Trial Outcomes & Findings for Local Heat Therapy Versus Sodium Stibogluconate for the Treatment of Cutaneous Leishmaniasis (NCT NCT00884377)

NCT ID: NCT00884377

Last Updated: 2020-01-02

Results Overview

Assess whether local heat therapy using the ThermoMed device was equivalent (clinical cure) in efficacy to 10 days of parenteral sodium stibogluconate. Clinical cure is defined as complete epithelialization of lesion. post-treatment, photographs of treated lesions were assessed for efficacy outcome by a consensus decision of leishmaniasis experts blinded as to each subject's study group. On the basis of these photo assessments, "clinical response" was assessed by lesion and by subject. In addition, an "overall response" was assigned ("healed" or "not healed") based on a combination of experts' photo assessments and subject interviews. Efficacy outcomes for the 2 study groups were compared using the Fishers exact test.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

56 participants

Primary outcome timeframe

Assessment of cure is made at 2 months after treatment

Results posted on

2020-01-02

Participant Flow

Fifty Six subjects were recruited from the Infectious Disease Clinic at Walter Reed Army Medical Center from February 2004 to March 2009. At 2 months post-treatment, subjects assessed as having failed therapy were eligible for crossover to an alternate treatment.

Participant milestones

Participant milestones
Measure
Treatment With IV Sodium Stibogluconate
Subjects who had been randomized to the sodium stibogluconate group, received 10 days of treatment with sodium stibogluconate 20 mg/kg/day via intravenous infusions that were administered by health care personnel, generally in the WRAMC Infectious Disease Clinic or in the WRAMC infusion clinic.
Treatment With Thermomed Device
Subjects randomized to the ThermoMed arm were given one treatment session using the ThermoMed device, Model 1.8, at 50°C. A heat treatment consisted of one or more 30-second heat applications of the ThermoMed device, with the number of applications dictated by lesion size. For lesions smaller than 2 mm, a treatment consisted of only one application of the ThermoMed device. For larger lesions, a treatment involved multiple overlapping applications of the device along an imaginary line that extended across the lesion and included approximately 4 mm of apparently healthy border skin. All of a subject's cutaneous leishmaniasis lesions, up to 20, were treated
Overall Study
STARTED
28
28
Overall Study
COMPLETED
26
27
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment With IV Sodium Stibogluconate
Subjects who had been randomized to the sodium stibogluconate group, received 10 days of treatment with sodium stibogluconate 20 mg/kg/day via intravenous infusions that were administered by health care personnel, generally in the WRAMC Infectious Disease Clinic or in the WRAMC infusion clinic.
Treatment With Thermomed Device
Subjects randomized to the ThermoMed arm were given one treatment session using the ThermoMed device, Model 1.8, at 50°C. A heat treatment consisted of one or more 30-second heat applications of the ThermoMed device, with the number of applications dictated by lesion size. For lesions smaller than 2 mm, a treatment consisted of only one application of the ThermoMed device. For larger lesions, a treatment involved multiple overlapping applications of the device along an imaginary line that extended across the lesion and included approximately 4 mm of apparently healthy border skin. All of a subject's cutaneous leishmaniasis lesions, up to 20, were treated
Overall Study
Withdrawal by Subject
1
0
Overall Study
Could not confirm diagnosis
1
0
Overall Study
Physician Decision
0
1

