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Leishmaniasis chemotherapy--challenges and opportunities.
1Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK. simon.croft@lshtm.ac.uk
Developing effective treatments for leishmaniasis remains a global challenge. Research must focus on visceral leishmaniasis (VL) and cutaneous leishmaniasis (CL) drug development, ensuring global applicability and addressing co-infections.
Area of Science:
- Neglected tropical diseases
- Parasitology
- Drug discovery and development
Background:
- Visceral leishmaniasis (VL) treatments effective in India may not be globally applicable.
- Post kala-azar dermal leishmaniasis (PKDL) lacks specific treatment options.
- Cutaneous leishmaniasis (CL) treatment advances are limited, with topical paromomycin as a notable exception.
Purpose of the Study:
- To highlight the ongoing challenges in leishmaniasis treatment and drug development.
- To emphasize the need for global standardization of clinical trials for CL.
- To address the unmet needs in treating co-infected patients with HIV/leishmaniasis.
Main Methods:
- Review of current leishmaniasis treatment efficacy and limitations.
- Analysis of research and development gaps for VL and CL.
- Identification of challenges in clinical trial standardization and drug screening.
Main Results:
- Significant advances in VL treatment exist, but global efficacy and oral short-course options are needed.
- Limited progress in CL treatment necessitates increased research focus.
- Treatment of HIV/leishmaniasis co-infected patients remains problematic.
Conclusions:
- Ideal treatments for both VL and CL are still distant.
- Focused drug research and development are crucial for leishmaniasis.
- Ensuring global treatment efficacy and addressing co-infections are key priorities.
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