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CompletedNCT03501251MOXIDOSEUpdated Aug 14, 2018

Efficacy and Safety of Ascending Dosages of Moxidectin and Moxidectin-albendazole Against Trichuris Trichiura

A Phase 2 interventional study of Moxidectin 8mg and Moxidectin 8 mg + albendazole 400 mg in Trichuris Trichiura; Infection, sponsored by Swiss Tropical & Public Health Institute. Completed at 1 site in Tanzania. Open to participants aged 16 Years to 18 Years. Per ClinicalTrials.gov, last updated 2018-08-14.

Sponsored by Swiss Tropical & Public Health Institute · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
286
Allocation
Randomized
Ages
16 Years to 18 Years
Sex
All
01

Study summary

The study rationale is to provide evidence on effective doses of moxidectin and/or moxidectin-albendazole in adolescents (16-18 years old) infected with Trichuris trichiura. The study will take place on Pemba Island, Tanzania.

02

Conditions studied

  • Trichuris Trichiura; Infection

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03

In context

Trichuriasis

30 studies on the registry are indexed under Trichuriasis; 7 are open to participants now.

This study's enrollment of 286 is close to the median of 315 across 27 interventional studies indexed under Trichuriasis.

Browse Trichuriasis studies →

Lead sponsor

Swiss Tropical & Public Health Institute is the lead sponsor of 58 studies on the registry; 9 are open to participants now.

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

04

Who can participate

Ages eligible
16 Years to 18 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

  1. Male and female subjects aged 16 to 18 years, inclusive
  2. Written /assent signed from parent/guardian
  3. Positive for T. trichiura by at least two slides of the quadruple Kato-Katz thick smears and infection intensities of at least 100 eggs per gram of stool (EPG)
  4. Agree to comply with study procedures, including provision of two stool samples at the beginning (baseline) and approximately three weeks after treatment (follow-up).

Exclusion criteria

Exclusion Criteria:

  1. Presence of acute or uncontrolled systemic illnesses (e.g. severe anemia, infection, clinical malaria) as assessed by a medical doctor, upon initial clinical assessment.
  2. Known or reported history of chronic illness such as , acute or chronic hepatitis, cancer, diabetes, chronic heart disease or renal disease.
  3. Prior treatment with anthelmintics (eg, diethylcarbamazine [DEC], suramin, ivermectin or albendazole) within 4 weeks before planned test article administration.
  4. Received any drugs or investigational devices within 4 weeks before administration of test article that may confound safety and/or efficacy assessments.
  5. Known or suspected allergy to moxidectin, ivermectin or albendazole or other compounds related to these classes of medication.
  6. Pregnant (urine testing) or breastfeeding women
Terms in these criteria, in plain language(3)

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.

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HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
286 participants (actual)

Study arms

  • Experimental
    Moxidectin 8 mg

    A single tablet of 8 mg of moxidectin

    Drug: Moxidectin 8mg

  • Experimental
    Moxidectin 8 mg + Albendazole

    A single tablet of 8 mg of moxidectin plus a single tablet of albendazole (400 mg)

    Drug: Moxidectin 8 mg + albendazole 400 mg

  • Experimental
    Moxidectin 16 mg

    Two tablets of 8 mg of moxidectin ( = 16 mg)

    Drug: Moxidectin 16 mg

  • Experimental
    Moxidectin 16 mg + Albendazole

    Two tablets of 8 mg of moxidectin ( = 16 mg) plus a single tablet of albendazole (400 mg)

    Drug: Moxidectin 16 mg + albendazole 400 mg

  • Experimental
    Moxidectin 24 mg

    Three tablets of 8 mg of moxidectin ( = 24 mg)

    Drug: Moxidectin 24 mg

  • Experimental
    Moxidectin 24 mg + Albendazole

    Three tablets of 8 mg of moxidectin ( = 24 mg) plus a single tablet of albendazole (400 mg)

    Drug: Moxidectin 24 mg + albendazole 400 mg

  • Placebo comparator
    Placebo

    A single tablet of placebo

    Other: Placebo

Interventions

  • Participants will receive the tablet with clean water and a package of biscuits.

  • DrugMoxidectin 8 mg + albendazole 400 mg

    Drug page: Moxidectin

    Participants will receive the tablets with clean water and a package of biscuits.

