Visceral Leishmaniasis Clinical Trial
Official title:
A Phase 4 Study to Expand Access Program While Assessing the Safety and Efficacy of Paromomycin IM Injection in an Outpatient Setting for the Treatment of Visceral Leishmaniasis
This modular Program will first confirm the safety and efficacy of Paromomycin IM Injection when given to an expanded population in the outpatient setting in experienced VL centers and subsequently evaluate the effectiveness of an expanded access model of providing Paromomycin IM Injection to progressively more resource-constrained clinics in Bihar, India.
Safe, effective, and affordable treatments for visceral leishmaniasis (VL) that are widely
available to the poorest population of rural India where the disease is endemic are urgently
needed. Resistance to antimonials, which have historically been the first line of treatment
for VL in Bihar and adjoining states, is a major problem. Other available treatments are
limited by their high cost, toxicity, or contraindications in certain populations.
Paromomycin IM Injection was approved for the treatment of VL in August 2006 by the Drug
Controller General of India (DCGI).
The study is designed to establish a Phase 4 Access Program in a modular, stepwise fashion
(Modules 1 to 3). The study will first confirm the safety and efficacy of Paromomycin IM
Injection in an expanded VL population treated as an outpatient in experienced centers
(Module 1); and then progressively extend the network of treatment facilities, the number
and reach of the trained staff, and the implementation of the requisite logistics systems to
rural Bihar (Modules 2 and 3). An expanded network of healthcare workers will be trained and
supervised to make a preliminary diagnosis of VL; to make appropriate referrals to confirm
the diagnosis of VL; to treat with Paromomycin IM Injection; and to assess patient safety
and clinical response on an outpatient basis.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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