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Powerful bactericidal activity of moxifloxacin in human leprosy
Authors:Pardillo Fe Eleanor F  Burgos Jasmin  Fajardo Tranquilino T  Dela Cruz Eduardo  Abalos Rodolfo M  Paredes Rose Maria D  Andaya Cora Evelyn S  Gelber Robert H
Affiliation:Leonard Wood Memorial Center for Leprosy Research, Cebu, Philippines.
Abstract:
In a clinical trial of moxifloxacin in eight multibacillary leprosy patients, moxifloxacin proved highly effective. In all trial patients, a single 400-mg dose of moxifloxacin resulted in significant killing (P ≤ 0.006) of Mycobacterium leprae, ranging from 82% to 99%, with a mean of 91%. In all instances, no viable bacilli were detected with an additional 3 weeks of daily therapy, this observed rapid bactericidal activity being matched previously only by rifampin. On moxifloxacin therapy, skin lesions cleared exceedingly rapidly with definite improvement observed consistently after eight doses and progressive resolution continuing for the 56 days of the trial. Side effects, toxicities, and laboratory abnormalities were mild, not requiring discontinuation of therapy.
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