Title
Ciclosporin in the Management of New Erythema Nodosum Leprosum
A Pilot (Double Blind Controlled) Study Randomizing Patients With New Acute ENL to Treatment Either With Ciclosporin or Prednisolone.
Phase
Phase 2Lead Sponsor
University of LondonStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
LeprosyIntervention/Treatment
prednisone cyclosporine ...Study Participants
12Study 2A: Ciclosporin in the management of new Erythema Nodosum Leprosum
Objective: A pilot (double blind controlled) study randomizing patients to treatment either with Ciclosporin or Prednisolone to assess the safety, tolerability and efficacy of Ciclosporin in the treatment of patients with new acute Type 2 reactions (ENL).
A pilot (double blind controlled) study randomizing patients to treatment either with Ciclosporin or Prednisolone to assess the safety, tolerability and efficacy of Ciclosporin in the treatment of patients with new acute Type 2 reactions (ENL).
Ciclosporin 7.5mg/kg - reducing regimen over 16 weeks (additional prednisolone given for the first four weeks)
prednisolone 40mg daily then reducing regimen over 16 weeks
standard course of prednisolone given in a reducing regimen over 16 weeks
ciclosporin reducing regimen lasting 16 weeks (additional prednisolone given for the first four weeks)
Inclusion Criteria: Individuals with clinical evidence of new ENL Aged 18-65 Weigh more than 30Kg Exclusion Criteria: Unwillingness to give informed consent Patients with severe active infections such as tuberculosis Pregnant or breastfeeding women (see Appendix II) Those with renal failure, abnormal renal function, hypertensive Patients taking thalidomide currently or within the last 3 months Patients not willing to return for follow-up Women of reproductive age not willing to use contraception for the duration of the study ( see Appendix II) HIV positive patients