Pharmacokinetic and pharmacodynamic responses in adult patients with Chagas disease treated with a new formulation of benznidazole

ML Fernández, ME Marson, JC Ramirez… - Memórias do Instituto …, 2016 - SciELO Brasil
ML Fernández, ME Marson, JC Ramirez, G Mastrantonio, AG Schijman, J Altcheh, AR Riarte…
Memórias do Instituto Oswaldo Cruz, 2016SciELO Brasil
Pharmacological treatment of Chagas disease with benznidazole (BNZ) is effective in
children in all stages, but it is controversial in chronically infected adults. We report the
pharmacokinetics and pharmacodynamics in six adult patients with Chagas disease treated
with the new BNZ formulation (ABARAX®) in doses between 2.5-5.5 mg/Kg/day. All but one
patient had plasmatic BNZ concentrations within the expected range. All patients finalised
treatment with nondetectable Trypanosoma cruzi quantitative polymerase chain reaction …
Pharmacological treatment of Chagas disease with benznidazole (BNZ) is effective in children in all stages, but it is controversial in chronically infected adults. We report the pharmacokinetics and pharmacodynamics in six adult patients with Chagas disease treated with the new BNZ formulation (ABARAX®) in doses between 2.5-5.5 mg/Kg/day. All but one patient had plasmatic BNZ concentrations within the expected range. All patients finalised treatment with nondetectable Trypanosoma cruziquantitative polymerase chain reaction, which remained nondetectable at the six month follow-up. Our data suggests parasitological responses with the new BNZ and supports the hypothesis that treatment protocols with lower BNZ doses may be effective.
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