High Dose Fluconazole in Cutaneous Leishmaniasis in Bahia and Manaus

NCT ID: NCT01953744

Last Updated: 2015-12-02

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2015-11-30

Brief Summary

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The purpose of this study is to evaluate the therapeutic response to fluconazole in patients with cutaneous leishmaniasis caused by and L.(V.)guyanensis and L.(V.) braziliensis.

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

SINGLE

Outcome Assessors

Study Groups

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Fluconazole

Fluconazole will be administered by oral route at 6-8mg/kg/day during 28 days.

Group Type EXPERIMENTAL

Fluconazole

Intervention Type DRUG

Fluconazole is presented in 150mg capsules and will be administered by oral route at a dosage of 6-8mg/kg/day during 28 days.

Meglumine Antimoniate

Meglumine Antimoniate will be administered by intravenous route at 20mg/kg/day during 20 days.

Group Type ACTIVE_COMPARATOR

Meglumine Antimoniate

Intervention Type DRUG

Meglumine Antimoniate will be administered as the standard treatment for cutaneous leishmaniasis by intravenous route at a dosage of 20mg/kg/day, during 20 days.

Interventions

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Fluconazole

Fluconazole is presented in 150mg capsules and will be administered by oral route at a dosage of 6-8mg/kg/day during 28 days.

Intervention Type DRUG

Meglumine Antimoniate

Meglumine Antimoniate will be administered as the standard treatment for cutaneous leishmaniasis by intravenous route at a dosage of 20mg/kg/day, during 20 days.

Intervention Type DRUG

Other Intervention Names

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Glucantime

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed (untreated) cutaneous leishmaniasis with localized lesions and a positive culture or diagnosed by polymerase chain reaction (PCR) methods or by intradermal skin testing (Montenegro test).
* Number of lesions: 1 to 3 ulcerative lesions.
* Lesion´s diameter: 1 to 5 cm.
* Disease duration: up to three months.

Exclusion Criteria

* Evidence of serious underlying disease (cardiac, renal, hepatic or pulmonary)
* Immunodeficiency or antibody to HIV
* Any non-compensated or uncontrolled condition, such as active tuberculosis, malignant disease, severe malaria, HIV, or other major infectious diseases
* Lactation, pregnancy (to be determined by adequate test) or inadequate contraception in females of childbearing potential for treatment period plus 2 months

* Lack of suitability for the trial:
* Negative parasitology (aspirate/biopsy/PCR)or negative Montenegro test
* Any history of prior anti-leishmania therapy
* Any condition which compromises ability to comply with the study procedures

* Administrative reasons:
* Lack of ability or willingness to give informed consent (patient and/or parent / legal representative)
* Anticipated non-availability for study visits/procedures
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

Federal University of Bahia

OTHER

Sponsor Role collaborator

Hospital Universitário Professor Edgard Santos

OTHER

Sponsor Role lead

Responsible Party

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Paulo Roberto Lima Machado

Associate Researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paulo Roberto Lima Machado, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Bahia

Locations

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Posto de Saúde de Corte de Pedra

Presidente Tancredo Neves, Estado de Bahia, Brazil

Site Status

Countries

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Brazil

References

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Prates FV, Dourado ME, Silva SC, Schriefer A, Guimaraes LH, Brito MD, Almeida J, Carvalho EM, Machado PR. Fluconazole in the Treatment of Cutaneous Leishmaniasis Caused by Leishmania braziliensis: A Randomized Controlled Trial. Clin Infect Dis. 2017 Jan 1;64(1):67-71. doi: 10.1093/cid/ciw662. Epub 2016 Nov 1.

Reference Type DERIVED
PMID: 27803094 (View on PubMed)

Other Identifiers

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FlucoLBrBaMa

Identifier Type: -

Identifier Source: org_study_id