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Open labelled, non randomized study to evaluate the effects of Artemisinin based Combined Therapies(ACTs) on schistosomiasis since Praziquantel (PZQ) which is presently the drug of choice for treating Schistosomiasis (STS), is ineffective on immature stages and there is known parasite resistance. ACTs when combined with PZQ, targeting different stages of the life cycle has shown some effectivity.
Study population included all subjects in study area who signed a written Informed Consent Form diagnosed with Malaria- STS co-infection. Those excluded were treated with PZQ prior 6 weeks, have drug intolerance or pregnant. At Inclusion, Basic Demographic data was recorded and urine samples analysed. During the follow up visits, urine samples were collected on D28 and D42 (6 weeks post treatment). Post treatment assessment was done on urine samples collected on at least two consecutive days and at the end of follow up, all subjects were treated with a single dose pf PZQ (40 mg/kg) as recommended by WHO.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| artemisinin-based combination therapies | Active Comparator | subjects given Artemisinin-based combined therapies according to the study instruction |
|
| non-artemisinin drugs | Sham Comparator | subjects given non artemisinin based combined therapies like describe in the study protocol |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Artesunate-Pyronaridine | Drug | Subjects received artesunate-pyronaridine according to their body weight once per day for three days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Egg Reduction Rate (ERR) | Evaluate ERR conferred by ACTs as treatment of infection with Schistosoma hematobia | Day 28 |
| Egg Reduction Rate (ERR) | Evaluate ERR conferred by ACTs as treatment of infection with Schistosoma hematobia | Day 42 |
| Measure | Description | Time Frame |
|---|---|---|
| Cure Rate (CR) | CR of ACTs on Schistosoma haematobia | Day 28 |
| Cure Rate (CR) | CR of ACTs on Schistosoma haematobia | Day 42 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rella Zoleko Manego | Centre de Recherches Medicales de Lambarene, Lambarene, Gabon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre de Recherches Medicales de Lambarene | Lambaréné | 242 | Gabon |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36315579 | Derived | Zoleko-Manego R, Okwu DG, Handrich C, Dimessa-Mbadinga LB, Akinosho MA, Ndzebe-Ndoumba WF, Davi SD, Stelzl D, Veletzky L, Kreidenweiss A, Nordmann T, Adegnika AA, Lell B, Kremsner PG, Ramharter M, Mombo-Ngoma G. Effectiveness of antimalarial drug combinations in treating concomitant urogenital schistosomiasis in malaria patients in Lambarene, Gabon: A non-randomised event-monitoring study. PLoS Negl Trop Dis. 2022 Oct 31;16(10):e0010899. doi: 10.1371/journal.pntd.0010899. eCollection 2022 Oct. |
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| ID | Term |
|---|---|
| D012553 | Schistosomiasis haematobia |
| ID | Term |
|---|---|
| D012552 | Schistosomiasis |
| D014201 | Trematode Infections |
| D006373 | Helminthiasis |
| D010272 | Parasitic Diseases |
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| ID | Term |
|---|---|
| C000712628 | pyronaridine tetraphosphate, artesunate drug combination |
| D000077611 | Artemether, Lumefantrine Drug Combination |
| ID | Term |
|---|---|
| D000077549 | Artemether |
| D037621 | Artemisinins |
| D017382 | Reactive Oxygen Species |
| D005609 | Free Radicals |
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|
| Artemether-Lumefantrine | Drug | subjects received artemether-lumefantrine according to their body weight twice per day for three days. |
|
|
| Artefenomel-Ferroquine | Drug | Subject received a single dose of artefenomel-ferroquine according to their body weight |
|
| D007239 |
| Infections |
| D014552 | Urinary Tract Infections |
| D000079426 | Vector Borne Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D007287 |
| Inorganic Chemicals |
| D009930 | Organic Chemicals |
| D000078102 | Lumefantrine |
| D005449 | Fluorenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D012717 | Sesquiterpenes |
| D013729 | Terpenes |
| D011083 | Polycyclic Compounds |
| D004338 | Drug Combinations |
| D004364 | Pharmaceutical Preparations |