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Chagas: Time to Treat campaign

The Chagas: Time to Treat Campaign is an international campaign started by the Drugs for Neglected Diseases initiative to advocate for increased research and development of treatments for Chagas disease. Chagas is a potentially fatal neglected disease that affects between 8 and 13 million people worldwide. DNDi's Time to Treat campaign is pushing for increased political interest in new treatments for Chagas disease, increased public awareness of the disease and treatment limitations and increased public and private investment in R&D.

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The disease edit

Each year over 8 million people in the Americas contract the Chagas disease. Chagas occurs in two stages and kills more people in the region than any other parasite-borne disease, including malaria. It is caused by the parasite Trypanosoma cruzi transmitted primarily by insects known as "kissing bugs". The existing treatments are not satisfactory and can have toxic side effects. What patients urgently need are affordable, safe, and efficacious diagnostics tools and treatments for children and adults as well as a drug that treats both stages of Chagas.[1][2]

Current treatments edit

Current drugs are limited to the treatment of children under the age of 12 years who are in the acute stages and the chronic asymptomatic stages. Treatments for Chagas disease are not curative once patients have begun experiencing complications in the chronic stages.[3][4][5] In addition to the limitations of the effectiveness of the treatments, the available drugs are expensive, have extensive side effect profiles and have a long treatment course which can be difficult to follow. It has been estimated that no more than 1% of Chagas disease patients receive any treatment at all.[6]

R&D funding edit

Increased public and private funding for R&D into Chagas treatments is needed. Given the 100 million people at risk and Chagas disease's disease burden, funding for R&D to improve treatments is extremely low, making it one of the most neglected of the neglected diseases. In 2007, less than US$1 million (0.04% of R&D funding dedicated to neglected diseases) was spent on the development of new drugs for Chagas disease.[7][8]

Treatment needs edit

DNDi's Chagas: Time to Treat campaign is advocating for the following treatment options for all stages of Chagas infection:[citation needed]

  • A paediatric strength which is affordable, age-adapted, safe, and efficacious would cure patients early on in the disease.
  • A new drug for chronic disease that is safe, efficacious, and adapted to the field, and ideally would work in both stages of the disease.[9]

References edit

  1. ^ Médecins Sans Frontières. Campaign for Access to Essential Medicines (2008). "International meeting: new diagnostic tests are urgently needed to treat patients with Chagas disease". Revista da Sociedade Brasileira de Medicina Tropical. 41 (3): 315–319. doi:10.1590/s0037-86822008000300020. ISSN 0037-8682. PMID 18719818.
  2. ^ Chatelain, Eric (2015-01-01). "Chagas Disease Drug Discovery: Toward a New Era". SLAS Discovery. Special Issue: Novel Therapeutic Approaches for Neglected Infectious Diseases. Full and immediate open access to all manuscripts published in this special issue is courtesy of the Drugs for Neglected Diseases Initiative (DNDi). 20 (1): 22–35. doi:10.1177/1087057114550585. ISSN 2472-5552. PMID 25245987.
  3. ^ Bern C, Montgomery SP, Herwaldt BL, Rassi A Jr, Marin-Neto JA, et al. (2007) Evaluation and treatment of chagas disease in the United States: a systematic review. JAMA 298: 2171–2181.
  4. ^ de Andrade AL, Zicker F, de Oliveira RM, Almeida Silva S, Luquetti A, et al. (1996) Randomised trial of efficacy of benznidazole in treatment of early Trypanosoma cruzi infection. Lancet 348: 1407–1413
  5. ^ Sosa Estani S, Segura EL, Ruiz AM, Velazquez E, Porcel BM, et al. (1998) Efficacy of chemotherapy with benznidazole in children in the indeterminate phase of Chagas' disease. Am J Trop Med Hyg 59: 526–529.
  6. ^ Ribeiro I, Sevcsik A-M, Alves F, Diap G, Don R, et al. 2009 New, Improved Treatments for Chagas Disease: From the R&D Pipeline to the Patients. PLoS Negl Trop Dis 3(7): e484. doi:10.1371/journal.pntd.0000484
  7. ^ Moran M, Guzman J, Ropars AL, McDonald A, Jameson N, et al. (2009) Neglected disease research and development: how much are we really spending? PLoS Med 6: e30. doi:10.1371/journal.pmed.1000030
  8. ^ Ribeiro I, Sevcsik A-M, Alves F, Diap G, Don R, et al. 2009 New, Improved Treatments for Chagas Disease: From the R&D Pipeline to the Patients. PLoS Negl Trop Dis 3(7): e484. doi:10.1371/journal.pntd.0000484 [http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1000030
  9. ^ . Archived from the original on 2009-09-12. Retrieved 2009-08-03.

