Evidence map›Paper›PMID 41337908›Full record

Trial reportInternational journal for parasitology. Drugs and drug resistance2025

Evaluating the efficacy of different praziquantel treatment regimens using egg and circulating anodic antigen (CAA) detection methods in a Schistosoma mansoni endemic area in northeastern Brazil.

Rosangela Lima de Freitas Galvão, Pytsje T Hoekstra, Paul L A M Corstjens, Marta Cristhiany Cunha Pinheiro, Angela Maria da Silva, Luciene Barbosa, Sidney Lourdes César Souza Sá, Govert J van Dam, Fernando Schemelzer de Moraes Bezerra

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal for parasitology. Drugs and drug resistance, 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. Review
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.

Rosangela Lima de Freitas GalvãoFederal University of Ceará, Faculty of Medicine, Postgraduate Program in Pathology, Rua Monsenhor Furtado, s/n - Rodolfo Teófilo, CEP 60441-750, Fortaleza, Ceará, Brazil; Federal University of Ceará, Department of Clinical and Toxicological Analysis, Research Laboratory in Parasitology and Mollusc Biology, Rua Pastor Samuel Munguba, 1210 - Rodolfo Teófilo, CEP: 60430-372, Fortaleza, Ceará, Brazil. Electronic address: rosangelalimadefreitas@gmail.com.
Pytsje T HoekstraLeiden University Center for Infectious Diseases (LUCID), Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, the Netherlands. Electronic address: pthoekstra@lumc.nl.
Paul L A M CorstjensDepartment of Cell and Chemical Biology, Leiden University Medical Center, Einthovenweg 20, 2333 ZC, Leiden, the Netherlands. Electronic address: p.l.a.m.corstjens@lumc.nl.
Marta Cristhiany Cunha PinheiroFederal University of Ceará, Department of Clinical and Toxicological Analysis, Research Laboratory in Parasitology and Mollusc Biology, Rua Pastor Samuel Munguba, 1210 - Rodolfo Teófilo, CEP: 60430-372, Fortaleza, Ceará, Brazil. Electronic address: marta.pinheiro@ufc.br.
Angela Maria da SilvaFederal University of Sergipe, Department of Medicine and Postgraduate Program in Health Sciences, Rua Cláudio Batista S/N, Sanatório, CEP: 49.060-100, Aracaju, Sergipe, Brazil. Electronic address: angela.silva910@gmail.com.
Luciene BarbosaFederal University of Sergipe, Department of Morphology, Laboratory of Parasitology and Tropical Entomology, Av. Marcelo Deda Chagas, s/n - Bairro Rosa Elze, CEP 49107-230, São Cristóvão, Sergipe, Brazil. Electronic address: lucienebarb@academico.ufs.br.
Sidney Lourdes César Souza SáState Government of Sergipe, State Health Department, Department of Epidemiological Surveillance, Av. Augusto Franco 3150, p - Ponto Novo, CEP 49097-670, Aracaju, Sergipe Brazil. Electronic address: sidney.biologa@gmail.com.
Govert J van DamLeiden University Center for Infectious Diseases (LUCID), Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, the Netherlands. Electronic address: g.j.van_dam@lumc.nl.
Fernando Schemelzer de Moraes BezerraFederal University of Ceará, Faculty of Medicine, Postgraduate Program in Pathology, Rua Monsenhor Furtado, s/n - Rodolfo Teófilo, CEP 60441-750, Fortaleza, Ceará, Brazil; Federal University of Ceará, Department of Clinical and Toxicological Analysis, Research Laboratory in Parasitology and Mollusc Biology, Rua Pastor Samuel Munguba, 1210 - Rodolfo Teófilo, CEP: 60430-372, Fortaleza, Ceará, Brazil; Federal University of Ceará, Faculty of Medicine, Postgraduate Program in Medical Sciences, Rua Prof. Costa Mendes, 1608 - 4° andar, CEP 60430-140, Fortaleza, Ceará, Brazil. Electronic address: schemelzer@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluated the efficacy of different treatment regimens with PZQ against Schistosoma mansoni infection. Residents of the Patioba and Colônia Miranda villages (Sergipe, Brazil) with a confirmed diagnosis of S. mansoni infection were randomized into one of the study groups and treated with a standard dose of PZQ (Group 1); with two doses spaced 24 hours apart (Group 2); or with two doses spaced 30 days apart (Group 3). Efficacy was assessed 30 days after the final treatment, based on the detection of eggs in feces using the Kato-Katz (KK) method and on the detection of CAA in urine using the Up-Converting Particle Lateral Flow (UCP-LF) assay. A total of 88 participants, who tested positive for infection by KK and UCP-LF CAA at baseline, were included in the statistical analysis. Cure rates (CRs) reached 100 % in all three study groups, according to KK. The UCP-LF CAA revealed that not all participants were cured, with the highest cure rate observed in Group 2 (69.6 %%), followed by Group 3 (57.7 %) and Group 1 (43.8 %). An Intensity Reduction Rate (IRR) of 100 % and >97 % was observed in all groups, based on KK and UCP-LF CAA, respectively. Reduction in S. mansoni burden was observed over time, with the IRR in all groups exceeding the efficacy threshold established by the WHO (>90 %). Cure rates varied according to the diagnostic method used, being overestimated when based on egg quantification, highlighting the importance of using more sensitive tools for the detection of active infections and monitoring the efficacy of PZQ.

Indexed as

AnthelminticsAntigens, HelminthHelminth ProteinsPraziquantelSchistosoma mansoniSchistosomiasis mansoniAdolescentAdultAnimalsBrazilChildEndemic DiseasesFecesFemaleGlycoproteinsHumansAnthelminticsAntigens, Helminthcirculating anodic antigen, Schistosoma mansoniGlycoproteinsHelminth ProteinsPraziquantelBrazilEfficacyPraziquantelSafetySchistosoma mansoniSchistosomiasis

Identifiers

PMID41337908
PMCPMC12719093

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Registered trials

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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.