Evidence map›Paper›PMID 30466622›Full record

Trial reportPhytomedicine : international journal of phytotherapy and phytopharmacology2018

Effect of Artemisia annua and Artemisia afra tea infusions on schistosomiasis in a large clinical trial.

Jérôme Munyangi, Lucile Cornet-Vernet, Michel Idumbo, Chen Lu, Pierre Lutgen, Christian Perronne, Nadège Ngombe, Jacques Bianga, Bavon Mupenda, Paul Lalukala and 4 more

RetractedOpen access · greenAbstract readRandomized Controlled TrialRetracted PublicationEquivalence Trial
In one paragraph

Trial report in Phytomedicine : international journal of phytotherapy and phytopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Artemisinin as a therapeuticNatural product reports · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Research Advances on Health Effects of EdibleFoods (Basel, Switzerland) · 2020
    Review
  11. Article
  12. Dried LeafBiomolecules · 2020
    Article
  13. It is not just artemisinin:Phytochemistry reviews : proceedings of the Phytochemical Society of Europe · 2019
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 3 countries.

Jérôme MunyangiFaculté de Médecine Université de Kolwesi/Lualaba, Democratic Republic of the Congo.
Lucile Cornet-VernetVice Présidente de La Maison de l'Artemisia(association Loi 1901), 20 rue Pierre Demours, 75017Paris, France. Electronic address: lcv@maison-artemisia.org.
Michel IdumboCentre de Santé de Lubile, Maniema, Democratic Republic of the Congo.
Chen LuDepartment of Mathematics, Worcester Polytechnic Institute, USA.
Pierre LutgenAssociation IFVB-BELHERB, Luxembourg.
Christian PerronneFaculté de Médecine de Paris IDF Ouest, France.
Nadège NgombeFaculté de Pharmacie, Université de Kinshasa, Democratic Republic of the Congo.
Jacques BiangaProgramme National Lutte Contre le Paludisme, Maniema, Democratic Republic of the Congo.
Bavon MupendaEcole de Santé Publique Université de Kinshasa, Democratic Republic of the Congo.
Paul LalukalaMinistère Provincial de Santé Publique Maniema, Democratic Republic of the Congo.
Guy MergeaiUniversité de Liège, Belgium.
Dieudonné MumbaFaculté de Médecine Université de Kinshasa, Democratic Republic of the Congo.
Melissa TowlerDepartment of Biology and Biotechnology, Worcester Polytechnic Institute, USA.
Pamela WeathersDepartment of Biology and Biotechnology, Worcester Polytechnic Institute, USA.
Worcester Polytechnic Institute · USMinistry of Public Health · CDUniversity of Kinshasa · CDProgramme National Multisectoriel de Lutte contre le sida · CDUniversity of Liège · BE

Funding

Study how the liver alters bioavailability of artemisinin when delivered from the dried leaves of the plant Artemisia annua vs as pure drug.R15AT008277 · NCCIH · WORCESTER POLYTECHNIC INSTITUTE · PI WEATHERS, PAMELA J · 2014 to 2018
$953k
NCCIH NIH HHS R15 AT008277
6 · The paper itself

Abstract

BACKGROUND AND

objectiveSchistosomiasis (bilharzia), a serious neglected tropical disease affecting millions, has few cost-effective treatments, so two Artemisia wormwood species, A. annua and A. afra, were compared with the current standard praziquantel (PZQ) treatment in an 800 patient clinical trial, August-November of 2015.

methodsThe double blind, randomized, superiority clinical trial had three treatment arms: 400 for PZQ, 200 for A. annua, and 200 for A. afra. PZQ-treated patients followed manufacturer posology. Artemisia-treated patients received 1 l/d of dry leaf/twig tea infusions divided into 3 aliquots daily, for 7 days with 28-day follow-up.

resultsOf 800 enrolled patients having an average of >700 Schistosoma mansoni eggs per fecal sample, 780 completed the trial. Within 14 days of treatment, all Artemisia-treated patients had no detectable eggs in fecal smears, a result sustained 28 days post treatment. Eggs in fecal smears of PZQ-treated patients were undetectable after D21. More males than females who entered the trial had melena, but both genders responded equally well to treatment; by D28 melena disappeared in all patients. In all arms, eosinophil levels declined by about 27% from D0 to D28. From D0 to D28 hemoglobin increases were greater in PZQ and A. afra-treated patients than in A. annua-treated patients. Hematocrit increases were greater from D0 to D28 for patients treated with either PZQ or A. annua compared to those treated with A. afra. Gender comparison showed that A. afra-treated males had significantly greater hemoglobin and hematocrit increases by D28 than either PZQ or A. annua-treated males. In contrast, PZQ and A. afra-treated females had greater hemoglobin and hematocrit increases than A. annua-treated females. Both adults and pediatric patients treated with A. annua responded better compared to PZQ treatment.

conclusionBoth A. annua and A. afra provided faster effective treatment of schistosomiasis and should be considered for implementation on a global scale.

Indexed as

Teas, HerbalAdolescentAdultAnimalsArtemisiaChildChild, PreschoolDouble-Blind MethodFemaleHumansMaleParasite Egg CountPhytochemicalsPlant ExtractsSchistosoma mansoniSchistosomiasisPhytochemicalsPlant ExtractsTeas, HerbalArtemisiaArtemisininBilharziaTea infusionWormwood

Identifiers

PMID30466622
PMCPMC6990975
OpenAlexW2897346296

What OpenQuestion holds

Textmetadata
LicenceTDM
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.