Status:

COMPLETED

Timing of Surgical Intervention in Buruli Ulcer Patients Treated With Antibiotics

Lead Sponsor:

University Medical Center Groningen

Collaborating Sponsors:

PNLUB, Ministère de la santé, Cotonou, République du Bénin.

Laboratoire de Référence des Mycobactéries

Conditions:

Mycobacterium Ulcerans Disease

Buruli Ulcer

Eligibility:

All Genders

3+ years

Phase:

NA

Brief Summary

SUMMARY Rationale: Buruli ulcer, caused by Mycobacterium ulcerans, is an ulcerative disease endemic in West Africa. It often leads to functional limitations. Treatment was by extensive surgery, until...

Eligibility Criteria

Inclusion

  • Patients with a clinical picture of Buruli ulcer disease in the districts covered by the Buruli ulcer centers in Lalo and Allada, Benin, will be included at start of antibiotic treatment.
  • All stages of the disease will be included. Only patients with confirmed disease by direct microscopy following acid-fast staining or PCR will be included.

Exclusion

  • Patients not on the standard treatment of eight weeks of rifampicin and streptomycin for any reason, will be excluded from this study.
  • Treatment with macrolide or quinolone antibiotics, or antituberculous medication, or immune-modulatory drugs including corticosteroids within the previous one month.
  • Patients not compliant with the antibiotic therapy will be excluded as well. Non-compliance is defined as the use of \< 70 % of the prescribed antibiotics.
  • Patients with a contraindication for general anaesthesia are not able to participate.
  • Pregnancy.
  • Osteomyelitis.
  • Lesion close to the eye, with preferred standard treatment to wait for effect antibiotic treatment on extent surgery.
  • The BUFLS (Buruli ulcer functional limitation score) cannot be applied to children below three years and therefore will not participate.
  • Patients reporting to refuse surgery at any point in the intended treatment, cannot be included.
  • Any situation or condition which may compromise ability to comply with the trial procedures.
  • Patients known to be HIV positive.
  • Lack of willingness to give informed consent (and/or assent by parent/legal representative).

Key Trial Info

Start Date :

September 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2016

Estimated Enrollment :

119 Patients enrolled

Trial Details

Trial ID

NCT01432925

Start Date

September 1 2011

End Date

December 1 2016

Last Update

July 22 2019

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Buruli ulcer center Allada

Allada, Benin

2

Buruli ulcer center Lalo

Lalo, Benin