Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic

Autores
Levecke, Bruno; Montresor, Antonio; Albonico, Marco; Ame, Shaali M.; Behnke, Jerzy M.; Bethony, Jeffrey M.; Noumedem, Calvine D.; Engels, Dirk; Guillard, Bertrand; Kotze, Andrew; Krolewiecki, Alejandro Javier; McCarthy, James; Mekonnen, Zeleke; Periago, Maria V.; Sopheak, Hem; Tchuem Tchuente, Louis Albert; Duong, Tran Thanh; Huong, Nguyen Thu; Zeynudin, Ahmed; Vercruysse, Jozef
Año de publicación
2014
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Robust reference values for fecal egg count reduction (FECR) rates of the most widely used anthelmintic drugsin preventive chemotherapy (PC) programs for controlling soil-transmitted helminths (STHs; Ascaris lumbricoides, Trichuristrichiura, and hookworm) are still lacking. However, they are urgently needed to ensure detection of reduced efficacies thatare predicted to occur due to growing drug pressure. Here, using a standardized methodology, we assessed the FECR rateof a single oral dose of mebendazole (MEB; 500 mg) against STHs in six trials in school children in different locations aroundthe world. Our results are compared with those previously obtained for similarly conducted trials of a single oral dose ofalbendazole (ALB; 400 mg).Methodology: The efficacy of MEB, as assessed by FECR, was determined in six trials involving 5,830 school children in Brazil,Cambodia, Cameroon, Ethiopia, United Republic of Tanzania, and Vietnam. The efficacy of MEB was compared to that of ALBas previously assessed in 8,841 school children in India and all the above-mentioned study sites, using identicalmethodologies.Principal Findings: The estimated FECR rate [95% confidence interval] of MEB was highest for A. lumbricoides (97.6% [95.8;99.5]), followed by hookworm (79.6% [71.0; 88.3]). For T. trichiura, the estimated FECR rate was 63.1% [51.6; 74.6]. Comparedto MEB, ALB was significantly more efficacious against hookworm (96.2% [91.1; 100], p,0.001) and only marginally,although significantly, better against A. lumbricoides infections (99.9% [99.0; 100], p = 0.012), but equally efficacious for T.trichiura infections (64.5% [44.4; 84.7], p = 0.906).Conclusions/Significance: A minimum FECR rate of 95% for A. lumbricoides, 70% for hookworm, and 50% for T. trichiura isexpected in MEB-dependent PC programs. Lower FECR results may indicate the development of potential drug resistance
Fil: Levecke, Bruno. University Of Ghent. Department of Virology, Parasitology and Immunology; Bélgica
Fil: Montresor, Antonio. World Health Organization. Department of Control of Neglected Tropical Diseases; Suiza
Fil: Albonico, Marco. Fondazione Ivo de Carneri; Italia
Fil: Ame, Shaali M.. Public Health Laboratory-Ivo De Carneri; Tanzania
Fil: Behnke, Jerzy M.. The University Of Nottingham; Reino Unido
Fil: Bethony, Jeffrey M.. The George Washington University; Estados Unidos
Fil: Noumedem, Calvine D.. University of Yaoundé; Camerún
Fil: Engels, Dirk. World Health Organization. Department of Control of Neglected Tropical Diseases; Suiza
Fil: Guillard, Bertrand. Pasteur Institute; Camboya
Fil: Kotze, Andrew. Commonwealth Scientific and Industrial Research Organisation; Australia
Fil: Krolewiecki, Alejandro Javier. Universidad Nacional de Salta. Sede Regional Oran. Instituto de Investigación de Enfermedades Tropicales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Salta. Instituto de Patología Experimental; Argentina
Fil: McCarthy, James. The University Of Queensland; Australia
Fil: Mekonnen, Zeleke. Jimma University; Etiopía
Fil: Periago, Maria V.. Fundación Oswaldo Cruz. Instituto Rene Rachou; Brasil
Fil: Sopheak, Hem. Pasteur Institute; Camboya
Fil: Tchuem Tchuente, Louis Albert. University of Youndé; Camerún
Fil: Duong, Tran Thanh. National Institute of Malariology; Vietnam
Fil: Huong, Nguyen Thu. National Institute of Malariology; Vietnam
Fil: Zeynudin, Ahmed. Jimma University; Etiopía
Fil: Vercruysse, Jozef. University Of Ghent. Department of Virology, Parasitology and Immunology; Bélgica
Materia
MEBENDAZOL
TRICHURIS TRICHIURA
ASCARIS LUMBRICOIDES
HOOKWORM
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/7017

