Expand Access/Assess Safety and Efficacy of Paromomycin IM Injection for the Treatment of Visceral Leishmaniasis

NCT ID: NCT00604955

Last Updated: 2014-10-03

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

2000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2010-01-31

Brief Summary

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This modular Program will first confirm the safety and efficacy of Paromomycin IM Injection when given to an expanded population in the outpatient setting in experienced VL centers and subsequently evaluate the effectiveness of an expanded access model of providing Paromomycin IM Injection to progressively more resource-constrained clinics in Bihar, India.

Detailed Description

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Safe, effective, and affordable treatments for visceral leishmaniasis (VL) that are widely available to the poorest population of rural India where the disease is endemic are urgently needed. Resistance to antimonials, which have historically been the first line of treatment for VL in Bihar and adjoining states, is a major problem. Other available treatments are limited by their high cost, toxicity, or contraindications in certain populations. Paromomycin IM Injection was approved for the treatment of VL in August 2006 by the Drug Controller General of India (DCGI).

The study is designed to establish a Phase 4 Access Program in a modular, stepwise fashion (Modules 1 to 3). The study will first confirm the safety and efficacy of Paromomycin IM Injection in an expanded VL population treated as an outpatient in experienced centers (Module 1); and then progressively extend the network of treatment facilities, the number and reach of the trained staff, and the implementation of the requisite logistics systems to rural Bihar (Modules 2 and 3). An expanded network of healthcare workers will be trained and supervised to make a preliminary diagnosis of VL; to make appropriate referrals to confirm the diagnosis of VL; to treat with Paromomycin IM Injection; and to assess patient safety and clinical response on an outpatient basis.

Conditions

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Visceral Leishmaniasis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Paromomycin IM Injection (approved product in India)

Group Type EXPERIMENTAL

Paromomycin sulfate

Intervention Type DRUG

Paromomycin will be administered intramuscularly at 11 mg/kg, once a day, for 21 consecutive days

Interventions

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Paromomycin sulfate

Paromomycin will be administered intramuscularly at 11 mg/kg, once a day, for 21 consecutive days

Intervention Type DRUG

Other Intervention Names

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Paromomycin IM Injection

Eligibility Criteria

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Inclusion Criteria

* Confirmed, newly diagnosed or relapsed visceral leishmaniasis

Exclusion Criteria

* HIV infection, tuberculosis
* Significant hematologic, renal or liver dysfunction
* Malaria
* Those unable to be treated as an outpatient.
Minimum Eligible Age

2 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PATH

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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P K Sinha, MD

Role: PRINCIPAL_INVESTIGATOR

Rajendra Memorial Research Institute of Medical Sciences

T K Jha, MD

Role: PRINCIPAL_INVESTIGATOR

Kalazar Research Centre

C P Thakur, MD

Role: PRINCIPAL_INVESTIGATOR

Kala-azar Research Centre

Shyam Sundar, MD

Role: PRINCIPAL_INVESTIGATOR

Kala-azar Medical Research Centre

Devendra Nath, MD

Role: PRINCIPAL_INVESTIGATOR

Shrimati Hazari Maternity and Medical Care

Supriyo Mukherjee, MD

Role: PRINCIPAL_INVESTIGATOR

Research Centre for Diabetes, Hypertension and Obesity

Amrendra K Aditya, MD

Role: PRINCIPAL_INVESTIGATOR

Dr. A.K. Aditya Clinic

Locations

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Rajendra Memorial Research Institute of Medical Sciences

Agam Kuan, Patna, Bihar, India

Site Status

Shrimati Hazari Maternity and Medical Care

Azad Nagar, Balua Tal, Motihari, Bihar, India

Site Status

Research Centre for Diabetes, Hypertension and Obesity

Bengali Tola, Samastipur, Bihar, India

Site Status

Dr. A.K. Aditya Clinic

East of Bhola Talkies, Samastipur, Bihar, India

Site Status

Kala-zar Research Centre

Patna, Bihar, India

Site Status

Kala-azar Medical Research Centre

Rambagh Road, Muzaffarpur, Bihar, India

Site Status

Kalazar Research Centre

Brahmpura, Muzaffarpur, Bihar, India

Site Status

Countries

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India

References

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Sundar S, Jha TK, Thakur CP, Sinha PK, Bhattacharya SK. Injectable paromomycin for Visceral leishmaniasis in India. N Engl J Med. 2007 Jun 21;356(25):2571-81. doi: 10.1056/NEJMoa066536.

Reference Type BACKGROUND
PMID: 17582067 (View on PubMed)

Other Identifiers

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VLPM03

Identifier Type: -

Identifier Source: org_study_id

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