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Comparison of combination of imiquimod and glucantime with glucantime alone in treatment of acute anthroponotic cutaneous leishmaniasis
ISRCTN ISRCTN77659407
ClinicalTrials.gov identifier
Public title Comparison of combination of imiquimod and glucantime with glucantime alone in treatment of acute anthroponotic cutaneous leishmaniasis
Scientific title
Acronym N/A
Serial number at source SGS 03/18; IRCT138706111166N1
Study hypothesis Four weeks treatment with topical imiquimod 5% cream applied 3 times/week will increase the efficacy of 2 weeks treatment with intramuscular injections of 60 mg/kg/day glucantime in the treatment of acute anthroponotic cutaneous leishmaniasis
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Iran
Disease/condition/study domain Anthroponotic cutaneous leishmaniasis
Participants - inclusion criteria 1. Patients with anthroponotic cutaneous leishmaniasis caused by leishmania tropica
2. Aged 12 to 60 years
3. With less than 5 lesions each less than 5 cm in greatest diameter and duration less than 6 months
Participants - exclusion criteria 1. Pregnant or lactating women
2. Duration of lesions more than 6 months
3. Number of lesions more than 5
4. Lesions greater than 5 cm in their largest diameter
5. History of any full course of standard treatment (antimonials)
6. History of allergy to glucantime
7. Serious systemic illnesses (as judged by the physician)
8. Participation in any drug trials in the last 60 days
Anticipated start date 01/07/2004
Anticipated end date 30/09/2005
Status of trial Completed
Patient information material
Target number of participants 120
Interventions Group 1: Intramuscular glucantime (meglumine antimonate) 60 mg/kg/day for 14 days plus imiquimod 5% cream applied 3 times/week for 4 weeks
Group 2: Glucantime with the same dosage and duration plus placebo cream 3 times/week for 4 weeks
Primary outcome measure(s) 1. The rate of clinical response (clinical cure, improvement, or failure) with the two above mentioned treatment regimens on 4 and 8 weeks after beginning treatment for acute anthroponotic cutaneous leishmaniasis
2. The rate of parasitological cure with the two above mentioned treatment regimens on 4 and 8 weeks after beginning treatment for acute anthroponotic cutaneous leishmaniasis
3. The rate of relapse with the two above mentioned treatment regimens 20 weeks after beginning treatment for acute anthroponotic cutaneous leishmaniasis
4. The rate of adverse events with the two above mentioned treatment regimens for acute anthroponotic cutaneous leishmaniasis
Secondary outcome measure(s) The rate of reduction in the size of lesions with the two above mentioned treatment regimens on 4 and 8 weeks after beginning treatment for acute anthroponotic cutaneous leishmaniasis.
Sources of funding World Health Organisation - Eastern Mediterranean Regional Office (EMRO) (Egypt)
Trial website
Publications 2006 results in http://www.ncbi.nlm.nih.gov/pubmed/17178983
Contact name Dr  Alireza  Firooz
  Address 79 Taleghani Avenue
  City/town Tehran
  Zip/Postcode 14166
  Country Iran
  Tel +98 (0)21 897 8190
  Fax +98 (0)21 896 3804
  Email firozali@sina.tums.ac.ir
Sponsor World Health Organisation - Eastern Mediterranean Regional Office (EMRO) (Egypt)
  Address P.O.Box 7608
Nasr City
  City/town Cairo
  Zip/Postcode 11371
  Country Egypt
  Sponsor website: http://www.emro.who.int/
Date applied 22/01/2005
Last edited 17/12/2008
Date ISRCTN assigned 19/04/2005
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