A Randomized Trial to Compare Topical MJ1 with Routine Care for the Treatment of Cutaneous Leishmaniasis

The objective of this study was to assess the relative efficacy and tolerability of topical MJ1 compared to routine care in the treatment of histologically proven CL. A total of 150 patients with 297 lesions were randomly allocated to receive either topical MJ1 agent as a paste to applied to the les...

Full description

Bibliographic Details
Main Authors: Mohsen Janghorbani, Masoumeh Faraji, Javad Ramazanpour, Reza Fadaei
Format: Article
Language:English
Published: Iranian Journal of Health, Safety and Environment 2015-08-01
Series:Iranian Journal of Health, Safety and Environment
Subjects:
Online Access:http://www.ijhse.ir/index.php/IJHSE/article/view/95
_version_ 1819146065503322112
author Mohsen Janghorbani
Masoumeh Faraji
Javad Ramazanpour
Reza Fadaei
author_facet Mohsen Janghorbani
Masoumeh Faraji
Javad Ramazanpour
Reza Fadaei
author_sort Mohsen Janghorbani
collection DOAJ
description The objective of this study was to assess the relative efficacy and tolerability of topical MJ1 compared to routine care in the treatment of histologically proven CL. A total of 150 patients with 297 lesions were randomly allocated to receive either topical MJ1 agent as a paste to applied to the lesions without cover three times a day for 20 days or routine care (intramuscular injection of meglumine antimonate 20 mg/kg/day for 2 weeks or intralesional 0.5-1 cc for a total of four injection with one week interval). The primary end point of this study was the clinical cure of the lesion. Response to treatment was assessed at 1, 2, 3 and 8 weeks after start of therapy. Of the 132 lesions treated with MJ1, the mean size of lesions decreased from 423.9 to 30.4 mm2, 111 (84.1%) were reduced in size and 21 (15.9%) not responded. Correspondingly, in the 165 lesions treated with routine care, the mean size of lesions slightly increased from 295.8 to 330.5 mm2, 82 (49.7%) were reduced in size and 83 (50.3%) not responded. The differences were statistically significant (P<0.001). No sever adverse effect occurred. The findings highlight that topical treatment with MJ1 agent was much more effective than routine care and is safe and well tolerated.
first_indexed 2024-12-22T13:08:00Z
format Article
id doaj.art-e3cb2bc91b1f492cba593f36e4b940a0
institution Directory Open Access Journal
issn 2345-3206
2345-5535
language English
last_indexed 2024-12-22T13:08:00Z
publishDate 2015-08-01
publisher Iranian Journal of Health, Safety and Environment
record_format Article
series Iranian Journal of Health, Safety and Environment
spelling doaj.art-e3cb2bc91b1f492cba593f36e4b940a02022-12-21T18:24:49ZengIranian Journal of Health, Safety and EnvironmentIranian Journal of Health, Safety and Environment2345-32062345-55352015-08-012329630352A Randomized Trial to Compare Topical MJ1 with Routine Care for the Treatment of Cutaneous LeishmaniasisMohsen JanghorbaniMasoumeh FarajiJavad RamazanpourReza FadaeiThe objective of this study was to assess the relative efficacy and tolerability of topical MJ1 compared to routine care in the treatment of histologically proven CL. A total of 150 patients with 297 lesions were randomly allocated to receive either topical MJ1 agent as a paste to applied to the lesions without cover three times a day for 20 days or routine care (intramuscular injection of meglumine antimonate 20 mg/kg/day for 2 weeks or intralesional 0.5-1 cc for a total of four injection with one week interval). The primary end point of this study was the clinical cure of the lesion. Response to treatment was assessed at 1, 2, 3 and 8 weeks after start of therapy. Of the 132 lesions treated with MJ1, the mean size of lesions decreased from 423.9 to 30.4 mm2, 111 (84.1%) were reduced in size and 21 (15.9%) not responded. Correspondingly, in the 165 lesions treated with routine care, the mean size of lesions slightly increased from 295.8 to 330.5 mm2, 82 (49.7%) were reduced in size and 83 (50.3%) not responded. The differences were statistically significant (P<0.001). No sever adverse effect occurred. The findings highlight that topical treatment with MJ1 agent was much more effective than routine care and is safe and well tolerated.http://www.ijhse.ir/index.php/IJHSE/article/view/95Cutaneous Leishmaniasis, Meglumine Antimonate, MJ1 Agent, Iran
spellingShingle Mohsen Janghorbani
Masoumeh Faraji
Javad Ramazanpour
Reza Fadaei
A Randomized Trial to Compare Topical MJ1 with Routine Care for the Treatment of Cutaneous Leishmaniasis
Iranian Journal of Health, Safety and Environment
Cutaneous Leishmaniasis, Meglumine Antimonate, MJ1 Agent, Iran
title A Randomized Trial to Compare Topical MJ1 with Routine Care for the Treatment of Cutaneous Leishmaniasis
title_full A Randomized Trial to Compare Topical MJ1 with Routine Care for the Treatment of Cutaneous Leishmaniasis
title_fullStr A Randomized Trial to Compare Topical MJ1 with Routine Care for the Treatment of Cutaneous Leishmaniasis
title_full_unstemmed A Randomized Trial to Compare Topical MJ1 with Routine Care for the Treatment of Cutaneous Leishmaniasis
title_short A Randomized Trial to Compare Topical MJ1 with Routine Care for the Treatment of Cutaneous Leishmaniasis
title_sort randomized trial to compare topical mj1 with routine care for the treatment of cutaneous leishmaniasis
topic Cutaneous Leishmaniasis, Meglumine Antimonate, MJ1 Agent, Iran
url http://www.ijhse.ir/index.php/IJHSE/article/view/95
work_keys_str_mv AT mohsenjanghorbani arandomizedtrialtocomparetopicalmj1withroutinecareforthetreatmentofcutaneousleishmaniasis
AT masoumehfaraji arandomizedtrialtocomparetopicalmj1withroutinecareforthetreatmentofcutaneousleishmaniasis
AT javadramazanpour arandomizedtrialtocomparetopicalmj1withroutinecareforthetreatmentofcutaneousleishmaniasis
AT rezafadaei arandomizedtrialtocomparetopicalmj1withroutinecareforthetreatmentofcutaneousleishmaniasis
AT mohsenjanghorbani randomizedtrialtocomparetopicalmj1withroutinecareforthetreatmentofcutaneousleishmaniasis
AT masoumehfaraji randomizedtrialtocomparetopicalmj1withroutinecareforthetreatmentofcutaneousleishmaniasis
AT javadramazanpour randomizedtrialtocomparetopicalmj1withroutinecareforthetreatmentofcutaneousleishmaniasis
AT rezafadaei randomizedtrialtocomparetopicalmj1withroutinecareforthetreatmentofcutaneousleishmaniasis