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Dexamethasone for Cerebral Toxoplasmosis
Sponsor: Universitas Padjadjaran
Summary
Toxoplasma gondii infects over one third of the global human population. Cerebral toxoplasmosis is the most common opportunistic infection in HIV patients resulting in up to 50% of mortality with proper treatment and 80% without it. The fatality mainly due to the brain edema resulted from the mass effect lesion. In addition of anti toxoplasmosis given, adjunctive therapy such as steroid is recommended in order to reduce brain edema, but the dose and duration of administration in cerebral toxoplasmosis has not been evaluated in a clinical trial. Adjunctive therapy given in cerebral toxoplasmosis patients still remains unclear. Moreover, its safety in immunodeficiency cases is still debatable.
Official title: Adjunctive Dexamethasone for Cerebral Toxoplasmosis: a Double-blinded Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
138
Start Date
2021-04-16
Completion Date
2025-07
Last Updated
2024-07-03
Healthy Volunteers
No
Conditions
Interventions
Dexamethasone
Patients in experimental arms will receive i.v. dexamethasone 20 mg (4 ampules = 20mL) for 7 days
Placebo
Patients in placebo arms will receive 20 mL normal saline intravenously for 7 days
Locations (1)
Hasan Sadikin General Hospital
Bandung, West Java, Indonesia