Publications by authors named "Lewis Kaninda Badibabi"

Background: Human African trypanosomiasis caused by Trypanosoma brucei gambiense (gambiense HAT) in patients with late-stage disease requires hospital admission to receive nifurtimox-eflornithine combination therapy (NECT). Fexinidazole, the latest treatment that has been recommended by WHO, also requires systematic admission to hospital, which is problematic in areas with few health-care resources. We aim to assess the safety and efficacy of acoziborole in adult and adolescent patients with gambiense HAT.

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Background: Fexinidazole has been reported as an effective oral monotherapy against non-severe gambiense human African trypanosomiasis in a recent trial in adults. We aimed to assess the safety and efficacy of fexinidazole in children across all disease stages of gambiense human African trypanosomiasis.

Methods: We did a multicentre, single-arm, open-label, phase 2-3 trial at eight district hospitals in the Democratic Republic of the Congo.

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Article Synopsis
  • Late-stage human African trypanosomiasis (g-HAT), caused by Trypanosoma brucei gambiense, has limited treatment options, typically requiring hospital-administered combination therapy, which is impractical for patients in remote areas.
  • This study evaluated the safety and efficacy of an oral medication, fexinidazole, compared to the standard nifurtimox and eflornithine combination therapy in patients with late-stage g-HAT in the Democratic Republic of the Congo and Central African Republic.
  • The trial was a randomized, open-label study with a primary endpoint measuring treatment success at 18 months, involving monitoring for both efficacy and safety of the medications administered.
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