Source:http://linkedlifedata.com/resource/pubmed/id/21734127
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2011-7-7
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pubmed:abstractText |
Miltefosine (target dose of 2.5 mg/kg/day for 28 days) is the recommended treatment for visceral leishmaniasis (kala-azar) in Bangladesh on the basis of data from India. We evaluated miltefosine in a phase IV trial of 977 patients in Bangladesh. At the six-month final follow up, 701 were cured. 24 showed initial treatment failure, and 95 showed treatment failure at 6 months, although 73 of the 95 showed treatment failure solely by the criterion of low hemoglobin values. One hundred twenty-one patients were not assessable. With the conservative assumption that all low hemoglobin values represented treatment failure, the final per protocol cure rate was 85%. Of 13 severe adverse events, 6 led to treatment discontinuation and 7 resulted in deaths, but only 1 death (associated with diarrhea) could be attributed to drug. Nearly all non-serious adverse events were gastrointestinal: vomiting in 25% of patients and diarrhea in 8% of patients. Oral miltefosine is an attractive alternative to intramuscular antimony and intravenous amphotericin B for treatment of kala-azar in Bangladesh.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1476-1645
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pubmed:author |
pubmed-author:AhmadZiauddinZ,
pubmed-author:AhmedBe-NazirBN,
pubmed-author:AranaByronB,
pubmed-author:BangaliAbdul MannanAM,
pubmed-author:BermanJonathanJ,
pubmed-author:ChowdhuryM Zafor UllahMZ,
pubmed-author:FaizM AbulMA,
pubmed-author:HossainMoazzemM,
pubmed-author:IslamM NazrulMN,
pubmed-author:IslamQuazi TarikulQT,
pubmed-author:Mascie-TaylorC G NicholasCG,
pubmed-author:RahmanM RidwanurMR,
pubmed-author:RahmanMahmudurM,
pubmed-author:SayeedurRahmanR
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pubmed:issnType |
Electronic
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pubmed:volume |
85
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
66-9
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pubmed:meshHeading |
pubmed-meshheading:21734127-Adolescent,
pubmed-meshheading:21734127-Adult,
pubmed-meshheading:21734127-Antiprotozoal Agents,
pubmed-meshheading:21734127-Bangladesh,
pubmed-meshheading:21734127-Child,
pubmed-meshheading:21734127-Child, Preschool,
pubmed-meshheading:21734127-Female,
pubmed-meshheading:21734127-Humans,
pubmed-meshheading:21734127-Leishmaniasis, Visceral,
pubmed-meshheading:21734127-Male,
pubmed-meshheading:21734127-Middle Aged,
pubmed-meshheading:21734127-Phosphorylcholine,
pubmed-meshheading:21734127-Treatment Outcome
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pubmed:year |
2011
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pubmed:articleTitle |
Phase IV trial of miltefosine in adults and children for treatment of visceral leishmaniasis (kala-azar) in Bangladesh.
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pubmed:affiliation |
Institute Of Epidemiology, Disease Control and Research, Dhaka, Bangladesh. mrahman@citechco.net
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't,
Clinical Trial, Phase IV
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