Baseline Characteristics

Local Heat Therapy Versus Sodium Stibogluconate for the Treatment of Cutaneous Leishmaniasis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment With IV Sodium Stibogluconate
n=28 Participants
Subjects who had been randomized to the sodium stibogluconate group, received 10 days of treatment with sodium stibogluconate 20 mg/kg/day via intravenous infusions that were administered by health care personnel, generally in the WRAMC Infectious Disease Clinic or in the WRAMC infusion clinic.
Treatment With Thermomed Device
n=28 Participants
Subjects randomized to the ThermoMed arm were given one treatment session using the ThermoMed device, Model 1.8, at 50°C. A heat treatment consisted of one or more 30-second heat applications of the ThermoMed device, with the number of applications dictated by lesion size. For lesions smaller than 2 mm, a treatment consisted of only one application of the ThermoMed device. For larger lesions, a treatment involved multiple overlapping applications of the device along an imaginary line that extended across the lesion and included approximately 4 mm of apparently healthy border skin. All of a subject's cutaneous leishmaniasis lesions, up to 20, were treated
Total
n=56 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
28 Participants
n=5 Participants
28 Participants
n=7 Participants
56 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
27.0 years
STANDARD_DEVIATION 9.7 • n=5 Participants
28.9 years
STANDARD_DEVIATION 8.3 • n=7 Participants
27.9 years
STANDARD_DEVIATION 9.0 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Male
27 Participants
n=5 Participants
28 Participants
n=7 Participants
55 Participants
n=5 Participants
Region of Enrollment
United States
28 participants
n=5 Participants
28 participants
n=7 Participants
60 participants
n=5 Participants

PRIMARY outcome

Timeframe: Assessment of cure is made at 2 months after treatment

Population: A sample size of 27 subjects per treatment group was planned based on the assumption that the cure rate in the heat treatment arm would be 73% (Navin et al., 1990), compared to a 99% cure rate in the sodium stibogluconate arm (Wortmann et al., 2002).

Assess whether local heat therapy using the ThermoMed device was equivalent (clinical cure) in efficacy to 10 days of parenteral sodium stibogluconate. Clinical cure is defined as complete epithelialization of lesion. post-treatment, photographs of treated lesions were assessed for efficacy outcome by a consensus decision of leishmaniasis experts blinded as to each subject's study group. On the basis of these photo assessments, "clinical response" was assessed by lesion and by subject. In addition, an "overall response" was assigned ("healed" or "not healed") based on a combination of experts' photo assessments and subject interviews. Efficacy outcomes for the 2 study groups were compared using the Fishers exact test.

Outcome measures

Outcome measures
Measure
Sodium Stibogluconate
n=28 Participants
Sodium Stibogluconate group
ThermoMed Device
n=28 Participants
ThermoMed device group
Study Day 1: ThermoMed
Day 1: TherrmoMed group
Study Day 10: ThermoMed
Day 10: ThermoMed group
Equivalence of Efficacy Assessed by the Number of Participants With Clinical Cure
Healed
22 Participants
18 Participants
Equivalence of Efficacy Assessed by the Number of Participants With Clinical Cure
Not Healed
5 Participants
9 Participants
Equivalence of Efficacy Assessed by the Number of Participants With Clinical Cure
Not Applicable
1 Participants
1 Participants
Equivalence of Efficacy Assessed by the Number of Participants With Clinical Cure
Cured
13 Participants
11 Participants
Equivalence of Efficacy Assessed by the Number of Participants With Clinical Cure
Not Cured
13 Participants
14 Participants
Equivalence of Efficacy Assessed by the Number of Participants With Clinical Cure
Not Evaluable
2 Participants
3 Participants

SECONDARY outcome

Timeframe: 12 months

Determine the equivalence of efficacy (clinical cure) of ThermoMed treatment vs sodium stibogluconate in clinical response of all skin lesions at 12 months. Clinical cure is defined as complete epithelialization of lesion. Post-treatment, photographs of treated lesions were assessed for efficacy outcome by a consensus decision of leishmaniasis experts blinded as to each subject's study group. On the basis of these photo assessments, "clinical response" was assessed by lesion and by subject. In addition, an "overall response" was assigned ("healed" or "not healed") based on a combination of experts' photo assessments and subject interviews. Efficacy outcomes for the 2 study groups were compared using the Fishers exact test.

