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. 2012 May 22;6(5):e1657. doi: 10.1371/journal.pntd.0001657

Table 1. Drug susceptibility of Leishmania donovani clinical isolates following Miltefosine treatment in cases of Visceral Leishmaniasis and Post kala-azar dermal Leishmaniasis.

WHO code1 Research code2 Patient age/sex Clinical response to treatment MIL PMM
IC50±SD (µM) IC50±SD (µM)
MHOM/IN/2010/BHU782/0 V782/0 18/M Cure 0.95±0.06 5.34+1.12
MHOM/IN/2010/BHU869/0 V869/0 10/F Cure 1.05±0.08 8.97±0.25
MHOM/IN/2010/BHU994/0 V994/0 60/M Cure 1.96±0.50 9.07±0.15
MHOM/IN/2010/BHU828/0 V828/0 10/M Cure 1.98±0.66 5.06±0.37
MHOM/IN/2010/BHU902/0 V902/0 7/M Cure 2.30±0.36 10.70±1.12
MHOM/IN/2009/BHU815/0 V815/0 12/F Cure 2.91±0.24 7.25±0.55
MHOM/IN/2010/BHU796/1 V796/1 NA Cure 1.02±0.17 5.55±0.89
MHOM/IN/2010/BHU1121/1 V1121/1 12/M Cure 1.14±0.11 6.05±0.65
MHOM/IN/2010/BHU807/1 V807/1 12/F Cure 1.26±0.15 9.08±0.65
MHOM/IN/2010/BHU869/1 V869/1 10/F Cure 1.32±0.26 3.91±0.03
MHOM/IN/2010/BHU1042/1 V1042/1 6/M Cure 1.42±0.06 4.23±0.76
MHOM/IN/2009/BHU815/1 V815/1 12/F Cure 2.27±0.49 5.88±0.64
MHOM/IN/2009/BHU741/1 V741/1 NA Cure 2.35±0.40 6.07±1.02
MHOM/IN/2009/BHU800/1 V800/1 35/M Cure 2.48±0.04 9.80±0.61
MHOM/IN/2010/BHU902/1 V902/1 7/M Cure 3.37±0.38 9.28±0.40
MHOM/IN/2010/BHU1093/1 V1093/1 20/M Cure 3.57±0.35 3.41±0.29
MHOM/IN/2009/BHU994/1 V994/1 60/M Cure 3.72±0.52 5.10±0.65
MHOM/IN/2010/BHU1080/1 V1080/1 12/M Cure 4.95±0.28 5.80±0.84
MHOM/IN/2010/BHU814/1 V814/1 NA Cure 5.20±0.80 9.20±0.75
MHOM/IN/2010/BHU1113/7 V1113/7 35/M Relapse 2.67±0.51 7.02±0.86
MHOM/IN/2010/BHU872/6 V872/6 18/M Relapse 4.84±0.39 10.70±1.02
MHOM/IN/2009/BHU1062/4 V1062/4 7/F Relapse 6.66±0.62 7.64+0.76
MHOM/IN/1998/NIPP44/0 P44/0 18/M Cure* 7.37±0.07 5.01±0.38
MHOM/IN/2011/NIPP232/0 P232/0 42/M Cure 7.99±0.15 8.46±0.77
MHOM/IN/1998/NIPP48/0 P48/0 15/M Cure* 8.88±0.18 5.80±0.85
MHOM/IN/1998/NIPP49/0 P49/0 23/M Cure* 9.23±0.22 5.10±0.37
MHOM/IN/2001/NIPP93/0 P93/0 25/M Cure* 9.69±0.52 6.21±0.37
MHOM/IN/2010/NIPP195/12 P195/12 21/M Relapse 13.26±0.89 8.62±1.82
MHOM/IN/2010/NIPP214/18 P214/18 35/M Relapse 16.70±0.65 4.92±0.34
MHOM/IN/2011/NIPP214/32 P214/32 36/M Relapse 18.45±0.79 5.34±0.75
1

WHO code: country and year of isolation and the respective strain code, the number following the isolate ID indicates the number of months elapsed after start of MIL treatment.

2

Research code: Parasites cultured from VL patients were labeled V- and from PKDL patients P-, respectively. The number following the isolate ID indicates the number of months elapsed after start of MIL treatment (e.g. V902/1 means one month passed from first MIL treatment). Parasites isolated from patients' prior start of MIL treatment were labeled as XXX/0 and one month following first treatment was labeled XXX/1. These patients cleared from VL symptoms after respective duration of MIL treatment and were interpreted as clinical cure, although residual parasites could be cultured from splenic aspirates (marked XXX/1). In the period of 1 year follow up, cases of relapse were observed in three VL patients that had shown an initial clinical cure, the isolates obtained were designated as XXX/month in which relapse occurred.

Cure*- Patients treated with SAG (1000 mg intra muscularly), daily for four months.