The Association of Miltefosine and Pentoxifylline to Treat Mucosal and Cutaneous Leishmaniasis: A Clinical Trial in Brazil

NCT ID: NCT02530697

Last Updated: 2024-01-16

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2026-08-31

Brief Summary

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Mucocutaneous leishmaniasis is endemic in the central region of Brazil and other countries worldwide. The standard treatment with meglumine antimoniate has a high rate of important adverse effects. This interventional study consists in a randomized clinical trial to access efficacy and safety of the association of miltefosine and pentoxifylline compared to meglumine antimoniate and pentoxifyline.

Detailed Description

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Conditions

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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 - Mucosal Antimoniate and Pentoxifylline

20mgSb+5/kg/day meglumine antimoniate intravenous for 28 days. Pentoxifylline 400mg 3x/daily for 28 days.

Group Type ACTIVE_COMPARATOR

Meglumine antimoniate

Intervention Type DRUG

20mgSb+5/kg/day meglumine antimoniate intravenous for 28 days.

Pentoxifylline

Intervention Type DRUG

Pentoxifylline 20mg/kg/day up to 400mg 3x/daily for 28 days.

Group 2 - Mucosal Miltefosine and Pentoxifylline

Oral Miltefosine 2,5mg/kg/day up to 50mg 2x/daily. Oral Pentoxifylline 400mg 3x/daily for 28 days.

Group Type EXPERIMENTAL

Miltefosine

Intervention Type DRUG

Miltefosine 2,5mg/kg/day up to 50mg 2x/daily.

Pentoxifylline

Intervention Type DRUG

Pentoxifylline 20mg/kg/day up to 400mg 3x/daily for 28 days.

Group 3 - Cutaneous Antimoniate and Pentoxifylline

20mgSb+5/kg/day meglumine antimoniate intravenous for 20 days Oral Pentoxifylline 400mg 3x/daily for 20 days.

Group Type EXPERIMENTAL

Meglumine antimoniate

Intervention Type DRUG

20mgSb+5/kg/day meglumine antimoniate intravenous for 28 days.

Pentoxifylline

Intervention Type DRUG

Pentoxifylline 20mg/kg/day up to 400mg 3x/daily for 28 days.

Group 4 - Cutaneous Miltefosine and Pentoxifylline

Oral Miltefosine 2,5mg/kg/day up to 50mg 2x/daily Oral Pentoxifylline 400mg 3x/daily for 20 days.

Group Type EXPERIMENTAL

Miltefosine

Intervention Type DRUG

Miltefosine 2,5mg/kg/day up to 50mg 2x/daily.

Pentoxifylline

Intervention Type DRUG

Pentoxifylline 20mg/kg/day up to 400mg 3x/daily for 28 days.

Interventions

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Meglumine antimoniate

20mgSb+5/kg/day meglumine antimoniate intravenous for 28 days.

Intervention Type DRUG

Miltefosine

Miltefosine 2,5mg/kg/day up to 50mg 2x/daily.

Intervention Type DRUG

Pentoxifylline

Pentoxifylline 20mg/kg/day up to 400mg 3x/daily for 28 days.

Intervention Type DRUG

Other Intervention Names

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Miltefosnine

Eligibility Criteria

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Inclusion Criteria

* Mucosal and/or cutaneous leishmaniasis, not treated or at least 6 months without any treatment to leishmaniasis;
* For patients with cutaneous lesions: duration of disease longer then a 1 month and shorter then 4 yeas; 1 to 3 lesions; larger lesions from 10mm to 50mm;
* Ages between 18 and 80 years old;
* Fertile female patients should use at least two contraceptive methods (hormonal and barrier);
* Agree to participate in the study and sign the informed consent term.

Exclusion Criteria

* Use of any leishmanicidal drugs six months prior;
* Clinical or laboratorial evidences of electrocardiographic disorders;
* Renal, hepatic, cardiac diseases, uncontrolled diabetes or AIDS;
* Hypersensitivity to meglucamine antimoniate;
* Pregnancy or lactation;
* Fertile females that do not agree to use contraceptive methods;
* Patients that do not agree to the informed consent term.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Brasilia

OTHER

Sponsor Role lead

Responsible Party

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SOFIA SALES MARTINS

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Universitário de Brasília

Brasília, Federal District, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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40068714.1.0000.5558

Identifier Type: -

Identifier Source: org_study_id

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