Pilot Study: Oral Treatment of American Tegumentary Leishmaniasis (Cutaneous and Mucosal Forms) in the Elderly

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age50+
SponsorUniversity of Brasilia

About this trial

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

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • Miltefosine 50mg

    Drug

    Oral Miltefosine 50mg bid

  • Pentoxifylline 400mg

    Drug

    Oral Pentoxifylline 400mg tid

  • Liposomal Amphotericin B

    Drug

    Intravenous 25 to 40mg/kg

Treatment groups

100 Participants
are divided into 4 treatment groups
Group A: Oral Miltefosine and Pentoxifylline for Cutaneous LeishmaniasisExperimental treatment 2 interventions
Group B: Oral Miltefosine and Pentoxifylline for Mucous LeishmaniasisExperimental treatment 2 interventions
Group C: Intravenous Liposomal Amphotericin B for Cutaneous LeishmaniasisActive comparator 1 intervention
Group D: Intravenous Liposomal Amphotericin B for Mucous LeishmaniasisActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Cure

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

Time frame
90 days after the begin of treatment

Secondary outcomes

1

Adverse effects

Presence laboratorial or clinica changes during treatment that lead to treatment interruption

Time frame
30 days after drug interruption

Other outcomes

Sponsors and contacts

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