Outcome measures

Outcome measures
Measure
Sodium Stibogluconate
n=28 Participants
Sodium Stibogluconate group
ThermoMed Device
n=28 Participants
ThermoMed device group
Study Day 1: ThermoMed
Day 1: TherrmoMed group
Study Day 10: ThermoMed
Day 10: ThermoMed group
Equivalence of Efficacy (Clinical Cure) of TheroMed Treatment vs Sodium Stibogluconate Assessed by the Number of Subjects With Clinical Cure
Healed
25 Participants
23 Participants
Equivalence of Efficacy (Clinical Cure) of TheroMed Treatment vs Sodium Stibogluconate Assessed by the Number of Subjects With Clinical Cure
Not Healed
2 Participants
4 Participants
Equivalence of Efficacy (Clinical Cure) of TheroMed Treatment vs Sodium Stibogluconate Assessed by the Number of Subjects With Clinical Cure
Not Applicable
1 Participants
1 Participants
Equivalence of Efficacy (Clinical Cure) of TheroMed Treatment vs Sodium Stibogluconate Assessed by the Number of Subjects With Clinical Cure
Clincally Cured
23 Participants
21 Participants
Equivalence of Efficacy (Clinical Cure) of TheroMed Treatment vs Sodium Stibogluconate Assessed by the Number of Subjects With Clinical Cure
Not Clinically Cured
2 Participants
2 Participants
Equivalence of Efficacy (Clinical Cure) of TheroMed Treatment vs Sodium Stibogluconate Assessed by the Number of Subjects With Clinical Cure
Not Evaluable
3 Participants
5 Participants

SECONDARY outcome

Timeframe: Days 3, 7 and 10

Population: Data ia showing only subjects with specified solicited symptoms on Days 3, 7 and 10. Collective count of participants for SSG is 53 and 28 for ThermoMed over all reported days.

To compare the toxicity profiles of ThermoMed treatment versus parenteral sodium stibogluconate therapy thru specific solicited adverse events

Outcome measures

Outcome measures
Measure
Sodium Stibogluconate
n=28 Participants
Sodium Stibogluconate group
ThermoMed Device
n=28 Participants
ThermoMed device group
Study Day 1: ThermoMed
Day 1: TherrmoMed group
Study Day 10: ThermoMed
Day 10: ThermoMed group
Number of Participants With Solicited Adverse Events
Other : Day 3
3 subjects showing specified symptoms
2 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Myalgias : Day 3
4 subjects showing specified symptoms
1 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Myalgias : Day 7
3 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Myalgias : Day 10
5 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Arthralgias : Day 3
4 subjects showing specified symptoms
2 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Arthralgias : Day 7
11 subjects showing specified symptoms
2 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Arthralgias : Day 10
7 subjects showing specified symptoms
2 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Nausea : Day 3
3 subjects showing specified symptoms
1 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Nausea : Day 7
4 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Nausea : Day 10
1 subjects showing specified symptoms
1 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Vomiting : Day 3
1 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Vomiting : Day 7
2 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Vomiting : Day 10
0 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Abdominal Pain : Day 3
2 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Abdominal Pain : Day 7
3 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Abdominal Pain : Day 10
2 subjects showing specified symptoms
1 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Headache : Day 3
7 subjects showing specified symptoms
2 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Headache : Day 7
9 subjects showing specified symptoms
2 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Headache : Day 10
5 subjects showing specified symptoms
2 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Diarrhea : Day 3
2 subjects showing specified symptoms
1 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Diarrhea : Day 7
3 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Diarrhea : Day 10
3 subjects showing specified symptoms
1 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Rash : Day 3
2 subjects showing specified symptoms
1 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Rash : Day 7
2 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Rash : Day 10
3 subjects showing specified symptoms
1 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Fever : Day 3
0 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Fever : Day 7
2 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Fever : Day 10
0 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Fatigue : Day 3
17 subjects showing specified symptoms
3 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Fatigue : Day 7
11 subjects showing specified symptoms
1 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Fatigue : Day 10
9 subjects showing specified symptoms
3 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Chest Pain : Day 3
1 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Chest Pain : Day 7
0 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Chest Pain : Day 10
0 subjects showing specified symptoms
0 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Other : Day 7
6 subjects showing specified symptoms
5 subjects showing specified symptoms
Number of Participants With Solicited Adverse Events
Other : Day 10
2 subjects showing specified symptoms
7 subjects showing specified symptoms

