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Options for treating soil-transmitted helminthiases are limited, and current treatments for Trichuris trichiura (whipworm) have poor efficacy. Emodepside, derived from a fungal metabolite, is available as a veterinary roundworm treatment that shows activity against soil-transmitted helminths infecting humans. To assess emodepside's efficacy and safety, investigators conducted two randomized trials in Tanzania. Adults aged 18 to 45 years with T. trichiura or hookworm infection (≥48 eggs/g of stool) were randomly assigned to 5, 10, 15, 20, 25, or 30 mg oral emodepside, 400 mg albendazole, or placebo. The primary outcome was parasitologic cure (no eggs in stool) at 14 to 21 days.
Among 266 participants in the T. trichiura trial, 5-mg emodepside…