ClinicalTrials.gg
TerminatedNCT01213576FEDUpdated Feb 27, 2015Results posted

Efficacy of Higher Albendazole and Ivermectin Doses on Wuchereria Bancrofti Microfilarial Clearance in Malawi

An interventional study of Albendazole 400mg and ivermectin 200mcg/kg and Albendazole and ivermectin in Lymphatic Filariasis, sponsored by London School of Hygiene and Tropical Medicine. Terminated at 1 site in Malawi. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-02-27.

Sponsored by London School of Hygiene and Tropical Medicine · Not applicable, Interventional, and Treatment

Why this study was terminated
Introduction of National Mass Drug Administration Campaign and failure to identify appropriate participants.

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Phase
Not applicable
Study type
Interventional
Enrollment
70
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
7th of 10
70 · median 164
Started
2009
with 1 other
No phase
3 of 10
1 open now
Registered
4th of 10
by date
Lead sponsor
1 of 10
London School of Hygiene and Tropical Medicine

Among the 10 studies testing albendazole in Elephantiasis, Filarial, this one is the 7th largest by enrollment, is one of 2 that started in 2009, is one of 3 with no phase, and was the 4th 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 · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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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

Albendazole and ivermectin are currently used in combination for annual mass treatment of lymphatic filariasis in Africa. Although the drugs have been donated, the cost of such programmes is very high and has proven to be a major impediment to the success of programmes in many countries with limited financial resources.

Data from albendazole treatment of other filarial infections and one study comparing single to multi-dose Diethycarbamazine/albendazole in lymphatic filariasis suggest that increased dose and/or frequency of albendazole dosing may be more effective in clearing microfilariae. It is essential to determine whether such higher doses are indeed beneficial since this could have far-reaching effects on the conduct and management of the main mass treatment programmes and also in the management of programmes as they near elimination.

Read the detailed description

The proposed study will enrol up to 120 volunteers with microfilaremic Wuchereria bancrofti infection who would be randomized to receive standard annual treatment (albendazole 400 mg + ivermectin 200 mcg/kg), annual treatment with an increased dose of albendazole (albendazole 800 mg + ivermectin 200400 mcg/kg) or semi-annual treatment with a standard (albendazole 400 mg + ivermectin 200 mcg/kg), or an increased albendazole dose (albendazole 800 mg + ivermectin 200 400 mcg/kg). Microfilarial levels, as well as measures of adult worm burden (circulating antigen) will be followed every six months for two years to determine whether the higher doses, or more frequent regimens are more effective.

The data obtained would be used, in combination with the data from other similar studies being conducted in Mali and in India to advise the Global Programme for the Elimination of Lymphatic Filariasis (GPELF) on improved methods of treatment both for mass treatment and for the management of problem areas within the global programme.

03

Conditions studied

  • Lymphatic Filariasis

Keywords

  • Lymphatic filariasis
  • microfilaria
  • Albendazole
  • ivermectin
  • human immunodeficiency
04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • understand and sign
  • willing to undergo night blood sampling every 6 months for 2 years
  • Age 18 to 55 years
  • of equal or above 9g/dl
  • Microfilarial level of equal or above 80mg/dl

Exclusion criteria

Exclusion Criteria:

  • Non- consenting
  • Pregnancy or lactation
  • Treatment with albendazole or ivermectin within the previous 6 months
  • Known allergy to the study drugs
Terms in these criteria, in plain language(2)

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).

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
70 participants (actual)

