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Desmopressin and Dexamethasone Adjunctive Treatment for Leptospirosis

This study has been terminated.
(Numbe of eligible patients has been decreased over time.)
Thailand Research Fund
Information provided by:
Mahidol University Identifier:
First received: January 1, 2008
Last updated: January 11, 2008
Last verified: December 2007

Background: Pulmonary involvement in leptospirosis has been reported to be on the increase and is emerging as the main cause of death due to leptospirosis in many countries, including Thailand.

Methods: A prospective randomized controlled trial of desmopressin or high dose dexamethasone as adjunctive therapy in patients with suspected pulmonary hemorrhage associated with leptospirosis was conducted between July 2003 and October 2006 at 5 hospitals in Thailand.

Condition Intervention Phase
Drug: Dexamethasone, desmopressin
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open Randomized Controlled Trial of Desmopressin, and Dexamethasone as Adjunctive Therapy in Patients With Pulmonary Hemorrhage Associated With Leptospirosis

Resource links provided by NLM:

Further study details as provided by Mahidol University:

Primary Outcome Measures:
  • Survival [ Time Frame: during in hospital admission ]

Secondary Outcome Measures:
  • Days of mechanical ventilation [ Time Frame: during hospital admission ]

Enrollment: 64
Study Start Date: July 2003
Study Completion Date: October 2006
Primary Completion Date: October 2006 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: 1
Standard supportive care
Experimental: 2
Dexamethasone treatment
Drug: Dexamethasone, desmopressin
200 mg of dexamethasone IV infusion OD for 3 days or 0.3 microgram/ kg of desmopressin in 50 ml of saline, as a 30- minute infusion
Other Name: Minirin
Experimental: 3
Desmopressin treatment
Drug: Dexamethasone, desmopressin
200 mg of dexamethasone IV infusion OD for 3 days or 0.3 microgram/ kg of desmopressin in 50 ml of saline, as a 30- minute infusion
Other Name: Minirin


Ages Eligible for Study:   15 Years to 90 Years   (Child, Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • adult patients (> 14 years) with suspected severe leptospirosis
  • patients who presented with acute fever (oral temperature more than 38.00 C for <15 days) in the absence of an obvious focus of infection
  • In the opinion of the attending physician might have pulmonary hemorrhage (i.e. history of hemoptysis, and/ or bilateral nodular or air space infiltration).

Exclusion Criteria:

  • pregnant or breastfeeding
  • those with history of bleeding disorder
  • those who had underlying diseases such as chronic liver disease, diabetes mellitus
  • those who received diuretic or glucocorticoid
  Contacts and Locations
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Please refer to this study by its identifier: NCT00592566

Loei Hospital
Mueng, Loei Province, Thailand, 45000
Sponsors and Collaborators
Mahidol University
Thailand Research Fund
Principal Investigator: Kanigar Niwattayakul, MD Loei Hospital, Loei, Thailand:
Study Chair: Yupin Suputtamongkol, MD Mahidol University
  More Information

Responsible Party: Prof. Yupin Suputtamongkol, Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand Identifier: NCT00592566     History of Changes
Other Study ID Numbers: DDP2003
Study First Received: January 1, 2008
Last Updated: January 11, 2008

Keywords provided by Mahidol University:
Severe leptospirosis
Pulmonary hemorrhage

Additional relevant MeSH terms:
Weil Disease
Gram-Negative Bacterial Infections
Bacterial Infections
Spirochaetales Infections
Dexamethasone acetate
Dexamethasone 21-phosphate
BB 1101
Deamino Arginine Vasopressin
Anti-Inflammatory Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Gastrointestinal Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Protease Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Antidiuretic Agents
Natriuretic Agents processed this record on May 25, 2017