SECONDARY outcome

Timeframe: day 1 and day 10

Population: Populations of T-cells CD3+CD8, CD19, CD16+CD56 on study days 1 and 10

Evaluate the immune response (T-Cell population) to Leishmania before treatment, and at 10 days, in recipients of localized heat therapy vs systemic sodium stibogluconate. Days 1 and 10 are presented in columns.

Outcome measures

Outcome measures
Measure
Sodium Stibogluconate
n=27 Participants
Sodium Stibogluconate group
ThermoMed Device
n=26 Participants
ThermoMed device group
Study Day 1: ThermoMed
n=27 Participants
Day 1: TherrmoMed group
Study Day 10: ThermoMed
n=27 Participants
Day 10: ThermoMed group
Immune Response, Based on T-Cell Population Before Treatment, and Day 10 Following Treatments
ABS CD3+CD8 (cells/uL)
515.89 populations of T-cells
Interval 97.0 to 950.0
534.19 populations of T-cells
Interval 228.0 to 1150.0
368.74 populations of T-cells
Interval 63.0 to 1092.0
500.15 populations of T-cells
Interval 259.0 to 754.0
Immune Response, Based on T-Cell Population Before Treatment, and Day 10 Following Treatments
ABS CD19 (cells/uL)
375.37 populations of T-cells
Interval 121.0 to 806.0
328.27 populations of T-cells
Interval 145.0 to 613.0
213.85 populations of T-cells
Interval 76.0 to 447.0
274.70 populations of T-cells
Interval 172.0 to 513.0
Immune Response, Based on T-Cell Population Before Treatment, and Day 10 Following Treatments
ABS CD16+CD56 (cells/uL)
196.52 populations of T-cells
Interval 66.0 to 474.0
207.62 populations of T-cells
Interval 111.0 to 406.0
137.74 populations of T-cells
Interval 49.0 to 603.0
221.96 populations of T-cells
Interval 122.0 to 482.0

SECONDARY outcome

Timeframe: day 1 and day 10

Population: Percent of T-cells CD3+CD8, CD19, CD16+CD56 on study days 1 and 10

Evaluate the immune response (T-Cell population) to Leishmania before treatment, and at 10 days, in recipients of localized heat therapy vs systemic sodium stibogluconate. Days 1 and 10 are presented in columns.

Outcome measures

Outcome measures
Measure
Sodium Stibogluconate
n=27 Participants
Sodium Stibogluconate group
ThermoMed Device
n=26 Participants
ThermoMed device group
Study Day 1: ThermoMed
n=27 Participants
Day 1: TherrmoMed group
Study Day 10: ThermoMed
n=27 Participants
Day 10: ThermoMed group
Immune Response, Based on Percent of T-Cell Population Before Treatment, and Day 10 Following Treatments
CD3+CD8 (%)
25.07 % of T-cells
Interval 9.0 to 41.0
26.54 % of T-cells
Interval 16.0 to 38.0
25.67 % of T-cells
Interval 10.0 to 40.0
26.85 % of T-cells
Interval 15.0 to 38.0
Immune Response, Based on Percent of T-Cell Population Before Treatment, and Day 10 Following Treatments
CD19 (%)
17.96 % of T-cells
Interval 8.0 to 37.0
16.73 % of T-cells
Interval 8.0 to 31.0
15.30 % of T-cells
Interval 8.0 to 32.0
15.11 % of T-cells
Interval 9.0 to 25.0
Immune Response, Based on Percent of T-Cell Population Before Treatment, and Day 10 Following Treatments
CD16+CD56 (%)
9.67 % of T-cells
Interval 4.0 to 16.0
10.73 % of T-cells
Interval 6.0 to 19.0
9.81 % of T-cells
Interval 3.0 to 24.0
11.74 % of T-cells
Interval 6.0 to 25.0

