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Allopurinol, Glucantime, or Allopurinol/Glucantime for Cutaneous Leishmaniasis in Brazil
This study has been completed.
First Received: February 24, 2000   Last Updated: June 23, 2005   History of Changes
Sponsors and Collaborators: National Institute of Allergy and Infectious Diseases (NIAID)
Harvard School of Public Health
Information provided by: Office of Rare Diseases (ORD)
ClinicalTrials.gov Identifier: NCT00004755
  Purpose

OBJECTIVE:

Compare the efficacy and side effects of allopurinol versus glucantime versus allopurinol/glucantime in patients in Brazil with cutaneous leishmaniasis.


Condition Intervention Phase
Leishmaniasis
Drug: allopurinol
Drug: glucantime
Phase II

MedlinePlus related topics: Leishmaniasis
Drug Information available for: Allopurinol sodium Glucantime Allopurinol
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Parallel Assignment, Safety/Efficacy Study
Official Title: Phase II Randomized Study of Allopurinol Versus Glucantime Versus Allopurinol/Glucantime for Cutaneous Leishmaniasis in Brazil

Further study details as provided by Office of Rare Diseases (ORD):

Estimated Enrollment: 375
Study Start Date: September 1995
Detailed Description:

PROTOCOL OUTLINE:

This is a randomized study. Patients are stratified by participating institution.

One group is treated with daily intramuscular injections of glucantime. Patients with less than a complete response on Day 21 continue treatment until lesions heal completely or for a maximum of 60 days. Patients with progressive disease on Day 40 are removed from study.

The second group is treated with daily oral allopurinol. Patients with a partial response on Day 21 continue treatment until lesions heal completely.

Patients with stable or progressive disease on Day 21 or unhealed lesions on Day 56 cross to glucantime therapy. Accrual into this group was closed in 6/96.

The third group receives allopurinol and glucantime.

Patients are followed at 3, 6, and 9 months, then annually for at least 5 years.

  Eligibility

Ages Eligible for Study:   12 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

Parasitologically confirmed cutaneous leishmaniasis (lesion of less than 3 months duration)

No mucocutaneous leishmaniasis

No prior leishmaniasis

--Prior/Concurrent Therapy--

No prior treatment for leishmaniasis

--Patient Characteristics--

Hepatic: No clinical or laboratory evidence of hepatic disease

Renal: No clinical or laboratory evidence of renal disease No hyperuricemia or gout

Cardiovascular: No clinical, electrocardiographic, or laboratory evidence of cardiac disease

Other: No allergy or other contraindication to allopurinol or glucantime; No concurrent medication that might interact with study drugs, e.g.:

probenecid, warfarin, azathioprine; No skin rash; No malnutrition; No other medical contraindication to protocol therapy; No pregnant or nursing women

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00004755

Sponsors and Collaborators
Harvard School of Public Health
Investigators
Study Chair: James H. Maguire Harvard School of Public Health
  More Information

No publications provided

Study ID Numbers: 199/11679, HSPH-11679
Study First Received: February 24, 2000
Last Updated: June 23, 2005
ClinicalTrials.gov Identifier: NCT00004755     History of Changes
Health Authority: United States: Federal Government

Keywords provided by Office of Rare Diseases (ORD):
dermatologic disorders
environmental/toxic disorders
immunologic disorders and infectious disorders
leishmaniasis
rare disease

Study placed in the following topic categories:
Antimetabolites
Leishmaniasis
Protozoan Infections
Allopurinol
Skin Diseases, Infectious
Antioxidants
Skin Diseases
Meglumine antimoniate
Rare Diseases
Parasitic Diseases
Leishmaniasis, Cutaneous
Antirheumatic Agents

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
Allopurinol
Antiprotozoal Agents
Antioxidants
Molecular Mechanisms of Pharmacological Action
Skin Diseases, Parasitic
Physiological Effects of Drugs
Mastigophora Infections
Leishmaniasis, Cutaneous
Gout Suppressants
Antiparasitic Agents
Therapeutic Uses
Free Radical Scavengers
Parasitic Diseases
Leishmaniasis
Protozoan Infections
Skin Diseases
Meglumine antimoniate
Enzyme Inhibitors
Protective Agents
Pharmacologic Actions
Skin Diseases, Infectious
Sarcomastigophora Infections
Antirheumatic Agents

ClinicalTrials.gov processed this record on May 07, 2009