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CompletedNCT00123916BENEFITUpdated Mar 3, 2020

BENEFIT: Evaluation of the Use of Antiparasital Drug (Benznidazole) in the Treatment of Chronic Chagas' Disease

A Phase 3 interventional study of Benznidazole and Placebo in Chagas Disease, Trypanosomiasis and Heart Disease, sponsored by Population Health Research Institute. Completed at 47 sites in 5 countries. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-03-03.

Sponsored by Population Health Research Institute · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
2,854
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Evaluate if benznidazole, an antiparasite drug, given at a dose calculated as 5mg/kg/day for 60 days, now administered as a fixed daily dose of 300mg during 40 to 80 days of treatment - period adjusted according to the patient's body weight to a total minimum dose of 12g (corresponding to 40kg) and a total maximum dose of 24g (corresponding to 80kg) - reduces morbidity and mortality in patients with Chronic Chagas' Cardiomyopathy (CCC).

The BENEFIT study is being conducted by the Population Health Research Institute (in Hamilton, Canada) and the Institute Dante Pazzanese de Cardiologia (Sao Paulo, Brazil) together with a Steering Committee, and an independent Safety Monitoring Board.

Read the detailed description

A randomized double-blind controlled clinical trial investigating the role of benznidazole in patients with chronic Chagas' heart disease.

Chagas disease has 3 phases: acute, undetermined and chronic phases. There are no clinical trials up to date that have investigated the use of antiparasitic drugs in patients that are in the chronic phase.

This study will evaluate the efficacy and safety of benznidazole (an antiparasitic drug) in patients with chronic Chagas' heart disease. Evaluate if benznidazole, an antiparasite drug, given at a dose calculated as 5mg/kg/day for 60 days, now administered as a fixed daily dose of 300mg during 40 to 80 days of treatment - period adjusted according to the patient's body weight to a total minimum dose of 12g (corresponding to 40kg) and a total maximum dose of 24g (corresponding to 80kg) - reduces morbidity and mortality in patients with Chronic Chagas' Cardiomyopathy (CCC). It will be developed in 49 study centres in Argentina, Bolivia,Brazil,Colombia, and El Salvador - countries with high incidence of Chagas Disease.

The Pilot study is evaluating if benznidazole is effective in producing parasitic cure (PCR negativization or reducing parasitic load) in chronic Chagas Disease as well as assessing the feasibility of conducting a large trial in chronic Chagas Disease in South America.

02

Conditions studied

  • Chagas Disease
  • Trypanosomiasis
  • Heart Disease

Keywords

  • Chagas Disease
  • Trypanosomiasis
  • Benznidazole
  • Chronic Heart disease
  • Trypanosoma Cruzi
03

In context

Chagas Disease

73 studies on the registry are indexed under Chagas Disease; 5 are open to participants now.

This study's enrollment of 2,854 is above the median of 87 across 49 interventional studies indexed under Chagas Disease.

Browse Chagas Disease studies →

Lead sponsor

Population Health Research Institute is the lead sponsor of 115 studies on the registry; 26 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Consenting patients (between 18 and 75 years of age) with serological evidence of Chagas infection (any combination of 2 positive tests) and that have one or more of the following:
  • Abnormal with at least two components (complete RBBB or LBBB; left anterior or posterior fascicular block; ventricular premature beat; first degree atrioventricular [AV] block; Mobitz type I AV block; sinus bradycardia; primary ST-T changes; abnormal Q waves; low voltage QRS; or atrial fibrillation);
  • Abnormal ECG (Mobitz type II, advanced or third degree AV block);
  • Increased cardiothoracic ratio (> 0.50);
  • Complex ventricular arrythmias on 24 hour ambulatory ECG monitoring;
  • Evidence of regional wall motion abnormality or reduced global left ventricular systolic function or increased left ventricular and diastolic diameter on 2D-Echo.

Exclusion criteria

Exclusion Criteria:

Patients will be excluded if having:

  • heart failure class IV or decompensated heart failure
  • Evidence of concomitant coronary artery disease (CAD) or other etiology of dilated cardiomyopathy
  • Previous treatment with antitrypanosomal agents or an accepted indication for antiparasitic therapy
  • Inability to comply with follow-up visits
  • History of severe alcohol abuse within 2 years
  • Known chronic renal or hepatic insufficiency or hepatic insufficiency
  • Pregnancy or breast feeding
  • Megaesophagus with swallowing impairment
  • Other severe disease significantly curtailing
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
2,854 participants (actual)

Study arms

  • Experimental
    Benznidazole

    40 - 80 days (according to body weight) treatment with benznidazol

    Drug: Benznidazole

  • Placebo comparator
    Placebo

    40 - 80 days (according to body weight) treatment with matching placebo

    Drug: Placebo

Interventions

  • Daily po Benznidazole or placebo (weight based) during 40 - 80 days (depending on body weight)

    Also known as: Rochagan/LaFepe

  • DrugPlacebo

    a dose calculated as 5mg/kg/day for 60 days, now administered as a fixed daily dose of 300mg during 40 - 80 days of treatment - period adjusted according to the patient's body weight to a total minimum dose of 12g (corresponding to 40kg) and a total maximum dose of 24g (corresponding to 80kg)

    Also known as: Rochagan/LaFepe

06

What researchers measure

Primary outcomes

  1. Composite of First of cardiovascular events: Death, Resuscitated Cardiac Arrest, Sustained VentricularTachycardia, New/worsening Heart Failure, New Pacemaker/ICD, Stroke/TIA or other Embolic Events, Cardiac Transplant.

