NCT06040489

Brief Summary

Randomised clinical trial comparing oral miltefosine associated with pentoxifylline to intravenous liposomal amphotericin b for the treatment of cutaneous and mucosal leishmaniasis

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for phase_2

Timeline
1mo left

Started Jun 2022

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress98%
Jun 2022Jun 2026

Study Start

First participant enrolled

June 22, 2022

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

November 28, 2022

Completed
10 months until next milestone

First Posted

Study publicly available on registry

September 15, 2023

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2024

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2026

Expected
Last Updated

September 15, 2023

Status Verified

August 1, 2023

Enrollment Period

1.9 years

First QC Date

November 28, 2022

Last Update Submit

September 13, 2023

Conditions

Keywords

ElderlyMiltefosineLeishmaniasisPentoxifyllineLiposomal amphotericin bTreatment

Outcome Measures

Primary Outcomes (1)

  • Cure

    Complete healing of all lesions (cicatrization of ulcers and complete regression of erythema or infiltration)

    90 days after the begin of treatment

Secondary Outcomes (1)

  • Adverse effects

    30 days after drug interruption

Study Arms (4)

Oral Miltefosine and Pentoxifylline for Cutaneous Leishmaniasis

EXPERIMENTAL
Drug: Miltefosine 50mgDrug: Pentoxifylline 400mg

Oral Miltefosine and Pentoxifylline for Mucous Leishmaniasis

EXPERIMENTAL
Drug: Miltefosine 50mgDrug: Pentoxifylline 400mg

Intravenous Liposomal Amphotericin B for Cutaneous Leishmaniasis

ACTIVE COMPARATOR
Drug: Liposomal Amphotericin B

Intravenous Liposomal Amphotericin B for Mucous Leishmaniasis

ACTIVE COMPARATOR
Drug: Liposomal Amphotericin B

Interventions

Oral Miltefosine 50mg bid

Oral Miltefosine and Pentoxifylline for Cutaneous LeishmaniasisOral Miltefosine and Pentoxifylline for Mucous Leishmaniasis

Oral Pentoxifylline 400mg tid

Oral Miltefosine and Pentoxifylline for Cutaneous LeishmaniasisOral Miltefosine and Pentoxifylline for Mucous Leishmaniasis

Intravenous 25 to 40mg/kg

Intravenous Liposomal Amphotericin B for Cutaneous LeishmaniasisIntravenous Liposomal Amphotericin B for Mucous Leishmaniasis

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Active confirmed cutaneous leishmaniasis ou mucosal leishmaniasis
  • Use of highly effective contraceptive method and a negative serologic pregnancy test (beta - HCG), if female in fertile phase
  • Agree and sing informed consent form

You may not qualify if:

  • Previous treatment with leishmanicidal drugs in the last 6 months
  • Pre-treatment electrocardiographic changes that contraindicate the use of liposomal amphotericin B (QTc greater than 450ms)
  • Serum creatinine or urea 1.5 times the upper limit of normal
  • Patients with severe or decompensated liver, kidney, heart disease, Diabetes Mellitus
  • history of any hypersensitivity reaction to liposomal amphotericin B, miltefosine and/or pentoxifylline
  • Pregnant and breastfeeding women
  • Patients with Acquired Immunodeficiency Syndrome (AIDS) or other immunodeficiency

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Universitario de Brasilia

Brasília, Federal District, 70840-901, Brazil

RECRUITING

MeSH Terms

Conditions

LeishmaniasisLeishmaniasis, Mucocutaneous

Interventions

miltefosinePentoxifyllineliposomal amphotericin B

Condition Hierarchy (Ancestors)

Euglenozoa InfectionsProtozoan InfectionsParasitic DiseasesInfectionsSkin Diseases, ParasiticVector Borne DiseasesSkin Diseases, InfectiousSkin DiseasesSkin and Connective Tissue DiseasesLeishmaniasis, Cutaneous

Intervention Hierarchy (Ancestors)

TheobromineXanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Central Study Contacts

Raimunda Sampaio, PhD

CONTACT

Sofia Martins, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 28, 2022

First Posted

September 15, 2023

Study Start

June 22, 2022

Primary Completion

June 1, 2024

Study Completion (Estimated)

June 1, 2026

Last Updated

September 15, 2023

Record last verified: 2023-08

Locations