2017
DOI: 10.1128/aac.00381-17
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In Vitro Efficacy of Moxidectin versus Ivermectin against Sarcoptes scabiei

Abstract: Moxidectin is under consideration for development as a treatment for human scabies. As some arthropods show decreased sensitivity to moxidectin relative to ivermectin, it was important to assess this for Sarcoptes scabiei. In vitro assays showed that the concentration of moxidectin required to kill 50% of mites was lower than that of ivermectin (0.5 M versus 1.8 M at 24 h; P Ͻ 0.0001). This finding provides further support for moxidectin as a candidate for the treatment of human scabies.

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Cited by 36 publications
(29 citation statements)
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“…Moxidectin is a newer agent that offers promise; it has better retention in the skin and a much longer half-life (more than 20 days, compared with 14 h for ivermectin) meaning that a single dose may be enough to eliminate infestation [79, 80]. It also appears to prevent reinfestation for a longer period of time after treatment, compared with ivermectin.…”
Section: Treatmentmentioning
confidence: 99%
“…Moxidectin is a newer agent that offers promise; it has better retention in the skin and a much longer half-life (more than 20 days, compared with 14 h for ivermectin) meaning that a single dose may be enough to eliminate infestation [79, 80]. It also appears to prevent reinfestation for a longer period of time after treatment, compared with ivermectin.…”
Section: Treatmentmentioning
confidence: 99%
“…40,89 Grade 1: three doses of ivermectin over a period of 1 week. 93,94 It is also less toxic than ivermectin.…”
Section: Other Testsmentioning
confidence: 99%
“…It has enhanced bioavailability (half-life of over 20 days, compared with 14 h for ivermectin) and better skin retention, meaning that a single-dose regimen may be possible [ 46 ]. Moxidectin is superior to ivermectin against the scabies mite in vitro [ 47 ]; however, clinical studies are required in order to establish suitable doses and evaluate efficacy in cases of scabies.…”
Section: Treatmentmentioning
confidence: 99%