Table 3.
Regimen | Cost (USD) [70] | Efficacy (phase of trial done) | Comments |
---|---|---|---|
LAMB i.v. 10 mg/kg single dose | 126 | 95% (P3) | South Asia only, poor efficacy in East Africa |
LAMB 20 mg/kg over 4 doses | 252 | 98% (P4) | South Asia only and possibly Europe and Latin America, poor efficacy in East Africa |
LAMB 5 mg/kg + MF 100 mg/kg/day for 8 days | 88 – 109 | 97.5% (P3) | South Asia only; teratogenicity of MF may hinder uptake |
LAMB 5 mg/kg + PM 15 mg/kg/day for 11 days | 79 | 97.5% (P3) | South Asia only; use of daily PM injections may hinder uptake |
LAMB 30 mg/kg over 6 – 10 doses | 378 | 90% (observational field data only) | East Africa only; no clinical trial data available at this dose |
*Based on data from the WHO expert committee report 2010.
LAMB: Liposomal amphotericin B (all trials here have used AmBisome™); MF: Miltefosine; PM: Paromomycin.