Home » Trials » SLCTR/2023/022


Study to determine the effectiveness, acceptability and feasibility of thermotherapy with radio frequency – induced heat therapy (RFHT) by ThermoMed device for the local/intra lesional treatment of cutaneous leishmaniasis in selected routine clinic settings Sri Lanka.

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SLCTR Registration Number

SLCTR/2023/022


Date of Registration

01 Dec 2023

The date of last modification

Jan 31, 2024



Application Summary


Scientific Title of Trial

Study to determine the effectiveness, acceptability and feasibility of thermotherapy with radio frequency – induced heat therapy (RFHT) by ThermoMed device for the local/intra lesional treatment of cutaneous leishmaniasis in selected routine clinic settings Sri Lanka.


Public Title of Trial

Study to determine the effectiveness, acceptability and feasibility of thermotherapy with radio frequency – induced heat therapy (RFHT) by ThermoMed device for the local/intra lesional treatment of cutaneous leishmaniasis in a selected routine clinic settings Sri Lanka.


Disease or Health Condition(s) Studied

Cutaneous Leishmaniasis


Scientific Acronym

None


Public Acronym

None


Brief title

None


Universal Trial Number

U1111-1297-9335


Any other number(s) assigned to the trial and issuing authority

EC-21-072 (ERC, Faculty of Medicine, Colombo)


Trial Details


What is the research question being addressed?

What is the effectiveness, acceptability and feasibility of thermotherapy by ThermoMed as treatment for cutaneous leishmaniasis in the selected routine clinics in Sri Lanka?


Type of study

Interventional


Study design

Allocation

Single arm study


Masking

Masking not used


Control

Uncontrolled


Assignment

Single


Purpose

Treatment


Study Phase

Phase 4


Intervention(s) planned

Study setting(s): TH Anuradhapura and DGH Hambantota

Intervention: Thermotherapy by ThermoMedTM device will be given to patients as a single session of 50?C for 30 seconds on Day1.

No other treatment in addition to thermotherapy will be given, in accordance with the Guidelines of the College of Dermatologists of Sri Lanka.


Inclusion criteria

  1. Male and female patients
  2. Aged 18 years and above
  3. Meeting the criteria for thermotherapy in accordance with the guidelines by the Sri Lanka College of Dermatologists: Inclusion criteria:
    3.1 Papule, nodule or ulcer 3.2 Lesion on body or limbs 3.3 Diameter less than 4 cm 3.4 Number of lesions 1-4 lesions 3.5 Lesion on face or ear more than 2cm from lip/ eye or not located over cartilage.

Exclusion criteria

1.Lesion on face or ear closer than 2cm to lip/ eye or located over cartilage.
2.Diameter les more than 4cm
3.More than or equal to 5 lesions
4.Pregnant and lactating mothers
(In accordance with the guidelines by the Sri Lanka College of Dermatologists) (



Primary outcome(s)

1.

Initial cure: Defined for ulcerated lesions as 100% re-epithelialization of the ulcer(s) on Day 90 as compared to Day 1 and for non-ulcerated lesions as flattening and/or no signs of induration of the lesion(s) on Day 90 as compared to Day 1

[

At Day 90, Day 105 and Day 180 after exposure to thermotherapy

]
2.

Clinical improvement: Defined for ulcerated lesions as more than or equal to 75% but less than 100% re-epithelization of the ulcer(s) at Day 90 as compared to Day 1, and for nonulcerated lesions as more than or equal to 75% but less than 100% of flattening and/ or signs of induration of the lesion(s) at Day 90 as compared to Day 1

[

At Day 90, Day 105 and Day 180 after exposure to thermotherapy

]
3.

Late responders: Defined for ulcerated lesions as 100% re-epithelialization of the ulcer(s) on Day 105 compared to Day 1, and for non-ulcerated lesions as 100% of flattening and/or no signs of induration of the lesion(s) on Day 105 as compared to Day 1

[

At Day 90, Day 105 and Day 180 after exposure to thermotherapy

]
4.

Final cure: Initial cure at Day 90 or late responders at Day 105 (if required) and no relapses by Day 180. Relapse: Lesion that achieved 100% re-epithelialization/flattening on Day 90 or Day 105 (if required) that subsequently reopened /indurated by Day 180.

[

At Day 90, Day 105 and Day 180 after exposure to thermotherapy

]

Secondary outcome(s)

1.

Acceptability and feasibility will be assessed as per the Focused Group Discussions guide. FGDs will be conducted by a sociologist.

[

FGDs will be conducted by a sociologist on the 105th Day (+/- 10 days) follow up visit post-exposure.

]

Target number/sample size

200


Countries of recruitment

Sri Lanka


Anticipated start date

2023-12-04


Anticipated end date

2025-12-01


Date of first enrollment

2023-12-06


Date of study completion


Recruitment status

Recruiting


Funding source

University of Colombo


Regulatory approvals

Approved by the NMRA, Ministry of Health, Sri Lanka



State of Ethics Review Approval


Status

Approved


Date of Approval

2022-08-18


Approval number

Protocol EC-21-072


Details of Ethics Review Committee

Name: Ethics Review Committee
Institutional Address:Faculty of Medicine University of Colombo P O Box 271, Kynsey Road, Colombo 8, Sri Lanka
Telephone:Telephone: +94-11-2695300 ext 240
Email: Email: ethicscommitteemfc@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Nadira D. Karunaweera
Professor
Department of Parasitology, Faculty of Medicine University of Colombo Kynsey Road, Colombo 8, Sri Lanka

+94777473190

nadira@parasit.cmb.ac.lk

Contact Person for Public Queries

Nadira D. Karunaweera
Professor
Department of Parasitology, Faculty of Medicine University of Colombo Kynsey Road, Colombo 8, Sri Lanka

+94777473190

nadira@parasit.cmb.ac.lk


Primary study sponsor/organization

Faculty of Medicine, University of Colombo

No. 25, Kynsey Road, Colombo 0800 Sri Lanka
+94112695300
+94 112 691 581

https://med.cmb.ac.lk/

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

Yes


IPD sharing plan description

Findings of the study will be published in a peer reviewed open access journal. Individual participant data that underlie the results that will be reported and published will be made available/shared after deidentification.


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results