Fenbendazoleobservational2019

[Anthelmintic Effects Of Single Doses Of Fenbendazole And Oxantel-Pyrantel Pamoate To The Intestinal Nematodes].

Kisaengch'unghak chapchi. The Korean journal of parasitology

confidence

Key findings

Fenbendazole highly effective against Ascaris (83.9%) and hookworm (83.3%) but poor for Trichuris (28.6%); less effective than oxantel-pyrantel.

View source on PubMed (PMID 12902704) ↗

Sample size
114 subjects (36 fenbendazole, 38 oxantel-pyrantel, 40 placebo)
Population
Subjects harbouring intestinal nematodes (Ascaris lumbricoides, hookworm, Trichuris trichiura)
Dosing
Fenbendazole 30-50 mg/kg single dose; oxantel-pyrantel pamoate 10 mg/kg single dose
Duration
Single dose
Route
oral
Blinding
double_blind
Controls
placebo
Drug class
veterinary antiparasitic

Measured endpoints

  • Cure rate in Ascaris lumbricoides (fenbendazole 30-50 mg/kg)Improvedantimicrobial
    not_reportedeffect: 83.9%
  • Cure rate in hookworm (fenbendazole 30-50 mg/kg)Improvedantimicrobial
    not_reportedeffect: 83.3%
  • Cure rate in Trichuris trichiura (fenbendazole 30-50 mg/kg)Improvedantimicrobial
    not_reportedeffect: 28.6%
  • Cure rate in Ascaris lumbricoides (oxantel-pyrantel pamoate)Improvedantimicrobial
    not_reportedeffect: 96.7%
  • Cure rate in hookworm (oxantel-pyrantel pamoate)Improvedantimicrobial
    not_reportedeffect: 95.2%
  • Cure rate in Trichuris trichiura (oxantel-pyrantel pamoate)Improvedantimicrobial
    not_reportedeffect: 54.6%
  • Egg reduction rate in Trichuris trichiura (oxantel-pyrantel pamoate)Decreasedantimicrobial
    not_reportedeffect: 85.7%
  • Egg negative conversion rate in Ascaris (placebo)No changeantimicrobial
    not_reportedeffect: 9.7%
  • Egg negative conversion rate in Trichuris (placebo)No changeantimicrobial
    not_reportedeffect: 8.3%
  • Egg negative conversion rate in hookworm (placebo)No changeantimicrobial
    not_reportedeffect: 33.3%
Full abstract

The present study was undertaken to evaluate the anthelmintic effects of fenbendazole against intestinal nematode; Ascaris lumbricoides, hookworm and Trichuris trichiura, and to compare the efficacy in fenbendazole, oxantel-pyrantel pamoate and placebo by means of double blind method. Out of 114 subjects harbouring Ascaris lumbricoides, hookworm and Trichuris trichiura, 36 cases were treated with single dose of fenbendazole, 38 cases with oxantel-pyrantel pamoate, and the remaining 40 cases had received the placebo. The results were as follows: 1. In the group treated with fenbendazole (30~50 mg/kg), the cure rates were 83.9 per cent in 31 subjects with Ascaris lumbricoides and 83.3 per cent in 18 subjects with hookworm, and only 28.6 per cent in 28 subjects with T. trichiura respectively. 2. In the group treated with a single dose of oxantel-pyrantel pamoate (10 mg/mg), the cure rates were 96.7 per cent in 30 subjects with A. lumbricoides, 95.2 per cent in 21 subjects with hookworm, and 54.6 per cent in 33 subjects with T. trichiura. Egg reduction rate was 85.7 per cent in T. trichiura cases. 3. On the other hand, the egg negative conversion rates in placebo group were 9.7, 8.3 and 33.3 per cent in Ascaris, Trichuris and hookworm infections respectively. 4. The above results showed that fenbendazole was highly effective against Ascaris and hookworm. However, incomparisom with oxantel-pyrantel pamoate, fenbendazole was less effective in regards of A. lumbricoides, hookworm and T. trichiura infections.

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