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Evaluation of the use of Pioglitazone combined with conventional Antifungals for treatment of meningitis caused by the fungus Cryptococcus

Randomized double-blind Pioglitazone repositioning trial combined with Antifungals for treatment of Cryptococcal Meningitis

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-9fv3f4
Enrollment
Unknown
Registered
2019-10-17
Start date
2019-12-01
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cryptococcal meningitis.

Interventions

Sixty-three patients (over 18 years) will be included in this study, to be divided into three groups of 21, with confirmed clinical and laboratory diagnosis of neurocriptococcosis in HEM, between 2019
Drug
D02.886.675.933.250
E05.290.875

Sponsors

Conselho Nacional de Desenvolvimento Científico e Tecnológico
Lead Sponsor
Universidade Federal de Minas Gerais
Collaborator

Eligibility

Age
18 Years to 90 Years

Inclusion criteria

Inclusion criteria: Older than 18 years. Cryptococcal meningitis.

Exclusion criteria

Exclusion criteria: Under 18 years. Pregnancy. Diabettes mellitus. Active liver failure. Bladder tumor. Recurrence of cryptococcosis. Prior antifungal therapy. Hypoglycemia. Congestive heart failure. Hypersensitivity to pioglitazone. Sertraline. Amiodarone Atorvastatin

Design outcomes

Primary

MeasureTime frame
Mortality reduction in cryptococcosis patients to 10% (this figure is based on survival of mice in a preclinical trial in which IOP was associated with antifungal).

Secondary

MeasureTime frame
As secondary outcomes, it is expected: (i) Reduction of CSF fungal burden at the beginning of treatment; (ii) Negative CSF culture after 14 days; (iii) Lower occurrence of immune response reconstitution syndrome; (iv) Reduction of relapse occurrence; (v) Reduction of serious adverse effects; (vi) Reduction of levels of inflammatory mediators in blood and cerebrospinal fluid.

Countries

Brazil

Contacts

Public ContactDaniel;Lívia Santos;Melo

Universidade Federal de Minas Gerais;Hospital Eduardo de Menezes - Rede FHEMIG

dasufmg@gmail.com;livia_cunhamelo@yahoo.com.br+55-031-34092758;+55-031-33285045

Outcome results

None listed

Source: REBEC (via WHO ICTRP) · Data processed: Feb 24, 2026