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Fractional CO2 Laser With Topical Pentostam Treatment for Cutaneous Leishmaniasis.

Primary Purpose

Leishmaniasis

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Local application pentostam
intra-lisional pentostam
fractional CO2 laser
Sponsored by
Tel-Aviv Sourasky Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leishmaniasis

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Objective cutaneous leishmaniasis diagnosis.
  • More than one Lesion

Exclusion Criteria:

  • Previous treatment
  • Abnormal scarring

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Treatment

    control

    Arm Description

    CO2 fractional laser with local application of Pentostam

    Intra-lesinal Pentostam injedction

    Outcomes

    Primary Outcome Measures

    scar appearance
    Each lesion will be photographed prior to treatment and at 6th month (Three months after last (3rd) treatment).Two dermatologist will asses each lesion outcome

    Secondary Outcome Measures

    Pain assessed by VAS

    Full Information

    First Posted
    December 14, 2016
    Last Updated
    December 30, 2016
    Sponsor
    Tel-Aviv Sourasky Medical Center
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03009422
    Brief Title
    Fractional CO2 Laser With Topical Pentostam Treatment for Cutaneous Leishmaniasis.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    November 2014 (undefined)
    Primary Completion Date
    February 2017 (Anticipated)
    Study Completion Date
    June 2017 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Tel-Aviv Sourasky Medical Center

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The investigators will compare the common treatment for cutaneous leishmaniasis with intra-lesional Pentostam to fractional CO2 laser with topical application of Pentostam. Outcome will be final scar appearance assesd by two dermatologist and pain measurement by VAS.
    Detailed Description
    20 healthy patients diagnosed will cutaneous leishmaniasis with more than one lesion will be recruited. Half of the lesions will be treated with intra-lesional injections of Pentostam, and the other half by CO2 laser with topical application of Pentostam. Each lesion will recieve 3 treatments, one month apart between treatments. The patients will scale pain level of each treatment. Final scar appearance will be assessed by two dermatologists, without knowing what treatment was applied to each lesion.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Leishmaniasis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    20 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Treatment
    Arm Type
    Experimental
    Arm Description
    CO2 fractional laser with local application of Pentostam
    Arm Title
    control
    Arm Type
    Active Comparator
    Arm Description
    Intra-lesinal Pentostam injedction
    Intervention Type
    Drug
    Intervention Name(s)
    Local application pentostam
    Intervention Type
    Drug
    Intervention Name(s)
    intra-lisional pentostam
    Intervention Type
    Device
    Intervention Name(s)
    fractional CO2 laser
    Primary Outcome Measure Information:
    Title
    scar appearance
    Description
    Each lesion will be photographed prior to treatment and at 6th month (Three months after last (3rd) treatment).Two dermatologist will asses each lesion outcome
    Time Frame
    At sixth month
    Secondary Outcome Measure Information:
    Title
    Pain assessed by VAS
    Time Frame
    at one month, two months, and three months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Objective cutaneous leishmaniasis diagnosis. More than one Lesion Exclusion Criteria: Previous treatment Abnormal scarring

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    24170665
    Citation
    Monge-Maillo B, Lopez-Velez R. Therapeutic options for old world cutaneous leishmaniasis and new world cutaneous and mucocutaneous leishmaniasis. Drugs. 2013 Nov;73(17):1889-920. doi: 10.1007/s40265-013-0132-1.
    Results Reference
    background
    PubMed Identifier
    23012189
    Citation
    Al-Natour SH. Update in the treatment of cutaneous leishmaniasis. J Family Community Med. 2009 May;16(2):41-7.
    Results Reference
    background
    PubMed Identifier
    16624197
    Citation
    Arfan-ul-Bari, Simeen-ber-Rahman. Scar leishmaniasis. J Coll Physicians Surg Pak. 2006 Apr;16(4):294-5.
    Results Reference
    background
    PubMed Identifier
    24845386
    Citation
    Kim DW, Hwang NH, Yoon ES, Dhong ES, Park SH. Outcomes of ablative fractional laser scar treatment. J Plast Surg Hand Surg. 2015 Apr;49(2):88-94. doi: 10.3109/2000656X.2014.919927. Epub 2014 May 21.
    Results Reference
    background
    PubMed Identifier
    25348758
    Citation
    AlGhamdi K, Khurrum H. Successful treatment of atrophic facial leishmaniasis scars by co2 fractional laser. J Cutan Med Surg. 2014 Nov;18(6):379-84. doi: 10.2310/7750.2014.13175.
    Results Reference
    background
    PubMed Identifier
    24664987
    Citation
    Sklar LR, Burnett CT, Waibel JS, Moy RL, Ozog DM. Laser assisted drug delivery: a review of an evolving technology. Lasers Surg Med. 2014 Apr;46(4):249-62. doi: 10.1002/lsm.22227. Epub 2014 Mar 24.
    Results Reference
    background
    PubMed Identifier
    23294061
    Citation
    Bloom BS, Brauer JA, Geronemus RG. Ablative fractional resurfacing in topical drug delivery: an update and outlook. Dermatol Surg. 2013 Jun;39(6):839-48. doi: 10.1111/dsu.12111. Epub 2013 Jan 7.
    Results Reference
    background

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    Fractional CO2 Laser With Topical Pentostam Treatment for Cutaneous Leishmaniasis.

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