Phase 2 Trial to Evaluate 18-Methoxycoronaridine Efficacy, Safety and Tolerability in Cutaneous Leishmaniasis Patients
Primary Purpose
Leishmaniasis; American, Cutaneous, Drug Side Effect
Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
18-Methoxycoronaridine
Glucantime
Sponsored by
About this trial
This is an interventional treatment trial for Leishmaniasis; American, Cutaneous focused on measuring safety, pharmacokynetics, leishmaniasis treatment
Eligibility Criteria
Inclusion Criteria:
- Age between 18 and 59 years of age;
- Clinical diagnosis of leishmaniasis with at least one ulcerated lesion with evolution time from one month;
- Parasitological confirmation;
- Women of childbearing potential should not be pregnant or breastfeeding, confirmed by examination of b-HCG (Gonadotrophic-Chorionic Hormone beta) at the time of screening;
- Men and women should use barrier contraceptive methods during the course of the study;
Exclusion Criteria:
- History of any disease or comorbidities that, in the opinion of the investigator, can either put the individual at risk or influence the results and ability of the subject to participate in the study;
- History or presence of gastrointestinal, hepatic, cardiac, renal disease or any other known condition that may interfere with the absorption, distribution, metabolism or excretion of the investigational product;
- Any evidence of underlying serious disease (cardiac, renal, hepatic or pulmonary);
- Pregnancy or the patient's unwillingness to use barrier contraceptive methods during and 3 months after therapy;
- History of gastrointestinal ulcer disease, inflammatory bowel disease, symptoms of indigestion;
- Any clinically important abnormality in biochemistry, hematology, urinalysis or clinical outcomes judged by the investigator;
- Any positive screening result for hepatitis B antigens, hepatitis C antibodies, and human immunodeficiency virus (HIV);
- Any clinically significant abnormalities in the rate, or driving the resting ECG morphology that may interfere with the interpretation of the QT interval variations;
- History of cancer;
- History of drug abuse, judging by the investigator
- History of alcohol abuse or excessive alcohol consumption, judged by the investigator;
- History of smoking
- History of severe allergy / hypersensitivity, judged by the investigator;
- History of hypersensitivity to drugs with similar chemical structure.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm Type
Experimental
Experimental
Experimental
Experimental
Active Comparator
Experimental
Experimental
Arm Label
1 mg/day
4 mg/day
8 mg/day
12 mg/day
Glucantime
Best dose 18-MC
Minimum effective dose 18-MC
Arm Description
Outcomes
Primary Outcome Measures
Lesion Reduction and Re-epithelization - Definitive Cure
complete epithelization of all ulcers and complete disappearance of inflammatory hardening of all lesions at 6 months at the follow-up visit.
Lesion Reduction and Re-epithelization - Partial Cure
incomplete epithelialization or incomplete regression of inflammatory hardening of one or more lesions, and without the appearance of new lesions.
Apparent cure: complete epithelization of all ulcers and regression ≥ 70% of the inflammatory hardening of all lesions.
Clinical Failure
Any of the following topics as clinical failure: residual readers with the presence of non-GiemsaDiff-Quick print parasites, or the appearance of new lesions or ≥ 20% increase or no improvement of lesions previously documented.
