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Antibiotic targeting of wolbachia endosymbiotic bacteria as a new approach to the treatment of filarial (Onchocerca Volvulus) infection and disease

Not Applicable
Completed
Conditions
Onchocerciasis (river blindness)
Infections and Infestations
Onchocerciasis
Registration Number
ISRCTN71141922
Lead Sponsor
European Commission (Belgium)
Brief Summary

2008 results in: https://www.ncbi.nlm.nih.gov/pubmed/17999080 (added 09/05/2019)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
67
Inclusion Criteria

All male or female subjects, aged 18-50 years, who have given informed consent (written or thumb print) were evaluated. Minimum body weight criteria is >40 kg. Participants were then included only if they met the following criteria:
1. Normal renal and hepatic laboratory profiles for aspartate aminotransferase (AST) (0-40 IU/l), alanine aminotransferase (ALT) (0-45 IU/l)
2. Creatinine 53-126 µmol/l as measured by dipstick chemistry
3. More than two palpable onchocercomas
4. Microfilarial (Mf) counts >10 Mf/mg (skin biopsies)

Exclusion Criteria

1. Pregnancy (pregnancy test)
2. Lactation
3. Intolerance to ivermectin or doxycycline
4. Chronic diseases
5. Alcohol or drug abuse
6. Anti-filarial therapy within the last two years

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> 1. Sustained amicrofilaraemia in doxycycline- and ivermectin-treated patients compared with ivermectin-treated patients as assessed by levels of microfilaridermia in skin biopsies at 5,15 and 21 months<br> 2. Macrofilaricidal (curative) effects of doxycycline treatment as assessed by immunohistology, polymerase chain reaction (PCR) and ultrasonography at 5, 15 and 21 months<br>
Secondary Outcome Measures
NameTimeMethod
Reduction in adverse reaction to ivermectin treatment
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