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CompletedNCT06449040Updated Jun 7, 2024

Treatment of Cutaneous Leishmaniasis With Liposomal Amphotericin B in the Elderly

A Phase 1/2 interventional study of Liposomal amphotericin B (AmBisome®) in Cutaneous Leishmaniasis, American, sponsored by Hospital Universitário Professor Edgard Santos. Completed at 1 site in Brazil. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2024-06-07.

Sponsored by Hospital Universitário Professor Edgard Santos · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 5 years 2 months after the study started (first participant enrolled Mar 2019, registered May 2024).
Phase
Phase 1/2
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
60 Years and older
Sex
All
01

Study summary

A randomized controlled pilot trial with the aim of identifying the dose of liposomal amphotericin B associated with the highest cure rate in Cutaneous Leishmaniasis (CL). We selected 28 patients of both sexes, aged 60 years or older, diagnosed with CL and confirmed by detection of L. braziliensis DNA. The groups were treated with different total doses of medication: G1: 12 mg/kg; G2: 18mg/kg; G3: 24 mg/kg. Clinical and laboratory evaluations were carried out during the period of 180 days (D0, D15, D30, D60, D120, D150 and D180).

Read the detailed description

The study was carried out through a randomized and double-blind pilot clinical trial, with the inclusion of patients treated at the Corte de Pedra Health Center, endemic region for Cutaneous Leishmaniasis. Twenty-eight patients participated in the study, after accepting and signing the Free and Informed Consent Form they were randomized through the list generated electronically by the website www.randomization.com and allocated into three groups.

The groups were treated with liposomal amphotericin B (AmBisome®) with three different total doses: Group 1 (G1) total dose of 12 mg/kg (10 patients). Group 2 (G2): 18 mg/kg (9 patients). Group 3 (G3): 24 mg/kg (9 patients). The drug was used twice a week in a hospital outpatient setting. Clinical evaluations were performed before starting therapy (D0), and at D15, D30, D60, D120 and D180. Laboratory evaluations (hemogram, BUN, Creatinine, K, ALT, AST) were determined on D0, D15 and D30 or D60.

02

Conditions studied

  • Cutaneous Leishmaniasis, American

Keywords

  • Cutaneous Leishmaniasis
  • Liposomal Amphotericn B
  • L. braziliensis
  • Elderly
03

In context

Leishmaniasis, Mucocutaneous

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

This study's enrollment of 28 is below the median of 49 across 16 interventional studies indexed under Leishmaniasis, Mucocutaneous.

Browse Leishmaniasis, Mucocutaneous studies →

Lead sponsor

Hospital Universitário Professor Edgard Santos is the lead sponsor of 17 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
60 Years and older
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

  • CL clinical diagnosis (presence of an ulcer)
  • CL confirmed by detection of amastigotes in pathology and/or positive PCR for L. braziliensis in tissue obtained from the ulcer border
  • Presence of one to a maximum of three ulcers
  • Ulcer size between 1 and 5 mm
  • Ulcer evolution of 1 to 6 months

Exclusion criteria

Exclusion Criteria:

  • Previous CL treatment
  • Renal or hepatic disease
  • co-infection.
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
28 participants (actual)

Study arms

  • Active comparator
    Group Anfo12mg/kg

    Liposomal amphotericin B (AmBisome®) - 3mg/kg twice a week; total dose of 12 mg/kg

    Drug: Liposomal amphotericin B (AmBisome®)

  • Active comparator
    Group Anfo18mg/kg

    Liposomal amphotericin B (AmBisome®) - 3mg/kg twice a week; total dose of 18 mg/kg

    Drug: Liposomal amphotericin B (AmBisome®)

  • Active comparator
    Group Anfo24mg/kg

    Liposomal amphotericin B (AmBisome®) - 3mg/kg twice a week; total dose of 24 mg/kg

    Drug: Liposomal amphotericin B (AmBisome®)

Interventions

06

What researchers measure

Primary outcomes

  1. Total initial cicatrization

    Healing of the total ulcer area, without elevation of the ulcer edges upon clinical evaluation

    Time frame: 30 to 90 days after the first day of treatment

Secondary outcomes

  1. Total final cicatrization

    Healing of the total ulcer area, without elevation of the ulcer edges upon clinical evaluation

    Time frame: 30 to 180 days after the first day of treatment

  2. Time to cure

    Number of days from the first day of treatment until total ulcer cicatrization

    Time frame: 30 to 180 days after the first day of treatment

07

Study locations

1 site
  • Corte de Pedra Health Post
    Presidente Tancredo Neves, BA 40000, Brazil
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06449040
Lead sponsor
Hospital Universitário Professor Edgard Santos
Collaborators
Instituto Gonçalo Muniz FIOCRUZ BA
Responsible party
Paulo Roberto Lima Machado (Head of Immunology Service, Hospital Universitário Professor Edgard Santos) — Principal investigator
First posted
Jun 7, 2024
Start date
Mar 1, 2019
Primary completion
Sep 1, 2021
Completion
Sep 1, 2023
Last update
Jun 7, 2024

Study contacts

PAULO MACHADO, MD, PhD
principal investigator · Federal University of Bahia

Oversight

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

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This study is completed, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Liposomal amphotericin B

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