Study arms

  • Active comparator
    albendazole 400mg and ivermectin 200mcg/kg

    Annual treatment

    Drug: Albendazole 400mg and ivermectin 200mcg/kg

  • Active comparator
    Albendazole 800mg and ivermectin 400mcg/kg

    Annual treatment

    Drug: Albendazole and ivermectin

  • Active comparator
    Albendazole 400mg and ivermectin 200mcg/kg

    albendazole 400mg and ivermectin 200mcg/kg given twice a year

    Drug: Albendazole 400mg and ivermectin 200mcg/kg

  • Active comparator
    Albendazole 800mg and ivermectin 400mcg /kg bi-annually

    Albendazole 800mg and ivermectin 400mcg/kg given twice a year

    Drug: albendazole 800mg and ivermectin 400mcg/kg bi-annually

Interventions

  • DrugAlbendazole 400mg and ivermectin 200mcg/kg

    Drug page: Albendazole

    400 mg orally given annually

  • DrugAlbendazole and ivermectin

    Drug pages: Albendazole · Ivermectin

    albendazole 800 mg and ivermectin 400mg orally given annually

  • DrugAlbendazole 400mg and ivermectin 200mcg/kg

    Drug page: Albendazole

    Albendazole 400mg and ivermectin 200mcg/kg given twice a year

  • Drugalbendazole 800mg and ivermectin 400mcg/kg bi-annually

    Drug page: Albendazole

    albendazole 800mg and ivermectin 400mcg/kg given twice a year

06

What researchers measure

Primary outcomes

  1. Number of Participants Achieving Microfilarial Clearance

    Microfilaria clearance will be assessed in regard to dosage as well as frequency of treatment. Microfilarial clearance is defined by non-detection of microfilaria in the night blood sample.

    Time frame: 12 months

Secondary outcomes

  1. Number of Participants With Microfilarial Clearance at 24 Months of Follow up

    Microfilaria will be detected using the nucleopore filtration technique and analysed according to the respective treatment arms at the 24 month time point. Microfilarial clearance will be defined by non-detection of microfilaria in the night blood sample

    Time frame: 24 months

07

Results

Posted Feb 27, 2015

Participant flow

Participant flow — Overall Study
MilestoneAlbendazole 400mg and Ivermectin 200mcg/kg AnnuallyAlbendazole 800mg and Ivermectin 400mcg/kg AnnuallyAlbendazole 400mg and Ivermectin 200mcg/kg BiannuallyAlbendazole 800mg and Ivermectin 400mcg /kg Bi-annually
Started18171817
Completed15131313
Not completed3454

Outcome measures

PrimaryNumber of Participants Achieving Microfilarial Clearance

Microfilaria clearance will be assessed in regard to dosage as well as frequency of treatment. Microfilarial clearance is defined by non-detection of microfilaria in the night blood sample.

Time frame:
12 months
Reported as:
Number · participants
Number of Participants Achieving Microfilarial Clearance
participantsAlbendazole 400mg and Ivermectin 200mcg/kg AnnuallyAlbendazole 800mg and Ivermectin 400mcg/kg AnnuallyAlbendazole 400mg and Ivermectin 200mcg/kg BiannuallyAlbendazole 800mg and Ivermectin 400mcg /kg Bi-annually
Number of Participants Achieving Microfilarial Clearance15141317
SecondaryNumber of Participants With Microfilarial Clearance at 24 Months of Follow up

Microfilaria will be detected using the nucleopore filtration technique and analysed according to the respective treatment arms at the 24 month time point. Microfilarial clearance will be defined by non-detection of microfilaria in the night blood sample

Time frame:
24 months
Reported as:
Number · participants
Number of Participants With Microfilarial Clearance at 24 Months of Follow up
participantsAlbendazole 400mg and Ivermectin 200mcg/kg AnnuallyAlbendazole 800mg and Ivermectin 400mcg/kg AnnuallyAlbendazole 400mg and Ivermectin 200mcg/kg BiannuallyAlbendazole 800mg and Ivermectin 400mcg /kg Bi-annually
Number of Participants With Microfilarial Clearance at 24 Months of Follow up17171417

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Albendazole 400mg and Ivermectin 200mcg/kg Annually—0/18 (0%)5/18 (27.8%)
Albendazole 800mg and Ivermectin 400mcg/kg Annually—0/17 (0%)7/17 (41.2%)
Albendazole 400mg and Ivermectin 200mcg/kg Biannually—0/18 (0%)6/18 (33.3%)
Albendazole 800mg and Ivermectin 400mcg /kg Bi-annually—0/17 (0%)4/17 (23.5%)
Most frequent other events
Most frequent other events
EventAlbendazole 400mg and Ivermectin 200mcg/kg AnnuallyAlbendazole 800mg and Ivermectin 400mcg/kg AnnuallyAlbendazole 400mg and Ivermectin 200mcg/kg BiannuallyAlbendazole 800mg and Ivermectin 400mcg /kg Bi-annually
FeverGeneral disorders2/184/173/181/17
headacheGeneral disorders3/184/174/182/17
joint painsGeneral disorders2/181/173/182/17
abdominal painsGeneral disorders1/182/171/181/17

