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RecruitingNCT04713787Updated Jul 28, 2026

A Safety and Efficacy Study of Different Doses of Oxfendazole Compared to a Single Dose of Albendazole to Treat Trichuris Trichiura Infection in Adults

A Phase 2 interventional study of Albendazole and Oxfendazole in Trichuriasis, sponsored by Asociacion Benefica Prisma. Recruiting at 1 site in Peru. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-07-28.

Sponsored by Asociacion Benefica Prisma · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2024; still recruiting 2 years 2 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
249
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a Phase 2 trial to evaluate the efficacy of different doses of oxfendazole versus a single dose of albendazole in curing or reducing the egg burden in subjects with T. trichiura infections. 249 subjects will be randomized in a 1:1:1 ratio to one of three dose-groups to receive a single dose of oxfendazole 400 mg or 800 mg, or a single dose of albendazole 400 mg. The study team members and study subjects will not be blinded to the dose group. However, the laboratory assessors evaluating the stool samples will be blinded. Subjects will be recruited in Iquitos, Peru, and surrounding villages where there is a high prevalence of T. trichiura infection. Subjects will be solicited through town hall meetings and local clinics and through recommendations from local care providers. A two-stage screening process will be utilized. If subjects are found on the screening stool exam to have only a stool parasite other than T. trichuria or if the subject chooses not to participate in the study, the subject will be referred to a local health provider. If stool analysis performed at the end of the study period demonstrates stool parasites, the subjects will be contacted and referred to their local health provider where they will receive standard of care treatment. The primary objective is to assess the cure rate of different dose regimens of oxfendazole vs. albendazole in the treatment of T. trichiura infections using the Kato-Katz stool examination method.

Read the detailed description

This is a Phase 2 trial to evaluate the efficacy of different doses of oxfendazole versus a single dose of albendazole in curing or reducing the egg burden in subjects with T. trichiura infections. 249 subjects will be randomized in a 1:1:1 ratio to one of three dose-groups to receive a single dose of oxfendazole 400 mg or 800 mg, or a single dose of albendazole 400 mg. Water and a snack will be provided to aid in ingestion of the study product and a study team member will observe the ingestion of study product. The study team members and study subjects will not be blinded to the dose group. However, the laboratory assessors evaluating the stool samples will be blinded. Subjects will be recruited in Iquitos, Peru, and surrounding villages where there is a high prevalence of T. trichiura infection. Subjects will be solicited through town hall meetings and local clinics and through recommendations from local care providers. A two-stage screening process will be utilized. If subjects are found on the screening stool exam to have only a stool parasite other than T. trichuria or if the subject chooses not to participate in the study, the subject will be referred to a local health provider. If stool analysis performed at the end of the study period demonstrates stool parasites, the subjects will be contacted and referred to their local health provider where they will receive standard of care treatment. The primary objective is to assess the cure rate of different dose regimens of oxfendazole vs. albendazole in the treatment of T. trichiura infections using the Kato-Katz stool examination method. The secondary objectives are to: 1) assess the cure rate of different dose regimens of oxfendazole vs albendazole in the treatment of T. trichiura infections using the stool concentration examination method, 2) assess the clinical response compared to baseline, as shown by reduction in T. trichiura egg counts using the Kato-Katz stool examination method, 3) assess the clinical response compared to baseline, as shown by reduction in T. trichiura egg counts using the stool concentration method, 4) assess the proportion of subjects with moderate or heavy infection before treatment who had no infection or only light infection after treatment using the Kato-Katz stool examination method, 5) assess the proportion of subjects with moderate or heavy infection before treatment who had no infection or only light infection after treatment using the stool concentration examination method, 6) establish the spectrum of activity of oxfendazole against other intestinal helminths using the Kato-Katz stool examination method, 7) establish the spectrum of activity of oxfendazole against other intestinal helminths using the stool concentration examination method, 8) assess the tolerability of each oxfendazole dose group compared to the albendazole dose group, and 9) assess the safety in subjects treated with oxfendazole.

