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Trial registered on ANZCTR
Registration number
ACTRN12607000295448
Ethics application status
Approved
Date submitted
30/05/2007
Date registered
4/06/2007
Date last updated
4/06/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
Treatment of cutaneous leishmaniasis with meglumine antimoniate and allopurinol.
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Scientific title
A randomized controlled trial to evaluate the efficacy and safety of meglumine antimoniate (20mg) versus meglumine antimoniate (10 mg) plus allopurino (20 mg) in patients with cutaneous leishmaniasis to assess the efficacy in terms of healing time and to assess safety in terms of side effects.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cutaneous leishmaniasis
1837
0
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Condition category
Condition code
Skin
1931
1931
0
0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Injection meglumine antimoniate 10 mg/kg/day plus tablet allopurinol 20 mg/kg/day (experimental drug) for a period of 28 days maximum.
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Intervention code [1]
1787
0
Treatment: Drugs
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Comparator / control treatment
Injection meglumine antimoniate 20 mg/kg/day (control) for a period of 28 days maximum.
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Control group
Active
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Outcomes
Primary outcome [1]
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Complete reepithelization
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Assessment method [1]
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0
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Timepoint [1]
2744
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3 months after the beginning of the treatment.
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Primary outcome [2]
2745
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Absence of reactivation and affections of the mucous membrane during the 6 months of the study.
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Assessment method [2]
2745
0
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Timepoint [2]
2745
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The lesion size and induration will be measured every week during the treatment phase (28 days), thereafter once monthly during the follow up phase to assess the increase/decrease in the size of lesions.
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Secondary outcome [1]
4635
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Incomplete reepithelization
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Assessment method [1]
4635
0
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Timepoint [1]
4635
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Three months after the beginning of the treatment.
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Secondary outcome [2]
4636
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Increase in the size of the ulcer by more than 50% in relation to the last clinical evaluation.
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Assessment method [2]
4636
0
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Timepoint [2]
4636
0
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Secondary outcome [3]
4637
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Reactivation and/or affections of the mucous membranes during the 6 months of the study.
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Assessment method [3]
4637
0
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Timepoint [3]
4637
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Study patients will be evaluated once weekly for ulcer size, induration and mucous membrane involvement, during the treatment period. In the follow up period patients will have monthly visits to record the parameters for 6 months.
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Eligibility
Key inclusion criteria
2. Cutaneous ulcers, nodules, plaques, of more than two weeks of evolution requiring systemic therapy.283. Positive parasitological diagnosis for cutaneous leishmaniasis.4. Patients that voluntarily accept to participate in the study and sign the informed consent.5. Disposition to be admitted to hospital, if necessary, and to attend all the visits punctually (initial, treatment and follow up).6. Acceptation of not using any other treatment for cutaneous leishmaniasis while in the study.
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Pregnant women.2. Presence of any condition or disease that compromises the patient immunologically (i.e. diabetes, cancer, etc.) or, any other, that, based on the judgment of the researcher, could alter the course of cutaneous leishmaniasis.3. Diffuse cutaneous leishmaniasis.4. Visceral leishmaniasis.5. Complete or incomplete treatment with antimony compounds in the last three months.6. Patients with history of hepatic, renal, or cardiovascular disease.7. Mentally or neurologically disabled patients that are considered not fit to approve their participation in the study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
numbered containers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
block randomisation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/07/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
620
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Accrual to date
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Final
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Funding & Sponsors
Funding source category [1]
2075
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Hospital
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Name [1]
2075
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combined military hospital
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Address [1]
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kharian cantonment
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Country [1]
2075
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Pakistan
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Primary sponsor type
Individual
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Name
Dr Amer Ejaz
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Address
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Country
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Secondary sponsor category [1]
1880
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Individual
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Name [1]
1880
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Dr SNR Qadir
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Address [1]
1880
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Country [1]
1880
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Research and ethics committee, Combined Military Hospital
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Ethics committee address [1]
3859
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Ethics committee country [1]
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Pakistan
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Date submitted for ethics approval [1]
3859
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Approval date [1]
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10/05/2007
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Ethics approval number [1]
3859
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RCT/001/2007
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Summary
Brief summary
Background: Cutaneous Leishmaniasis is a worldwide disease, endemic in over 88 countries, that has shown an increasing incidence over the last many decades. For the last 60 years antimony compounds are considered the treatment of choice. Though their use is expensive, cumbersome, has many adverse effects and not effective in all patients, the search for a better alternative is still going on. Low dose antimony compounds in combination with several agents have shown promise of reducing adverse effects of antimony compounds without compromising efficacy. Allopurinol is one such agent which though promising lacks randomized, controlled trials to prove efficacy. The main objective of this study is to evaluate low dose sodium stibogluconate in combination with allopurinol and to compare it with high dose sodium stibogluconate in terms of efficacy and adverse effects. Methods and design: A multi-center randomized, controlled trial including 620 patients from endemic areas for Leishmaniasis in Pakistan will be undertaken to assess the research question. Parasitologically confirmed cutaneous leishmaniasis will be included in the study. After evaluating the inclusion/exclusion criteria patients will be randomized to receive either meglumine antimoniate (20 mg/kg/day/intramuscular, till clinical resolution or a maximum of 28 days) or combination of meglumine antimoniate (10 mg/kg/day intramuscular) and allopurinol (20 mg/kg/day/oral) till clinical resolution or a maximum of 28 days. During treatment patients will be admitted to hospital and monitored daily for the presence of adverse effects. Follow up period will last six months during which patients will visits the research centers for assessment of healing process at monthly intervals.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
27890
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Phone
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Fax
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Email
27890
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Contact person for public queries
Name
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Dr Amer Ejaz
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Address
10976
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Combined Military Hospital, Main boulevard, Kharian Cantonment
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Country
10976
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Pakistan
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Phone
10976
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00 92 300 928 7063
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Fax
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Email
10976
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[email protected]
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Contact person for scientific queries
Name
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Dr Amer Ejaz
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Address
1904
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Combined Military Hospital
Main boulevard
Kharian Cantonment
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Country
1904
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Pakistan
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Phone
1904
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00 92 300 928 7063
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Fax
1904
0
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Email
1904
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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