Leprosy
Conditions
Keywords
Leprosy, ENL, Erythema Nodosum Leprosum, Prednisolone, Ciclosporin
Brief summary
Study 2A: Ciclosporin in the management of new Erythema Nodosum Leprosum Objective: A pilot (double blind controlled) study randomizing patients to treatment either with Ciclosporin or Prednisolone to assess the safety, tolerability and efficacy of Ciclosporin in the treatment of patients with new acute Type 2 reactions (ENL).
Detailed description
A pilot (double blind controlled) study randomizing patients to treatment either with Ciclosporin or Prednisolone to assess the safety, tolerability and efficacy of Ciclosporin in the treatment of patients with new acute Type 2 reactions (ENL).
Interventions
Ciclosporin 7.5mg/kg - reducing regimen over 16 weeks (additional prednisolone given for the first four weeks)
prednisolone 40mg daily then reducing regimen over 16 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Individuals with clinical evidence of new ENL * Aged 18-65 * Weigh more than 30Kg
Exclusion criteria
* Unwillingness to give informed consent * Patients with severe active infections such as tuberculosis * Pregnant or breastfeeding women (see Appendix II) * Those with renal failure, abnormal renal function, hypertensive * Patients taking thalidomide currently or within the last 3 months * Patients not willing to return for follow-up * Women of reproductive age not willing to use contraception for the duration of the study ( see Appendix II) * HIV positive patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of ENL recurrence episodes per patient | up to 32 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Mean time to ENL recurrence after initial control | up to 32 weeks |
| Amount of additional prednisolone required by patients | up to 32 weeks |
| Frequency of adverse events for patients in each treatment arm | up to 32 weeks |
| Difference in score in Quality of Life assessment between start and end for patients in each treatment arm | up to 32 weeks |
Countries
Ethiopia