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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are EndemicLevecke, BrunoMontresor, AntonioAlbonico, MarcoAme, Shaali M.Behnke, Jerzy M.Bethony, Jeffrey M.Noumedem, Calvine D.Engels, DirkGuillard, BertrandKotze, AndrewKrolewiecki, Alejandro JavierMcCarthy, JamesMekonnen, ZelekePeriago, Maria V.Sopheak, HemTchuem Tchuente, Louis AlbertDuong, Tran ThanhHuong, Nguyen ThuZeynudin, AhmedVercruysse, JozefMEBENDAZOLTRICHURIS TRICHIURAASCARIS LUMBRICOIDESHOOKWORMhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Robust reference values for fecal egg count reduction (FECR) rates of the most widely used anthelmintic drugsin preventive chemotherapy (PC) programs for controlling soil-transmitted helminths (STHs; Ascaris lumbricoides, Trichuristrichiura, and hookworm) are still lacking. However, they are urgently needed to ensure detection of reduced efficacies thatare predicted to occur due to growing drug pressure. Here, using a standardized methodology, we assessed the FECR rateof a single oral dose of mebendazole (MEB; 500 mg) against STHs in six trials in school children in different locations aroundthe world. Our results are compared with those previously obtained for similarly conducted trials of a single oral dose ofalbendazole (ALB; 400 mg).Methodology: The efficacy of MEB, as assessed by FECR, was determined in six trials involving 5,830 school children in Brazil,Cambodia, Cameroon, Ethiopia, United Republic of Tanzania, and Vietnam. The efficacy of MEB was compared to that of ALBas previously assessed in 8,841 school children in India and all the above-mentioned study sites, using identicalmethodologies.Principal Findings: The estimated FECR rate [95% confidence interval] of MEB was highest for A. lumbricoides (97.6% [95.8;99.5]), followed by hookworm (79.6% [71.0; 88.3]). For T. trichiura, the estimated FECR rate was 63.1% [51.6; 74.6]. Comparedto MEB, ALB was significantly more efficacious against hookworm (96.2% [91.1; 100], p,0.001) and only marginally,although significantly, better against A. lumbricoides infections (99.9% [99.0; 100], p = 0.012), but equally efficacious for T.trichiura infections (64.5% [44.4; 84.7], p = 0.906).Conclusions/Significance: A minimum FECR rate of 95% for A. lumbricoides, 70% for hookworm, and 50% for T. trichiura isexpected in MEB-dependent PC programs. Lower FECR results may indicate the development of potential drug resistanceFil: Levecke, Bruno. University Of Ghent. Department of Virology, Parasitology and Immunology; BélgicaFil: Montresor, Antonio. World Health Organization. Department of Control of Neglected Tropical Diseases; SuizaFil: Albonico, Marco. Fondazione Ivo de Carneri; ItaliaFil: Ame, Shaali M.. Public Health Laboratory-Ivo De Carneri; TanzaniaFil: Behnke, Jerzy M.. The University Of Nottingham; Reino UnidoFil: Bethony, Jeffrey M.. The George Washington University; Estados UnidosFil: Noumedem, Calvine D.. University of Yaoundé; CamerúnFil: Engels, Dirk. World Health Organization. Department of Control of Neglected Tropical Diseases; SuizaFil: Guillard, Bertrand. Pasteur Institute; CamboyaFil: Kotze, Andrew. Commonwealth Scientific and Industrial Research Organisation; AustraliaFil: Krolewiecki, Alejandro Javier. Universidad Nacional de Salta. Sede Regional Oran. Instituto de Investigación de Enfermedades Tropicales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Salta. Instituto de Patología Experimental; ArgentinaFil: McCarthy, James. The University Of Queensland; AustraliaFil: Mekonnen, Zeleke. Jimma University; EtiopíaFil: Periago, Maria V.. Fundación Oswaldo Cruz. Instituto Rene Rachou; BrasilFil: Sopheak, Hem. Pasteur Institute; CamboyaFil: Tchuem Tchuente, Louis Albert. University of Youndé; CamerúnFil: Duong, Tran Thanh. National Institute of Malariology; VietnamFil: Huong, Nguyen Thu. National Institute of Malariology; VietnamFil: Zeynudin, Ahmed. Jimma University; EtiopíaFil: Vercruysse, Jozef. University Of Ghent. Department of Virology, Parasitology and Immunology; BélgicaPublic Library Of Science2014-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/7017Levecke, Bruno; Montresor, Antonio; Albonico, Marco; Ame, Shaali M.; Behnke, Jerzy M.; et al.; Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic; Public Library Of Science; Neglected Tropical Diseases; 8; 10; 10-2014; 1-121935-2735enginfo:eu-repo/semantics/altIdentifier/doi/info:eu-repo/semantics/altIdentifier/doi/10.1371/journal.pntd.0003204info:eu-repo/semantics/altIdentifier/pmid/PMC4191962info:eu-repo/semantics/altIdentifier/url/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4191962/info:eu-repo/semantics/altIdentifier/url/https://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-016-1406-8info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:02:16Zoai:ri.conicet.gov.ar:11336/7017instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:02:16.523CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic
title Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic
spellingShingle Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic
Levecke, Bruno
MEBENDAZOL
TRICHURIS TRICHIURA
ASCARIS LUMBRICOIDES
HOOKWORM
title_short Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic
title_full Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic
title_fullStr Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic
title_full_unstemmed Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic
title_sort Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic
dc.creator.none.fl_str_mv Levecke, Bruno
Montresor, Antonio
Albonico, Marco
Ame, Shaali M.
