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. 2021 Sep 21;17:128–138. doi: 10.1016/j.ijpddr.2021.09.001

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.

a

Either abatement of diarrhea or reduced stool frequency or volume.

b

Either complete eradication or reduction of oocyst number.