Evidence map›Paper›PMID 26984901›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

Cysticidal Efficacy of Combined Treatment With Praziquantel and Albendazole for Parenchymal Brain Cysticercosis.

Hector H Garcia, Andres G Lescano, Isidro Gonzales, Javier A Bustos, E Javier Pretell, John Horton, Herbert Saavedra, Armando E Gonzalez, Robert H Gilman, Cysticercosis Working Group in Peru

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

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. 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 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
6.9field-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.

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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Review
  4. Calcified Neurocysticercosis: Understanding Dead (Not Necessarily Inactive) Parasites.The American journal of tropical medicine and hygiene · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Disseminated Human Subarachnoid Coenurosis.Tropical medicine and infectious disease · 2022
    Article
  14. Human Neurocysticercosis: An Overview.Pathogens (Basel, Switzerland) · 2022
    Review
  15. Review
  16. Review
  17. Frequency and Determinant Factors for Calcification in Neurocysticercosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  18. Parasitic Infections of the Nervous System.Continuum (Minneapolis, Minn.) · 2021
    Review
  19. Mortality in Parenchymal and Subarachnoid Neurocysticercosis.The American journal of tropical medicine and hygiene · 2021
    Article
  20. Review
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

10 authors at 6 institutions in 3 countries.

Hector H GarciaCysticercosis Unit, Department of Transmissible Diseases, Instituto Nacional de Ciencias Neurologicas Department of Microbiology, School of Sciences Center for Global Health.
Andres G LescanoSchool of Public Health, Universidad Peruana Cayetano Heredia, San Martín de Porres Department of Parasitology, US Naval Medical Research Unit No. 6.
Isidro GonzalesCysticercosis Unit, Department of Transmissible Diseases, Instituto Nacional de Ciencias Neurologicas.
Javier A BustosCenter for Global Health.
E Javier PretellHospital Nacional Alberto Sabogal, ESSALUD, Callao, Peru.
John HortonTropical Projects, Hitchin, United Kingdom.
Herbert SaavedraCysticercosis Unit, Department of Transmissible Diseases, Instituto Nacional de Ciencias Neurologicas.
Armando E GonzalezSchool of Veterinary Medicine, Universidad Nacional Mayor de San Marcos, Salamanca de Monterrico, Ate, Lima.
Robert H GilmanDepartment of Microbiology, School of Sciences Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Cysticercosis Working Group in Peru
Center for Global Health · USInstituto Nacional de Ciencias NeurológicasAnimal 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
Training in Parasitic Diseases and Central Nervous System Infections in Peru.D43TW001140 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI GARCIA, HECTOR HUGO, GILMAN, ROBERT H · 1999 to 2025
$5.7M
FIC NIH HHS D43 TW001140FIC NIH HHS D43 TW007393Medical Research Council MR/K007467/1Wellcome Trust 091077
6 · The paper itself

Abstract

backgroundThe efficacy of current antiparasitic treatment for cerebral Taenia solium cysticercosis with either albendazole (ABZ) or praziquantel (PZQ) is suboptimal. A recent study demonstrated that combining these 2 antiparasitic drugs improves antiparasitic efficacy. We present here the parasiticidal efficacy data obtained during a previous phase II pharmacokinetic study that compared combined ABZ plus PZQ with ABZ alone.

methodsThe study was a randomized, double-blinded, placebo-controlled phase II evaluation of the pharmacokinetics of ABZ (15 mg/k/d, for 10 days) and PZQ (50 mg/k/d, for 10 days) in intraparenchymal brain cysticercosis. Patients received the usual concomitant medications, including an antiepileptic drug (phenytoin or carbamazepine), dexamethasone, and ranitidine. Randomization was stratified by antiepileptic drug. Patients underwent safety laboratory evaluations at days 4, 7, and 11, as well as magnetic resonance (MR) imaging at 6 months to assess parasiticidal efficacy.

resultsThirty-two patients were included, 16 in each arm. All of them completed antiparasitic treatment and underwent follow-up brain MR imaging. Cysticidal efficacy was strikingly higher in the combined ABZ-plus-PZQ group than in the ABZ-alone group (proportion of cysts resolved, 78 of 82 [95%] vs 23 of 77 [30%] [relative risk {RR}, 3.18; 95% confidence interval {CI}, 2.08-4.88; P < .001]; patients with complete cyst clearance, 12 of 16 [75%] vs 4 of 16 [25%] [RR, 3.00; 95% CI, 1.23-7.34; P = .005]).

conclusionsThe combination of ABZ plus PZQ is more effective in destroying viable brain cysticercosis cysts than ABZ alone. CLINICAL TRIALS REGISTRATION: NCT00441285.

Indexed as

AdolescentAdultAlbendazoleAnimalsAnticestodal AgentsBrain DiseasesFemaleHumansMaleNeurocysticercosisPraziquantelTaenia soliumYoung AdultAlbendazoleAnticestodal AgentsPraziquantelalbendazoleneurocysticercosisPerupraziquantelTaenia solium

Identifiers

PMID26984901
PMCPMC4872290
OpenAlexW2298269985

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.