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CompletedNCT03570814Updated Aug 19, 2022

Cluster RCT of Co-administration Azithromycin, Albendazole & Ivermectin

A Phase 4 interventional study of Administration of Albendazole on Day 1 and Administration of Ivermectin on Day 1 in Trachoma and Lymphatic Filariases, sponsored by London School of Hygiene and Tropical Medicine. Completed at 1 site in Ethiopia. Per ClinicalTrials.gov, last updated 2022-08-19.

Sponsored by London School of Hygiene and Tropical Medicine · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
13,511
Allocation
Randomized
Sex
All
01

Study summary

Cluster-randomised trial comparing co-administration of Azithromycin/Ivermectin/Albendazole with separate administration of Azithromycin and Ivermectin/Albendazole.

The study will be conducted in Beneshangul-Gumuz region, Ethiopia. Within this district, a study group of 8,000 people (in approximately 40 clusters) will receive the azithromycin, ivermectin \& albendazole at a single time. A control group of 8,000 people (in approximately 40 clusters) within the same district will receive the current MDA treatment schedule beginning with Ivermectin/Albendazole followed two weeks later with azithromycin. All drug dosing will be in line with standard FMOH and WHO Guidelines for MDA for trachoma and lymphatic filariasis.

The study will randomly sort subdistrict communities (Gotes) into the trial arm and the control arm. The study will compare the number of adverse events (AEs) and severe adverse events (SAEs) between the two arms to determine if co-administration is not inferior to the standard treatment. The primary outcome will be to demonstrate the safety of the triple-drug administration as measured by incidence of AEs/SAEs following the MDA.

02

Conditions studied

  • Trachoma
  • Lymphatic Filariases
03

In context

Trachoma

39 studies on the registry are indexed under Trachoma; 3 are open to participants now.

This study's enrollment of 13,511 is above the median of 1,300 across 31 interventional studies indexed under Trachoma.

Browse Trachoma studies →

Lead sponsor

London School of Hygiene and Tropical Medicine is the lead sponsor of 298 studies on the registry; 15 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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. Residing in the community for at least three months;
  2. Eligible to receive all three agents according to standard MDA criteria

Exclusion criteria

Exclusion Criteria:

  1. Not eligible to receive one or more drugs according to standard MDA criteria;
  2. Less than 5 years of age (not eligible for ivermectin)**
  3. Pregnant women (azithromycin only, not eligible for albendazole and ivermectin)
  4. Lactating women (Only administered azithromycin and albendazole, not eligible for ivermectin)**
  5. History of allergies to the drugs being studied (azithromycin, ivermectin, albendazole)
  6. Residents who cannot swallow tablets

    • Note that patients that are not eligible for IVM, will receive azithromycin and albendazole. Patients that receive azithromycin and albendazole will be followed up through the same procedure as the triple drug therapy to try to track any AEs attributed to the two drug combination.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
13,511 participants (actual)

Study arms

  • Active comparator
    Separate Administration

    Standard administration of Albendazole/Ivermectin separated from administration of azithromycin

    Drug: Administration of Albendazole on Day 1 · Drug: Administration of Ivermectin on Day 1 · Drug: Administration of Azithromycin on Day 15

  • Experimental
    Co-administration

    Combined administration of Albendazole/Ivermectin/Azithromycin at a single time point

    Drug: Administration of Albendazole on Day 1 · Drug: Administration of Ivermectin on Day 1 · Drug: Administration of Azithromycin on Day 1

Interventions

  • DrugAdministration of Albendazole on Day 1

    Participants will receive Albendazole 400mg on study day 1.

  • DrugAdministration of Ivermectin on Day 1

    Participants will receive Ivermectin 150mcg/kg (max 12mg) on study day 1. Doses of Ivermectin will be determined using a standard dosing pole.

  • DrugAdministration of Azithromycin on Day 1

    Participants will receive Azithromycin 20mg/kg (max 1gm) on study day 1. Doses of Azithromycin will be determined using a standard dosing pole.

  • DrugAdministration of Azithromycin on Day 15

    Participants will receive Azithromycin 20mg/kg (max 1gm) on study day 15. Doses of Azithromycin will be determined using a standard dosing pole.

06

What researchers measure

Primary outcomes

  1. Self Reported Adverse Event

    The incidence of self-reported adverse events following MDA. We will collect data on the presence of common symptoms/signs prior to drug administration. All patients will be reviewed 24-48 hours after treatment and asked to report adverse events. We will calculate the proportion of newly occurring adverse events following treatment and calculate the whether the proportion of patients experiencing an adverse event differs between study arms,

    Time frame: 1 Month

Secondary outcomes

  1. Cost of Administration Drug Separately compared to Cost of Co-Administration of Drugs

    Analysis of the cost effectiveness of co-administration compared to separate administration of drugs

    Time frame: 1 month

  2. Community perceptions

    An analysis of community perceptions of benefits of co-administration at a single time point vs standard separated MDA will be conducted by conducting focus groups and in-depth interviews with study participants.

    Time frame: 1 month

07

Study locations

1 site
  • Community Recruitment across whole district
    Community Recruitment Across Whole District, Ethiopia
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2021 to primary completion in Feb 2022, 2 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 4, 2018
First posted
Jun 27, 2018
StartActual
Dec 1, 2021
Primary completionActual
Feb 1, 2022
CompletionActual
Feb 1, 2022
Last update
Aug 19, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 19, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03570814
Collaborators
Armauer Hansen Research Institute, Ethiopia, Federal Minstry of Health of Ethiopia
Responsible party
Sponsor
First posted
Jun 27, 2018
Start date
Dec 1, 2021
Primary completion
Feb 1, 2022
Completion
Feb 1, 2022
Last update
Aug 19, 2022

Oversight

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

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This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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