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CompletedNCT02005653Updated Dec 9, 2013

Alternate Chemotherapy Regimens for the Clearance of W.Bancrofti Infection

A Phase 4 interventional study of Diethylcarbamazine and Albendazole in Filarial; Infestation, sponsored by Indian Council of Medical Research. Completed at 1 site in India. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2013-12-09.

Sponsored by Indian Council of Medical Research · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
146
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Diethylcarbamazine (DEC) essentially a micro-filaricidal drug is given for 12 days as standard treatment for the clearance of W. bancrofti infection. It takes about one year for the individuals to completely clear the microfilaria from the blood. It takes another two to four years to clear the antigen. The aim of the present study is to shorten the time taken for clearing the Mf and antigen from the blood either by co-administration or sequential administration of a macrofilaricidal drug, Albendazole or doxycycline. This study is a randomized, double blind, controlled clinical trial to study the efficacy of these drug combinations in complete clearance the Mf and antigen from the blood in shorter span of 180 days and 365 days respectively.

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Purpose:

Lymphatic dwelling parasite W. bancrofti is the most common cause of secondary lymphoedema. Till today, there is no effective treatment protocol for the complete clearance of W. bancrofti infection, in a short duration of time.

Methods:

The investigators conducted a double blind RCT under field conditions recruiting 146 asymptomatic W. bancrofti infected individuals. Participants were randomly assigned one of the four regimens for 12 days, DEC 300 mg + Doxycycline 100 mg co-administration or DEC 300 mg + Albendazole 400 mg co-administration or DEC 300 mg + Albendazole 400 mg sequential administration or control regimen DEC 300 mg. Participants were followed up at 13, 26 and 52 weeks post-treatment for the clearance of infection.

02

Conditions studied

  • Filarial; Infestation

Keywords

  • Lymphatic filariasis
  • W. bancrofti
  • DEC
  • Albendazole
  • Doxycycline
03

In context

Parasitic Diseases

55 studies on the registry are indexed under Parasitic Diseases; 8 are open to participants now.

This study's enrollment of 146 is close to the median of 151 across 41 interventional studies indexed under Parasitic Diseases.

Browse Parasitic Diseases studies →

Lead sponsor

Indian Council of Medical Research is the lead sponsor of 12 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Residing in or around Pondicherry and adjoining Tamilnadu areas
  • Night blood microfilaria counts > 10 mf/ml by membrane filtration
  • No history of treatment for filarial infection for the last two years at least
  • Willing for home visits by the staff of the center
  • Willing to give written

Exclusion criteria

Exclusion Criteria:

  • Body weight less than 30 kg
  • Hepatic or renal disease as evidenced by clinical or biochemical abnormalities. - concurrent illness like hypertension, diabetes mellitus, cardiac conditions and epilepsy requiring chronic medication
  • Psychiatric illness
  • Patients under tetracycline or doxycycline therapy
  • History of de-worming by albendazole or other anti-helminthic during last one year
  • Pregnancy or lactation
Terms in these criteria, in plain language(1)

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

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05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
146 participants (actual)

Study arms

  • Experimental
    DEC + ALB sequential

    Diethylcarbamazine 300 mg tablet and albendazole 400 mg tablet at 30 days post treatment sequentially

    Drug: Diethylcarbamazine · Drug: Albendazole

  • Experimental
    DEC + ALB co-admin

    Diethylcarbamazine 300 mg tablet and albendazole 400 mg tablet per day given orally as single dose for 12 days

    Drug: Diethylcarbamazine · Drug: Albendazole

  • Experimental
    DEC + DOXY co-admin

    Diethylcarbamazine 300 mg tablet and Doxycycline 100 mg per day given orally as single dose for 12 days

    Drug: Diethylcarbamazine · Drug: Doxycycline

  • Active comparator
    Diethylcarbamazine (DEC)

    Diethylcarbamazine 300 mg tablet as single dose orally per day for 12 days

    Drug: Diethylcarbamazine

Interventions

06

What researchers measure

Primary outcomes

  1. complete clearance of mf in 80% of the infected

    Time frame: At 13th week (91 days) post therapy

Secondary outcomes

  1. Complete clearance Mf and complete clearance of antigen from the infected

    a)Complete clearance of Mf by 26 weeks (180 days) post therapy. b) Complete clearance of antigen by 52 weeks (365days) post therapy

    Time frame: 26 and 52 weeks post therapy

07

Study locations

1 site
  • Vector Control Research Centre
    Pondicherry, 605006, India
08

References and documents

Publications

  • De Britto RL, Vanamail P, Sankari T, Vijayalakshmi G, Das LK, Pani SP. Enhanced efficacy of sequential administration of Albendazole for the clearance of Wuchereria bancrofti infection: Double blind RCT. Trop Biomed. 2015 Jun;32(2):198-209. PubMed 26691247 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 9, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02005653
Lead sponsor
Indian Council of Medical Research
Responsible party
Lourduraj John De Britto (Scientist-E (Medical), Indian Council of Medical Research) — Principal investigator
First posted
Dec 9, 2013
Start date
Feb 2009
Primary completion
Sep 2011
Completion
Aug 2013
Last update
Dec 9, 2013

Study contacts

Lourduraj J De Britto, M.D
principal investigator · Vector Control Research Centre, Indian Council of Medical Research, Pondicherry

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2013. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Albendazole · Doxycycline

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