  • Participants will receive the tablets with clean water and a package of biscuits.

  • DrugMoxidectin 16 mg + albendazole 400 mg

    Drug page: Moxidectin

    Participants will receive the tablets with clean water and a package of biscuits.

  • Participants will receive the tablets with clean water and a package of biscuits.

  • DrugMoxidectin 24 mg + albendazole 400 mg

    Drug page: Moxidectin

    Participants will receive the tablets with clean water and a package of biscuits.

  • OtherPlacebo

    Participants will receive the tablet with clean water and a package of biscuits.

06

What researchers measure

Primary outcomes

  1. Cure rate against Trichuris trichiura

    Conversion from being Trichuris trichiura-egg positive pre-treatment to egg negative post-treatment. Since this might be influenced by infection intensity, treatment groups will be equally balanced in terms of infection intensity by 2 levels of baseline infection intensity (light infections and moderate/heavy infections).

    Time frame: 6 weeks

Secondary outcomes

  1. Egg Reduction Rate of the different drug regimens against Trichuris trichiura

    Eggs per gram of stool (EPG) will be assessed by adding up the egg counts from the quadruplicate Kato-Katz thick smears and multiplying this number by a factor of six. Geometric and arithmetic mean egg counts will be calculated for the two treatment arms before and after treatment to assess the corresponding ERRs.

    Time frame: 6 weeks

  2. Cure rate of the different drug regimens against Ascaris lumbricoides

    Conversion from being Ascaris lumbricoides-egg positive pre-treatment to egg negative post-treatment.

    Time frame: 6 weeks

  3. Egg Reduction Rate of Ascaris lumbricoides

    Eggs per gram of stool (EPG) will be assessed by adding up the egg counts from the quadruplicate Kato-Katz thick smears and multiplying this number by a factor of six. Geometric and arithmetic mean egg counts will be calculated for the two treatment arms before and after treatment to assess the corresponding ERRs.

    Time frame: 6 weeks

  4. Cure rate against hookworm

    Conversion from being hookworm-egg positive pre-treatment to egg negative post-treatment.

    Time frame: 6 weeks

  5. Egg Reduction Rate of hookworm

    Eggs per gram of stool (EPG) will be assessed by adding up the egg counts from the quadruplicate Kato-Katz thick smears and multiplying this number by a factor of six. Geometric and arithmetic mean egg counts will be calculated for the two treatment arms before and after treatment to assess the corresponding ERRs.

    Time frame: 6 weeks

  6. Number of adverse events at 5 time points

    Patients will be kept for observation for at least 3 hours following treatment for any acute adverse events. During the reporting period, any unfavorable changes in the subject's condition will be recorded as adverse events, whether reported by the subject or observed by the Investigator. In case of any abnormal finding, the local study physician will perform a full clinical examination and findings will be recorded. An emergency kit will be available on site to treat any medical conditions that warrant urgent medical intervention. In addition, patients will be also interviewed by a nurse and/or a physician about the occurrence of adverse events 24, 48 and 72 hours post-treatment using a questionnaire. Finally, upon collection of the first follow-up stool sample participants will be re-questioned.

    Time frame: 6 weeks

07

Study locations

1 site
  • Public Health Laboratory Ivo de Carneri, P.O. Box 122
    Chake Chake, Pemba, Tanzania
08

References and documents

Publications

  • Keller L, Palmeirim MS, Ame SM, Ali SM, Puchkov M, Huwyler J, Hattendorf J, Keiser J. Efficacy and Safety of Ascending Dosages of Moxidectin and Moxidectin-albendazole Against Trichuris trichiura in Adolescents: A Randomized Controlled Trial. Clin Infect Dis. 2020 Mar 3;70(6):1193-1201. doi: 10.1093/cid/ciz326. PubMed 31044235 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 14, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03501251
Lead sponsor
Swiss Tropical & Public Health Institute
Collaborators
Public Health Laboratory Ivo de Carneri
Responsible party
Jennifer Keiser (Principal Investigator, Swiss Tropical & Public Health Institute) — Principal investigator
First posted
Apr 18, 2018
Start date
Jul 3, 2018
Primary completion
Aug 11, 2018
Completion
Aug 11, 2018
Last update
Aug 14, 2018

Oversight

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

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