ClinicalTrials.gg
CompletedNCT02431429Updated Mar 4, 2019

Spermiogram Assessment in Bolivian Patients Taking Impavido® (Miltefosine) for Mucocutaneous Leishmaniasis

An observational study in Mucocutaneous Leishmaniasis, sponsored by Knight Therapeutics (USA) Inc. Completed at 1 site in Bolivia. Open to male participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2019-03-04.

Sponsored by Knight Therapeutics (USA) Inc · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
55
Ages
18 Years to 55 Years
Sex
Male
01

Study summary

This study is a Phase 4, open-label, single group study in which at least 55 evaluable adult male patients undergoing miltefosine treatment for mucocutaneous leishmaniasis will provide semen samples for spermiogram analysis of sperm parameters.

Read the detailed description

This study is a Phase 4, open-label, single group study in which at least 55 evaluable adult male patients undergoing miltefosine treatment for mucocutaneous leishmaniasis will provide semen samples for spermiogram analysis of sperm parameters. Potential subjects diagnosed with mucocutaneous leishmaniasis who are planning to undergo miltefosine treatment will be informed about the study and undergo the informed consent process. After obtaining informed consent, subjects will be screened over a 28-day period for eligibility by medical history including leishmaniasis diagnostics, physical examination, clinical laboratory measurements [chemistries: (ALT, total bilirubin, creatinine; hematology: WBC count, hemoglobin, platelet count; spermiogram: sperm concentration, total sperm count, semen volume, sperm motility, and sperm morphology; hormones: testosterone and FSH]; and medication use in the 28-day period before starting treatment. If eligible for the study, the subject will receive miltefosine for 28 days at a target dose of approximately 2.5 mg/kg/day. Screening and enrollment into the study will continue until at least 55 subjects complete the study and are considered evaluable (provide sperm samples per protocol and complete at least 25 of 28 days of miltefosine treatment). Chemistries and hematology will be repeated at study Days 14 (mid-treatment) and 28 (end of treatment). Two semen samples will be collected during screening (at least 48 hours apart), at the end of treatment (Days 25-and-28), at 3-months after completing treatment. If clinically significant changes spermiogram findings are observed at 3 months, one sample will be collected at 6 months. Adverse events (AEs) and concomitant medication use will be collected during treatment. Concomitant medication use will also be collected at the 3-month visit and in any subject coming back for the 6-month visit. A medical history will be taken at the 3-month and 6-month (if conducted) focusing on any changes to the urogenital system.

02

Conditions studied

  • Mucocutaneous Leishmaniasis

Keywords

  • leishmaniasis
  • miltefosine
  • spermiogram
03

In context

Leishmaniasis, Mucocutaneous

21 studies on the registry are indexed under Leishmaniasis, Mucocutaneous; 7 are open to participants now.

Browse Leishmaniasis, Mucocutaneous studies →

Lead sponsor

Knight Therapeutics (USA) Inc is the lead sponsor of 6 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

mucocutaneous leishmaniasis patients

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

  1. Provide written .
  2. Be available to complete study procedures
  3. Have a diagnosis of mucocutaneous leishmaniasis confirmed by microscopy of a stained smear of a lesion sample, by culture of a lesion sample, or by polymerase chain reaction (PCR) of a lesion sample or by Montenegro skin test and be planning to undergo treatment with miltefosine
  4. Be male and 18-55 years of age
  5. Have , total , and creatinine \< 1.5 (ULN)
  6. Have values of ions that might affect (magnesium, calcium, potassium, sodium) within normal laboratory limits (WNL)
  7. Have WBC count, , and count within 15% of normal laboratory limits (WNL)
  8. Have no known history of male sexual dysfunction
  9. Have not had a vasectomy and agree to not have a vasectomy for the duration of the study
  10. Have testosterone WNL (> 300 ng/dL) and FSH WNL (1.5 - 2.4 mIU/mL)
  11. Have screening semen parameters (mean of both tests) of:

    1. semen volume at least 1.5 mL
    2. total sperm count greater than 45 million
    3. sperm concentration greater than 30 million/mL
    4. sperm motility greater than 50% (total percentage progressively motile sperm)
    5. normal sperm morphology by strict criteria >10%

Exclusion criteria

Exclusion Criteria:

  1. Have presence of any psychological or physiological abnormalities that in the opinion of the Investigator would significantly impair sexual performance or ability to provide semen samples according to the protocol
  2. Have evidence by history of psychotropic and central nervous system drugs (e.g., antidepressants, anti-epileptics), anti-hypertensives, calcium channel blockers, chemotherapy drugs, colchicine, therapeutic hormones, finasteride, sulfasalazine, use of nicotine containing products or urine toxicology test for marijuana (tetrahydrocannabinol) and cocaine.
  3. Have history of surgical prostatectomy
  4. Have positive serology for Chagas Disease
Terms in these criteria, in plain language(7)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
55 participants (actual)
Patient registry
No

Groups and cohorts

  • miltefosine

    miltefosine: target of 2.5 mg/kg/day for 28 days

    Drug: Miltefosine

Interventions

06

What researchers measure

Primary outcomes

  1. number of patients with abnormal spermiogram

    Time frame: 4 weeks of therapy plus up to 3-6 months after therapy

Secondary outcomes

  1. number of patients with abnormal values of testosterone/FSH

    Time frame: 4 weeks of theapy plus up to 3-6 months after therapy

07

Study locations

1 site
  • Funderama
    Santa Cruz, Bolivia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 4, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02431429
Lead sponsor
Knight Therapeutics (USA) Inc
Responsible party
Sponsor
First posted
May 1, 2015
Start date
Jul 2015
Primary completion
Feb 23, 2018
Completion
Mar 1, 2019
Last update
Mar 4, 2019

Study contacts

Jaime Soto, MD
principal investigator · Fundacion Nacional de Dermatologia

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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