ClinicalTrials.gg
Active, not recruitingNCT04024163Updated Apr 21, 2026

Prospective Study of Benznidazole for Chagas' Disease Children With Chronic Indeterminate Chagas Disease

A Phase 3 interventional study of Benznidazole in Chagas Disease, sponsored by Insud Pharma. Active, not recruiting at 9 sites in 3 countries. Open to participants aged 2 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-04-21.

Sponsored by Insud Pharma · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
178
Allocation
Not applicable
Ages
2 Years to 18 Years
Sex
All
01

Study summary

This study evaluate the efficacy and safety of benznidazole in the treatment of chronic indeterminate Chagas disease in children. All subjects will receive benznidazole and results will be compared to historically to a placebo arm.

02

Conditions studied

  • Chagas Disease

Browse trials for

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 178 is above the median of 87 across 49 interventional studies indexed under Chagas Disease.

Browse Chagas Disease studies →

Lead sponsor

Insud Pharma is the lead sponsor of 10 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 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Age between 2 years and 18 years (age limits inclusive)
  • Diagnosis of Trypanosoma cruzi (T. cruzi) infection by conventional serology based on positive ELISA and at least 1 other positive conventional serology test (recombinant ELISA or IIF)
  • Written by parent/legal representative and informed assent from patients if >7 years old when applicable (as requirements may vary by country and by site)
  • Females of (ie, female patients who have experienced menarche) and male patients must agree to use highly effective if sexually active from the time of signing of the informed consent/assent form until ≥5 days after the last dose of study treatment

Exclusion criteria

Exclusion Criteria:

  • Pregnant or intending to become pregnant during treatment and within 5 days after the last dose of study treatment
  • Patient presenting any other acute or chronic health conditions, which in the opinion of the Principal Investigator (PI), may interfere with the pharmacokinetic (PK), efficacy, and/or safety evaluation of the study treatment
  • Signs and/or symptoms of acute Chagas Disease
  • Known history of or serious adverse reactions to nitroimidazoles
  • History of Chagas Disease treatment with Benznidazole (BZN) or nifurtimox
  • (clinical history compatible with (HIV) infection, primary immunodeficiency, or prolonged treatment with or other immunosuppressive drugs)
  • Abnormal laboratory test values (as per protocol-specified ranges) at Screening for the following parameters: total white blood cell (WBC) count, count, (ALT), aspartate aminotransferase (AST), total , and creatinine
  • Abnormal (as per protocol-specified ranges) and/or any Chagas disease associated findings
  • Any condition that prevents the patient from taking oral medication
  • Patient is known to or suspected of not being able to comply with the study protocol and the use of the medicinal product (IMP)
  • Evidence or history of alcohol or drug abuse (within the last 12 months)
  • Any planned procedure that may interfere with highly effective during treatment and within 5 days after the last dose of study treatment
  • Employee of the Investigator or trial centre, or family member of the employees or the Investigator
  • Any condition that, in the opinion of the Investigator, may jeopardise the trial conduct according to the protocol
Terms in these criteria, in plain language(12)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
178 participants (actual)

Study arms

  • Experimental
    Benznidazole

    Benznidazole 100 mg Tablets or Benznidazole 12.5 mg Tablets by mouth, every 12 hours for 60 days

    Drug: Benznidazole

Interventions

  • Drug: Benznidazole Tablets 100 mg (functionally scored) or Tablets 12.5 mg

    Also known as: National Drug Code (NDC) 0642-7464-10, National Drug Code (NDC) 0642-7464-12

06

What researchers measure

Primary outcomes

  1. Serological Cure by Conventional ELISA

    Percentage of patients with negative conventional ELISA results as a measure of serological cure at the end of the 72-month follow up

    Time frame: 72-month follow up

Secondary outcomes

  1. Serological Cure by Conventional ELISA at different timepoints

    Percentage of patients with negative conventional ELISA results as a measure of serological cure

    Time frame: Day 60 (EOT), and 4, 6, 12, 24, 36, 48, 60, and 72 months of follow-up

  2. Serological Cure by two conventional serology tests at 72 month

    Percentage of patients with two negative conventional serology results as a measure of serological cure

    Time frame: 72 months of follow-up

  3. Serological Cure by two conventional serology tests at 48 months

    Percentage of patients with two negative conventional serology results as a measure of serological cure

