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CompletedNCT00699387Updated Aug 1, 2011

Population Pharmacokinetics of Benznidazole in Children With Chagas Disease

An interventional study of Benznidazole in Chagas Disease, sponsored by Hospital de Niños R. Gutierrez de Buenos Aires. Completed at 1 site in Argentina. Open to participants aged 2 Years to 12 Years. Per ClinicalTrials.gov, last updated 2011-08-01.

Sponsored by Hospital de Niños R. Gutierrez de Buenos Aires · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
37
Allocation
Not applicable
Ages
2 Years to 12 Years
Sex
All
01

Study summary

Background: Chagas disease is a parasitic infection caused by the Trypanosome cruzi. The initial phase of the infection happens mainly in children. Up to 10% of infected children die. Survivors often develop chronic infection leading to heart disease and other complications in 30% of patients. These complications often result in death or severe handicaps in early adulthood, depriving societies of individuals in their most productive years.

There are 20 million people infected in Latin America. Complications lead to 20,000 deaths every year.

Treatment during the acute phase with benznidazole leads to a high cure rate. However, there are very few studies of this drug and virtually none in children, even though benznidazole was developed over 30 years ago.

Hypotheses and Specific Aims: We hypothesize that the pharmacokinetics of benznidazole in children is different from adults, and that obtaining information on how it is absorbed, distributed and eliminated in children will allow optimization of treatment of Chagas disease in this population. This will in turn improve the outlook for children by reducing mortality and long term complications. We aim to study the pharmacokinetics of benznidazole in children receiving the drug for treatment of Chagas disease, and to correlate it with treatment effectiveness and incidence of adverse effects.

Potential Impact: This novel knowledge will allow better and more rational approaches to the treatment of Chagas disease. It will also set the foundation for further studies that will be able to test improved therapies that may increase treatment response in vulnerable children.

02

Conditions studied

  • Chagas Disease

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Keywords

  • Chagas disease
  • Pediatrics
  • benznidazole
  • population pharmacokinetics
  • neglected diseases
  • parasitology
  • pediatric clinical pharmacology
03

In context

Chagas Disease

68 studies on the registry are indexed under Chagas Disease; 4 are open to participants now.

This study's enrollment of 37 is below the median of 87 across 45 interventional studies indexed under Chagas Disease.

Browse Chagas Disease studies →

Lead sponsor

Hospital de Niños R. Gutierrez de Buenos Aires is the lead sponsor of 14 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
2 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Children 2 - 12 years old of both sexes, with a diagnosis of Chagas' disease and eligible for treatment with benznidazole, as per current treatment protocols.
  • Chagas disease diagnostic criteria: At least 2 positive serological tests for Trypanosoma cruzi infection (ELISA, hemoagglutination, particle agglutination tests).
  • Informed consent signed by the parents, and consent or assent of the patients (according to age and consenting capacity).

Exclusion criteria

Exclusion Criteria:

  • Patients with a history of hypersensitivity to benznidazole or any of the drug excipients
  • Immunocompromised patients
  • Altered hepatic function (increase in AST/ALT x3 or bilirubin x3) or altered renal function (increase in creatinine x3)
  • Pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
37 participants (actual)

Study arms

  • Experimental
    Benznidazole

    Treatment of pediatric Chagas disease with benznidazole

    Drug: Benznidazole

Interventions

  • DrugBenznidazole

    benznidazole (RADANIL®, Roche) 5-8 mg/kg/d bid PO for 60 days

    Also known as: Children with Chagas Disease Treated with Benznidazole, Niños con Chagas en Tratamiento con Benznidazol

06

What researchers measure

Primary outcomes

  1. Description of Population pharmacokinetics parameters of benznidazole (i.e. median population clearance, absorption and volume of distribution, and their respective inter-individual variabilities)

    Time frame: 2 months (treatment period)

Secondary outcomes

  1. Adverse events

    Time frame: 2 months (treatment period)

07

Study locations

1 site
  • Parasitology Division, Children's Hospital "R Gutierrez" of Buenos Aires
    Buenos Aires, 1425, Argentina
08

References and documents

Publications

  • Altcheh J, Moscatelli G, Mastrantonio G, Moroni S, Giglio N, Marson ME, Ballering G, Bisio M, Koren G, Garcia-Bournissen F. Population pharmacokinetic study of benznidazole in pediatric Chagas disease suggests efficacy despite lower plasma concentrations than in adults. PLoS Negl Trop Dis. 2014 May 22;8(5):e2907. doi: 10.1371/journal.pntd.0002907. eCollection 2014 May. PubMed 24853169 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 1, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00699387
Lead sponsor
Hospital de Niños R. Gutierrez de Buenos Aires
Collaborators
Thrasher Research Fund, The Hospital for Sick Children, Fundacion Bunge y Born (Argentina), Universidad Nacional de La Plata, Consejo de Investigacion en Salud Gobierno de Buenos Aires
First posted
Jun 18, 2008
Start date
Apr 2007
Primary completion
May 2011
Completion
May 2011
Last update
Aug 1, 2011

Study contacts

Jaime Altcheh, MD
study director · Parasitology Service, Children's Hospital "R. Gutierrez" of Buenos Aires
Facundo Garcia Bournissen, MD
principal investigator · Division of Clinical Pharmacology & Toxicology, Hospital for Sick Children, University of Toronto
Norberto Giglio, MD
principal investigator · Epidemiology Service, Children's Hospital "R. Gutierrez" of Buenos Aires
Gideon Koren, MD
principal investigator · Division of Clinical Pharmacology &Toxicology, Hospital for Sick Children, University of Toronto
Oscar Della Vedova
principal investigator · Universidad Nacional de La Plata
Guido Mastrantonio
principal investigator · Facultad de Ciencias Exactas, Universidad Nacional de La Plata

Oversight

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

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This study is completed, as verified in Jul 2011. You cannot join it, but the record below documents what was studied.

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