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Ciclosporin in the Management of New Type 1 Reactions in Leprosy

L

London School of Hygiene and Tropical Medicine

Status and phase

Completed
Phase 3
Phase 2

Conditions

Leprosy

Treatments

Drug: Ciclosporin
Drug: Prednisolone

Study type

Interventional

Funder types

Other

Identifiers

NCT00919815
ITCRBY24-T1RA

Details and patient eligibility

About

Study 1A: Ciclosporin in the management of new Type 1 Reactions in Leprosy

Objective: A randomised double blind controlled trial comparing Ciclosporin and Prednisolone,to determine whether treatment with Ciclosporin gives the same outcome in the treatment of new Type 1 Reactions as Prednisolone.

Full description

We tested our hypothesis that ciclosporin would be as effective as prednisolone in the treatment of patients with leprosy reactions and nerve function impairment and that patients treated with ciclosporin would have fewer side effects than patients treated with prednisolone. A randomised controlled trial comparing ciclosporin and prednisolone in the treatment of acute leprosy T1R was conducted.

Enrollment

73 patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Individuals with clinical evidence of T1R with new nerve function impairment (NFI).
  • Aged 18-65
  • Weigh more than 30Kg

Exclusion criteria

  • Unwillingness to give informed consent
  • Patients with severe active infections such as tuberculosis
  • Pregnant or breastfeeding women (see Appendix II)
  • Those with renal failure, abnormal renal function, hypertensive
  • Patients taking thalidomide currently or within the last 3 months
  • Patients not willing to return for follow-up
  • Women of reproductive age not willing to use contraception for the duration of the study ( see Appendix II)
  • HIV positive patients

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

73 participants in 2 patient groups

ciclosporin arm
Experimental group
Description:
ciclosporin reducing regimen lasting 24 weeks (additional prednisolone given for the first four weeks)
Treatment:
Drug: Ciclosporin
prednisolone
Active Comparator group
Description:
standard course of prednisolone given in a reducing regimen over 24 weeks
Treatment:
Drug: Prednisolone

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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