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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
Infan Industria Quimica Farmaceutica Nacional
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leishmaniasis; American, Cutaneous focused on measuring safety, pharmacokynetics, leishmaniasis treatment

Eligibility Criteria

18 Years - 59 Years (Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    March 14, 2017
    Last Updated
    March 17, 2020
    Sponsor
    Infan Industria Quimica Farmaceutica Nacional
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    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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