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CompletedNCT01424410Updated Jun 14, 2017

Health Benefits of Repeated Treatment in Pediatric Schistosomiasis

An observational study in Schistosomiasis, sponsored by University of Edinburgh. Completed at 1 site in Zimbabwe. Open to participants aged 1 Year to 10 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-06-14.

Sponsored by University of Edinburgh · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
360
Ages
1 Year to 10 Years
Sex
All
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Study summary

Objective and Hypotheses: This project has the overall objective of implementing and evaluating new approaches to reducing the current and future burden of urinary schistosomiasis in young children using the antihelminthic drug praziquantel. The investigators hypotheses are that (1) praziquantel treatment will be as effective in children 1 to 5 years of age (who are routinely excluded from schistosomiasis control programmes) as it is in older 6-10 year old children and (2) two treatments will be more effective than a single treatment, especially in children 1 to 5 years of age.

Read the detailed description

This study aims to address the present health inequity by refinement of an existing drug regimen to improve the current and future health of pre-school children and infants. Praziquantel is cheap, highly efficacious and safe, presenting a realistic opportunity of using a pre-existing tool in a modified way to benefit child health and development. The study will focus on children aged 1 to 10 years of age, comparing the impact of single vs. double treatment with PZQ on the current and future health status of the children. The immediate health benefits of PZQ treatment in children aged 6-10 years of age have already been documented and therefore by including 6-10 year olds in the proposed study, we can determine if the effects of PZQ treatment on health and morbidity measures is age dependent. By killing worms PZQ stops the morbidity related to the presence of worms and eggs such as anaemia, abdominal pain, diarrhoea and blood in the urine. Therefore the study will investigate the immediate health benefits of treating pre-school children and infants.

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Conditions studied

  • Schistosomiasis

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Keywords

  • paediatric schistosomiasis morbidity immunology
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In context

Schistosomiasis

84 studies on the registry are indexed under Schistosomiasis; 15 are open to participants now.

This study's enrollment of 360 is below the median of 516 across 28 observational studies indexed under Schistosomiasis.

Browse Schistosomiasis studies →

Lead sponsor

University of Edinburgh is the lead sponsor of 393 studies on the registry; 64 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
1 Year to 10 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Zimbabwean children

Inclusion criteria

  1. lifelong residents of the area
  2. have provided at least 2 urine and 2 stool for parasitological examination
  3. have given a blood sample before and after each treatment episode
  4. be negative for hookworm, Trichuris and Ascaris

Exclusion criteria

Exclusion Criteria:

  1. clinical signs of tuberculosis or malaria
  2. presenting with fever
  3. have had a recent major operation, illness or vaccination
  4. have previously received antihelminthic treatment
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
360 participants (actual)
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What researchers measure

Primary outcomes

  1. Change from baseline in schistosome-specific and systemic immune responses

    Determine the change at 6 weeks post antihelminthic treatment from baseline of schistosome-specific and systemic immune responses

    Time frame: 6 weeks

Secondary outcomes

  1. Change from baseline in schistosome-specific and systemic immune responses

    Determine the change at 12 months post antihelminthic treatment from baseline of schistosome-specific and systemic immune responses. Determine the effects of single and double antihelminthic treatments on these immunological changes.

    Time frame: 12 months

  2. Change from baseline in schistosome-related morbidity and disease markers

    Determine the change in prevalance and magnitude of schistosome-related disease and morbidity markers at 6 weeks from those at baseline.

    Time frame: 6 weeks

  3. Change from baseline in morbidity and disease markers

    Determine the change in prevalance and magnitude of schistosome-related disease and morbidity markers at 12 months from those at baseline. Determine the effects of single and double antihelminthic treatments on the disease and morbidity measures.

    Time frame: 12 months

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Study locations

1 site
  • National Institutes for Health Research
    Harare, Zimbabwe
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References and documents

Publications

  • Wami WM, Nausch N, Bauer K, Midzi N, Gwisai R, Simmonds P, Mduluza T, Woolhouse M, Mutapi F. Comparing parasitological vs serological determination of Schistosoma haematobium infection prevalence in preschool and primary school-aged children: implications for control programmes. Parasitology. 2014 Dec;141(14):1962-70. doi: 10.1017/S0031182014000213. Epub 2014 Mar 28. PubMed 24679476 ↗
  • Mduluza T, Mutapi F. Putting the treatment of paediatric schistosomiasis into context. Infect Dis Poverty. 2017 Apr 7;6(1):85. doi: 10.1186/s40249-017-0300-8. PubMed 28388940 ↗
  • Wami WM, Nausch N, Midzi N, Gwisai R, Mduluza T, Woolhouse M, Mutapi F. Identifying and evaluating field indicators of urogenital schistosomiasis-related morbidity in preschool-aged children. PLoS Negl Trop Dis. 2015 Mar 20;9(3):e0003649. doi: 10.1371/journal.pntd.0003649. eCollection 2015 Mar. PubMed 25793584 ↗

Related links

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 14, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01424410
Lead sponsor
University of Edinburgh
Collaborators
National Institute for Health Research, United Kingdom, University of Zimbabwe
Responsible party
Dr Francisca Mutapi (Dr, University of Edinburgh) — Principal investigator
First posted
Aug 29, 2011
Start date
Feb 2012
Primary completion
Jul 2014
Completion
Nov 2014
Last update
Jun 14, 2017

Study contacts

Francisca Mutapi, PhD
principal investigator · University of Edinburgh

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2017. You cannot join it, but the record below documents what was studied.

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