Evidence map›Paper›PMID 42811339›Full record

ArticleParasites & vectors2026

Efficacy of afoxolaner or a combination of afoxolaner and milbemycin oxime against fleas, ticks, lice and/or intestinal nematodes in dogs naturally infested in two urban areas in Brazil.

Andre A Cutolo, Luis G R Pelissoni, Tássia L Vale, Livio M Costa-Junior, Isabella C Sousa, Naylene C S Silva, Cristiano Grisi do Nascimento, Maycon Junior Heidmann, Bruno Gomes de Castro, Eric Tielemans

Abstract read
In one paragraph

Article in Parasites & vectors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Andre A CutoloBoehringer Ingelheim Animal Health, 6498 Jade Road, Fulton, MO, 65251, USA.
Luis G R PelissoniBoehringer Ingelheim Animal Health do Brasil Ltda, 5005 Doutor Roberto Moreira Avenue, Recanto dos Pássaros, Paulínia, SP, 13148-914, Brazil.
Tássia L ValeParasite Control Laboratory, Federal University of Maranhão (UFMA), 1966 Portugueses Avenue, São Luís, MA, 65080-805, Brazil.
Livio M Costa-JuniorParasite Control Laboratory, Federal University of Maranhão (UFMA), 1966 Portugueses Avenue, São Luís, MA, 65080-805, Brazil.
Isabella C SousaParasite Control Laboratory, Federal University of Maranhão (UFMA), 1966 Portugueses Avenue, São Luís, MA, 65080-805, Brazil.
Naylene C S SilvaParasite Control Laboratory, Federal University of Maranhão (UFMA), 1966 Portugueses Avenue, São Luís, MA, 65080-805, Brazil.
Cristiano Grisi do NascimentoConvolution Divisão de Antiparasitários, 150 Lauro Valente Street, Cond Saint Gerard, Ribeirão Preto, SP, 14022-048, Brazil.
Maycon Junior HeidmannUniversidade Federal de Mato Grosso, 1200 Alexandre Ferronato Avenue, Sinop, MT, 78557-267, Brazil.
Bruno Gomes de CastroUniversidade Federal de Mato Grosso, 1200 Alexandre Ferronato Avenue, Sinop, MT, 78557-267, Brazil.
Eric TielemansBoehringer Ingelheim Animal Health, 29 Avenue Tony Garnier, 69007, Lyon, France. eric.tielemans@boehringer-ingelheim.com.ORCID https://orcid.org/0000-0003-4798-3246

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfestations with fleas, ticks and intestinal nematodes are commonly identified in domestic dogs and have significant veterinary and public health importances. The study described in this manuscript was conducted to verify the natural parasitism of domestic dogs in two Brazilian regions, and to confirm the efficacy of the isoxazoline afoxolaner, formulated alone (NexGard®) or in combination with the macrocyclic lactone milbemycin oxime (NexGard Spectra®), for the control of fleas and ticks, and to confirm the efficacy of the afoxolaner/milbemycin oxime (MO) combination for the control of intestinal nematodes.

methodsThis trial was conducted in Mato Grosso (MT) and Maranhão (MA) states, Center-West and Northeast region. Three hundred and forty-five (345) domestic dogs, 170 in MT and 175 in MA, infested with at least one of these parasites, were studied. Dogs were treated once and evaluated approximately two and four weeks later for ectoparasites, and two weeks later for intestinal nematodes.

resultsApproximately half (47.5%) of the dogs were infested with more than one parasite, more than one third (38.6%) with intestinal nematodes. All fleas were identified as Ctenocephalides felis, ticks as Rhipicephalus linnaei (previously defined as Rhipicephalus sanguineus s.l.) and intestinal nematodes eggs as Ancylostoma, Toxocara or Trichuris. In Maranhão, 11 dogs were also infested with the chewing louse Heterodoxus spiniger. Both products had a comparable efficacy against fleas (98.4% to 100%), ticks (96.9% to 100%) and lice (100%). The MO formulation had an efficacy of ≥ 97.8% against Ancylostoma, ≥ 94.7% against Toxocara and ≥ 97.7% against Trichuris.

conclusionsThis study demonstrated a significant parasitic abundance in domestic dogs in two urban areas in Brazil, and confirmed a high efficacy of afoxolaner against fleas, ticks and lice and a high efficacy of MO against intestinal nematodes.

Indexed as

Dog DiseasesEctoparasitic InfestationsFlea InfestationsIsoxazolesMacrolidesNaphthalenesNematode InfectionsTick InfestationsAnimalsBrazilDogsFemaleIntestinal Diseases, ParasiticMaleNematodaSiphonapteraafoxolanerIsoxazolesMacrolidesmilbemycin oximeNaphthalenesAfoxolanerAncylostomaCtenocephalides felisDogEfficacyHeterodoxus spinigerMilbemycin oximeRhipicephalus linnaeiToxocaraTrichuris

Identifiers

PMID42811339
PMCPMC13625253

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.