Cited by 211Parasitic Diseases Research and TreatmentParasites and Host InteractionsResearch on Leishmaniasis Studies

Moxidectin: an oral treatment for human onchocerciasis

Open access
Milton, Philip, Hamley, Jonathan I. D., Walker, Martin, Basáñez, María-Gloria·2020·Expert Review of Anti-infective Therapy

Abstract

INTRODUCTION: Moxidectin is a milbemycin endectocide recently approved for the treatment of human onchocerciasis. Onchocerciasis, earmarked for elimination of transmission, is a filarial infection endemic in Africa, Yemen, and the Amazonian focus straddling Venezuela and Brazil. Concerns over whether the predominant treatment strategy (yearly mass drug administration (MDA) of ivermectin) is sufficient to achieve elimination in all endemic foci have refocussed attention upon alternative treatments. Moxidectin's stronger and longer microfilarial suppression compared to ivermectin in both phase II and III clinical trials indicates its potential as a novel powerful drug for onchocerciasis elimination. AREAS COVERED: This work summarizes the chemistry and pharmacology of moxidectin, reviews the phase II and III clinical trials evidence on tolerability, safety, and efficacy of moxidectin versus ivermectin, and discusses the implications of moxidectin's current regulatory status. EXPERT OPINION: Moxidectin's superior clinical performance has the potential to substantially reduce times to elimination compared to ivermectin. If donated, moxidectin could mitigate the additional programmatic costs of biannual ivermectin distribution because, unlike other alternatives, it can use the existing community-directed treatment infrastructure. A pediatric indication (for children <12 years) and determination of its usefulness in onchocerciasis-loiasis co-endemic areas will greatly help fulfill the potential of moxidectin for the treatment and elimination of onchocerciasis.

Integrity signals

Registry

Crossref · 10.1080/14787210.2020.1792772

Cites

110 of 110 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

1 of the 111 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
Milton, P., Hamley, J. I. D., Walker, M., & Basáñez, M.-G.
Affiliations
  • London Centre for Neglected Tropical Disease Research (GB)
  • Royal Veterinary College (GB)
  • London Centre for Neglected Tropical Disease Research and MRC Centre for Global Infectious Disease Analysis (MRC GIDA), Department of Infectious Disease Epidemiology, Imperial College London, London, UK
Venue
Expert Review of Anti-infective Therapy
Published
2020-07-26
Volume
18
Issue
11
Pages
1067-1081
ISSN
  • 1478-7210 (ISSN-L)
  • 1744-8336
OpenAlex
W3044273225
Cited by
211
References
111
Citations by year
2026: 7 · 2025: 9 · 2024: 21 · 2023: 14 · 2022: 17 · 2021: 17 · 2020: 1 · 2019: 5 · 2018: 8 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 3 · 2013: 5 · 2012: 9
FWCI
1.61
Type
journal article
Language
en
Open access
Locations
  • Expert Review of Anti-infective Therapy (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RVC Research Online (Royal Veterinary College) (submittedVersion, cc-by)
  • Spiral (Imperial College London) (submittedVersion, other-oa)
Funders
Medical Research Council Doctoral Training Program
Topics
  • Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
  • Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Research on Leishmaniasis Studies
Keywords
moxidectin, onchocerciasis, ivermectin, mass drug administration, onchocerciasis elimination, safety and tolerability, regulatory status, pediatric formulations, community-directed treatment
MeSH terms
Mass Drug Administration, Administration, Oral, Animals, Anthelmintics, Humans, Ivermectin, Onchocerciasis, Macrolides, Disease Eradication

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review