# \[e-drug\] Calls for fast access to sleeping sickness drug

**URL:** <https://talk.edrugplus.org/t/e-drug-calls-for-fast-access-to-sleeping-sickness-drug/27128>\
**Category:** e-drug\
**Created:** [January 17, 2007, 7:53pm UTC](https://talk.edrugplus.org/t/e-drug-calls-for-fast-access-to-sleeping-sickness-drug/27128 "2007-01-17T19:53:17Z")\
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**Author:** ![myhr](https://avatars.discourse-cdn.com/v4/letter/m/f07891/32.png) [@myhr](https://talk.edrugplus.org/u/myhr)\
**Post date:** [January 17, 2007, 7:53pm UTC](https://talk.edrugplus.org/t/e-drug-calls-for-fast-access-to-sleeping-sickness-drug/27128/1 "2007-01-17T19:53:17Z")

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E-DRUG: Calls for fast access to sleeping sickness drug  
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Trypanosoma brucei, the parasite causing sleeping sickness  
Julie Clayton  
10 January 2007  
Source: SciDev.Net  
www.scidev.net/news

Preliminary results from a sleeping sickness treatment trial have been  
so overwhelmingly positive that doctors working in two African nations  
want the combined medication available as soon as possible.

And more patients - beyond the number needed - are being enrolled on the  
trial in order to make the treatment available.

Victor Kande, director of the national control programme for the disease  
in the Democratic Republic of Congo (DRC), says that he would like more  
patients to benefit from the treatment by enrolling in the trial before  
it is completed next year.

"The DRC is encouraging people to be enrolled under the ongoing clinical  
trials as the results to date have been so encouraging for the new  
treatment," says Kande. "After sufficient documentation, the DRC will be  
ready to recommend it as a treatment accessible to all."

The trials test the effectiveness of combining two drugs, eflornithine  
and nifurtimox, against sleeping sickness. Trials began in  
Congo-Brazzaville and have since expanded to three sites in the DRC and  
two in Uganda.

Mid-way results, after 18 months follow-up on the first 103 patients  
enrolled at the Congo Brazzaville site, have impressed the National  
Programme for Sleeping Sickness Control in the DRC, who wish to increase  
access.

Without being enrolled in trials, patients have no access to nifurtimox  
as it is only licensed for use against Chagas disease, a related  
parasitic infection. As a result, extra patients are being enrolled.

According to Girardo Priotto of Doctors Without Borders, "The situation  
is so desperate in the field that we are not happy with two more years  
of waiting, so we are looking for ways of making this treatment more  
available earlier."

Nifurtimox is donated free to the World Health Organisation (WHO) by  
pharmaceutical company Bayer. But without further scientific evidence  
the WHO will not agree to its use for sleeping sickness. Other studies  
have also supported the use of nifurtimox-containing combination  
therapies for sleeping sickness.

Thousands of people each year are diagnosed with advanced-stage sleeping  
sickness, which is fatal if not treated. Current treatment, with the  
drug melarsoprol, itself causes the death of around six per cent of  
patients. In addition, some patients are also resistant.

Kirsten Myhr  
co-moderator  
"Kirsten Myhr" \<myhr@online.no\>
