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CompletedNCT01032187LVTOUpdated Sep 5, 2017

Amphotericin B to Treat Visceral Leishmaniasis in Brazilian Children

A Phase 4 interventional study of Meglumine antimoniate and Amphotericin B-deoxycholate in Visceral Leishmaniasis, sponsored by University of Brasilia. Completed at 2 sites in Brazil. Open to participants aged 6 Months to 12 Years. Per ClinicalTrials.gov, last updated 2017-09-05.

Sponsored by University of Brasilia · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
101
Allocation
Randomized
Ages
6 Months to 12 Years
Sex
All
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Study summary

The purpose of this study is to determine if amphotericin B is effective against visceral leishmaniasis in Brazilian children. Amphotericin B will be compared to meglumine antimoniate which is the current approved drug used for this disease in Brazil.

Read the detailed description

Despite their high toxicity, antimonials and amphotericin B deoxycholate are commonly used for treating visceral leishmaniasis (VL). Few studies showing conflictive data about their efficacy and adverse events in pediatric population are available. This study aimed to evaluate efficacy and safety of amphotericin B deoxycholate vs. that of N-methylglucamine antimoniate in treating pediatric VL in Brazil. This was a randomized, open-label, 2-arm and controlled pilot clinical trial. Treatment naïve children and adolescents with VL without signs of severe illness were treated with N-methylglucamine antimoniate or amphotericin B deoxycholate. All patients were diagnosed with positive direct examination and/or positive PCR for Leishmania spp. performed in bone marrow samples. The primary efficacy end-point was VL cure determined after 180 days of completion of treatment. The analysis was performed using intention-to-treat (ITT) and per protocol (PP) analyses.

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Conditions studied

  • Visceral Leishmaniasis

Keywords

  • Visceral leishmaniasis
  • Amphotericin B deoxycholate
  • Meglumine antimoniate
  • Children
  • Brazil
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In context

Leishmaniasis

185 studies on the registry are indexed under Leishmaniasis; 15 are open to participants now.

This study's enrollment of 101 is above the median of 80 across 133 interventional studies indexed under Leishmaniasis.

Browse Leishmaniasis studies →

Lead sponsor

University of Brasilia is the lead sponsor of 63 studies on the registry; 11 are open to participants now.

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

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Who can participate

Ages eligible
6 Months to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Clinical symptoms of visceral leishmaniasis: fever plus hepatomegaly or splenomegaly
  • Diagnosis of visceral leishmaniasis confirmed through parasite visualization in bone marrow smears or positive serology (indirect immunofluorescent antibody test or rK39 rapid test)or positive kDNA PCR test

Exclusion criteria

Exclusion Criteria:

  • Any of the following laboratory findings

    • Total serum bilirubin higher than 2,5 mg/dL
    • Serum SGOT higher than 5 times the upper normal level
    • Serum SGPT higher than 5 times the upper normal level
    • Prothrombin time concentration lower than 70%
    • Abnormal serum creatinine
  • Any of the following signs or symptoms

    • Generalized edema
    • Severe malnutrition
    • Systemic inflammatory response syndrome
  • Any of the following conditions

    • HIV infection/disease
    • Diabetes
    • Corticoid or immunosuppressive drugs use
    • Symptomatic heart diseases
    • Chronic hepatic or renal diseases
    • Lupus erythematosus
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
101 participants (actual)

Study arms

  • Active comparator
    Meglumine antimoniate

    20mg/kg/day IV for 20 days

    Drug: Meglumine antimoniate

  • Experimental
    Anfo B

    Amphotericin B-deoxycholate, 1mg/kg/day IV for 14 days

    Drug: Amphotericin B-deoxycholate

Interventions

  • DrugMeglumine antimoniate

    20mg/kg/day IV for 20 days

    Also known as: Glucantime

  • DrugAmphotericin B-deoxycholate

    Amphotericin B-deoxycholate 1 mg/kg/day IV for 14 days

    Also known as: Fungizone

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What researchers measure

Primary outcomes

  1. Cure rate

    Time frame: 3 months

Secondary outcomes

  1. Improvement rate

    Time frame: 30 days

  2. Adverse events rate

    Time frame: 30 days

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Study locations

2 sites
  • Hospital de Doenças Tropicais
    Araguaína, Tocantins, Brazil
  • Hospital Dona Regina
    Palmas, Tocantins, Brazil
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References and documents

Publications

  • Borges MM, Pranchevicius MC, Noronha EF, Romero GA, Carranza-Tamayo CO. Efficacy and safety of amphotericin B deoxycholate versus N-methylglucamine antimoniate in pediatric visceral leishmaniasis: an open-label, randomized, and controlled pilot trial in Brazil. Rev Soc Bras Med Trop. 2017 Jan-Feb;50(1):67-74. doi: 10.1590/0037-8682-0455-2016. PubMed 28327804 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01032187
Lead sponsor
University of Brasilia
Collaborators
Ministry of Health, Brazil
Responsible party
Gustavo Adolfo Sierra Romero (Associate Professor, University of Brasilia) — Principal investigator
First posted
Dec 15, 2009
Start date
Oct 2007
Primary completion
Jan 2010
Completion
Jul 2010
Last update
Sep 5, 2017

Study contacts

Myrlena RM Borges, MsC
principal investigator · Federal University of Tocantins
Gustavo AS Romero, PhD
study chair · University of Brasilia

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.

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