LAB dosea (mg/kg) | VL treated (n = 108) | Relapses (n = 14, 13.0%) |
---|
IC-VLb | 81 | 8 (9.9%) |
15 | 2 | 1 (50.0%) |
18 | 5 | 3 (60.0%) |
21 | 63 LAB + 2 ABCL | 3 (4.6%) |
30 | 5 LAB + 1 ABCL | 1 (16.7%)c |
HIV-VL | 11 | 3 (27.3%) |
21 | 1 | 1 (100%)d |
30 | 4 | 2 (50.0%)e |
40 | 6 | 0 |
IS-VL | 16 | 3 (18.8%) |
21 | 3 LAB + 1 ABCL | 1 (25.0%)f |
30 | 4 | 1 (25.0%)c |
40 | 8 | 1 (12.5%) |
- aUsual LAB standard dose (see text): IC-VL 18–21 mg/kg; HIV-VL 30–40 mg/kg; IS-VL 21–40 mg/kg
- b3 IC-VL patients with solid neoplasms were treated with 21, 30 and 40 mg/dl each, with no relapses
- cRelapsed and died during retreatment
- dThis patient was clinically cured after treatment but voluntarily stopped secondary prophylaxis and relapsed
- eOne patient was clinically cured after treatment but voluntarily stopped secondary prophylaxis and relapsed
- fLack of initial response, cured after retreatment
- Abbreviations: LAB, liposomal B amphotericin; ABLC, amphotericin B lipid complex; IC-VL, visceral leishmaniasis in immunocompetent patients; HIV-VL, visceral leishmaniasis in patients with HIV; IS-VL, visceral leishmaniasis in immunosuppressed patients (receiving steroids, methotrexate, anti-TNF)