ClinicalTrials.gg
CompletedNCT04049630EOLoaUpdated Sep 20, 2021

Clinical Trial Evaluating the Safety and Efficacy of Levamisole in Loa Loa Microfilaremic Patients

A Phase 2 interventional study of LEV 1 mg/kg and LEV 1,5 mg/kg in Onchocerciasis, Ocular and Loiasis, sponsored by Programme National de Lutte contre l'Onchocercose, Republic of the Congo. Completed at 1 site in Congo. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-09-20.

Sponsored by Programme National de Lutte contre l'Onchocercose, Republic of the Congo · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
255
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study aims at evaluating the safety and efficacy of levamisole in patients with loiasis infection.

Read the detailed description

This clinical trial will be conducted in Republic of Congo. This is a pragmatic and adaptative randomized, double-blind clinical trial. Levamisole will be tested at 1 and 1,5 mg/kg, and compared to placebo (36:36:36); or 2,5 mg/kg compared to placebo (36:36) in case of adaptation of the dose for cohorts II and III.

We will perform three cohorts of patients according to the microfilarial density : 1-1,999 mf/ml, 1-14,999 mf/ml, and all microfilaremic individuals; in order to respect the safety potentially related to loiasis.

The first cohort was to evaluate the most appropriate dose of levamisole, with a possibility to increase (to 2.5 mg/kg) the dose of levamisole for the cohorts II and III in case of lack of efficacy and in case of good safety profil.

02

Conditions studied

  • Onchocerciasis, Ocular
  • Loiasis
03

In context

Lead sponsor

Programme National de Lutte contre l'Onchocercose, Republic of the Congo is the lead sponsor of 3 studies on the registry; 2 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
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

  • Written consent written, signed (or with thumbprint) and dated
  • Aged 18 to 65 inclusive
  • Individual microfilarial density ≥ 1mf/mL
  • Body weight ≥ 40 kg in women and ≥ 45 kg in men; and less than 85 kg
  • In good health condition, as determined by the medical questionnaire and the general clinical examination: absence of acute or chronic infection

Exclusion criteria

Exclusion Criteria:

  • Participation in any study other than purely observational, in the 4 weeks preceding this study (determined by the theoretical date of administration of LEV or placebo).
  • Any vaccination in the 4 weeks preceding this study.
  • Acute infection requiring a treatment in the 10 days preceding this study, determined by the anamnesis during the medical interview (example: pulmonary infection, ENT, digestive, cutaneous, with implementation of an antibiotic treatment or not)
  • Warfarin treatment
  • Treatment with clozapine, phenythiazines, sulfasalazine, carbamazepine, synthetic antithyroid, ticlopidine, cimetidine, and gold salts: whether it is a long-term treatment, or a treatment given in a single dose 10 days before the start of treatment for the clinical trial (precaution of use compared to the risk of agranulocytosis of immuno-allergic or toxic origin)
  • Known pathology
  • Past or current history of neurological (including epilepsy) or neuropsychiatric disease
  • History of agranulocytosis
  • Consumption of alcohol, taking cocaine or other drugs of abuse in the 72 hours preceding the administration of the treatment of the test determined by the anamnesis during the medical interview
  • Any condition, in the opinion of the investigator, which exposes the subject to an undue risk
  • Known intolerance to levamisole
  • Subjects who gave blood in the 8 weeks before entry into the study, with a standard volume (> 500 mL)
  • During the clinical examination: symptoms, physical signs or biological constants suggestive of systemic disorders, including renal, hepatic, cardiovascular, pulmonary, cutaneous, immunodeficiency, psychiatric disorders and other abnormalities likely to interfere with the interpretation results of the test. The doctor may then give a favorable or unfavorable opinion for the inclusion of the participant
  • Taking IVM and / or LEV during the last six months; and / or mebendazole or albendazole in the last month
  • Pregnant and lactating women (based on self-declaration)
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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

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

Study arms

  • Experimental
    LEV 1 mg/kg

    Tablets of LEV at 1 mg/kg will be administrated to the participant ; in single dose only one time. The number of tablets of LEV of 50 mg or 10 mg will be adapted according to the weight of the participant.

    Drug: LEV 1 mg/kg · Drug: Placebo

  • Experimental
    LEV 1,5 mg/kg

    Tablet of LEV at 1,5 mg/kg will be administrated to the participant ; in single dose only one time. The number of tablets of LEV of 50 mg or 10 mg will be adapted according to the weight of the participant.

    Drug: LEV 1,5 mg/kg · Drug: Placebo

  • Experimental
    LEV 2,5 mg/kg

    Tablet of LEV at 2,5 mg/kg will be administrated to the participant ; in single dose only one time. The number of tablets of LEV of 50 mg or 10 mg will be adapted according to the weight of the participant.

    Drug: LEV 2,5 mg/kg · Drug: Placebo

  • Placebo comparator
    Placebo

    Tablets of placebo will be administrated to the participant in single dose only one time.

    Drug: Placebo

Interventions

  • DrugLEV 1 mg/kg

    A combinaison of LEV 10 mg, 50 mg, and placebo will be adapted to the weight ; all the tablets will be blinded, and each participant will receive 5 tablets.

  • DrugLEV 1,5 mg/kg

    A combinaison of LEV 10 mg, 50 mg, and placebo will be adapted to the weight ; all the tablets will be blinded, and each participant will receive 5 tablets.

  • DrugLEV 2,5 mg/kg

    A combinaison of LEV 10 mg, 50 mg, and placebo will be adapted to the weight ; all the tablets will be blinded, and each participant will receive 5 tablets.

  • DrugPlacebo

    5 tablets of placebo will be administrated to the participants.

06

What researchers measure

Primary outcomes

  1. Safety and tolerability of levamisole

    Absence of severe adverse events during the first week

    Time frame: 1 week

  2. Incidence of adverse events with levamisole

    Proportion of adverse events during the first week

    Time frame: 1 week

Secondary outcomes

  1. Efficacy of levamisole

    Proportion of reduction of the microfilarial density of Loa loa at Day 2, Day 7, and Month 1

    Time frame: Day 2, Day 7, and Month 1

  2. Proportion of individuals without microfilariae of Loa loa

    Proportion of individuals with a diminution of 40% and 80% and more of the microfilarial density at Day 7 and Month 1

    Time frame: Day 7 and 1 Month

07

Study locations

1 site
  • Secteur opérationnelle de la Santé, Ministère de la Santé et de la Population
    Sibiti, Congo
08

References and documents

Publications

  • Campillo JT, Bikita P, Hemilembolo M, Louya F, Missamou F, Pion SDS, Boussinesq M, Chesnais C. Safety and Efficacy of Levamisole in Loiasis: A Randomized, Placebo-controlled, Double-blind Clinical Trial. Clin Infect Dis. 2022 Aug 24;75(1):19-27. doi: 10.1093/cid/ciab906. PubMed 34651190 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2021 to primary completion in Apr 2021, 3 months.

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

Registered
Jul 26, 2019
First posted
Aug 8, 2019
StartActual
Jan 16, 2021
Primary completionActual
Apr 24, 2021
CompletionActual
Jul 15, 2021
Last update
Sep 20, 2021
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 Sep 20, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04049630
Lead sponsor
Programme National de Lutte contre l'Onchocercose, Republic of the Congo
Responsible party
Sponsor
First posted
Aug 8, 2019
Start date
Jan 16, 2021
Primary completion
Apr 24, 2021
Completion
Jul 15, 2021
Last update
Sep 20, 2021

Oversight

Data monitoring committee
Yes
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 Sep 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion