Safety and Efficacy of Low-Dose Pentavalent Antimony for Treatment of Cutaneous Leishmaniasis
Lowdosesb
Phase IV Randomized Controlled Clinical Trial to Evaluate the Safety and Efficacy of Low-Dose Pentavalent Antimony Compared to the Standard Dose in Patients With Cutaneous Leishmaniasis Caused by Leishmania (Viannia)Braziliensis
1 other identifier
interventional
280
1 country
1
Brief Summary
The purpose of this study is to determine whether low-dose pentavalent antimony is equally effective when compared to the standard-dose regimen in patients with cutaneous leishmaniasis. The study will be done in a field clinic in the state of Bahia, Brazil.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Feb 2006
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2006
CompletedFirst Submitted
Initial submission to the registry
April 21, 2006
CompletedFirst Posted
Study publicly available on registry
April 25, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedJanuary 22, 2009
January 1, 2009
2.1 years
April 21, 2006
January 20, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Proportion of clinically cured patients at the third month after treatment
Three months after treatment
Proportion of patients with epithelialized lesions
Three months after treatment
Secondary Outcomes (3)
Proportion of patients with adherence to the protocol prescribed drug
30 days
Proportion of patients with adverse events
30 days after treatment
Proportion of patients with late failure after the first three months of follow-up
12 months
Study Arms (2)
Low dose
EXPERIMENTALMeglumine antimoniate 5 mg/kg/d for 20 days
Standard dose
ACTIVE COMPARATORMeglumine antimoniate 15 mg/kg/d for 20 days
Interventions
Meglumine antimoniate 5mg/kg/d for 20 days
Eligibility Criteria
You may qualify if:
- Presence of 1 to 9 cutaneous lesions clinically compatible with leishmaniasis
- Disease duration of 2 to 20 weeks
- Positive leishmanin skin test
- Parasitological diagnosis confirmed through culture or genus-specific polymerase chain reaction (PCR) for Leishmania spp
You may not qualify if:
- History of past episode of leishmaniasis
- Mucosal disease
- Disseminated disease
- Use of drugs with anti-leishmanial activity
- Contraindications for using pentavalent antimony:
- pregnancy
- renal failure
- heart failure
- hepatic failure
- Other diseases:
- active tuberculosis
- hanseniasis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Brasilialead
- Ministry of Health, Brazilcollaborator
Study Sites (1)
Núcleo de Medicina Tropical, University of Brasilia
Brasília, Federal District, 70904-970, Brazil
Related Publications (2)
Oliveira-Neto MP, Schubach A, Mattos M, Goncalves-Costa SC, Pirmez C. Treatment of American cutaneous leishmaniasis: a comparison between low dosage (5 mg/kg/day) and high dosage (20 mg/kg/day) antimony regimens. Pathol Biol (Paris). 1997 Jun;45(6):496-9.
PMID: 9309267BACKGROUNDOliveira-Neto MP, Schubach A, Mattos M, Goncalves-Costa SC, Pirmez C. A low-dose antimony treatment in 159 patients with American cutaneous leishmaniasis: extensive follow-up studies (up to 10 years). Am J Trop Med Hyg. 1997 Dec;57(6):651-5. doi: 10.4269/ajtmh.1997.57.651.
PMID: 9430521BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gustavo S Romero, MD
University of Brasilia
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
April 21, 2006
First Posted
April 25, 2006
Study Start
February 1, 2006
Primary Completion
March 1, 2008
Study Completion
December 1, 2008
Last Updated
January 22, 2009
Record last verified: 2009-01