02

Conditions studied

  • Trichuriasis

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Keywords

  • Adults
  • Albendazole
  • Comparative Study
  • Efficacy
  • Oxfendazole
  • Phase 2
  • Trichuris trichiura
03

In context

Trichuriasis

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

This study's planned enrollment of 249 is below the median of 315 across 27 interventional studies indexed under Trichuriasis.

Browse Trichuriasis studies →

Lead sponsor

This is the only study on the registry with Asociacion Benefica Prisma as lead sponsor.

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

  1. Male or female aged 18-65 years, inclusive and weigh ≥45 kg.
  2. Are willing to participate in this trial, as evidenced by written or witnessed oral .
  3. T. trichiura* is demonstrated in a stool sample obtained within 14 days before randomization and enrollment.

    *The presence of A. lumbricoides, N. americanus, A. duodenalis, or other helminths will not be a cause for exclusion.

  4. Are willing to comply with the requirements of this protocol, particularly to provide four stool samples and two blood samples* over approximately 4- 6 weeks.

    *An extra stool or blood sample might be required if the samples are not collected within the appropriate time frame or to follow up on abnormal laboratory tests.

  5. Females must have a negative serum pregnancy test within 10 days or a negative urine pregnancy test 72 hours prior to the first study drug administration.*ª

    *If a woman of child bearing potential is on an injectable form of , a single serum pregnancy test at screening (Days -10 to -1) is acceptable. If the woman is not using an injectable form of contraception, a pregnancy test must be negative 72 hours prior to the first study drug administration.

    ª Pregnancy testing is not required for women of non-

  6. Female subjects of childbearing potential must be using effective contraception.* *Effective methods of contraception include: abstinence from sexual intercourse, monogamous relationship with a vasectomized partner, male condoms with spermicide, surgical sterility, intrauterine contraceptive device, oral or injectable contraceptives, diaphragm in combination with contraceptive cream or foam. Females aged >/=50 years who have had no menstrual periods for 1 year may be enrolled. Females must agree to continue effective contraception for approximately 28 days following the last study drug administration.

Exclusion criteria

Exclusion Criteria:

  1. Has demonstrated a previous reaction to oxfendazole or a related compound (e.g. albendazole, mebendazole).
  2. Has a diarrheal disease that would interfere with the evaluation of stool samples*.

    * More than 6 stools per day or stools that are completely liquid.

  3. Has received an antihelminthic within 14 days before enrolment.
  4. Has received an drug within 30 days before the screening visit or is scheduled to receive such a drug during this trial.
  5. Has a concomitant infection or another underlying disease that would compromise the safety, diagnosis, and evaluation of responses to the study drug.
  6. Has a known history of renal dysfunction or plasma creatinine >/=1.5 times the (ULN) for age.
  7. Has a known history of hepatic dysfunction or , ALT, total >/=1.5 times the ULN.
  8. Has a that is less than 8 g/dL.
  9. Is a female who is pregnant, lactating, or planning a pregnancy during this trial (up to days 28 after the last scheduled dose).
  10. Has previously been enrolled in this trial.
  11. Has any condition that would, in the investigator's opinion, interfere with this trial.
Terms in these criteria, in plain language(9)

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

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
249 participants (estimated)

Study arms

  • Experimental
    Group A

    400 mg (4 capsules of 100 mg) of Oxfendazole administered orally as a single dose on Day 1. N=83.

    Drug: Oxfendazole

  • Experimental
    Group B

    800 mg (8 capsules of 100 mg) of Oxfendazole administered orally as a single dose on Day 1. N=83.

    Drug: Oxfendazole

  • Active comparator
    Group C

    400 mg (1 tablet of 400 mg) of Albendazole administered orally as a single dose on Day 1. N=83.

    Drug: Albendazole

Interventions

  • Albendazole, 5-(prophylthio)-2-benzimidazole carbamate, is a broad-spectrum benzimidazole antihelminthic drug. It is provided as a white to off-white, circular, film-coated tablet with a slightly raised pentagonal projection on either side. This trial will use the 400 mg tablet formulation.

  • The active pharmaceutical ingredient is methyl-5 (6)-phenylsulfiyl-2-benzimidazole carbamate, which is a broad-spectrum benzimidazole antihelminthic. Oxfendazole is the sulphoxide metabolite of fenbendazole.