Baseline characteristics

Age, Continuous
Age, Continuous(years)Albendazole 400mg and Ivermectin 200mcg/kg AnnualAlbendazole 800mg and Ivermectin 400mcg/kg AnnualAlbendazole 400mg and Ivermectin 200mcg/kg BiannualAlbendazole 800mg and Ivermectin 400mcg/kg Bi-annualTotal
Median32.5 (21 to 50)31 (20 to 53)27.5 (18 to 55)35 (20 to 54)33 (18 to 55)
Sex: Female, Male
Sex: Female, Male(Participants)Albendazole 400mg and Ivermectin 200mcg/kg AnnualAlbendazole 800mg and Ivermectin 400mcg/kg AnnualAlbendazole 400mg and Ivermectin 200mcg/kg BiannualAlbendazole 800mg and Ivermectin 400mcg/kg Bi-annualTotal
Female367723
Male1511111047
Region of Enrollment
Region of Enrollment(participants)Albendazole 400mg and Ivermectin 200mcg/kg AnnualAlbendazole 800mg and Ivermectin 400mcg/kg AnnualAlbendazole 400mg and Ivermectin 200mcg/kg BiannualAlbendazole 800mg and Ivermectin 400mcg/kg Bi-annualTotal
Malawi1817181770
Microfilarial count /uL
Microfilarial count /uL(microfilaria/uL)Albendazole 400mg and Ivermectin 200mcg/kg AnnualAlbendazole 800mg and Ivermectin 400mcg/kg AnnualAlbendazole 400mg and Ivermectin 200mcg/kg BiannualAlbendazole 800mg and Ivermectin 400mcg/kg Bi-annualTotal
Geometric mean464.7 (250.1 to 863.4)338.7 (198.7 to 577.4)204.5 (204.5 to 287.8)264.7 (175.0 to 400.4)298.6 (207.3 to 389.4)
HIV status
HIV status(participants)Albendazole 400mg and Ivermectin 200mcg/kg AnnualAlbendazole 800mg and Ivermectin 400mcg/kg AnnualAlbendazole 400mg and Ivermectin 200mcg/kg BiannualAlbendazole 800mg and Ivermectin 400mcg/kg Bi-annualTotal
Number00000
Eosinophil count
Eosinophil count(cells/uL)Albendazole 400mg and Ivermectin 200mcg/kg AnnualAlbendazole 800mg and Ivermectin 400mcg/kg AnnualAlbendazole 400mg and Ivermectin 200mcg/kg BiannualAlbendazole 800mg and Ivermectin 400mcg/kg Bi-annualTotal
Geometric mean1300 (1000 to 1700)1400 (1000 to 1900)1600 (1100 to 2100)1100 (900 to 1500)1300 (1000 to 1800)
08

Study locations

1 site
  • Karonga Prevention Study
    Karonga, Malawi
09

References and documents

Publications

  • Tafatatha TT, Ngwira BM, Taegtmeyer M, Phiri AJ, Wilson TP, Banda LG, Piston WN, Koole O, Horton J, French N. Randomised controlled clinical trial of increased dose and frequency of albendazole and ivermectin on Wuchereria bancrofti microfilarial clearance in northern Malawi. Trans R Soc Trop Med Hyg. 2015 Jun;109(6):393-9. doi: 10.1093/trstmh/trv027. Epub 2015 Apr 15. PubMed 25877874 ↗
10

Timeline

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

The record gives a start of Jan 2009, a primary completion of Feb 2012 and a completion of Feb 2012. It does not say whether these dates are actual or estimated.

Results were first posted in Feb 2015, 3 years after primary completion.

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

Registered
Sep 30, 2010
First posted
Oct 4, 2010
Start
Jan 2009
Primary completionActual
Feb 2012
CompletionActual
Feb 2012
Results first posted
Feb 27, 2015
Last update
Feb 27, 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 Feb 27, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01213576
Collaborators
Emory University
Responsible party
Neil French (Reader In Infectious Disease Epidemiology/Director KPS, London School of Hygiene and Tropical Medicine) — Principal investigator
First posted
Oct 4, 2010
Start date
Jan 2009
Primary completion
Feb 2012
Completion
Feb 2012
Results posted
Feb 27, 2015
Last update
Feb 27, 2015

Study contacts

Neil French, MB ChB PHD
principal investigator · London School of Hygiene and Tropical Medicine

Oversight

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

Not currently enrolling

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

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Studies of the drugs tested here: Albendazole · Ivermectin

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