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Clinical pilot study: Clarithromycin efficacy in multibacillary leprosy therapy.

Hendra Gunawan1, Muljaningsih Sasmojo1, Helena Eka Putri1

  • 1Department of Dermatology and Venereology, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, West Java, Indonesia.

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Clarithromycin effectively treats multibacillary leprosy, showing comparable results to rifampicin in a 3-month clinical study. This offers a new alternative for patients with rifampicin resistance or allergies.

Keywords:
Clarithromycinleprosyrifampicin

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Area of Science:

  • Infectious Diseases
  • Dermatology
  • Pharmacology

Background:

  • Rifampicin is a key component of multidrug therapy (MDT) for leprosy.
  • Clarithromycin presents an alternative therapeutic option to rifampicin.

Purpose of the Study:

  • To compare the efficacy of clarithromycin (2,000 mg) versus rifampicin (600 mg) in multibacillary (MB) leprosy patients.
  • Both drugs were administered in combination with dapsone and clofazimine for 3 months.

Main Methods:

  • A pilot clinical study involving two groups of seven MB leprosy patients each.
  • One group received the standard MDT-MB regimen (rifampicin-dapsone-clofazimine).
  • The other group received the clarithromycin-dapsone-clofazimine (CDC) regimen.

Main Results:

  • The clarithromycin-dapsone-clofazimine group showed a significant reduction in the morphological index (MI) (P = 0.004).
  • The MDT-MB group had an insignificant MI reduction (P = 0.248).
  • No significant difference in MI reduction was observed between the groups (P = 0.130). Mild nausea occurred in the CDC group, and red urine in the MDT-MB group.

Conclusions:

  • Clarithromycin (2,000 mg) is as effective as rifampicin (600 mg) in combination regimens for MB leprosy.
  • Clarithromycin can serve as an alternative treatment for leprosy patients with rifampicin resistance or allergy.