Secondary Outcome Measures
Full Information
NCT ID
NCT03084952
First Posted
March 14, 2017
Last Updated
March 17, 2020
Sponsor
Infan Industria Quimica Farmaceutica Nacional
1. Study Identification
Unique Protocol Identification Number
NCT03084952
Brief Title
Phase 2 Trial to Evaluate 18-Methoxycoronaridine Efficacy, Safety and Tolerability in Cutaneous Leishmaniasis Patients
Official Title
A Phase 2, Randomized, Unicentric Clinical Trial With Dose Scaling for Safety, Tolerability and Efficacy Assessment of 18-Methoxycoronaridine Administered to Cutaneous Leishmaniasis Patients
Study Type
Interventional
2. Study Status
Record Verification Date
March 2020
Overall Recruitment Status
Not yet recruiting
Study Start Date
May 2021 (Anticipated)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
July 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Infan Industria Quimica Farmaceutica Nacional
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
It is a randomized phase II clinical study, unicentre aimed to evaluate the tolerability, safety and efficacy of 18-Methoxyoronaridine as a candidate of tegumentary leishmaniasis treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leishmaniasis; American, Cutaneous, Drug Side Effect
Keywords
safety, pharmacokynetics, leishmaniasis treatment
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
52 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
1 mg/day
Arm Type
Experimental
Arm Title
4 mg/day
Arm Type
Experimental
Arm Title
8 mg/day
Arm Type
Experimental
Arm Title
12 mg/day
Arm Type
Experimental
Arm Title
Glucantime
Arm Type
Active Comparator
Arm Title
Best dose 18-MC
Arm Type
Experimental
Arm Title
Minimum effective dose 18-MC
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
18-Methoxycoronaridine
Intervention Description
Drug under evaluation for leishmaniasis treatment
Intervention Type
Drug
Intervention Name(s)
Glucantime
Intervention Description
Leishmaniasis standard drug in Brazil
Primary Outcome Measure Information:
Title
Lesion Reduction and Re-epithelization - Definitive Cure
Description
complete epithelization of all ulcers and complete disappearance of inflammatory hardening of all lesions at 6 months at the follow-up visit.
Time Frame
6 months at the follow-up visit.
Title
Lesion Reduction and Re-epithelization - Partial Cure
Description
incomplete epithelialization or incomplete regression of inflammatory hardening of one or more lesions, and without the appearance of new lesions.
Apparent cure: complete epithelization of all ulcers and regression ≥ 70% of the inflammatory hardening of all lesions.
Time Frame
6 months at the follow-up visit.
Title
Clinical Failure
Description
Any of the following topics as clinical failure: residual readers with the presence of non-GiemsaDiff-Quick print parasites, or the appearance of new lesions or ≥ 20% increase or no improvement of lesions previously documented.
Time Frame
6 months at the follow-up visit.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
59 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age between 18 and 59 years of age;
Clinical diagnosis of leishmaniasis with at least one ulcerated lesion with evolution time from one month;
Parasitological confirmation;
Women of childbearing potential should not be pregnant or breastfeeding, confirmed by examination of b-HCG (Gonadotrophic-Chorionic Hormone beta) at the time of screening;
Men and women should use barrier contraceptive methods during the course of the study;
Exclusion Criteria:
History of any disease or comorbidities that, in the opinion of the investigator, can either put the individual at risk or influence the results and ability of the subject to participate in the study;
History or presence of gastrointestinal, hepatic, cardiac, renal disease or any other known condition that may interfere with the absorption, distribution, metabolism or excretion of the investigational product;
Any evidence of underlying serious disease (cardiac, renal, hepatic or pulmonary);
Pregnancy or the patient's unwillingness to use barrier contraceptive methods during and 3 months after therapy;
History of gastrointestinal ulcer disease, inflammatory bowel disease, symptoms of indigestion;
Any clinically important abnormality in biochemistry, hematology, urinalysis or clinical outcomes judged by the investigator;
Any positive screening result for hepatitis B antigens, hepatitis C antibodies, and human immunodeficiency virus (HIV);
Any clinically significant abnormalities in the rate, or driving the resting ECG morphology that may interfere with the interpretation of the QT interval variations;
History of cancer;
History of drug abuse, judging by the investigator
History of alcohol abuse or excessive alcohol consumption, judged by the investigator;
History of smoking
History of severe allergy / hypersensitivity, judged by the investigator;
History of hypersensitivity to drugs with similar chemical structure.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jan Carlo Delorenzi, PhD
Phone
+55(11)989780869
Email
jancarlo@hebron.com.br
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Phase 2 Trial to Evaluate 18-Methoxycoronaridine Efficacy, Safety and Tolerability in Cutaneous Leishmaniasis Patients
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