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CompletedNCT01440608Updated Mar 6, 2012

Effectiveness of High-dose Zinc Therapy and Albendazole in the Treatment of Environmental Enteropathy

An interventional study of Albendazole and Placebo in Enteropathy, sponsored by Washington University School of Medicine. Completed at 1 site in Malawi. Open to participants aged 1 Year to 3 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-03-06.

Sponsored by Washington University School of Medicine · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
225
Allocation
Randomized
Ages
1 Year to 3 Years
Sex
All
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Study summary

The purpose of this study is to investigate the therapeutic effectiveness of high-dose zinc therapy and de-worming albendazole as separate interventions in restoring normal gut absorptive and immunological function as measured by the dual sugar permeability test and additional biomarkers in 1-3 year old rural Malawian children at high risk for Environmental Enteropathy.

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Conditions studied

  • Enteropathy

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03

In context

Intestinal Diseases

963 studies on the registry are indexed under Intestinal Diseases; 174 are open to participants now.

This study's enrollment of 225 is above the median of 70 across 552 interventional studies indexed under Intestinal Diseases.

Browse Intestinal Diseases studies →

Lead sponsor

Washington University School of Medicine is the lead sponsor of 1,765 studies on the registry; 271 are open to participants now.

Of its 324 completed or terminated interventional studies of FDA-regulated products, 212 (65%) have results posted.

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

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Who can participate

Ages eligible
1 Year to 3 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 1-3 years of age
  • Lives in study villages

Exclusion criteria

Exclusion Criteria:

  • Unable to drink 100 mL of sugar water
  • Demonstrating evidence of severe acute malnutrition, WHZ \< or = -3, presence of bi-pedal pitting edema
  • Apparent need for acute medical treatment for an illness or injury
  • Parent refusal to participate and return for 7-week follow-up
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
225 participants (actual)

Study arms

  • Experimental
    Zinc therapy

    High-dose zinc, equivalent 20 mg elemental zinc, to be given once per day for 14 days

    Dietary Supplement: High-dose Zinc

  • Experimental
    Albendazole

    Albendazole to be given once on the day of enrollment. Placebo will then be given for 13 days following.

    Drug: Albendazole

  • Placebo comparator
    Placebo

    Placebo will be given for 14 days

    Drug: Placebo

Interventions

  • DrugAlbendazole

    Pill form, to be given once, 200 mg dosage for children 1-2 years of age, 400 mg dosage for children 2-3 years of age

  • DrugPlacebo

    Pill form, 400 mg dose to be given once per day for 14 days in Placebo arm and 13 days in Albendazole arm following one dose of Albendazole.

  • Dietary supplementHigh-dose Zinc

    Pill form, equivalent to 20 mg elemental zinc, to be given once per day for 14 days

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What researchers measure

Primary outcomes

  1. Changes in urine lactulose:mannitol (L:M) ratio following therapy course.

    Time frame: 4 weeks, 7 weeks

Secondary outcomes

  1. Change in blood endoCAb

    Time frame: 7 weeks

  2. Change in fecal calprotectin mRNA

    Time frame: 4 weeks, 7 weeks

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Study locations

1 site
  • Saint Louis Nutrition Project
    Blantyre, Malawi
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References and documents

Publications

  • Ryan KN, Stephenson KB, Trehan I, Shulman RJ, Thakwalakwa C, Murray E, Maleta K, Manary MJ. Zinc or albendazole attenuates the progression of environmental enteropathy: a randomized controlled trial. Clin Gastroenterol Hepatol. 2014 Sep;12(9):1507-13.e1. doi: 10.1016/j.cgh.2014.01.024. Epub 2014 Jan 22. PubMed 24462483 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2012, 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
NCT01440608
Lead sponsor
Washington University School of Medicine
Responsible party
Sponsor
First posted
Sep 26, 2011
Start date
Oct 2011
Primary completion
Dec 2011
Completion
Dec 2011
Last update
Mar 6, 2012

Study contacts

Mark J Manary, MD
principal investigator · Washington University School of Medicine
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2012. You cannot join it, but the record below documents what was studied.

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