Abstract | BACKGROUND: METHOD: An open randomized Phase III clinical trial was performed in five military health centres. located in northwestern, central and southern Colombia. Volunteers with parasitological positive diagnosis (Giemsa-stained smears) of cutaneous leishmaniasis were included. A single thermotherapy session involving the application of 50°C at the center and active edge of each lesion. Meglumine antimoniate was administered intramuscularly at a dose of 20 mg Sb5/kg weight/day for 20 days. RESULTS: Both groups were comparable. The efficacy of thermotherapy was 64% (86/134 patients) by protocol and 58% (86/149) by intention-to-treat. For the meglumine antimoniate group, efficacy by protocol was 85% (103/121 patients) and 72% (103/143) by intention-to-treat, The efficacy between the treatments was statistically significant (p 0.01 and < 0.001) for analysis by intention to treat and by protocol, respectively. There was no difference between the therapeutic response with either treatment regardless of the Leishmania species responsible for infection. The side effects of meglumine antimoniate included myalgia, arthralgia, headache and fever. Regarding thermotherapy, the only side effect was pain at the lesion area four days after the initiation of treatment. CONCLUSION:
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Authors | Liliana López, Martha Robayo, Margarita Vargas, Iván D Vélez |
Journal | Trials
(Trials)
Vol. 13
Pg. 58
(May 17 2012)
ISSN: 1745-6215 [Electronic] England |
PMID | 22594858
(Publication Type: Clinical Trial, Phase III, Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Antiprotozoal Agents
- Organometallic Compounds
- Meglumine
- Meglumine Antimoniate
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Topics |
- Adult
- Aged
- Antiprotozoal Agents
(administration & dosage, adverse effects)
- Chi-Square Distribution
- Colombia
- Drug Administration Schedule
- Female
- Health Facilities
- Humans
- Hyperthermia, Induced
(adverse effects)
- Injections, Intramuscular
- Kaplan-Meier Estimate
- Leishmaniasis, Cutaneous
(diagnosis, drug therapy, therapy)
- Male
- Meglumine
(administration & dosage, adverse effects)
- Meglumine Antimoniate
- Middle Aged
- Military Facilities
- Organometallic Compounds
(administration & dosage, adverse effects)
- Recurrence
- Time Factors
- Treatment Outcome
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