Miltefosine

Generic Name
Miltefosine
Brand Names
Impavido
Drug Type
Small Molecule
Chemical Formula
C21H46NO4P
CAS Number
58066-85-6
Unique Ingredient Identifier
53EY29W7EC
Background

Miltefosine is a broad spectrum antimicrobial, anti-leishmanial, phospholipid drug that was originally developed in the 1980s as an anti-cancer agent. It is currently the only recognized oral agent used to treat visceral, cutaneous, and mucosal forms of leishmaniasis, a neglected tropical disease. It can be administered topically or orally and is only indica...

Indication

For the treatment of mucosal (caused by Leishmania braziliensis), cutaneous (caused by L. braziliensis, L. guyanensis, and L. panamensis), and visceral leishmaniasis (caused by L. donovani). In comparing Leishmania drug susceptibility, it has been found that L. donovani is the most susceptible to miltefosine while L. major is the least susceptible. Off-label...

Associated Conditions
Cutaneous Leishmaniasis, Mucocutaneous Leishmaniasis, Specific infections by free-living amoebae, Visceral Leishmaniasis
Associated Therapies
-

OPTImizing MIltefosine Treatment for Cutaneous LEISHmaniasis Patients

Recruiting
Conditions
Interventions
First Posted Date
2024-07-23
Last Posted Date
2024-07-23
Lead Sponsor
Institute of Tropical Medicine, Belgium
Target Recruit Count
80
Registration Number
NCT06514560
Locations
🇪🇹

Africa Leprosy, Tuberculosis, Rehabilitation and Training (ALERT) Hospital, Addis Abeba, Ethiopia

Combination, Miltefosine Monotherapy for Cutaneous Leishmaniasis in New World

First Posted Date
2020-08-17
Last Posted Date
2024-02-22
Lead Sponsor
Drugs for Neglected Diseases
Target Recruit Count
184
Registration Number
NCT04515186
Locations
🇧🇷

Julio Muller University Hospital Federal University of Mato Grosso, Cuiaba, Brazil

🇧🇷

Federal University of Bahia Immunology Department, Salvador, Brazil

🇵🇪

Universidad Peruana Cayetano Heredia, Lima, Peru

and more 3 locations

Oral Miltefosine Plus Topical Paromomycin In American Cutaneous Leishmaniasis

First Posted Date
2019-02-04
Last Posted Date
2021-02-02
Lead Sponsor
Fundacion Nacional de Dermatologia
Target Recruit Count
120
Registration Number
NCT03829917
Locations
🇧🇴

Hopital, Dermatologico, Jorochito, SC, Bolivia

Short Course Regimens for Treatment of PKDL (Sudan)

First Posted Date
2018-01-17
Last Posted Date
2020-01-18
Lead Sponsor
Drugs for Neglected Diseases
Target Recruit Count
110
Registration Number
NCT03399955
Locations
🇸🇩

Prof. Elhassan Centre for tropical Medicine, Doka, Gedaref, Sudan

Miltefosine/Paromomycin Phase III Trial for Treatment of Primary Visceral Leishmaniasis (VL) Patients in Eastern Africa

First Posted Date
2017-04-26
Last Posted Date
2024-02-29
Lead Sponsor
Drugs for Neglected Diseases
Target Recruit Count
439
Registration Number
NCT03129646
Locations
🇪🇹

Abdurafi MSF Health Center, Ābderafī, Amhara, Ethiopia

🇸🇩

El Hassan Centre for Tropical Medicine, Doka, Gedaref, Sudan

🇰🇪

Kacheliba Hospital, Kapenguria, West Pokot, Kenya

and more 4 locations

Thermotherapy + a Short Course of Miltefosine for the Treatment of Uncomplicated Cutaneous Leishmaniasis in the New World¨

Phase 2
Completed
Conditions
Interventions
First Posted Date
2016-02-23
Last Posted Date
2019-09-12
Lead Sponsor
Drugs for Neglected Diseases
Target Recruit Count
130
Registration Number
NCT02687971
Locations
🇵🇪

IMT Alexander Von Humboldt, Lima, Peru

🇨🇴

Programa de Estudios y Control de Enfermedades Tropicales (PECET), Universidad de Antioquia, Medellin, Colombia

The Association of Miltefosine and Pentoxifylline to Treat Mucosal and Cutaneous Leishmaniasis: A Clinical Trial in Brazil

Phase 2
Active, not recruiting
Conditions
Interventions
First Posted Date
2015-08-21
Last Posted Date
2024-01-16
Lead Sponsor
University of Brasilia
Target Recruit Count
160
Registration Number
NCT02530697
Locations
🇧🇷

Hospital Universitário de Brasília, Brasília, DF, Brazil

Spermiogram Assessment in Bolivian Patients Taking Impavido® (Miltefosine) for Mucocutaneous Leishmaniasis

Completed
Conditions
Interventions
First Posted Date
2015-05-01
Last Posted Date
2019-03-04
Lead Sponsor
Knight Therapeutics (USA) Inc
Target Recruit Count
55
Registration Number
NCT02431429
Locations
🇧🇴

Funderama, Santa Cruz, Bolivia

Pharmacokinetics/Safety of Miltefosine Allometric Dose for the Treatment of Visceral Leishmaniasis in Children in Eastern Africa

Phase 2
Completed
Conditions
Interventions
First Posted Date
2015-04-30
Last Posted Date
2016-10-11
Lead Sponsor
Drugs for Neglected Diseases
Target Recruit Count
30
Registration Number
NCT02431143
Locations
🇺🇬

Amudat Hospital, Amudat, Karamoja, Uganda

🇰🇪

Kacheliba Hospital, Kacheliba, Rift Valley, West Pokot, Kenya

Treatment of Leishmaniasis With Impavido® (Miltefosine): Higher-Weight Patient Registry

Withdrawn
Conditions
Interventions
First Posted Date
2015-04-29
Last Posted Date
2020-08-28
Lead Sponsor
Knight Therapeutics (USA) Inc
Registration Number
NCT02429505
Locations
🇺🇸

Fast-Track Drugs and Biologics, LLC, Poolesville, Maryland, United States

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