Leishmaniasis; Brazilian, Leishmaniasis, Mucocutaneous
Conditions
Keywords
Elderly, Miltefosine, Leishmaniasis, Pentoxifylline, Liposomal amphotericin b, Treatment
Brief summary
Randomised clinical trial comparing oral miltefosine associated with pentoxifylline to intravenous liposomal amphotericin b for the treatment of cutaneous and mucosal leishmaniasis
Interventions
Oral Miltefosine 50mg bid
Oral Pentoxifylline 400mg tid
Intravenous 25 to 40mg/kg
Sponsors
Study design
Eligibility
Inclusion criteria
* Active confirmed cutaneous leishmaniasis ou mucosal leishmaniasis * Use of highly effective contraceptive method and a negative serologic pregnancy test (beta - HCG), if female in fertile phase * Agree and sing informed consent form
Exclusion criteria
* Previous treatment with leishmanicidal drugs in the last 6 months * Pre-treatment electrocardiographic changes that contraindicate the use of liposomal amphotericin B (QTc greater than 450ms) * Serum creatinine or urea 1.5 times the upper limit of normal * Patients with severe or decompensated liver, kidney, heart disease, Diabetes Mellitus * history of any hypersensitivity reaction to liposomal amphotericin B, miltefosine and/or pentoxifylline * Pregnant and breastfeeding women * Patients with Acquired Immunodeficiency Syndrome (AIDS) or other immunodeficiency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cure | 90 days after the begin of treatment | Complete healing of all lesions (cicatrization of ulcers and complete regression of erythema or infiltration) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse effects | 30 days after drug interruption | Presence laboratorial or clinica changes during treatment that lead to treatment interruption |
Countries
Brazil