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Safety and efficacy of co-administered diethylcarbamazine, albendazole and ivermectin during mass drug administration for lymphatic filariasis in Haiti: Results from a two-armed, open-label, cluster-randomized, community study

Author

Listed:
  • Christine L Dubray
  • Anita D Sircar
  • Valery Madsen Beau de Rochars
  • Joshua Bogus
  • Abdel N Direny
  • Jean Romuald Ernest
  • Carl R Fayette
  • Charles W Goss
  • Marisa Hast
  • Kobie O’Brian
  • Guy Emmanuel Pavilus
  • Daniel Frantz Sabin
  • Ryan E Wiegand
  • Gary J Weil
  • Jean Frantz Lemoine

Abstract

In Haiti, 22 communes still require mass drug administration (MDA) to eliminate lymphatic filariasis (LF) as a public health problem. Several clinical trials have shown that a single oral dose of ivermectin (IVM), diethylcarbamazine (DEC) and albendazole (ALB) (IDA) is more effective than DEC plus ALB (DA) for clearing Wuchereria bancrofti microfilariae (Mf). We performed a cluster-randomized community study to compare the safety and efficacy of IDA and DA in an LF-endemic area in northern Haiti. Ten localities were randomized to receive either DA or IDA. Participants were monitored for adverse events (AE), parasite antigenemia, and microfilaremia. Antigen-positive participants were retested one year after MDA to assess treatment efficacy. Fewer participants (11.0%, 321/2917) experienced at least one AE after IDA compared to DA (17.3%, 491/2844, P

Suggested Citation

  • Christine L Dubray & Anita D Sircar & Valery Madsen Beau de Rochars & Joshua Bogus & Abdel N Direny & Jean Romuald Ernest & Carl R Fayette & Charles W Goss & Marisa Hast & Kobie O’Brian & Guy Emmanuel, 2020. "Safety and efficacy of co-administered diethylcarbamazine, albendazole and ivermectin during mass drug administration for lymphatic filariasis in Haiti: Results from a two-armed, open-label, cluster-r," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 14(6), pages 1-21, June.
  • Handle: RePEc:plo:pntd00:0008298
    DOI: 10.1371/journal.pntd.0008298
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