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Ciclosporin in the Management of Chronic or Recurrent Erythema Nodosum Leprosum

Phase 2
Completed
Conditions
Leprosy
Interventions
Registration Number
NCT00919776
Lead Sponsor
London School of Hygiene and Tropical Medicine
Brief Summary

Study 2B: Ciclosporin in the management of chronic or recurrent Erythema Nodosum Leprosum Aim: To assess the safety, tolerability and efficacy of Ciclosporin in the treatment of patients whose ENL is not controlled with standard Prednisolone.

Objective: A pilot double blind controlled study randomizing patients whose ENL is not controlled with standard Prednisolone, and comparing a group treated with Ciclosporin to a group treated with additional steroid only.

Detailed Description

A pilot double blind controlled study randomizing patients whose ENL is not controlled with standard Prednisolone, and comparing a group treated with Ciclosporin to a group treated with additional steroid only.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Individuals with clinical evidence of recurrent or chronic ENL
  • 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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ciclosporinciclosporinciclosporin reducing regimen lasting 16 weeks (additional prednisolone given for the first four weeks)
Prednisoloneprednisolonestandard course of prednisolone given in a reducing regimen over 16 weeks
Primary Outcome Measures
NameTimeMethod
number of ENL recurrence episodes per patientup to 32 weeks
Secondary Outcome Measures
NameTimeMethod
Frequency of adverse events for patients in each treatment armup to 32 weeks
Amount of additional prednisolone required by patientsup to 32 weeks
Severity of ENL at recurrenceup to 32 weeks
Mean time to ENL recurrence after initial controlup to 32 weeks
Difference in score in Quality of Life assessment between start and end for patients in each treatment armup to 32 weeks

Trial Locations

Locations (1)

Alert Hospital

🇪🇹

Addis Abeba, Ethiopia

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