Este estudio evalúa la eficacia y la seguridad de benznidazol en el tratamiento de la enfermedad de Chagas crónica indeterminada en niños. Todos los sujetos recibirán benznidazol y los resultados se compararán históricamente con un grupo placebo.

Elegibilidad

Edad mínima: 2 YearsEdad máxima: 18 YearsSexo: ALL

Criterios de inclusión

Age between 2 years and 18 years (age limits inclusive)
Diagnosis of Trypanosoma cruzi (T. cruzi) infection by conventional serology based on positive ELISA and at least 1 other positive conventional serology test (recombinant ELISA or IIF)
Written informed consent by parent/legal representative and informed assent from patients if \>7 years old when applicable (as requirements may vary by country and by site)
Females of childbearing potential (ie, female patients who have experienced menarche) and male patients must agree to use highly effective contraception if sexually active from the time of signing of the informed consent/assent form until ≥5 days after the last dose of study treatment

Criterios de exclusión

Pregnant or intending to become pregnant during treatment and within 5 days after the last dose of study treatment
Patient presenting any other acute or chronic health conditions, which in the opinion of the Principal Investigator (PI), may interfere with the pharmacokinetic (PK), efficacy, and/or safety evaluation of the study treatment
Signs and/or symptoms of acute Chagas Disease
Known history of hypersensitivity or serious adverse reactions to nitroimidazoles
History of Chagas Disease treatment with Benznidazole (BZN) or nifurtimox
Immunocompromised (clinical history compatible with human immunodeficiency virus (HIV) infection, primary immunodeficiency, or prolonged treatment with corticosteroids or other immunosuppressive drugs)
Abnormal laboratory test values (as per protocol-specified ranges) at Screening for the following parameters: total white blood cell (WBC) count, platelet count, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, and creatinine
Abnormal ECG (as per protocol-specified ranges) and/or any Chagas disease associated findings
Any condition that prevents the patient from taking oral medication
Patient is known to or suspected of not being able to comply with the study protocol and the use of the investigational medicinal product (IMP)
Evidence or history of alcohol or drug abuse (within the last 12 months)
Any planned procedure that may interfere with highly effective contraception during treatment and within 5 days after the last dose of study treatment
Employee of the Investigator or trial centre, or family member of the employees or the Investigator
Any condition that, in the opinion of the Investigator, may jeopardise the trial conduct according to the protocol

Ubicaciones

Hospital de Ninos "Dr. Ricardo Gutierrez"

Buenos Aires, Argentina

Hospital "Luis Carlos Lagomaggiore"

Mendoza, Argentina

Hospital Pediatrico "Dr. Humberto Notti"

Mendoza, Argentina

Hospital Público Descentralizado Dr. Guillermo Rawson

San Juan, Argentina

Centro de Enfermedad de Chagas y Patologías Regionales

Santiago del Estero, Argentina

Estudio prospectivo, de un solo brazo, multicéntrico, con control histórico, para evaluar la eficacia/seguridad y la farmacocinética poblacional de benznidazol en niños con enfermedad de Chagas crónica indeterminada

Resumen