Treatment options for second-stage gambiense human African trypanosomiasis.

Abstract:

:Treatment of second-stage gambiense human African trypanosomiasis relied on toxic arsenic-based derivatives for over 50 years. The availability and subsequent use of eflornithine, initially in monotherapy and more recently in combination with nifurtimox (NECT), has drastically improved the prognosis of treated patients. However, NECT logistic and nursing requirements remain obstacles to its deployment and use in peripheral health structures in rural sub-Saharan Africa. Two oral compounds, fexinidazole and SCYX-7158, are currently in clinical development. The main scope of this article is to discuss the potential impact of new oral therapies to improve diagnosis-treatment algorithms and patients' access to treatment, and to contribute to reach the objectives of the recently launched gambiense human African trypanosomiasis elimination program.

authors

Eperon G,Balasegaram M,Potet J,Mowbray C,Valverde O,Chappuis F

doi

10.1586/14787210.2014.959496

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

1407-17

issue

11

eissn

1478-7210

issn

1744-8336

journal_volume

12

pub_type

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