ClinicalTrials.gg
CompletedNCT00511004Updated Aug 31, 2015Results posted

Effect of Albendazole Dose on Treatment of Lymphatic Filariasis

A Phase 2 interventional study of Albendazole and Diethylcarbamazine in Lymphatic Filariasis, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 1 site in India. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2015-08-31.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 10 studies testing albendazole in Elephantiasis, Filarial — 1 open to participants now, 1 under way, none of them phase 3. Albendazole · Elephantiasis, Filarial.

Enrollment
9th of 10
40 · median 164
Started
2007
the only one that year
Phase 2
5 of 10
none open now
Registered
3rd of 10
by date
Lead sponsor
3 of 10
National Institute of Allergy and Infectious Diseases (NIAID)

Among the 10 studies testing albendazole in Elephantiasis, Filarial, this one is the 9th largest by enrollment, is the only one that started in 2007, is one of 5 in phase 2, and was the 3rd registered.

Elephantiasis, Filarial

42 studies on the registry are indexed under Elephantiasis, Filarial; 5 are open to participants now.

Browse Elephantiasis, Filarial studies →

Open to participants now

1 of the 10 studies testing albendazole in Elephantiasis, Filarial is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About albendazole

Albendazole: first FDA approval 1996 (ALBENZA). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 3 Elephantiasis, Filarial studies recruiting now, 2 set no upper age limit and 1 stops at 75 or younger; 3 take children under 18; 3 take healthy volunteers.

This study: 18 Years to 55 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies testing albendazole in Elephantiasis, Filarial, or all of them as a file.
02

Study summary

This study is conducted in Kerala, India. It will determine whether a new treatment regimen of albendazole and diethylcarbamazine (DEC) for lymphatic filariasis can eliminate the disease more quickly than the standard regimen. Lymphatic filariasis is caused by infection with very small parasitic worms that are spread by mosquitoes. The disease can cause swelling of the arms, legs, breast and scrotum and can progress to permanent swelling of the legs or arms called elephantiasis. The study will see if a higher and more frequent dose of albendazole is better at clearing filarial worms from the blood than the current treatment.

Healthy people between 18 and 55 years of age who are in good health and who are infected with filarial worms may be eligible for this study.

Participants undergo the following procedures:

3-day hospital stay at the Filariasis Chemotherapy Unit of the T.D. Medical College Hospital in Kerala, India

  • Random assignment to receive either: 400 mg albendazole and DEC 300 mg given once a year for 2 years (standard treatment); or 800 mg albendazole and DEC 300 mg given once a year for 2 years; or 800 mg albendazole and DEC 300 mg given twice a year for 2 years.
  • Urine pregnancy test for women of childbearing age .
  • Ultrasound test to look for filarial worms.
  • Treatment dose.
  • Monitoring for symptoms

    6-month 3-day hospital stay

  • Medical history, physical examination and blood test.
  • Repeat ultrasound in subjects whose first ultrasound detected adult worms.
  • Treatment dose for subjects receiving medicine every 6 months.
  • Urine pregnancy test for women of childbearing age.

    1-year 3-day hospital stay

  • Medical history, physical examination and blood test.
  • Treatment dose.
  • Repeat ultrasound in subjects whose first ultrasound detected adult worms.
  • Urine pregnancy test for women of childbearing age.

    18-month 3-day hospital stay

  • Medical history, physical examination and blood test.
  • Treatment dose for subjects receiving medicine every 6 months.
  • Urine pregnancy test for women of childbearing age.

    24-month 3-day hospital stay

  • Medical history, physical examination and blood test.
  • Treatment dose.
  • Repeat ultrasound in subjects whose first ultrasound detected adult worms.
  • Urine pregnancy test for women of childbearing age.
Read the detailed description

Albendazole and diethylcarbamazine (DEC) are currently used in combination for annual mass treatment of lymphatic filariasis in all parts of the world except Africa. Although the drugs have been donated, the cost of such programs is very high and has proven to be a major impediment to the success of programs in many countries with limited financial resources. Data from albendazole treatment of other filarial infections and one study comparing single to multi-dose DEC/albendazole in lymphatic filariasis suggest that increased dose and/or frequency of albendazole dosing may be more effective in clearing microfilariae. In this study, 75 volunteers with microfilaremic Brugia malayi infection will be randomized to receive standard annual therapy (albendazole 400 mg + DEC 300 mg), annual therapy with increased dosing of albendazole (albendazole 800 mg + DEC 300 mg), or semiannual therapy with an increased albendazole dose (albendazole 800 mg + DEC 300 mg). Microfilarial levels will be followed every 6 months for 2 years to determine whether the higher dose, and/or the more frequent regimen, is more effective.

