Oral Miltefosine for the Treatment of Pediatric Cutaneous Leishmaniasis in Colombia

NCT ID: NCT00487253

Last Updated: 2010-02-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2010-12-31

Brief Summary

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The purpose of this randomized, open label clinical trial is to determine if oral miltefosine is a safe and effective alternative, compared with parenteral meglumine antimoniate for the treatment of pediatric Cutaneous caused by L. Viannia species in Colombia.

Detailed Description

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Conditions

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Cutaneous Leishmaniasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1

Oral administration of Miltefosine, doses: 1,5mg to 2,5mg/kg/day, during 28 days.

presentation: capsulas 10mg and 50mg Miltefosine (Impavido®)

Group Type ACTIVE_COMPARATOR

Miltefosine

Intervention Type DRUG

Oral Miltefosine, dosage 1,5mg -2,5mg/kg/day, during 28 days.

Group 2

Administration of Parenteral meglumine antimoniate, Glucantime® Amp 5ml (83mg/ml). Dosage:20mg/kg/day, during 20 days.

Group Type ACTIVE_COMPARATOR

Meglumine antimoniate

Intervention Type DRUG

Parenteral meglumine antimoniate Amp of 5ml (83mg/ml). Dosage: 20mg/kg/day one doses IM, during 20 days.

Interventions

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Miltefosine

Oral Miltefosine, dosage 1,5mg -2,5mg/kg/day, during 28 days.

Intervention Type DRUG

Meglumine antimoniate

Parenteral meglumine antimoniate Amp of 5ml (83mg/ml). Dosage: 20mg/kg/day one doses IM, during 20 days.

Intervention Type DRUG

Other Intervention Names

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Miltefosine cap 10mg and 50mg, Impavido® (Zentaris) Glucantime® of Aventis: Amp of 5ml (83mg/ml).

Eligibility Criteria

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Inclusion Criteria

* 2 to 12 years of age (inclusive)
* Parasitologically confirmed CL
* Availability to receive supervised treatment for 28 days (i.e., directly observed therapy, to ensure the therapy is appropriately administered and received - e.g., the miltefosine is "swallowed")
* Availability to return for follow-up visits for at least 6 months after treatment is initiated

Exclusion Criteria

* Weight under 10kg
* Previous use of SbV, miltefosine or other antileishmanial therapy
* Simultaneous mucosal lesions suggestive of or proven to be mucosal leishmaniasis
* If a girl, ability to reproduce (history of menarche)
* Relative or absolute contraindications for the use of SbV drugs or miltefosine, including history of cardiac, renal or hepatic disease
* Patients with pretreatment haemoglobin \<10g/dl or blood urea nitrogen (BUN), serum creatinine, ALT, AST or amylase values that exceed the upper limit of normal
* If living in Malaria endemic areas (eg. Tumaco) only: A positive malaria thick smear
Minimum Eligible Age

2 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Instituto Colombiano para el Desarrollo de la Ciencia y la Tecnología (COLCIENCIAS)

OTHER_GOV

Sponsor Role collaborator

INS

UNKNOWN

Sponsor Role collaborator

Instituto Nacional de Dermatología Centro dermatológico Federico Lleras Acosta

UNKNOWN

Sponsor Role collaborator

Centro Internacional de Entrenamiento e Investigaciones Médicas

OTHER

Sponsor Role lead

Responsible Party

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Instituto Nacional de Salud

Principal Investigators

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Luisa Consuelo Rubiano, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

Centro Internacional de Entrenamiento e Investigaciones Médicas

References

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Castro MDM, Cossio A, Velasco C, Osorio L. Risk factors for therapeutic failure to meglumine antimoniate and miltefosine in adults and children with cutaneous leishmaniasis in Colombia: A cohort study. PLoS Negl Trop Dis. 2017 Apr 5;11(4):e0005515. doi: 10.1371/journal.pntd.0005515. eCollection 2017 Apr.

Reference Type DERIVED
PMID: 28379954 (View on PubMed)

Rubiano LC, Miranda MC, Muvdi Arenas S, Montero LM, Rodriguez-Barraquer I, Garcerant D, Prager M, Osorio L, Rojas MX, Perez M, Nicholls RS, Gore Saravia N. Noninferiority of miltefosine versus meglumine antimoniate for cutaneous leishmaniasis in children. J Infect Dis. 2012 Feb 15;205(4):684-92. doi: 10.1093/infdis/jir816. Epub 2012 Jan 11.

Reference Type DERIVED
PMID: 22238470 (View on PubMed)

Other Identifiers

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50100119

Identifier Type: -

Identifier Source: org_study_id

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