Evidence map›Paper›PMID 31369562›Full record

Trial reportPLoS neglected tropical diseases2019

Therapeutic efficacy of albendazole against soil-transmitted helminthiasis in children measured by five diagnostic methods.

Johnny Vlaminck, Piet Cools, Marco Albonico, Shaali Ame, Mio Ayana, Giuseppe Cringoli, Daniel Dana, Jennifer Keiser, Maria P Maurelli, Leonardo F Matoso and 11 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PLoS neglected tropical diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03465488 (Validation of Both Automated Quality Assured Egg Counting System and Molecular Markers for Monitoring the Spread of Anthelmintic Resistance.), which is not on this map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
5.8field-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.

NCT03465488 nacompletednot on this map

Validation of Both Automated Quality Assured Egg Counting System and Molecular Markers for Monitoring the Spread of Anthelmintic Resistance.

TypeinterventionalSponsorUniversity GhentRan2016 to 2019Enrolled1,000ConditionsSoil-transmitted Helminth InfectionsArmsAlbendazole Pill 400mg (GSK)
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  13. Assessing the diagnostic value of qPCR forFrontiers in parasitology · 2025
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  16. Review
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  20. Risk profiling and efficacy of albendazole against the hookwormsThe Lancet regional health. Western Pacific · 2021
    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

21 authors at 12 institutions in 9 countries.

Johnny VlaminckDepartment of Virology, Parasitology and Immunology, Ghent University, Merelbeke, Belgium.ORCID 0000-0002-3601-9825
Piet CoolsDepartment of Virology, Parasitology and Immunology, Ghent University, Merelbeke, Belgium.
Marco AlbonicoCenter for Tropical Diseases, Sacro Cuore Don Calabria Hospital, Negrar, Italy.
Shaali AmeLaboratory Division, Public Health Laboratory-Ivo de Carneri, Chake Chake, United Republic of Tanzania.
Mio AyanaJimma University Institute of Health, Jimma University, Jimma, Ethiopia.
Giuseppe CringoliDepartment of Veterinary Medicine and Animal Production, University of Naples Federico II, Naples, Italy.
Daniel DanaJimma University Institute of Health, Jimma University, Jimma, Ethiopia.
Jennifer KeiserDepartment of Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland.
Maria P MaurelliDepartment of Veterinary Medicine and Animal Production, University of Naples Federico II, Naples, Italy.
Leonardo F MatosoLaboratory of Molecular and Cellular Immunology, Research Center René Rachou-FIOCRUZ, Belo Horizonte, Brazil.ORCID 0000-0002-9639-5179
Antonio MontresorDepartment of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland.
Zeleke MekonnenJimma University Institute of Health, Jimma University, Jimma, Ethiopia.
Greg MiramsTechion Group Ltd, Dunedin, New Zealand.
Rodrigo Corrêa-OliveiraLaboratory of Molecular and Cellular Immunology, Research Center René Rachou-FIOCRUZ, Belo Horizonte, Brazil.
Simone A PintoLaboratory of Molecular and Cellular Immunology, Research Center René Rachou-FIOCRUZ, Belo Horizonte, Brazil.
Laura RinaldiDepartment of Veterinary Medicine and Animal Production, University of Naples Federico II, Naples, Italy.
Somphou SayasoneLao Tropical and Public Health Institute, Ministry of Health, Vientiane, Lao People's Democratic Republic.
Eurion ThomasTechion Group Ltd, Aberystwyth, United Kingdom.
Jozef VercruysseDepartment of Virology, Parasitology and Immunology, Ghent University, Merelbeke, Belgium.
Jaco J VerweijLaboratory for Medical Microbiology and Immunology, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands.
Bruno LeveckeDepartment of Virology, Parasitology and Immunology, Ghent University, Merelbeke, Belgium.ORCID 0000-0001-8912-5595
Ghent University · BEJimma University · ETUniversity of Naples Federico II · ITFundação Oswaldo Cruz · BRAberystwyth University · GBElisabeth-TweeSteden Ziekenhuis · NLMinistry of Health · LAOspedale Sacro Cuore Don Calabria · ITPublic Health Laboratory Ivo de Carneri · TZSwiss Tropical and Public Health Institute · CHUniversidade Federal de Minas Gerais · BRWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundPreventive chemotherapy (PC) with benzimidazole drugs is the backbone of soil-transmitted helminth (STH) control programs. Over the past decade, drug coverage has increased and with it, the possibility of developing anthelmintic resistance. It is therefore of utmost importance to monitor drug efficacy. Currently, a variety of novel diagnostic methods are available, but it remains unclear whether they can be used to monitor drug efficacy. In this study, we compared the efficacy of albendazole (ALB) measured by different diagnostic methods in a head-to-head comparison to the recommended single Kato-Katz.

methodsAn ALB efficacy trial was performed in 3 different STH-endemic countries (Ethiopia, Lao PDR and Tanzania), each with a different PC-history. During these trials, stool samples were evaluated with Kato-Katz (single and duplicate), Mini-FLOTAC, FECPAKG2, and qPCR. The reduction rate in mean eggs per gram of stool (ERR) and mean genome equivalents / ml of DNA extract (GERR) were calculated to estimate drug efficacy. PRINCIPAL FINDINGS AND

conclusionsThe results of the efficacy trials showed that none of the evaluated diagnostic methods could provide reduction rates that were equivalent to a single Kato-Katz for all STH. However, despite differences in clinical sensitivity and egg counts, they agreed in classifying efficacy according to World Health Organization (WHO) guidelines. This demonstrates that diagnostic methods for assessing drug efficacy should be validated with their intended-use in mind and that other factors like user-friendliness and costs will likely be important factors in driving the choice of diagnostics. In addition, ALB efficacy against STH infections was lower in sites with a longer history of PC. Yet, further research is needed to identify factors that contribute to this finding and to verify whether reduced efficacy can be associated with mutations in the β-tubulin gene that have previously been linked to anthelmintic resistance.

trial registrationClinicalTrials.gov NCT03465488.

Indexed as

Administration, OralAlbendazoleAnimalsAnthelminticsBrazilChildDiagnostic Tests, RoutineEthiopiaFecesFemaleHelminthiasisHelminthsHumansLaosMaleParasite Egg CountAlbendazoleAnthelminticsSoilTubulin

Identifiers

PMID31369562
PMCPMC6675043
OpenAlexW2964653278

What OpenQuestion holds

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LicenceCC BY
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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.