiddle AgedNitroimidazolesPilot ProjectsPolymerase Chain ReactionTrypanocidal AgentsbenzonidazoleDNA, KinetoplastDNA, SatelliteNitroimidazolesTrypanocidal Agents

Identifiers

PMID26596935
PMCPMC4750658
OpenAlexW2176496563

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.