03

Conditions studied

  • Lymphatic Filariasis

Keywords

  • Brugia Malayi
  • Lymphatic Filariasis
  • Albendazole
  • Diethylcarbamazine
04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

  • INCLUSION CRITERIA:

Inclusion Criteria for Screening:

  • Age 18 years to 55 years inclusive
  • Both genders
  • Not pregnant or breastfeeding by history
  • If selected, subjects must be willing to spend 3 days on the Filariasis Chemotherapy Unit at the T.D. Medical College Hospital, Alleppey, Kerala, India
  • If selected, subjects must be willing to undergo nighttime blood draws once every 6 months and Doppler ultrasound twice yearly for 2 years
  • If selected, agree to have blood stored for future studies
  • Ability to understand and give

Inclusion Criteria for Treatment:

  • Age 18 to 55 years inclusive
  • Men and non-pregnant or non-breast feeding women
  • Microfilarial levels greater than 50mf/mL
  • Willingness to spend 3 days on the Filariasis Chemotherapy Unit at the T.D. Medical College Hospital, Alleppey, Kerala, India every 6 months for 2 years
  • Willingness to undergo nighttime blood draws once every 6 months for 2 years
  • Ability to understand and give informed consent
  • Hemaglobin () levels for inclusion greater than 9 g/dL
  • Creatinine (Cr) less than or equal to 1.2 mg/dL
  • (ALT) less than 30 U/L
  • Willingness to have blood stored for future studies

EXCLUSION CRITERIA:

Exclusion Criteria for Screening:

  • Age less than 18 years or greater than 55 years
  • Pregnant or breast feeding by history

Exclusion Criteria for Treatment:

  • Non-volunteers
  • Age less than 18 years or greater than 55 years
  • Pregnant or breast feeding
  • Hgb levels less than or equal to 9 g/dL
  • Cr greater than 1.3 mg/dL
  • ALT greater than 30 U/L
  • Alcohol consumption of more than 2 beers or other alcohol-containing drinks/day within a week of each drug administration
  • Temperature greater than 37.5 degrees Celsius
  • Serious medical illness
  • History of benzimidazole allergy
  • History of DEC allergy
  • Use of albendazole or DEC within past 6 months
  • Unwillingness to comply with required study visits
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    Diethylcarbamazine/Albendazole -STD

    Standard therapy of DEC (300mg) and albendazole (400mg) yearly

    Drug: Albendazole · Drug: Diethylcarbamazine

  • Active comparator
    Diethylcarbamazine/Albendazole- HD1

    High dose of DEC (300mg) and albendazole (800mg) yearly

    Drug: Albendazole · Drug: Diethylcarbamazine

  • Active comparator
    Diethylcarbamazine/Albendazole-HD2

    High dose of DEC (300mg) and albendazole (800mg) twice yearly (every 6 months)

    Drug: Albendazole · Drug: Diethylcarbamazine

Interventions

  • Comparing 400 mg to 800 mg dose

    Also known as: Zentel

  • Providing diethylcarbamazine more frequently in combination with albendazole

    Also known as: Banocide

06

What researchers measure

Primary outcomes

  1. Microfilarial Counts at 1 Year

    Night time microfilarial counts at 1 year

    Time frame: 1 year from time enrolled

Secondary outcomes

  1. Adult Worm Burdens at 2 Years

    Doppler detected worm nests at 2 years

    Time frame: 2 years from the time enrolled.

  2. Microfilarial Levels at 2 Years

    Night time microfilarial levels at 2 years

    Time frame: 2 years from time enrolled

  3. Brugia Specific Immunoglobulin G4 (IgG4) Antibodies

    IgG4 antibodies directed against Brugia malayi antigen

    Time frame: 2 years

07

Results

Posted Aug 31, 2015
Limitations and caveats
Study never fully enrolled so sample size was smaller than hoped for.

Participant flow

Adults living in Kerala, India with Brugia malayi microfilaremia were recruited from field sites around the city of Alleppey and the study performed in the outpatient department of the TD Medical College.

Participant flow — Overall Study
MilestoneStandard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/ALB
Started131314
Completed131310
Not completed004
Withdrew: Lost to follow-up004

Outcome measures

PrimaryMicrofilarial Counts at 1 Year

Night time microfilarial counts at 1 year

Time frame:
1 year from time enrolled
Reported as:
Median · MF/ML
Microfilarial Counts at 1 Year
MF/MLStandard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/ALB
Microfilarial Counts at 1 Year0 (0 to 20)0 (0 to 12)0 (0 to 9)
Statistical analysis
  • Standard Therapy Annual DEC/ALB vs High Dose Annual DEC/ALB vs High Dose Semiannual DEC/ALB · Fisher Exact · p = <0.2 (Adjusted for multiple comparisons)
SecondaryAdult Worm Burdens at 2 Years