    Time frame: 48 months of follow-up

  4. Serological Cure by three serology tests at different timepoints

    Percentage of patients with three negative serology results as a measure of serological cure

    Time frame: Day 60 (EOT), and 4, 6, 12, 24, 36, 48, 60, and 72 months of follow-up

  5. Serological Cure by Non-Conventional ELISA at different timepoints

    Percentage of patients with negative non-conventional ELISA (F29) results as a measure of serological cure

    Time frame: Day 60 (EOT), and 4, 6, 12, 24, 36, 48, 60, and 72 months of follow-up

  6. Cure by qPCR at different timepoints

    Consistently negative quantitative polymerase chain reaction (qPCR) results as a surrogate measure of cure

    Time frame: Day 60 (EOT), and 4, 6, 12, 24, 36, 48, 60, and 72 months of follow-up

  7. Serological titres reduction at different timepoints

    Reduction of conventional and nonconventional serological titres over the period of follow-up

    Time frame: Day 60 (EOT), and 4, 6, 12, 24, 36, 48, 60, and 72 months of follow-up

  8. Progression of clinical disease at different timepoints

    Percentage of patients with progression to clinical disease over the period of follow-up

    Time frame: Day 60 (EOT), and 4, 6, 12, 24, 36, 48, 60, and 72 months of follow-up

  9. Progression of clinical disease and serological cure by one assay at different timepoints

    Percentage of patients with no evidence of established cardiomyopathy over the period of follow-up and seroconversion to negative by one assay

    Time frame: 48 and 72 months of follow-up

  10. Progression of clinical disease and serological cure by two assays at different timepoints

    Percentage of patients with no evidence of established cardiomyopathy over the period of follow-up and seroconversion to negative by two assay

    Time frame: 48 and 72 months of follow-up

Other outcomes

  1. Safety and Tolerability

    Rate and severity of adverse events (AEs)

    Time frame: Day 60 (EOT), and 4, 6, 12, 24, 36, 48, 60, and 72 months of follow-up

  2. Population Pharmacokinetic - blood concentration

    Benznidazole blood concentrations

    Time frame: pre-dose, day 7 and day 30

  3. Population Pharmacokinetic - area under the curve (AUC)

    Benznidazole area under the curve (AUC)

    Time frame: pre-dose, day 7 and day 30

  4. Population Pharmacokinetic - volume of distribution

    Benznidazole volume of distribution

    Time frame: pre-dose, day 7 and day 30

  5. Intensive Pharmacokinetic - blood concentrations

    Benznidazole blood concentrations

    Time frame: Day 1 or day 7

  6. Intensive Pharmacokinetic - area under the curve (AUC)

    Benznidazole area under the curve (AUC)

    Time frame: Day 1 or day 7

07

Study locations

9 sites
  • Hospital de Ninos "Dr. Ricardo Gutierrez"
    Buenos Aires, Argentina
  • Hospital "Luis Carlos Lagomaggiore"
    Mendoza, Argentina
  • Hospital Pediatrico "Dr. Humberto Notti"
    Mendoza, Argentina
  • Hospital Público Descentralizado Dr. Guillermo Rawson
    San Juan, Argentina
  • Centro de Enfermedad de Chagas y Patologías Regionales
    Santiago del Estero, Argentina
  • Antigua Hospital Viedma
    Cochabamba, Bolivia
  • CEADES - Plataforma de Chagas Sucre
    Sucre, Bolivia
  • Fundación Salud para el Trópico
    Santa Marta, Colombia
  • Centro de Atención e Investigación Médica (CAIMED)
    Yopal, Colombia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2019 (actual). Primary completion is estimated for Aug 2027, 95 months after the start.

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

Registered
Jul 14, 2019
First posted
Jul 18, 2019
StartActual
Sep 19, 2019
Primary completionEst.
Aug 30, 2027
CompletionEst.
Mar 30, 2028
Last update
Apr 21, 2026
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 Apr 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04024163
Lead sponsor
Insud Pharma
Collaborators
Chemo Research
Responsible party
Sponsor
First posted
Jul 18, 2019
Start date
Sep 19, 2019
Primary completion
Aug 30, 2027 (estimated)
Completion
Mar 30, 2028 (estimated)
Last update
Apr 21, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Benzonidazole

Start the discussion