Table 2.
Efficacy of moxidectin and other commonly used macrocyclic lactones against resistant strains of Dirofilaria immitis in laboratory studies: effects on antigen test and micofilariae.
| Reference | Strain of D. immitis | Day of inoculation† | Active ingredient against D. immitis | Dosage | Product | Route of admin. | No. of treatments | Time point (study day) | No. of dogs positive for HW AG test | No. of dogs positive for MF |
|---|---|---|---|---|---|---|---|---|---|---|
| McTier et al. (79)—Study 1 | JYD-34 | −30 | Moxidectin | 0.5 mg/kg | ProHeart® 12 | s.c. | 1 | 151 | 0 of 5 | 0 of 5 |
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 151 | 5 of 6 | 5 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 151 | 6 of 6 | 6 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 151 | 6 of 6 | 4 of 6 | |||
| Moxidectin | 0.5 mg/kg | ProHeart® 12 | s.c. | 1 | 178 | 0 of 5 | 0 of 5 | |||
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 178 | 6 of 6 | 6 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 178 | 6 of 6 | 6 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 178 | 6 of 6 | 6 of 6 | |||
| McTier et al. (79)—Study 2 | JYD-34 | 165 | Moxidectin | 0.5 mg/kg | ProHeart® 12 | s.c. | 1 | 331 | 0 of 6 | 0 of 6 |
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 12 | 331 | 6 of 6 | 0 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 12 | 331 | 6 of 6 | 0 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 331 | 6 of 6 | 0 of 6 | |||
| Moxidectin | 0.5 mg/kg | ProHeart® 12 | s.c. | 1 | 360 | 1 of 6 | 0 of 6 | |||
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 12 | 360 | 6 of 6 | 5 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 12 | 360 | 6 of 6 | 5 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 360 | 6 of 6 | 5 of 6 | |||
| Myers et al. (80) | ZoeLA | −30 | Moxidectin | ≥ 24 μg/kg | Simparica Trio® | Oral | 6 | 180 | 1 of 6 | 0 of 6 |
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 180 | 6 of 6 | 6 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 180 | 6 of 6 | 6 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 180 | 6 of 6 | 6 of 6 | |||
| Moxidectin | ≥ 24 μg/kg | Simparica Trio® | Oral | 6 | 210 | 2 of 6 | 0 of 6 | |||
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 210 | 6 of 6 | 6 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 210 | 6 of 6 | 5 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 210 | 6 of 6 | 6 of 6 | |||
| Moxidectin | ≥ 24 μg/kg | Simparica Trio® | Oral | 6 | 236 | 2 of 6 | 0 of 6 | |||
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 236 | 6 of 6 | 5 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 236 | 6 of 6 | 5 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 236 | 6 of 6 | 6 of 6 | |||
| Kryda et al. (81)—Study 1 | ZoeLA | −30 | Moxidectin | 24 μg/kg | Same dosage as in Simparica® Trio | Oral | 4 | 210 | 3 of 6 | 2 of 6 |
| Moxidectin | 24 μg/kg | Oral | 6 | 210 | 0 of 6 | 2 of 6 | ||||
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 210 | 6 of 6 | 5 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 210 | 6 of 6 | 6 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 210 | 6 of 6 | 6 of 6 | |||
| Moxidectin | 24 μg/kg | Same dosage as in Simparica® Trio | Oral | 4 | 243 | 4 of 6 | 1 of 6 | |||
| Moxidectin | 24 μg/kg | Oral | 6 | 243 | 0 of 6 | 0 of 6 | ||||
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 243 | 6 of 6 | 5 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 243 | 6 of 6 | 5 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 243 | 6 of 6 | 6 of 6 | |||
| Kryda et al. (81)—Study 2 (84) | JYD-34 | −30 | Moxidectin | 24 μg/kg | Same dosage as in Simparica® Trio | Oral | 4 | 180 | 0 of 6 | 0 of 6 |
| Moxidectin | 24 μg/kg | Oral | 6 | 180 | 0 of 6 | 0 of 6 | ||||
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 180 | 4 of 6 | 4 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 180 | 4 of 6 | 6 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 180 | 6 of 6 | 6 of 6 | |||
| Moxidectin | 24 μg/kg | Same dosage as in Simparica® Trio | Oral | 4 | 210 | 3 of 6 | 1 of 6 | |||
| Moxidectin | 24 μg/kg | Oral | 6 | 210 | 1 of 6 | 0 of 6 | ||||
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 210 | 5 of 6 | 5 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 210 | 5 of 6 | 6 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 210 | 6 of 6 | 6 of 6 | |||
| Moxidectin | 24 μg/kg | Same dosage as in Simparica® Trio | Oral | 4 | 236 | 5 of 6 | 1 of 6 | |||
| Moxidectin | 24 μg/kg | Oral | 6 | 236 | 1 of 6 | 0 of 6 | ||||
| Ivermectin | ≥ 6 μg/kg | Heartgard® Plus | Oral | 6 | 236 | 6 of 6 | 5 of 6 | |||
| Milbemycin oxime | ≥ 0.5 mg/kg | Interceptor® Plus | Oral | 6 | 236 | 6 of 6 | 6 of 6 | |||
| Negative Control | n.a. | n.a. | n.a. | 0 | 236 | 6 of 6 | 6 of 6 |
s.c., subcutaneous; HW AG, Heartworm antigen; MF, Microfilariae. †First treatment = day 0.