A total of 54 Indian patients with visceral leishmaniasis were treated with
oral miltefosine, 50 mg given twice daily, for 14 days (18 patients; group
A), 21 days (18; group B), or 28 days (18; group C). Cure was achieved in
89% of group A, 100% of group B, and 100% of group C. Adverse reactions wer
e self-limited and primarily mild. The 21-day miltefosine regimen combines
high-level efficacy, convenient dosing, and a relatively short duration.