    Composite cardiovascular outcome,

    Time frame: through study completion, an average of 5 years

Secondary outcomes

  1. New development of any of the following echo changes, segmental wall motion abnormalities, ventricular aneurysm, reduction in LV ejection fraction >5%, increase in LVDD> 5 mm compared to baseline.

    Time frame: through study completion, an average of 5 years

  2. New 12 lead ECG alterations (complete bundle branch block, fascicular block, advanced atrio-ventricular block, atrial fibrillation, etc).

    Time frame: through study completion, an average of 5 years

  3. Progression of NYHA functional class by at least one category

    Time frame: through study completion, an average of 5 years

  4. New 12 lead electrocardiogram (ECG) alterations (complete bundle branch block; fascicular block, advanced atrio-ventricular block, atrial fibrillation, etc.)

    Time frame: through study completion, an average of 5 years

  5. Progression of New York Heart Association (NYHA) functional class by at least one category

    Time frame: through study completion, an average of 5 years

  6. Evaluation of safety (adverse events: dermatitis, peripheral neuropathy, gastro-intestinal intolerance, leucopenia [2500 x 10^9 L]), tolerance and adherence to treatment

    Time frame: through study completion, an average of 5 years

  7. Determination of the efficacy of benznidazole in patients with Chronic Chagas heart disease based on a 50% reduction in both qualitative and quantitative PCR.

    Polymerase Chain Reaction study on patient's blood samples and report negativization at the end of treatment, 2Y and final visit.

    Time frame: through study completion, an average of 5 years

  8. Safety and tolerability of benznidazole

    Time frame: through study completion, an average of 5 years

07

Study locations

47 sites
  • BENEFIT Ivestigational Site
    Ciudad Autónoma de Buenos Aires, Apital Federal 3556, Argentina
  • BENEFIT Investigational Site
    Belén De Escobar, Buenos Aires 1753, Argentina
  • BENEFIT Investigational Site
    Isidro Casanova, Buenos Aires 1282, Argentina
  • BENEFIT Investigational Site
    San Juan, Buenos Aires 1625, Argentina
  • BENEFIT Investigational Site
    Santiago del Estero, Buenos Aires 4200, Argentina
  • BENEFIT Investigational Site
    Santiago del Estero, Buenos Aires 5400, Argentina
  • BENEFIT Investigational Site
    Ciudad Autónoma de Buenos Aires, Capital Federal 1063, Argentina
  • BENEFIT Investigational Site
    San Fernando del Valle de Catamarca, Catamarca, Argentina
  • BENEFIT Investigational Site
    Charata, Chaco H3730AVI, Argentina
  • BENEFIT Investigational Site
    Paraná, Entre Rios 3100, Argentina
  • BENEFIT Investigational Site
    Buenos Aires, General Rodríguez Partido, Argentina
  • BENEFIT Investigational Site
    San Salvador de Jujuy, Jujuy 4600, Argentina
  • BENEFIT Investigational Site
    Corrientes, Rosario, Santa Fe 3400, Argentina
  • BENEFIT Investigational Site
    Rosario, Santa Fe 2000, Argentina
  • BENEFIT Investigational Site
    Añatuya, Santiago Del Estero 3760, Argentina
  • BENEFIT Investigational Site
    Santiago Del Estero, Sgo. Del Estero 4200, Argentina
  • BENEFIT Investigational Site
    Buenos Aires, Argentina
  • BENEFIT Investigational Site
    Salta, A4406CLA, Argentina
  • BENEFIT Investigational Site
    Tupiza, Potosi, Bolivia
  • BENEFIT Investigational Site
    Salvador, Bahaia 40050-410, Brazil
  • BENEFIT Investigational Site
    Salvador, Bahaia 40110-909, Brazil
  • BENEFIT Investigational Site
    Salvador, Bahaia 40425-060, Brazil
  • BENEFIT Investigational Site
    Carmo, Belo Horizonte 30130-690, Brazil
  • BENEFIT Investigational Site
    Brasília, Brazilian Federal District 70658-700, Brazil
  • BENEFIT Investigational Site
    Goiânia, GO 74110-010, Brazil
  • BENEFIT Investigational Site
    Goiânia, GO 74110-020, Brazil
  • BENEFIT Investigational Site
    Goiânia, GO 74605-050, Brazil
  • BENEFIT Investigational Site
    Uberlandia, MG 38025-440, Brazil
  • BENEFIT Investigational Site
    Uberlândia, MG 38400-299, Brazil
  • BENEFIT Investigational Site
    Uberaba, Minas Gerais 38010-160, Brazil
  • BENEFIT Investigational Site
    Curitiba, Parana 80060-900, Brazil
  • BENEFIT Investigational Site
    Recife, Pernambuco 50100-130, Brazil
  • BENEFIT Investigational Site
    Pelotas, Rio Grande Do Sul 96015-290, Brazil
  • BENEFIT Investigational Site
    Campinas, São Paulo 13059-740, Brazil
  • BENEFIT Investigational Site
    Ribeirão Preto, São Paulo 14048-900, Brazil
  • BENEFIT Investigational Site
    São José do Rio Preto, São Paulo 15015-210, Brazil
  • BENEFIT Investigational Site
    São José do Rio Preto, São Paulo 15090-000, Brazil
  • BENEFIT Investigational Site
    Votuporanga, São Paulo 15500-003, Brazil
  • BENEFIT Investigational Site
    Rio de Janeiro, 21040-360, Brazil
  • BENEFIT Investigational Site
    Rio de Janeiro, 21941-913, Brazil
  • BENEFIT Investigational Site
    São Paulo, 01417 010, Brazil
  • BENEFIT Investigational Site
    São Paulo, 04012-909, Brazil
  • BENEFIT Investigational Site
    São Paulo, 05403-000, Brazil
  • BENEFIT Investigational Site
    São Paulo, 05403-901, Brazil
  • BENEFIT Investigational Site
    Bogota, Bogotá, Colombia
  • BENEFIT Investigational Site
    San Gil, Santander, Colombia
  • BENEFIT Ivestigational Site
    San Salvador, El Salvador
08

