Evidence map›Paper›PMID 37639396›Full record

Trial reportPLoS neglected tropical diseases2023

Efficacy, safety, and tolerability of albendazole and ivermectin based regimens for the treatment of microfilaraemic loiasis in adult patients in Gabon: A randomized controlled assessor blinded clinical trial.

Rella Zoleko-Manego, Ruth Kreuzmair, Luzia Veletzky, Wilfrid Ndzebe-Ndoumba, Dorothea Ekoka Mbassi, Dearie G Okwu, Lia B Dimessa-Mbadinga-Weyat, Roselyne D Houtsa-Temgoua, Johannes Mischlinger, Matthew B B McCall and 6 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PLoS neglected tropical diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 4 pooled it
2.9field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 4 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. Open forum infectious diseases · 2025
    Article
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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

16 authors at 3 institutions in 4 countries.

Rella Zoleko-ManegoCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.ORCID 0000-0001-7425-2794
Ruth KreuzmairCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Luzia VeletzkyCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Wilfrid Ndzebe-NdoumbaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Dorothea Ekoka MbassiCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Dearie G OkwuCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Lia B Dimessa-Mbadinga-WeyatCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Roselyne D Houtsa-TemgouaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Johannes MischlingerDepartment of Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine & I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Matthew B B McCallRadboud University Medical Center, Nijmegen, Netherlands.
Peter G KresmnerCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Selidji T AgnandjiCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Betrand LellCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Ayôla A AdegnikaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Ghyslain Mombo-NgomaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Michael RamharterCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.ORCID 0000-0002-9259-1885
Centre de Recherche Médicales de Lambaréné · GAUniversität Hamburg · DERadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a lack of systematic evidence for strategies to control loiasis transmission in highly endemic regions. Here we assessed albendazole and ivermectin based treatment regimens to reduce Loa loa microfilaraemia in Gabon.

methodsEligible adult patients with L. loa microfilaraemia between 5,000 and 50,000 microfilariae/ml were randomized to either a control or one of three intervention groups (1:2:2:2 allocation ratio) consisting of three-week twice daily 400mg oral albendazole followed by 1) no treatment, 2) two further weeks of twice daily 400mg albendazole, or 3) a single dose of ivermectin in this open label randomized assessor blinded controlled clinical trial. The primary outcome was the proportion of participants with L. loa microfilaraemia ≤ 100 mf/ml at Day 168.

resultsIn the efficacy-population of 42 patients 0 (0%; control group), 1 (9%; 3-week albendazole), 5 (39%; 5-weeks albendazole) and 2 (22%; 3-week albendazole plus single dose ivermectin) participants met the primary outcome of microfilaraemia below 100/ml at day 168. A 80-90% reduction of microfilaraemia was observed in the active treatment groups.

conclusionThe 5-week regimen of albendazole or a 3-week regimen of albendazole followed by ivermectin were most efficacious to reduce microfilaraemia. All therapeutic regimens were well tolerated and safe.

trial registrationTrial registered at the Pan-African Clinical Trials Registry: PACTR201807197019027.

Indexed as

AlbendazoleLoiasisAdultAnimalsClinical ProtocolsFishesGabonHumansIvermectinAlbendazoleIvermectin

Identifiers

PMID37639396
PMCPMC10491396
OpenAlexW4386215483

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.