Behnke, Jerzy M.
Bethony, Jeffrey M.
Noumedem, Calvine D.
Engels, Dirk
Guillard, Bertrand
Kotze, Andrew
Krolewiecki, Alejandro Javier
McCarthy, James
Mekonnen, Zeleke
Periago, Maria V.
Sopheak, Hem
Tchuem Tchuente, Louis Albert
Duong, Tran Thanh
Huong, Nguyen Thu
Zeynudin, Ahmed
Vercruysse, Jozef
author Levecke, Bruno
author_facet Levecke, Bruno
Montresor, Antonio
Albonico, Marco
Ame, Shaali M.
Behnke, Jerzy M.
Bethony, Jeffrey M.
Noumedem, Calvine D.
Engels, Dirk
Guillard, Bertrand
Kotze, Andrew
Krolewiecki, Alejandro Javier
McCarthy, James
Mekonnen, Zeleke
Periago, Maria V.
Sopheak, Hem
Tchuem Tchuente, Louis Albert
Duong, Tran Thanh
Huong, Nguyen Thu
Zeynudin, Ahmed
Vercruysse, Jozef
author_role author
author2 Montresor, Antonio
Albonico, Marco
Ame, Shaali M.
Behnke, Jerzy M.
Bethony, Jeffrey M.
Noumedem, Calvine D.
Engels, Dirk
Guillard, Bertrand
Kotze, Andrew
Krolewiecki, Alejandro Javier
McCarthy, James
Mekonnen, Zeleke
Periago, Maria V.
Sopheak, Hem
Tchuem Tchuente, Louis Albert
Duong, Tran Thanh
Huong, Nguyen Thu
Zeynudin, Ahmed
Vercruysse, Jozef
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv MEBENDAZOL
TRICHURIS TRICHIURA
ASCARIS LUMBRICOIDES
HOOKWORM
topic MEBENDAZOL
TRICHURIS TRICHIURA
ASCARIS LUMBRICOIDES
HOOKWORM
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Robust reference values for fecal egg count reduction (FECR) rates of the most widely used anthelmintic drugsin preventive chemotherapy (PC) programs for controlling soil-transmitted helminths (STHs; Ascaris lumbricoides, Trichuristrichiura, and hookworm) are still lacking. However, they are urgently needed to ensure detection of reduced efficacies thatare predicted to occur due to growing drug pressure. Here, using a standardized methodology, we assessed the FECR rateof a single oral dose of mebendazole (MEB; 500 mg) against STHs in six trials in school children in different locations aroundthe world. Our results are compared with those previously obtained for similarly conducted trials of a single oral dose ofalbendazole (ALB; 400 mg).Methodology: The efficacy of MEB, as assessed by FECR, was determined in six trials involving 5,830 school children in Brazil,Cambodia, Cameroon, Ethiopia, United Republic of Tanzania, and Vietnam. The efficacy of MEB was compared to that of ALBas previously assessed in 8,841 school children in India and all the above-mentioned study sites, using identicalmethodologies.Principal Findings: The estimated FECR rate [95% confidence interval] of MEB was highest for A. lumbricoides (97.6% [95.8;99.5]), followed by hookworm (79.6% [71.0; 88.3]). For T. trichiura, the estimated FECR rate was 63.1% [51.6; 74.6]. Comparedto MEB, ALB was significantly more efficacious against hookworm (96.2% [91.1; 100], p,0.001) and only marginally,although significantly, better against A. lumbricoides infections (99.9% [99.0; 100], p = 0.012), but equally efficacious for T.trichiura infections (64.5% [44.4; 84.7], p = 0.906).Conclusions/Significance: A minimum FECR rate of 95% for A. lumbricoides, 70% for hookworm, and 50% for T. trichiura isexpected in MEB-dependent PC programs. Lower FECR results may indicate the development of potential drug resistance
Fil: Levecke, Bruno. University Of Ghent. Department of Virology, Parasitology and Immunology; Bélgica
Fil: Montresor, Antonio. World Health Organization. Department of Control of Neglected Tropical Diseases; Suiza
Fil: Albonico, Marco. Fondazione Ivo de Carneri; Italia
Fil: Ame, Shaali M.. Public Health Laboratory-Ivo De Carneri; Tanzania
Fil: Behnke, Jerzy M.. The University Of Nottingham; Reino Unido
Fil: Bethony, Jeffrey M.. The George Washington University; Estados Unidos
Fil: Noumedem, Calvine D.. University of Yaoundé; Camerún
Fil: Engels, Dirk. World Health Organization. Department of Control of Neglected Tropical Diseases; Suiza
Fil: Guillard, Bertrand. Pasteur Institute; Camboya
Fil: Kotze, Andrew. Commonwealth Scientific and Industrial Research Organisation; Australia
