Por favor, use este identificador para citar o enlazar este ítem:
https://www.arca.fiocruz.br/handle/icict/9764
Tipo
ArtículoDerechos de autor
Acceso abierto
Colecciones
Metadatos
Mostrar el registro completo del ítem
CLINICAL TRIAL WITH LIPOSOMAL AMPHOTERICIN B (AMBISOME®) FOR AMERICAN VISCERAL LEISSHMANIAIS (AVL)
Visceral leishmaniasis
Liposomal amphotericin B
Northeastern of Brazil
Autor
Afiliación
Federal University of Maranhão. Nucleus of Tropical Pathology and Social Medicine. Department of Pathology. São Luis, MA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Federal University of Maranhão. Nucleus of Tropical Pathology and Social Medicine. Department of Pathology. São Luis, MA, Brasil
Federal University of Maranhão. Nucleus of Tropical Pathology and Social Medicine. Department of Pathology. São Luis, MA, Brasil
Federal University of São Paulo. Department of Infectious Diseases. São Paulo, SP, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Federal University of Maranhão. Nucleus of Tropical Pathology and Social Medicine. Department of Pathology. São Luis, MA, Brasil
Federal University of Maranhão. Nucleus of Tropical Pathology and Social Medicine. Department of Pathology. São Luis, MA, Brasil
Federal University of São Paulo. Department of Infectious Diseases. São Paulo, SP, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Resumen en ingles
A prospective, non-randomized study was conducted on 30 patients with American Visceral Leishmaniasis (AVL)
aged 3 to 10 years from São Luis, Maranhão - Brazil, who were not previously submitted to treatment. After an
informed consent form, was signed by the responsible person, all patients were submitted to anamnesis and physical
examination and a standard chart was filled out. The patients were randomly divided into three cohorts of 10
patients each and submitted to the following treatment regimen with liposomal amphotericin B: cohort 1) 2 mg/kg/
day applied on days 1, 2, 3, 4, 5, 6 and 10, total dose of 14 mg/kg; cohort 2) 2 mg/kg/day applied on days 1, 2, 3, 4, and
10, total dose of 10 mg/kg; cohort 3) 2 mg/kg/day applied on days 1, 5, and 10, total dose of 6 mg/kg. An intra-hospital
treatment regimen was used which consisted of intravenous administration of the drug over a period of 60 min.
Efficacy was 70% in cohort 1, 90% cohort 2, and 80% in cohort 3. The patients were followed up for 6 months. No
significant difference was observed between the three regimens in terms of toxicity, tolerability and effectiveness
when evaluated by generalizations of the Gehan model and Wilcoxon test.
Palabras clave en ingles
Leishmania chagasiVisceral leishmaniasis
Liposomal amphotericin B
Northeastern of Brazil
Compartir