Status:

COMPLETED

Neurocysticercosis: Combined Treatment With Praziquantel (PZQ) and Albendazole (ABZ)

Lead Sponsor:

Universidad Peruana Cayetano Heredia

Collaborating Sponsors:

National Institute of Neurological Disorders and Stroke (NINDS)

Conditions:

Neurocysticercosis

Epilepsy

Eligibility:

All Genders

16-65 years

Phase:

PHASE2

PHASE3

Brief Summary

The purpose of this study is to determine if combination drug therapy of praziquantel and albendazole is safe and effective to cure neurocysticercosis.

Detailed Description

Neurocysticercosis is the single major cause of acquired or late-onset epilepsy in the world, and a common diagnosis in immigrant populations in the United States and other industrialized countries. A...

Eligibility Criteria

Inclusion

  • For parent study:
  • Male or female individuals between 16 to 65 years of age, with a diagnosis of Neurocysticercosis and 20 or less viable cysts.
  • Patients with a diagnosis of epilepsy secondary to Neurocysticercosis and a history of one or more spontaneous seizures within the previous year but not longer than 10 years.
  • Willingness to complete a minimum of two weeks of hospitalization.
  • If female of child bearing potential, negative urine pregnancy testing and willingness to use an adequate method of contraception while on study medications and for at least 3 months following Albendazole therapy.
  • Normal laboratory values for hematocrit, platelets, white blood cells and glucose and normal or decreased values for Alanine transaminase, Aspartate transaminase and creatinine.
  • Negative PPD measurement and if positive ( \> 9mm induration in the absence of other findings or immunosuppression ) , negative smears for TB.
  • Negative fecal exam for Taenia eggs or Strongyloides larvae.

Exclusion

  • Primary generalized seizures ( e.g., not caused by Neurocysticercosis )
  • A history of generalized epileptic status .
  • A type of Neurocysticercosis which can expose the patient to increased risk during the study.
  • Patients with persistent or progressive symptomatic intracranial hypertension or intracranial hypertension.
  • Previous therapy with Albendazole or Praziquantel in the previous year.
  • Pulmonary tuberculosis, or symptoms compatible with tuberculosis not otherwise explained.
  • Active hepatitis
  • Systemic disease that may affect short term prognosis.
  • Patients in unstable condition ( consistently abnormal vital signs: body temperature, heart rate, respiratory rate, and blood pressure )
  • Pregnancy during antiparasitic treatment
  • History of hypersensitivity to Albendazole or Praziquantel
  • Concurrent treatment with Cimetidine or Theophylline
  • Chronic alcohol or drug abuse
  • Unwilling or unable to provide a Computed tomography initially or an Magnetic resonance imaging at 6 months ( as patients with ferromagnetic implants ) , Computed tomography at the end of therapy.
  • Unwillingness of subject or legal representative to give written informed consent.

Key Trial Info

Start Date :

January 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2013

Estimated Enrollment :

156 Patients enrolled

Trial Details

Trial ID

NCT00441285

Start Date

January 1 2010

End Date

September 1 2013

Last Update

June 11 2015

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Hospital Nacional Edgardo Rebagliati

Lima, Lima Province, Peru, Lima 11

2

Hospital Nacional Cayetano Heredia

Lima, Lima Province, Peru, Lima 31

3

Hospital Nacional Guillermo Almenara

Lima, Lima Province, Peru, Lima 5

4

Instituto Nacional de Ciencias Neurologicas

Lima, Peru