06

What researchers measure

Primary outcomes

  1. Number of infection cures (Clinical Cure) as shown by absence of Trichuris trichiura eggs using the Kato-Katz stool examination method

    As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).

    Time frame: Day 18 through Day 23

Secondary outcomes

  1. Change from baseline in eggs per gram of stool for helminths other than Trichuris trichiura using the Kato Katz examination method

    As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).

    Time frame: Day 18 through Day 23

  2. Change from baseline in eggs per gram of stool for helminths other than Trichuris trichiura using the stool concentration examination method

    As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).

    Time frame: Day 18 through Day 23

  3. Change from baseline in eggs per gram of stool using the Kato-Katz stool examination method

    As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).

    Time frame: Day 18 through Day 23

  4. Change from baseline in eggs per gram of stool using the stool concentration method

    As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).

    Time frame: Day 18 through Day 23

  5. Egg reduction rate, relative to egg counts at baseline, measured using the Kato-Katz stool examination method

    As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from egg counts (eggs per gram) from two stool samples (each evaluated in duplicate).

    Time frame: Day 18 through Day 23

  6. Egg reduction rate, relative to egg counts at baseline, using the stool concentration method

    As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from egg counts (eggs per gram) from two stool samples (each evaluated in duplicate).

    Time frame: Day 18 through Day 23

  7. Number of infection cures (Clinical Cure) as shown by absence of Trichuris trichiura eggs using the stool concentration method

    As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).

    Time frame: Day 18 through Day 23

  8. Proportion of abnormal laboratory tests

    As measured in each oxfendazole dose group compared to the albendazole dose group. Abnormal laboratory tests include hemoglobin (Hgb), white blood cells (WBC), neutrophil and eosinophil counts, platelet counts, aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, alkaline phosphatase, and creatinine.

    Time frame: Day 1 through Day 23

  9. Proportion of solicited clinical reactogenicity events

    As measured in each oxfendazole dose group compared to the albendazole dose group. Solicited clinical reactogenicity events including nausea, vomiting, abdominal pain, diarrhea, and anorexia.

    Time frame: Day 1 through Day 23

  10. Proportion of subjects in each dose group with moderate or heavy infection who had no infection or only light infection after treatment based on WHO classes of intensity, measured using the Kato-Katz tool examination method

    According to WHO thresholds, infections of 1-999 eggs per gram (epg) are classified as light intensity infections, 1,000-9,999 epg are classified as moderate, and \>/= 10,000 epg are classified as heavy. Classification at baseline will be based on the screening stool sample, and classification post-treatment will be based on two stool samples each oxfendazole dose group compared to the albendazole dose group.

    Time frame: Day 18 through Day 23

  11. Proportion of unsolicited adverse events (AEs)

    As measured in each oxfendazole dose group compared to the albendazole dose group.

    Time frame: Day 1 through Day 23

  12. Serious adverse events (SAEs) related to the study product

    As measured in each oxfendazole dose group compared to the albendazole dose group.

    Time frame: Day 1 through Day 23

07

Study locations

1 of 1 sites recruiting
  • Policlinico Asociacion Benefica Prisma
    Santa Clara, Maynas, Peru
    Recruiting
    • Maribel Paredes Olortegui, BS, MPH · Contactmparedeso@prisma.org.pe · +65 234250
    • Margaret Kosek, MD · Contactmnk2n@virginia.edu · 434-982-6768
    • Cesar Ramal Asayag, MD, PhD · Principal investigator
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04713787
Lead sponsor
Asociacion Benefica Prisma
Collaborators
Policlinico Asociacion Benefica PRISMA-Laboratorio Satelite IQTLAB, National Institutes of Health (NIH), University of Iowa, University of Virginia
Responsible party
Sponsor
First posted
Jan 19, 2021
Start date
Sep 7, 2024
Primary completion
Feb 28, 2027 (estimated)
Completion
May 30, 2027 (estimated)
Last update
Jul 28, 2026

Study contacts

Patricia L. Winokur
Contact
patricia-winokur@uiowa.edu
13193844590
Margaret N Kosek
Contact
mkosek@virginia.edu
4439007269
Maribel Paredes Olortegui, MPH
study director · AB Prisma

Oversight

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

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