Evidence map›Paper›PMID 31641754›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Efficacy and Safety of a Single Dose of Ivermectin, Diethylcarbamazine, and Albendazole for Treatment of Lymphatic Filariasis in Côte d'Ivoire: An Open-label Randomized Controlled Trial.

Catherine M Bjerum, Allassane F Ouattara, Méité Aboulaye, Olivier Kouadio, Vanga K Marius, Britt J Andersen, Gary J Weil, Benjamin G Koudou, Christopher L King

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02974049 (Alternative Chemotherapies for Lymphatic Filariasis), which is not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
4.0field-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.

NCT02974049 nacompletednot on this map

Alternative Chemotherapies for Lymphatic Filariasis (LF) Treatment and Elimination in Africa [Cote d'Ivoire]

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2015 to 2018Enrolled189ConditionsLymphatic FilariasisArmsAlbendazole, Ivermectin, Diethylcarbamazine
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  18. Accelerating Progress Towards the 2030 Neglected Tropical Diseases Targets: How Can Quantitative Modeling Support Programmatic Decisions?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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  20. Observational
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

9 authors at 7 institutions in 3 countries.

Catherine M BjerumCenter for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Allassane F OuattaraCentre Suisse de Recherche Scientifique en Côte d'Ivoire, Abidjan, Côte d'Ivoire.
Méité AboulayeProgramme National de la Lutte Contre la Schistosomiase, Les Geohelminthiases et la Filariose Lymphatique, Abidjan, Côte d'Ivoire.
Olivier KouadioCentre Suisse de Recherche Scientifique en Côte d'Ivoire, Abidjan, Côte d'Ivoire.
Vanga K MariusUniversite Alassane Ouattara Centre Hospitalier Universitaire de Bouake, Bouaké, Côte d'Ivoire.
Britt J AndersenInfectious Diseases Division, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Gary J WeilInfectious Diseases Division, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Benjamin G KoudouCentre Suisse de Recherche Scientifique en Côte d'Ivoire, Abidjan, Côte d'Ivoire.
Christopher L KingCenter for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Université Nangui Abrogoua · CIWashington University in St. Louis · USCenter for Global Health · USComité National de Lutte contre le SIDA · CMSwiss Centre for Scientific Research · CIUniversité Alassane Ouattara · CIVeterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproved drug regimens are needed to accelerate elimination of lymphatic filariasis in Africa. This study determined whether a single co-administered dose of ivermectin plus diethylcarbamazine plus albendazole [IDA] is noninferior to standard 3 annual doses of ivermectin plus albendazole (IA) used in many LF-endemic areas of Africa.

methodsTreatment-naive adults with Wuchereria bancrofti microfilaremia in Côte d'Ivoire were randomized to receive a single dose of IDA (n = 43) or 3 annual doses of IA (n = 52) in an open-label, single-blinded trial. The primary endpoint was the proportion of participants who were microfilaria (Mf) negative at 36 months. Secondary endpoints were Mf clearance at 6, 12, and 24 months; inactivation of adult worm nests; and safety.

resultsAt 36 months posttreatment with IDA, 18/33 (55%; 95% CI, 38-72%) cleared Mf versus 33/42 (79%; 67-91%) with IA (P = .045). At 6 and 12 months IDA was superior to IA in clearing Mf (89% [77-99%] and 71% [56-85%]), respectively, versus 34% (20-48%) and 26% (14-42%) (P < .001). IDA was equivalent to IA at 24 months (61% [45-77%] vs 54% [38-72%]; P = .53). IDA was superior to IA for inactivating adult worms at all time points. Both treatments were well tolerated, and there were no serious adverse events.

conclusionsA single dose of IDA was superior to 2 doses of IA in reducing the overall Mf burden by 24 months. Reinfection may have contributed to the lack of sustained clearance of Mf with IDA. CLINICAL TRIALS REGISTRATION: NCT02974049.

Indexed as

Elephantiasis, FilarialFilaricidesAdultAlbendazoleAnimalsCote d'IvoireDiethylcarbamazineDrug Therapy, CombinationHumansIvermectinWuchereria bancroftiAlbendazoleDiethylcarbamazineFilaricidesIvermectinalbendazolediethylcarbamazineefficacyivermectinlymphatic filariasis

Identifiers

PMID31641754
PMCPMC7583415
OpenAlexW2981803383

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.