Harmonized clinical trial methodologies for localized cutaneous leishmaniasis and potential for extensive network with capacities for clinical evaluation

INTRODUCTION: Progress with the treatment of cutaneous leishmaniasis (CL) has been hampered by inconsistent methodologies used to assess treatment effects. A sizable number of trials conducted over the years has generated only weak evidence backing current treatment recommendations, as shown by systematic reviews on old-world and new-world CL (OWCL and NWCL). MATERIALS AND METHODS: Using a previously published guidance paper on CL treatment trial methodology as the reference, consensus was sought on key parameters including core eligibility and outcome measures, among OWCL (7 countries, 10 trial sites) and NWCL (7 countries, 11 trial sites) during two separate meetings. RESULTS: Findings and level of consensus within and between OWCL and NWCL sites are presented and discussed. In addition, CL trial site characteristics and capacities are summarized. CONCLUSIONS: The consensus reached allows standardization of future clinical research across OWCL and NWCL sites. We encourage CL researchers to adopt and adapt as required the proposed parameters and outcomes in their future trials and provide feedback on their experience. The expertise afforded between the two sets of clinical sites provides the basis for a powerful consortium with potential for extensive, standardized assessment of interventions for CL and faster approval of candidate treatments.

Contributors

Olliaro, P. Grogl, M. Boni, M. Carvalho, E. M. Chebli, H. Cisse, M. Diro, E. Fernandes Cota, G. Erber, A. C. Gadisa, E. Handjani, F. Khamesipour, A. Llanos-Cuentas, A. Lopez Carvajal, L. Grout, L. Lmimouni, B. E. Mokni, M. Nahzat, M. S. Ben Salah, A. Ozbel, Y. Pascale, J. M. Rizzo Molina, N. Rode, J. Romero, G. Ruiz-Postigo, J. A. Gore Saravia, N. Soto, J. Uzun, S. Mashayekhi, V. Velez, I. D. Vogt, F. Zerpa, O. Arana, B.

Publication

Journal: PLoS Neglected Tropical Diseases [electronic resource]
Volume: 12
Issue: 1
Pages: e0006141 -
Year: 2018
DOI:

Further Study Information

Current Stage: Not Applicable
Date:
Funding source(s):


Health Area

Disease Category: Infectious disease, Skin

Disease Name: Cutaneous leishmaniasis (CL)

Target Population

Age Range: 0 - 100

Sex: Either

Nature of Intervention: Not specified

Stakeholders Involved

- Trialists

Study Type

- COS for clinical trials or clinical research

Method(s)

- Semi structured discussion