Use of ketolides in combination with other drugs to treat experimental toxoplasmosis

J Antimicrob Chemother. 1998 Nov;42(5):665-7. doi: 10.1093/jac/42.5.665.

Abstract

Because combination therapy is required to treat human toxoplasmosis, we examined combinations of the ketolides HMR 3004 and HMR 3647 with atovaquone, clindamycin or sulphadiazine in a murine model of toxoplasmosis. An oral dose of 50 mg/kg/day of HMR 3004 protected 30% of mice lethally infected with Toxoplasma gondii. The same dose protected 100% of infected mice when administered in combination with non-protective doses of atovaquone, clindamycin or sulphadiazine. Similar results were noted with 25 mg/kg/day of HMR 3647. These results demonstrate that these drug combinations are highly effective for treating toxoplasmosis in mice.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use*
  • Antiprotozoal Agents / administration & dosage
  • Antiprotozoal Agents / therapeutic use*
  • Atovaquone
  • Clindamycin / administration & dosage
  • Clindamycin / therapeutic use*
  • Drug Therapy, Combination
  • Female
  • Ketolides*
  • Macrolides*
  • Mice
  • Naphthoquinones / administration & dosage
  • Naphthoquinones / therapeutic use
  • Sulfadiazine / administration & dosage
  • Sulfadiazine / therapeutic use
  • Toxoplasma
  • Toxoplasmosis, Animal / drug therapy*

Substances

  • Anti-Bacterial Agents
  • Antiprotozoal Agents
  • Ketolides
  • Macrolides
  • Naphthoquinones
  • RU 64004
  • Sulfadiazine
  • Clindamycin
  • telithromycin
  • Atovaquone