References and documents

Publications

  • Marin-Neto JA, Rassi A Jr, Morillo CA, Avezum A, Connolly SJ, Sosa-Estani S, Rosas F, Yusuf S; BENEFIT Investigators. Rationale and design of a randomized placebo-controlled trial assessing the effects of etiologic treatment in Chagas' cardiomyopathy: the BENznidazole Evaluation For Interrupting Trypanosomiasis (BENEFIT). Am Heart J. 2008 Jul;156(1):37-43. doi: 10.1016/j.ahj.2008.04.001. PubMed 18585495 ↗
  • Morillo CA, Marin-Neto JA, Avezum A, Sosa-Estani S, Rassi A Jr, Rosas F, Villena E, Quiroz R, Bonilla R, Britto C, Guhl F, Velazquez E, Bonilla L, Meeks B, Rao-Melacini P, Pogue J, Mattos A, Lazdins J, Rassi A, Connolly SJ, Yusuf S; BENEFIT Investigators. Randomized Trial of Benznidazole for Chronic Chagas' Cardiomyopathy. N Engl J Med. 2015 Oct;373(14):1295-306. doi: 10.1056/NEJMoa1507574. Epub 2015 Sep 1. PubMed 26323937 ↗
  • Marin-Neto JA, Rassi A Jr, Avezum A Jr, Mattos AC, Rassi A, Morillo CA, Sosa-Estani S, Yusuf S; BENEFIT Investigators. The BENEFIT trial: testing the hypothesis that trypanocidal therapy is beneficial for patients with chronic Chagas heart disease. Mem Inst Oswaldo Cruz. 2009 Jul;104 Suppl 1:319-24. doi: 10.1590/s0074-02762009000900042. Erratum In: Mem Inst Oswaldo Cruz. 2009 Sep;104(6):937. Morillo, Carlos A [added]; Sosa-Estani, Sergio [added]; Yusuf, Salim [added]; BENEFIT Investigators [added]. PubMed 19753491 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Nov 2004, a primary completion of Jul 2015 and a completion of Aug 2015. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 21, 2005
First posted
Jul 26, 2005
Start
Nov 2004
Primary completionActual
Jul 2015
CompletionActual
Aug 2015
Last update
Mar 3, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 3, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00123916
Collaborators
Canadian Institutes of Health Research (CIHR), World Health Organization, Instituto Dante Pazzanese de Cardiologia, University of Sao Paulo
Responsible party
Salim Yusuf's office (Principal Co-Investigator, Population Health Research Institute) — Principal investigator
First posted
Jul 26, 2005
Start date
Nov 2004
Primary completion
Jul 2015
Completion
Aug 2015
Last update
Mar 3, 2020

Study contacts

Carlos Morillo, MD
study chair · Population Health Research Institute - McMaster University
Jose Antonio Marin-Neto, MD, PhD
study chair · University of Sao Paulo
Salim Yusuf, MD, DPh
study chair · Population Health Research Institute - McMaster University
Sergio Sosa-Estani, MD, PhD
principal investigator · Argentina National Coordinator - CenDIE, Argentina
Fernando Rosas, M.D.
principal investigator · Fundacion Clinica Shaio, Bogota, Colombia

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Benzonidazole

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