External links edit

  • DNDi's Chagas: Time to Treat campaign website
  • DNDi's website

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The Chagas Time to Treat Campaign is an international campaign started by the Drugs for Neglected Diseases initiative to advocate for increased research and development of treatments for Chagas disease Chagas is a potentially fatal neglected disease that affects between 8 and 13 million people worldwide DNDi s Time to Treat campaign is pushing for increased political interest in new treatments for Chagas disease increased public awareness of the disease and treatment limitations and increased public and private investment in R amp D Logo Contents 1 The disease 2 Current treatments 3 R amp D funding 4 Treatment needs 5 References 6 External linksThe disease editEach year over 8 million people in the Americas contract the Chagas disease Chagas occurs in two stages and kills more people in the region than any other parasite borne disease including malaria It is caused by the parasite Trypanosoma cruzi transmitted primarily by insects known as kissing bugs The existing treatments are not satisfactory and can have toxic side effects What patients urgently need are affordable safe and efficacious diagnostics tools and treatments for children and adults as well as a drug that treats both stages of Chagas 1 2 Current treatments editCurrent drugs are limited to the treatment of children under the age of 12 years who are in the acute stages and the chronic asymptomatic stages Treatments for Chagas disease are not curative once patients have begun experiencing complications in the chronic stages 3 4 5 In addition to the limitations of the effectiveness of the treatments the available drugs are expensive have extensive side effect profiles and have a long treatment course which can be difficult to follow It has been estimated that no more than 1 of Chagas disease patients receive any treatment at all 6 R amp D funding editIncreased public and private funding for R amp D into Chagas treatments is needed Given the 100 million people at risk and Chagas disease s disease burden funding for R amp D to improve treatments is extremely low making it one of the most neglected of the neglected diseases In 2007 less than US 1 million 0 04 of R amp D funding dedicated to neglected diseases was spent on the development of new drugs for Chagas disease 7 8 Treatment needs editDNDi s Chagas Time to Treat campaign is advocating for the following treatment options for all stages of Chagas infection citation needed A paediatric strength which is affordable age adapted safe and efficacious would cure patients early on in the disease A new drug for chronic disease that is safe efficacious and adapted to the field and ideally would work in both stages of the disease 9 References edit Medecins Sans Frontieres Campaign for Access to Essential Medicines 2008 International meeting new diagnostic tests are urgently needed to treat patients with Chagas disease Revista da Sociedade Brasileira de Medicina Tropical 41 3 315 319 doi 10 1590 s0037 86822008000300020 ISSN 0037 8682 PMID 18719818 Chatelain Eric 2015 01 01 Chagas Disease Drug Discovery Toward a New Era SLAS Discovery Special Issue Novel Therapeutic Approaches for Neglected Infectious Diseases Full and immediate open access to all manuscripts published in this special issue is courtesy of the Drugs for Neglected Diseases Initiative DNDi 20 1 22 35 doi 10 1177 1087057114550585 ISSN 2472 5552 PMID 25245987 Bern C Montgomery SP Herwaldt BL Rassi A Jr Marin Neto JA et al 2007 Evaluation and treatment of chagas disease in the United States a systematic review JAMA 298 2171 2181 de Andrade AL Zicker F de Oliveira RM Almeida Silva S Luquetti A et al 1996 Randomised trial of efficacy of benznidazole in treatment of early Trypanosoma cruzi infection Lancet 348 1407 1413 Sosa Estani S Segura EL Ruiz AM Velazquez E Porcel BM et al 1998 Efficacy of chemotherapy with benznidazole in children in the indeterminate phase of Chagas disease Am J Trop Med Hyg 59 526 529 Ribeiro I Sevcsik A M Alves F Diap G Don R et al 2009 New Improved Treatments for Chagas Disease From the R amp D Pipeline to the Patients PLoS Negl Trop Dis 3 7 e484 doi 10 1371 journal pntd 0000484 Moran M Guzman J Ropars AL McDonald A Jameson N et al 2009 Neglected disease research and development how much are we really spending PLoS Med 6 e30 doi 10 1371 journal pmed 1000030 Ribeiro I Sevcsik A M Alves F Diap G Don R et al 2009 New Improved Treatments for Chagas Disease From the R amp D Pipeline to the Patients PLoS Negl Trop Dis 3 7 e484 doi 10 1371 journal pntd 0000484 http www plosmedicine org article info doi 10 1371 journal pmed 1000030 Global View Archived from the original on 2009 09 12 Retrieved 2009 08 03 External links editDNDi s Chagas Time to Treat campaign website DNDi s website Retrieved from https en wikipedia org w index php title Chagas Time to Treat campaign amp oldid 1193323117, wikipedia, wiki, book, books, library,

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