Pieron R, Lesobre B, Mafart Y, Lancastre F
Med Trop (Mars). 1980 May-Jun;40(3):301-11.
161 patients affected by schistosomiasis due in most cases to S. haematobium, and less frequently to S. mansoni, received one day treatment with 4,5 g a day of oltipraz in a first group and, later on, 3 g a day in another group. A control after one year was possible for patients having received 4,5 g one day dosis. Urin control, rectal mucosa biopsy (R.M.B.) and indirect immunofluorescence test (I.I.F.) were performed in patients who did not return to infested areas during that period of time; in almost all cases, the urin control was negative; in 52 p. 100 of the cases the R.M.B. shown no live egg and I.I.F. test was significantly decreased with individual variations. -- These results are compared to those of a previous and similar study on the effects of niridazole. -- Side-effects, mostly digestive or nervous, are frequent with a 4,5 g dose and less frequent with 3 g. They rarely compel to discard the treatment and they never persist after the morning following the treatment is stopped. There is no electrocardiographic change. -- Doses below 3 g in one-day intake are presently studied in order to fix the minimal acting dosis.
161例血吸虫病患者,多数由埃及血吸虫引起,少数由曼氏血吸虫引起,第一组患者接受了每日4.5克奥替普拉的一日治疗,后来另一组患者接受了每日3克的治疗。接受一日4.5克剂量治疗的患者一年后可以进行对照。在此期间未返回疫区的患者进行了尿液检查、直肠黏膜活检(R.M.B.)和间接免疫荧光试验(I.I.F.);几乎所有病例中,尿液检查均为阴性;52%的病例直肠黏膜活检未发现活卵,间接免疫荧光试验显著降低,存在个体差异。——这些结果与之前一项关于硝唑咪效果的类似研究结果进行了比较。——副作用主要为消化系统或神经系统副作用,4.5克剂量时较为常见,3克剂量时较少见。它们很少迫使停止治疗,且在停止治疗后的次日早晨后从不持续存在。未出现心电图变化。——目前正在研究一日摄入量低于3克的剂量,以确定最小有效剂量。