Methods | Double‐blind randomised controlled trial This study was carried out in some clinics of Kerman University of Medical Sciences (Iran), from October 2008 to December 2010. Sample size calculation: a sample size of 40 participants per treatment group was planned, a probability of a type I error at alpha = 0.05 and beta = 0.1 to determine a 20% difference between intralesional injection of ZS 2 % solution with ILMA (Glucantime) |
Participants |
Type of Leishmania: L tropica Inclusion criteria: the presence of parasitological confirmed lesion(s) of CL and aged 5–60 years Exclusion criteria: disease duration more than 6 months, those with a history of hypersensitivity to MA (Glucantime) or ZS, pregnant or nursing women, those with more than 5 lesions, those with lesions with size of 5 cm or more, and a history of any anti‐leishmanial therapy during last 4 weeks N randomised: 80, 40 in each group Withdrawals: 34, 18 in the ZS‐treated group and 16 patients in the MA (Glucantime)‐treated group (lost to follow‐up in all of the participants except in one in the ZS‐treated group, who had severe necrosis) N assessed: 46; 22 patients in the ZS‐treated group and 24 patients in the MA (Glucantime)‐treated group There was no significant difference between compared groups' baseline characteristics |
Interventions |
Group 1: intralesional injection of ZS 2% vials once a week for 10 weeks or sooner in case of complete resolution of the lesions Group 2: ILMA once a week for 10 weeks or sooner in case of complete resolution of the lesions Co‐intervention: in both groups cryotherapy was performed once every other week for 10 weeks |
Outcomes |
Clinical response: no response to treatment was defined if the area of a lesion decreased less than 75%, partial treatment if decreased 75% to 99%, and complete treatment if decreased 100% compared to its baseline area Time to healing (partial/complete treatment) Adverse effects: there were no major side effects in either group. Pain was observed in all participants of both groups. In ZS group 4 participants developed necrosis of the site of the injection while this was not observed in MA (Glucantime) group at all Time points reported: on average, each participant was followed for 4.1 weeks (SD 2.6). |
Notes |
Study funding sources: none declared Possible conflicts of interest: there is no conflict of interest |