We are evaluating an improved treatment for this debilitating condition
Leprosy, also known as Hansen’s Disease, is a chronic infectious disease which may cause skin lesions and nerve damage. It is caused by slow-growing Mycobacterium leprae bacteria.
Around 30 to 50 per cent of leprosy patients develop leprosy type 2 reactions (also known as erythema nodosum leprosum). This condition is an immune-mediated and severe complication of leprosy, which can affect people with active leprosy infection, as well as those who have been effectively cured with multidrug therapy, even many years later. Patients usually present with painful nodules, often distributed between existing lesions, and a moderate to high fever. Leprosy and leprosy reactions patients have been stigmatised and discriminated against since time immemorial, and at least 17 countries still allow discrimination based on this disease.
174 087
new cases of leprosy were registered in 2022
127
countries: leprosy is found in, with the largest number of cases in India, followed by Indonesia and Brazil
Source:
World Health Organization. Weekly epidemiological record. Global leprosy (Hansen disease) update, 2022: new paradigm – control to elimination.
World Health Organization. WHO Leprosy fact sheet.
Bilik et al, 2017. Leprosy Reactions.
30-50%
of patients with multi-bacillary form of leprosy develop immune-mediated reactive states including leprosy Type 2 reactions.
Leprosy type 2 reactions are currently treated mainly with corticosteroids, which are often required for extended periods of time, leading to serious adverse effects. The inflammatory responses of leprosy type 2 reactions can cause morbidity and mortality if not treated in a timely manner.
Dovramilast has completed part 1 of a two stage Phase 2a clinical trial in Nepal, sponsored by the Leprosy Mission and funded by Amgen, Inc.
A paediatric dose-finding study, a phase 3b trial comparing efficacy and safety of annual and biannual moxidectin or ivermectin treatment and mathematical modelling of moxidectin and ivermectin based elimination strategies to support country policy decisions.