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Miltefosine.

Phase 2

Treatment of Cutaneous Leishmaniasis in Brazil. | Small molecule | Other |COSCIENS Biopharma Inc.|Last Updated: Apr 15, 2010

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment180
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00600548Trial of Miltefosine in Cutaneous Leishmaniasis (Brazil)PHASE2 COMPLETED 180Jul 1, 2007Jul 1, 2009Apr 15, 20102 Brazil
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Study Endpoints
Primary Endpoints
Cure rate or complete cicatrization of the ulcer.
6 months after treatment.

Bidirectional measurements of ulcers will be taken of the patients' lesions at the initial visit, and at each follow-up visit with standardized caliper. The area involved will be calculated as the product of the two measurements. All lesions will be categorized as either active or healed (cured) at follow-up visits. Only lesions with complete re-epithelialization, without raised borders, infiltrations or crusts will be considered healed. Evaluation of the lesions will be performed by 2 clinicians who will be unaware of the group assignment of all patients.

Secondary Endpoints
Inicial cure rate or complete cicatrization of the ulcer.
2 months after treatment.
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1.1EXPERIMENTALCutaneous leishmaniasis patients in Manaus-Amazonas randomized to receive Miltefosine.
1.2ACTIVE_COMPARATORCutaneous leishmaniasis patients in Manaus-Amazonas randomized to receive Meglumine antimoniate (standard treatment).
2.1EXPERIMENTALCutaneous leishmaniasis patients in Corte de Pedra-Bahia randomized to receive Miltefosine.
2.2ACTIVE_COMPARATORCutaneous leishmaniasis patients in Corte de Pedra-Bahia randomized to receive Meglumine antimoniate (standard treatment).
Interventions
NameTypeDescription
Miltefosine.DRUGMiltefosine: Capsules containing 10 mg or 50 mg miltefosine; administered orally for 28 days at dosage of 2.5 mg/kg body weight per day.
Meglumine antimoniate.DRUGMeglumine antimoniate administered by intravenous route for 20 days at the dosage of 20mg/kg/day.
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Eligibility Criteria
Age Range2 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Newly diagnosed (untreated) cutaneous leishmaniasis with localized lesions and visualization of amastigotes in tissue samples or a positive culture or diagnosed by polymerase chain reaction (PCR) methods or by intradermal skin testing (Montenegro test). * Number of lesions: 1 ...

Countries:Brazil
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