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10.1128/AAC.00741-20

http://scihub22266oqcxt.onion/10.1128/AAC.00741-20
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32660993!7449176!32660993
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suck abstract from ncbi


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pmid32660993      Antimicrob+Agents+Chemother 2020 ; 64 (9): ä
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  • Safety, Pharmacokinetics, and Activity of High-Dose Ivermectin and Chloroquine against the Liver Stage of Plasmodium cynomolgi Infection in Rhesus Macaques #MMPMID32660993
  • Vanachayangkul P; Im-Erbsin R; Tungtaeng A; Kodchakorn C; Roth A; Adams J; Chaisatit C; Saingam P; Sciotti RJ; Reichard GA; Nolan CK; Pybus BS; Black CC; Lugo-Roman LA; Wegner MD; Smith PL; Wojnarski M; Vesely BA; Kobylinski KC
  • Antimicrob Agents Chemother 2020[Aug]; 64 (9): ä PMID32660993show ga
  • Previously, ivermectin (1 to 10 mg/kg of body weight) was shown to inhibit the liver-stage development of Plasmodium berghei in orally dosed mice. Here, ivermectin showed inhibition of the in vitro development of Plasmodium cynomolgi schizonts (50% inhibitory concentration [IC(50)], 10.42 muM) and hypnozoites (IC(50), 29.24 muM) in primary macaque hepatocytes when administered as a high dose prophylactically but not when administered in radical cure mode. The safety, pharmacokinetics, and efficacy of oral ivermectin (0.3, 0.6, and 1.2 mg/kg) with and without chloroquine (10 mg/kg) administered for 7 consecutive days were evaluated for prophylaxis or radical cure of P. cynomolgi liver stages in rhesus macaques. No inhibition or delay to blood-stage P. cynomolgi parasitemia was observed at any ivermectin dose (0.3, 0.6, and 1.2 mg/kg). Ivermectin (0.6 and 1.2 mg/kg) and chloroquine (10 mg/kg) in combination were well-tolerated with no adverse events and no significant pharmacokinetic drug-drug interactions observed. Repeated daily ivermectin administration for 7 days did not inhibit ivermectin bioavailability. It was recently demonstrated that both ivermectin and chloroquine inhibit replication of the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in vitro Further ivermectin and chloroquine trials in humans are warranted to evaluate their role in Plasmodium vivax control and as adjunctive therapies against COVID-19 infections.
  • |Animals[MESH]
  • |Antimalarials/blood/pharmacokinetics/*pharmacology[MESH]
  • |Biological Availability[MESH]
  • |Chloroquine/blood/pharmacokinetics/*pharmacology[MESH]
  • |Drug Administration Schedule[MESH]
  • |Drug Combinations[MESH]
  • |Drug Synergism[MESH]
  • |Female[MESH]
  • |Hepatocytes/drug effects/parasitology[MESH]
  • |Ivermectin/blood/pharmacokinetics/*pharmacology[MESH]
  • |Liver/*drug effects/parasitology[MESH]
  • |Macaca mulatta[MESH]
  • |Malaria/*drug therapy/parasitology[MESH]
  • |Male[MESH]
  • |Parasitemia/drug therapy[MESH]
  • |Plasmodium cynomolgi/*drug effects/growth & development/pathogenicity[MESH]
  • |Primary Cell Culture[MESH]


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