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. 2017 Nov 17;2017(11):CD005067. doi: 10.1002/14651858.CD005067.pub4
Methods Triple‐blind randomised controlled trial
Performed in Shahid Dadbin Clinic of Leishmaniasis Research Center (Iran), at Kerman University of Medical Sciences, between 2008 and 2010
Sample size calculation: a sample size of 44 participants per treatment group was planned with a probability of a type I error at alpha = 0.05 and beta = 0.1 to determine a 20% difference between topical terbinafine and vehicle in outcome.
Participants Type of Leishmania: L major and L tropica in the area
Inclusion criteria: < 2 years of age; parasitological diagnosis of cutaneous leishmaniasis from all lesions with direct smear; ulcerative lesions with duration of less than one month that were not on exposed areas or joints; the size of lesions has to be < 3 cm; ≤ 3 lesions; no anti‐leishmanial therapy during last 2 weeks, and with no history of hypersensitivity to MA
Exclusion criteria: pregnant or nursing women, patients with hepatic, renal, or heart diseases
N randomised: 88, 44 in each group
Withdrawals: 36 in topical terbinafine + MA; 29 in vehicle + MA
N assessed (3 months): 9 in topical terbinafine + MA; 15 in vehicle + MA
There are significant differences between participants' sex in intervention and control groups
Interventions Group 1: IMMA 20 mg/kg/d + topical terbinafine for 20 days
3 months follow‐up after completing of the treatment phase
Group 2: IMMA 20 mg/kg/d + vehicle (Mahan Vaseline) for 20 days
Visited at days: 0, 14, 30 and 44
Outcomes Clinical cure, defined as:
  • Complete improvement: full re‐epithelialisation for ulcerative lesions and decrease in induration size(75%, with or without a negative direct smear result)

  • Partially improved: decrease in the indurations size between 25% and 75%

  • No change: decrease in the indurations size of 25%


Time to healing (partial/complete treatment)
Notes Study funding sources: none declared
Possible conflicts of interest: there is no conflict of interest.