Paromomycin for Cryptosporidiosis in AIDS: A Prospective, Double-Blind Trial
- 1 August 1994
- journal article
- clinical trial
- Published by Oxford University Press (OUP) in The Journal of Infectious Diseases
- Vol. 170 (2) , 419-424
- https://doi.org/10.1093/infdis/170.2.419
Abstract
To test the effects of paromomycin, 10 patients with AIDS and cryptosporidiosis were randomized to paromomycin or placebo in a double-blind trial. After 14 days, patients were switched to the other treatment for 14 additional days. Measures included the number and character of each stool and weekly 24-h stool specimens for weight and oocyst excretion. During the paromomycin treatment phase, oocyst excretion decreased from 314 X 106 to 109 X 106 /24 h (P < .02). Oocyst excretion increased for the 4 patients initially on placebo compared to a median decrease of 128 X 106 /24 h for the 6 initially treated with drug (P < .02). Stool frequency also decreased more in those treated with drug (3.6 fewer vs. 1.25 fewer/24 h, P < .05). Trends favored drug over placebo for stool weight, stool character, and Karnofsky score. Paromomycin treatment resulted in improvement in both clinical and parasitologic parameters in cryptosporidiosis in AIDS.Keywords
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