Table 2.
Studies on the use of nitazoxanide.
| Study | Population | Size | Disease severity | Regimen | Comparison | Follow up period | Clinical improvementa | Parasite clearanceb |
|---|---|---|---|---|---|---|---|---|
| Doumbo et al. (1997) | >12 yo with advanced HIV | 14 | All intensity | 500 mg BID for 7 days |
None | Days 7 and 14 | 64% (9/14) | 57% (8/14) |
| Ali and Kumar (2015) | >16 yo healthy individuals | 58 | All intensity | 500 mg BID for 7 days |
None | Day 14 | 100% | N/A |
| Rossignol (2006) | ≥3 yo with HIV | 357 | All intensity | 500–1500 mg BID for maximum 30 days |
None | Weeks 1, 2, 4 | 59% (209/357) | 33% (116/357) |
| Rossignol et al. (2001) | 1-65 yo healthy individuals | 99 | All intensity | 100 mg (1–3 yo), or 200 mg (4–11 yo), or 500 mg (adults) BID for 3 days |
Placebo | Day 7 | 80% (39/49) vs. 41% (20/49)a | 67% (33/49) vs. 22% (11/50)b |
| Amadi et al. (2002) | 1-8 yo with HIV or healthy individuals | 96 | All intensity | 100 mg BID for 3 days |
Placebo | Day 7 |
HIV: 8% (2/25) vs. 25% (6/24)b Non-HIV: 56% (14/25) vs. 23% (5/22) |
HIV: 16% (4/25) vs. 21% (5/24)b Non-HIV: 52% (13/25) vs. 14% (3/22) |
| Abaza et al. (2016) | 1-12 yo immunocompromised and immunocompetent individuals | 120 | All intensity | 100 mg (<3yo), or 200 mg (>3 yo) BID for 3–4 days (ICT), or 7–28 days (ICZ) |
Placebo | At the end of treatment |
Immunocompromised: 63% (19/30) vs. 10% (3/30)a Immunocompetent: 97% (29/30) vs. 53% (16/30)a |
Immunocompromised: 53% (16/30) vs. 23 (7/30)a Immunocompetent: 93% (28/30) vs. 43% (13/30)a |
| Rossignol et al. (2006) | ≥12 yo healthy individuals | 86 | All intensity | 500 mg BID for 3 days |
Placebo | Days 7 and 10 | 92% (54/59) vs. 41% (11/27)a | 92% (54/59) vs. 37% (10/27)a |
| Amadi et al. (2009) | 1-11 yo with HIV | 52 | All intensity | 200 mg (1–3 yo), or 400 mg (4–11 yo) BID for 28 days |
Placebo | Every other day until parasite clearance | 42% (11/26) vs. 35% (8/26)b | 27% (7/26) vs. 35% (8/26)b |
| Rossignol et al. (1998) | 18-65 yo with HIV | 54 | All intensity | 500 mg BID for 14 days |
Nitazoxanide 1 g BID for 14 days and placebo | Days 7, 15, 22 and 29 | 63% (12/19) vs. 60% (9/15) vs. 50% (10/20)a | 63% (12/19) vs. 67% (10/15) vs. 25% (5/20)a |
| Hussien et al. (2013) | 6 mo to 10 yo with malnutrition | 135 | All intensity | 100 mg (<3yo), or 200 mg (>3 yo) BID for 3 days |
Paromomycin 25 mg/kg/d for 14 days | At the end of treatment | 87% (39/45) vs. 69% (31/45)a | 87% (39/45) vs. 69% (31/45)a |
aP < 0.05.
bNot statistically significant.
NS: not statistically significant.
Either abatement of diarrhea or reduced stool frequency or volume.
Either complete eradication or reduction of oocyst number.