SECONDARY outcome

Timeframe: at baseline before treatment

Evaluate the feasibility of using species-specific PCR as a rapid diagnostic assay for L. major infection. The comparator modalities were: histopathology (identification of amastigotes); speciation determined through culture and isoenzyme analysis; and genus and species-specific PCR. Species PCR testing was performed at baseline to allow for the identification of L. major as each subject's infecting parasite. If an L. major infection could not be confirmed in a subject's lesion(s), then that subject could not be treated under this protocol.

Outcome measures

Outcome measures
Measure
Sodium Stibogluconate
n=28 Participants
Sodium Stibogluconate group
ThermoMed Device
n=28 Participants
ThermoMed device group
Study Day 1: ThermoMed
Day 1: TherrmoMed group
Study Day 10: ThermoMed
Day 10: ThermoMed group
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
Histopathology: Amastigotes absent
10 Participants
6 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
Histopathology: Amastigotes present
18 Participants
22 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
Culture: Not done
4 Participants
5 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
Culture: Unknown
0 Participants
1 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
Culture: Negative
6 Participants
4 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
Culture: Positive
18 Participants
18 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
Culture/Isoenzyme Analysis: L.major = Positive
12 Participants
12 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
Culture/Isoenzyme analysis: Unknown Leish species
2 Participants
3 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
Culture/Isoenzyme analysis: Not done
4 Participants
4 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
PCR (Genus) = Positive for Leish genus
28 Participants
28 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
PCR (Species) = Positive for L.major species
27 Participants
28 Participants
Feasibility of a L. Major Species Specific Polymerase Chain Reaction as a Rapid Diagnostic Device in the Context of a Treatment Trial
PCR (Species) = Unknown
1 Participants
0 Participants

Adverse Events

Sodium Stibogluconate Intravenous

Serious events: 5 serious events
Other events: 28 other events
Deaths: 0 deaths

ThermoMed Device

Serious events: 2 serious events
Other events: 28 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sodium Stibogluconate Intravenous
n=28 participants at risk
20 mg/kg/day Sodium stibogluconate intravenous Sodium stibogluconate (Pentostam): intravenous 20 mg/kg/day for 10 days
ThermoMed Device
n=28 participants at risk
ThermoMed device, single heat treatment at 50 degrees Celsius ThermoMed: ThermoMed heat treatment device, one treatment
Gastrointestinal disorders
Accute gastroenteritis
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Musculoskeletal and connective tissue disorders
Osteoarthritis, left acromioclavicular joint
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Injury, poisoning and procedural complications
Injury, spine trauma
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Infections and infestations
Lobar pneumonia
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Transanal resection of carcinoid tumor
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Immune system disorders
Crohn's disease exacerbation
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Skin and subcutaneous tissue disorders
Basal cell carcinoma, superficial
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.

