The Lancet Infectious Diseases’ Post

🚀Promising Phase II/III trial of albendazole and ivermectin (fixed doses) co-formulation for treatment of soil-transmitted helminthiases. 🔎 Alejandro Krolewiecki and colleagues have reported the results of an adaptive phase 2/3 randomised controlled superiority trial comparing the standard regimen of a single dose of 400 mg albendazole versus two experimental fixed-dose co-formulations (FDCs) of albendazole and ivermectin for the treatment of soil-transmitted helminthiases. ⚖️ Trial was conducted in 15 schools in Kenya, Mozambique, and Ethiopia enrolling 1001 children/adolescents (aged 518 years) with infection. The primary outcome of phase 2 (conducted in Kenya only) was safety during the first 3 hours after the intervention and for 7 days, and the primary outcome of phase 3 was cure rate of Trichuris trichiura. Researchers demonstrated the safety and efficacy above the current standard for the treatment of geohelminths. For Trichuris trichiura, cure rate of the triple dose and the single dose both had higher cure rate (97·2% and 82·9%, respectively) compared with albendazole alone (35·9%). Difference between groups was 47·0 (36·6 to 56·5) percentage points for the single dose and 61·3 (51·9 to 69·8) for the three-day dose. 💡 FDCs may encourage the use of a safe and effective combination treatment instead of monotherapy in soil-transmitted helminth control programmes to enhance preventive chemotherapy against soil-transmitted helminths, including Strongyloides stercoralis, and slow down the emergence of resistance. Questions for wider implementation are affordability, large scale accessibility, and generalizability of the findings. Data has been submitted to the European Medicines Agency for regulatory approval. Here is the paper: https://bit.ly/40EBE4A Here is the comment by Dora Buonfrate: bit.ly/4gYURnj #albendazole #ivermectin #helminths #MundoSano #EDCTP

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