Evidence map›Paper›PMID 39833059›Full record

SynthesisMedicine2025

Efficacy and safety of ivermectin-albendazole combination versus ivermectin or albendazole monotherapy in soil-transmitted helminthiasis: A systematic review and meta-analysis.

Hurais Malik, Muhammad Fazal Ud Din, Muhammad Aqib Faizan, Tooba Rehman, Muhammad Hudaib, Syed Muhammad Abdullah Shah, Abdullah Abid Khan, Syeda Fatima Amir, Musarrat Fraz, Maham Khalid and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
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

13 authors.

Hurais MalikDepartment of Medicine, Fazaia Ruth Pfau Medical College, Karachi, Pakistan.ORCID 0009-0005-0647-8181
Muhammad Fazal Ud DinPrimary and Secondary Healthcare Department, Punjab, Pakistan.ORCID 0000-0001-8001-7248
Muhammad Aqib FaizanDepartment of Medicine, Gomal Medical College, Khyber Medical University, Pakistan.ORCID 0009-0002-6023-3992
Tooba RehmanDepartment of Medicine, Gomal Medical College, Khyber Medical University, Pakistan.ORCID 0009-0001-1527-4333
Muhammad HudaibDepartment of Medicine, Fazaia Ruth Pfau Medical College, Karachi, Pakistan.ORCID 0009-0000-9040-3345
Syed Muhammad Abdullah ShahDepartment of Medicine, Fazaia Ruth Pfau Medical College, Karachi, Pakistan.ORCID 0009-0000-1553-6009
Abdullah Abid KhanDepartment of Medicine, Fazaia Ruth Pfau Medical College, Karachi, Pakistan.ORCID 0009-0004-0500-1309
Syeda Fatima AmirDepartment of Medicine, Fazaia Ruth Pfau Medical College, Karachi, Pakistan.ORCID 0009-0004-3985-8511
Musarrat FrazDepartment of Medicine, Fazaia Ruth Pfau Medical College, Karachi, Pakistan.ORCID 0009-0005-1909-9690
Maham KhalidDepartment of Medicine, Peoples University of Medical and Health Sciences, Nawabshah, Pakistan.ORCID 0009-0004-0533-4365
Muhammad Umair AnjumDepartment of Medicine, Dow Medical College, Karachi, Pakistan.
Muhammad Omar LarikDepartment of Medicine, Dow International Medical College, Karachi, Pakistan.
Pratik BhattaraiDepartment of Medicine, Manipal College of Medical Sciences, Pokhara, Nepal.ORCID 0000-0002-9223-7800

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSoil-transmitted helminthiasis remains a daunting challenge to global health, exerting its greatest toll on resource-limited regions of the world. A dual drug approach using the co-administration of ivermectin and albendazole has shown promising results in comparison to the traditional monotherapy strategy. In light of this, a systematic review and meta-analysis of randomized controlled trials was conducted.

methodsSeveral electronic databases including PubMed, Cochrane Central, Google Scholar, and Embase were explored to search for relevant studies from inception to September 2023. The Cochrane Risk of Bias Tool for Randomized Controlled Studies was utilized to evaluate the quality of studies.

resultsA total of 8 randomized controlled trials, reporting 10 patient populations, were included. The treatment of trichuriasis significantly favored the dual therapy regimen of ivermectin-albendazole over albendazole-only monotherapy (risk ratio [RR]: 2.86; 95% confidence interval [CI]: 1.66-4.93; P = .0002), with no significant differences observed for ascariasis and hookworm. The treatment of trichuriasis and hookworm significantly favored the dual therapy regimen of ivermectin-albendazole over ivermectin-only monotherapy (RR: 1.86; 95% CI: 1.56-2.21; P < .00001 and RR: 2.31; 95% CI: 1.23-4.31; P = .009, respectively). There were no statistically significant differences between dual therapy and monotherapy in terms of adverse effects.

conclusionThese findings highlight the nuanced effectiveness of combined therapy specific to certain helminth types, in addition to their comparable safety profiles, thereby providing pivotal insights that contribute to the evolving landscape of soil-transmitted helminth treatment strategies.

Indexed as

AlbendazoleAnthelminticsHelminthiasisIvermectinAntiparasitic AgentsDrug Therapy, CombinationHumansRandomized Controlled Trials as TopicSoilTreatment OutcomeAlbendazoleAnthelminticsAntiparasitic AgentsIvermectinSoil

Identifiers

PMID39833059
PMCPMC11749739

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.