Doppler detected worm nests at 2 years

Time frame:
2 years from the time enrolled.
Reported as:
Median · Number of nests
Adult Worm Burdens at 2 Years
Number of nestsStandard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/ALB
Adult Worm Burdens at 2 Years0 (0 to 0)0 (0 to 0)0 (0 to 0)
Statistical analysis
  • Standard Therapy Annual DEC/ALB vs High Dose Annual DEC/ALB vs High Dose Semiannual DEC/ALB · Fisher Exact · p = 0.9
SecondaryMicrofilarial Levels at 2 Years

Night time microfilarial levels at 2 years

Time frame:
2 years from time enrolled
Reported as:
Median · MF/ML
Microfilarial Levels at 2 Years
MF/MLDiethylcarbamazine/Albendazole -STDDiethylcarbamazine/Albendazole- HD1Diethylcarbamazine/Albendazole-HD2
Microfilarial Levels at 2 Years0 (0 to 0)0 (0 to 0)0 (0 to 0)
SecondaryBrugia Specific Immunoglobulin G4 (IgG4) Antibodies

IgG4 antibodies directed against Brugia malayi antigen

Time frame:
2 years
Reported as:
Median · ng/ml
Brugia Specific Immunoglobulin G4 (IgG4) Antibodies
ng/mlStandard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/ALB
Brugia Specific Immunoglobulin G4 (IgG4) Antibodies150 (0 to 1000)224 (0 to 2100)128 (0 to 650)

Adverse events

Collected over Every 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Standard Therapy Annual DEC/ALB—0/13 (0%)9/13 (69.2%)
High Dose Annual DEC/ALB—0/13 (0%)8/13 (61.5%)
High Dose Semiannual DEC/AC=LB—0/14 (0%)11/14 (78.6%)
Most frequent other events
Most frequent other events
EventStandard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/AC=LB
MyalgiaMusculoskeletal and connective tissue disorders9/138/1311/14
FeverInvestigations5/134/134/14
Nausea/VomitingGastrointestinal disorders1/131/130/14

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Standard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/ALBTotal
<=18 years0000
Between 18 and 65 years13131440
>=65 years0000
Age, Continuous
Age, Continuous(Years)Standard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/ALBTotal
Median36 (18 to 50)39 (18 to 50)37 (19 to 54)37 (18 to 54)
Sex: Female, Male
Sex: Female, Male(Participants)Standard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/ALBTotal
Female9101029
Male43411
Region of Enrollment
Region of Enrollment(participants)Standard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/ALBTotal
India13131440
Blood microfilaremia (mf/ml)
Blood microfilaremia (mf/ml)(MF/ML)Standard Therapy Annual DEC/ALBHigh Dose Annual DEC/ALBHigh Dose Semiannual DEC/ALBTotal
Median412 (64 to 912)264 (112 to 1244)384 (108 to 748)384 (64 to 1244)
08

Study locations

1 site
  • Filariasis Chemotherapy Unit (FCU), T.D. Medical Hospital
    Alleppey, Kerala, India
09

References and documents

Publications

  • Edwards G, Awadzi K, Breckenridge AM, Gilles HM, Orme ML, Ward SA. Diethylcarbamazine disposition in patients with onchocerciasis. Clin Pharmacol Ther. 1981 Oct;30(4):551-7. doi: 10.1038/clpt.1981.202. PubMed 7285488 ↗
  • Taylor HR, Greene BM. Ocular changes with oral and transepidermal diethylcarbamazine therapy of onchocerciasis. Br J Ophthalmol. 1981 Jul;65(7):494-502. doi: 10.1136/bjo.65.7.494. PubMed 7020746 ↗
  • Partono F, Purnomo, Oemijati S, Soewarta A. The long term effects of repeated diethylcarbamazine administration with special reference to microfilaraemia and elephantiasis. Acta Trop. 1981 Sep;38(3):217-25. PubMed 6118029 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jul 2007, a primary completion of Feb 2014 and a completion of Feb 2014. It does not say whether these dates are actual or estimated.

Results were first posted in Aug 2015, 1 year 6 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 2, 2007
First posted
Aug 3, 2007
Start
Jul 2007
Primary completionActual
Feb 2014
CompletionActual
Feb 2014
Results first posted
Aug 31, 2015
Last update
Aug 31, 2015
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 31, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00511004
Responsible party
Sponsor
First posted
Aug 3, 2007
Start date
Jul 2007
Primary completion
Feb 2014
Completion
Feb 2014
Results posted
Aug 31, 2015
Last update
Aug 31, 2015

Study contacts

Thomas B Nutman, M.D.
principal investigator · National Institute of Allergy and Infectious Diseases (NIAID)

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2015. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Albendazole

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