Other adverse events

Other adverse events
Measure
Sodium Stibogluconate Intravenous
n=28 participants at risk
20 mg/kg/day Sodium stibogluconate intravenous Sodium stibogluconate (Pentostam): intravenous 20 mg/kg/day for 10 days
ThermoMed Device
n=28 participants at risk
ThermoMed device, single heat treatment at 50 degrees Celsius ThermoMed: ThermoMed heat treatment device, one treatment
Skin and subcutaneous tissue disorders
Lesion site blister
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
89.3%
25/28 • Number of events 25 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Vascular disorders
No blanching with pressure
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
64.3%
18/28 • Number of events 18 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Skin and subcutaneous tissue disorders
Site erythema
17.9%
5/28 • Number of events 5 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
75.0%
21/28 • Number of events 21 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Injury, poisoning and procedural complications
Site eschar
32.1%
9/28 • Number of events 9 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
89.3%
25/28 • Number of events 25 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Infections and infestations
Site infection
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
17.9%
5/28 • Number of events 5 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Skin and subcutaneous tissue disorders
Site keloid formation
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
General disorders
Site pain
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
39.3%
11/28 • Number of events 11 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Skin and subcutaneous tissue disorders
Site papules
21.4%
6/28 • Number of events 6 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Injury, poisoning and procedural complications
Site plaque
35.7%
10/28 • Number of events 10 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
25.0%
7/28 • Number of events 7 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Skin and subcutaneous tissue disorders
Site pruritus
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
21.4%
6/28 • Number of events 6 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Infections and infestations
Satellite lesions
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Skin and subcutaneous tissue disorders
Site scaley
39.3%
11/28 • Number of events 11 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
21.4%
6/28 • Number of events 6 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
General disorders
Site tenderness
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
17.9%
5/28 • Number of events 5 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Injury, poisoning and procedural complications
Site ulcer
39.3%
11/28 • Number of events 11 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
50.0%
14/28 • Number of events 14 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Site verrucous
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
General disorders
Site weeping
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
82.1%
23/28 • Number of events 23 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Injury, poisoning and procedural complications
Site oedema
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Blood and lymphatic system disorders
Anemia
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Blood and lymphatic system disorders
Lymphadenopathy
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
14.3%
4/28 • Number of events 4 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Cardiac disorders
Tachycardia
17.9%
5/28 • Number of events 5 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Cardiac disorders
Ventricular hypertrophy
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Gastrointestinal disorders
Abdominal pain
25.0%
7/28 • Number of events 7 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Gastrointestinal disorders
Diarrhea
25.0%
7/28 • Number of events 7 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Gastrointestinal disorders
Nausea
28.6%
8/28 • Number of events 8 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Gastrointestinal disorders
Vomiting
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
General disorders
Chest pain
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
General disorders
Fatigue
100.0%
28/28 • Number of events 28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
25.0%
7/28 • Number of events 7 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
General disorders
Pyrexia
14.3%
4/28 • Number of events 4 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
General disorders
Site extravasation
17.9%
5/28 • Number of events 5 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Hepatobiliary disorders
Chemical hepatitis
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
Amylase increased
67.9%
19/28 • Number of events 19 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
Lipase increased
82.1%
23/28 • Number of events 23 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
ALT increased
46.4%
13/28 • Number of events 13 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
AST increased
32.1%
9/28 • Number of events 9 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
EKG T-wave abnormal
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
QRS axis abnormal
14.3%
4/28 • Number of events 4 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
14.3%
4/28 • Number of events 4 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
WBC decreased
32.1%
9/28 • Number of events 9 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
Eosinophil count increased
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
Monocyte count increased
25.0%
7/28 • Number of events 7 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
Platelet count decreased
28.6%
8/28 • Number of events 8 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
Albumin decreased
21.4%
6/28 • Number of events 6 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
Chloride increased
17.9%
5/28 • Number of events 5 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Investigations
Creatine phosphokinase increased
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Musculoskeletal and connective tissue disorders
Arthralgia
78.6%
22/28 • Number of events 22 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
21.4%
6/28 • Number of events 6 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Musculoskeletal and connective tissue disorders
Myalgia
42.9%
12/28 • Number of events 12 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Nervous system disorders
Headache
75.0%
21/28 • Number of events 21 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
21.4%
6/28 • Number of events 6 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract infection
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Skin and subcutaneous tissue disorders
Rash
25.0%
7/28 • Number of events 7 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
Vascular disorders
Dizziness
10.7%
3/28 • Number of events 3 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
3.6%
1/28 • Number of events 1 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
General disorders
Fever
7.1%
2/28 • Number of events 2 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.
0.00%
0/28 • Day 1-10 AEs were documented daily. After day 10, AE surveillance was performed via subject interviews at 2, 6 and 12 months (window of 10-24 months) post-treatment.

Additional Information

Dr. Naomi Aronson, Principal Investigator

Walter Reed Army Medical Center

Phone: 202-782-8691

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place