Fil: Krolewiecki, Alejandro Javier. Universidad Nacional de Salta. Sede Regional Oran. Instituto de Investigación de Enfermedades Tropicales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Salta. Instituto de Patología Experimental; Argentina
Fil: McCarthy, James. The University Of Queensland; Australia
Fil: Mekonnen, Zeleke. Jimma University; Etiopía
Fil: Periago, Maria V.. Fundación Oswaldo Cruz. Instituto Rene Rachou; Brasil
Fil: Sopheak, Hem. Pasteur Institute; Camboya
Fil: Tchuem Tchuente, Louis Albert. University of Youndé; Camerún
Fil: Duong, Tran Thanh. National Institute of Malariology; Vietnam
Fil: Huong, Nguyen Thu. National Institute of Malariology; Vietnam
Fil: Zeynudin, Ahmed. Jimma University; Etiopía
Fil: Vercruysse, Jozef. University Of Ghent. Department of Virology, Parasitology and Immunology; Bélgica
description Background: Robust reference values for fecal egg count reduction (FECR) rates of the most widely used anthelmintic drugsin preventive chemotherapy (PC) programs for controlling soil-transmitted helminths (STHs; Ascaris lumbricoides, Trichuristrichiura, and hookworm) are still lacking. However, they are urgently needed to ensure detection of reduced efficacies thatare predicted to occur due to growing drug pressure. Here, using a standardized methodology, we assessed the FECR rateof a single oral dose of mebendazole (MEB; 500 mg) against STHs in six trials in school children in different locations aroundthe world. Our results are compared with those previously obtained for similarly conducted trials of a single oral dose ofalbendazole (ALB; 400 mg).Methodology: The efficacy of MEB, as assessed by FECR, was determined in six trials involving 5,830 school children in Brazil,Cambodia, Cameroon, Ethiopia, United Republic of Tanzania, and Vietnam. The efficacy of MEB was compared to that of ALBas previously assessed in 8,841 school children in India and all the above-mentioned study sites, using identicalmethodologies.Principal Findings: The estimated FECR rate [95% confidence interval] of MEB was highest for A. lumbricoides (97.6% [95.8;99.5]), followed by hookworm (79.6% [71.0; 88.3]). For T. trichiura, the estimated FECR rate was 63.1% [51.6; 74.6]. Comparedto MEB, ALB was significantly more efficacious against hookworm (96.2% [91.1; 100], p,0.001) and only marginally,although significantly, better against A. lumbricoides infections (99.9% [99.0; 100], p = 0.012), but equally efficacious for T.trichiura infections (64.5% [44.4; 84.7], p = 0.906).Conclusions/Significance: A minimum FECR rate of 95% for A. lumbricoides, 70% for hookworm, and 50% for T. trichiura isexpected in MEB-dependent PC programs. Lower FECR results may indicate the development of potential drug resistance
publishDate 2014
dc.date.none.fl_str_mv 2014-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/7017
Levecke, Bruno; Montresor, Antonio; Albonico, Marco; Ame, Shaali M.; Behnke, Jerzy M.; et al.; Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic; Public Library Of Science; Neglected Tropical Diseases; 8; 10; 10-2014; 1-12
1935-2735
url http://hdl.handle.net/11336/7017
identifier_str_mv Levecke, Bruno; Montresor, Antonio; Albonico, Marco; Ame, Shaali M.; Behnke, Jerzy M.; et al.; Assessment of Anthelmintic Efficacy of Mebendazole in School Children in Six Countries Where Soil-Transmitted Helminths Are Endemic; Public Library Of Science; Neglected Tropical Diseases; 8; 10; 10-2014; 1-12
1935-2735
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/
info:eu-repo/semantics/altIdentifier/doi/10.1371/journal.pntd.0003204
info:eu-repo/semantics/altIdentifier/pmid/PMC4191962
info:eu-repo/semantics/altIdentifier/url/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4191962/
info:eu-repo/semantics/altIdentifier/url/https://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-016-1406-8
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Public Library Of Science
publisher.none.fl_str_mv Public Library Of Science
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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