Individual risk of post-ivermectin serious adverse events in subjects infected with

Africa Loiasis Serious adverse events

Journal

EClinicalMedicine
ISSN: 2589-5370
Titre abrégé: EClinicalMedicine
Pays: England
ID NLM: 101733727

Informations de publication

Date de publication:
Nov 2020
Historique:
entrez: 9 12 2020
pubmed: 10 12 2020
medline: 10 12 2020
Statut: epublish

Résumé

Implementation of onchocerciasis elimination programmes has been delayed in Central Africa because of the risk of ivermectin-related serious adverse events (SAEs) in individuals with high We used individual participant data from two trials conducted in loiasis-onchocerciasis co-endemic areas in Cameroon. among the 10 506 ivermectin-treated subjects included in the analysis, 38 (0·36%) developed an ivermectin-related SAE. To predict individual-level risk of SAE, we developed mixed multivariate logistic models including subjects' sex, age, pre-treatment The models predicted that regardless of sex, about 1% of people with 20 000 By enabling the prediction of post-ivermectin SAE risk in communities with known distribution of UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases; Institut de Recherche pour le Développement; Mectizan Donation Program; Bill & Melinda Gates Foundation

Sections du résumé

BACKGROUND BACKGROUND
Implementation of onchocerciasis elimination programmes has been delayed in Central Africa because of the risk of ivermectin-related serious adverse events (SAEs) in individuals with high
METHODS METHODS
We used individual participant data from two trials conducted in loiasis-onchocerciasis co-endemic areas in Cameroon. among the 10 506 ivermectin-treated subjects included in the analysis, 38 (0·36%) developed an ivermectin-related SAE. To predict individual-level risk of SAE, we developed mixed multivariate logistic models including subjects' sex, age, pre-treatment
FINDINGS RESULTS
The models predicted that regardless of sex, about 1% of people with 20 000
INTERPRETATION CONCLUSIONS
By enabling the prediction of post-ivermectin SAE risk in communities with known distribution of
FUNDING BACKGROUND
UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases; Institut de Recherche pour le Développement; Mectizan Donation Program; Bill & Melinda Gates Foundation

Identifiants

pubmed: 33294807
doi: 10.1016/j.eclinm.2020.100582
pii: S2589-5370(20)30326-6
pmc: PMC7700892
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100582

Informations de copyright

© 2020 The Authors.

Déclaration de conflit d'intérêts

We declare no competing interests.

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Auteurs

Cédric B Chesnais (CB)

UMI 233, Institut de Recherche pour le Développement (IRD), Montpellier, France.
Université Montpellier, Montpellier, France.
INSERM Unité 1175, Montpellier, France.

Sébastien D Pion (SD)

UMI 233, Institut de Recherche pour le Développement (IRD), Montpellier, France.
Université Montpellier, Montpellier, France.
INSERM Unité 1175, Montpellier, France.

Charlotte Boullé (C)

Université Montpellier, Montpellier, France.
INSERM Unité 1175, Montpellier, France.
Infectious Disease Department, Montpellier University Hospital, Montpellier, France.
Institut de Recherche pour le Développement (IRD), Montpellier, France.

Jacques Gardon (J)

HSM, IRD, CNRS, University of Montpellier, Montpellier, France.

Nathalie Gardon-Wendel (N)

Antenne ORSTOM auprès du Centre Pasteur, Yaoundé, Cameroon.

Joël Fokom-Domgue (J)

Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Joseph Kamgno (J)

Professor, Centre for Research on Filariasis and other Tropical Diseases, Yaounde, Cameroon.
Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.

Michel Boussinesq (M)

UMI 233, Institut de Recherche pour le Développement (IRD), Montpellier, France.
Université Montpellier, Montpellier, France.
INSERM Unité 1175, Montpellier, France.

Classifications MeSH