TABLE 4.
Effects of combination chemotherapy with praziquantel and artesunate against S. mansoni infections in a nonblinded trial in Senegal and against S. haematobium infections in a randomized, double-blind placebo-controlled clinical trial in Gabon compared to either praziquantel or artesunate monotherapy
| Group and treatment (reference) | Baseline
|
Therapeutic efficacy
|
||||
|---|---|---|---|---|---|---|
| No. of patients infected | Infection intensity pretreatmentc
|
No. (%) of patients cured | Infection intensity posttreatmentc
|
|||
| No. of eggs/g of stool | No. of eggs/10 ml of urine | No. of eggs/g of stool | No. of eggs/10 ml urine | |||
| S. mansoni-infected patients from Senegal (20)a | ||||||
| Praziquantel | 36 | 162 | 16 (44) | 26 (84) | ||
| Artesunate | 35 | 205 | 8 (23) | 83 (59) | ||
| Praziquantel + artesunate | 39 | 157 | 27 (69) | 17 (89) | ||
| S. haematobium-infected children from Gabon (6)b | ||||||
| Placebo + placebo | 30 | 22 | 6 (20) | 8.7 (75) | ||
| Praziquantel + placebo | 89 | 37 | 65 (73) | 2.3 (94) | ||
| Artesunate + placebo | 89 | 35 | 24 (27) | 7.0 (80) | ||
| Praziquantel + artesunate | 88 | 32 | 71 (81) | 0.4 (99) | ||
Praziquantel was administered orally at a single dose of 40 mg/kg; artesunate was administered orally at a total dose of 12 mg/kg (4 mg/kg once on day 1, followed by 2 mg/kg once a day on days 2 to 5).
Praziquantel was administered orally at a single dose of 40 mg/kg; artesunate was administered orally at a total dose of 12 mg/kg (4 mg/kg once a day on days 1 to 3).
Infection intensity is expressed as the geometric mean. The values in parentheses are percent reductions.