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CompletedNCT03236168Updated Jun 14, 2019Results posted

Impact of Community Scabies Treatment on Head Lice Prevalence in the Solomon Islands

A Phase 3 interventional study of Ivermectin and Permethrin 5% in Scabies and Head Lice, sponsored by London School of Hygiene and Tropical Medicine. Completed at 1 site in Solomon Islands. Per ClinicalTrials.gov, last updated 2019-06-14.

Sponsored by London School of Hygiene and Tropical Medicine · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
118
Allocation
Not applicable
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies testing ivermectin in Scabies — 1 open to participants now, 2 under way, none of them phase 3. Ivermectin · Scabies.

Enrollment
7th of 10
118 · median 180
Started
2017
the only one that year
Phase 3
3 of 10
none open now
Registered
4th of 10
by date
Lead sponsor
3 of 10
London School of Hygiene and Tropical Medicine

Among the 10 studies testing ivermectin in Scabies, this one is the 7th largest by enrollment, is the only one that started in 2017, is one of 3 in phase 3, and was the 4th registered.

By phase

10 studies; the count open now beside each. This study's row is marked.

Phase 23 · 1 open
Phase 3this study3 · 0 open
Phase 42 · 0 open
No phase1 · 0 open
Phase 11 · 0 open

By the year they started

First in 2007; this study’s year is marked. 1 started in 2017.

Tested beside ivermectin

Size and results

Median enrollment 180 across the 10 interventional studies. Of the 7 that completed or were terminated, 2 (29%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 10 studies testing ivermectin in Scabies, or all of them as a file.
02

Study summary

This is a pilot study evaluating if treatment for scabies also treats headlice in the same community

Read the detailed description

Background:

Scabies and head lice are both ubiquitous ectoparasitic infections that have been identified as common public health problems in the Pacific Island Country Territories. Mass drug administration using ivermectin is increasingly recognised as an effective strategy for scabies treatment and control, however, its possible impact on prevalence of head lice has not been evaluated. Given that oral ivermectin is an effective treatment option for pediculosis capitis, we hypothesise that community treatment with ivermectin for scabies would also provide benefit by reducing prevalence of head lice infestation in the community. We aim to test this hypothesis with a small-scale pilot study in the Solomon Islands.

Methodology:

The study would be carried out at the Atoifi Adventist Hospital campus, on the North-Eastern coast of the island of Malaita. The campus houses an estimated 180 individuals and all residents would be invited to participate in the study and be offered treatment.

At baseline all individuals would undergo a standardized examination to collect data on the presence of scabies, impetigo and head lice. Following examination individuals would be weighed and given directly observed standard treatment for scabies.

Treatment for scabies consists of one oral dose of ivermectin (200 micrograms per kilogram) at day 1 and at day 8.

Individuals with contra-indications (pregnancy, breast feeding, weight under 15kg) would be offered the alternative of 5% permethrin cream and malathion shampoo.

Individuals would be re-examined at 48hours (to assess immediate killing of head lice) and again at 2 weeks. Final follow-up will be at 3 months to establish: 1) whether changes in head lice prevalence have been sustained 2) what the impact of treatment on scabies and impetigo with ivermectin is in this specific community.

03

Conditions studied

  • Scabies
  • Head Lice

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04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • All participants living in the community will be offered treatment

Exclusion criteria

Exclusion Criteria:

  • Patients with a contradindication to study medication
  • Patients unable to provide consent
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
118 participants (actual)

Study arms

  • Other
    Intervention Arm

    This study consists of a single treatment arm. Patients will receive Ivermectin or where contraindicated (Pregnancy, Breastfeeding, Weight \<15kg) Permethrin Cream and Malathion shampoo

    Drug: Ivermectin · Drug: Permethrin 5% · Drug: Malathion Shampoo 0.5%

Interventions

  • A single weight based dose of ivermectin

  • Permethrin cream is used in conjunction with Malathion shampoo when ivermectin is contra-indicated

  • DrugMalathion Shampoo 0.5%

    Permethrin cream is used in conjunction with Malathion shampoo when ivermectin is contra-indicated

06

What researchers measure

Primary outcomes

  1. Number of Participants With Headlice

    Assessed in the study population by physical examination of hair

    Time frame: 2 Weeks after treatment

Secondary outcomes

  1. Number of Participants With Headlice

    Assessed in the study population by physical examination of hair

    Time frame: 48hrs after treatment

  2. Number of Participants With Headlice

    Assessed in the study population by physical examination of hair

    Time frame: 3 Months after treatment

07

Results

Posted Jun 14, 2019

Participant flow

Participant flow — Overall Study
MilestoneIntervention Arm
Started118
Completed107
Not completed11

Outcome measures

PrimaryNumber of Participants With Headlice

Assessed in the study population by physical examination of hair

Time frame:
2 Weeks after treatment
Reported as:
Count of participants · Participants
Number of Participants With Headlice
ParticipantsIntervention Arm
Number of Participants With Headlice3
SecondaryNumber of Participants With Headlice

Assessed in the study population by physical examination of hair

Time frame:
48hrs after treatment

Results for this outcome have not been posted.

SecondaryNumber of Participants With Headlice

Assessed in the study population by physical examination of hair

Time frame:
3 Months after treatment

Results for this outcome have not been posted.

Adverse events

Collected over 2 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Intervention Arm0/118 (0%)0/118 (0%)0/118 (0%)

Baseline characteristics

Age, Customized
Age, Customized(Participants)Intervention Arm
<= 10 years32
11-20 years31
>= 21 years55
Sex: Female, Male
Sex: Female, Male(Participants)Intervention Arm
Female61
Male57
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Intervention Arm
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander118
Black or African American0
White0
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Intervention Arm
Solomon Islands118
Headline Prevalence
Headline Prevalence(Participants)Intervention Arm
Count of participants30
08

Study locations

1 site
  • Atoifi Adventist Hospital
    Atoifi, Malaita, Solomon Islands
09

References and documents

Publications

  • Coscione S, Esau T, Kekeubata E, Diau J, Asugeni R, MacLaren D, Steer AC, Kositz C, Marks M. Impact of ivermectin administered for scabies treatment on the prevalence of head lice in Atoifi, Solomon Islands. PLoS Negl Trop Dis. 2018 Sep 25;12(9):e0006825. doi: 10.1371/journal.pntd.0006825. eCollection 2018 Sep. PubMed 30252856 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided — Anonymised data may be made available alongside any future publications

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 14, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03236168
Responsible party
Sponsor
First posted
Aug 1, 2017
Start date
Aug 1, 2017
Primary completion
Dec 31, 2017
Completion
Feb 28, 2018
Results posted
Jun 14, 2019
Last update
Jun 14, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2018. 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: Ivermectin · Permethrin

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