ClinicalTrials.gg
CompletedNCT04920292HELP-OFZUpdated Dec 20, 2022

PK, Safety and Tolerability of Single and Multiple Doses of Oxfendazole Tablets

A Phase 1 interventional study of Oxfendazole and Placebo in Filariasis, sponsored by Swiss Tropical & Public Health Institute. Completed at 1 site in Tanzania. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-12-20.

Sponsored by Swiss Tropical & Public Health Institute · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The study evaluates the pharmacokinetics (PK), safety and tolerability of oxfendazole, after administration as a tablet formulation in healthy male and female participants.

Read the detailed description

This is a randomized, placebo-controlled, double blinded, single center phase I bioavailability study with two Single Dose cohorts and one Multiple Doses cohort in a total of 30 healthy male and female healthy volunteers (10 per cohort).

02

Conditions studied

  • Filariasis

Keywords

  • Onchocerciasis
  • Parasitic Diseases
  • Neglected Disease
  • Phase I
  • Safety
  • Tolerability
  • Pharmacokinetics
  • Bioavailability
  • Volunteers
03

In context

Filariasis

23 studies on the registry are indexed under Filariasis; 2 are open to participants now.

This study's enrollment of 30 is below the median of 100 across 12 interventional studies indexed under Filariasis.

Browse Filariasis 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
18 Years to 45 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

  • Healthy adult male and non-pregnant (confirmed by pregnancy test) and non-breastfeeding female participants (18 to 45 years of age at the time of consent).
  • Willingness to give written consent to participate in the trial, after reading the participant information and consent form and after having had the opportunity to discuss the trial with the Investigator or any delegate.
  • Ability to read and write and to understand the participant information sheet and the nature of the trial and any hazards from participating in it. Ability to communicate satisfactorily with the Investigator and to participate in, and comply with the requirements of, the entire trial.
  • Women of (WOCBP) must agree to use a highly effective form of in combination with a barrier method from at least 28 days prior to first dosage to 30 days after last dosage.
  • Male participants must be willing to ensure the use of condoms from the first dosage to 90 days after last dosage.
  • Normal body weight range ( (BMI) between 18 and 29.9 kg/ m2)

Exclusion criteria

Exclusion Criteria:

  • Participation in another clinical trial within 3 months prior to the study, or within 5-times the half-life of the drug tested in the previous clinical trial, whichever is longer. (Time calculated relative to the last dose in the previous clinical trial).
  • Regular daily consumption of more than one liter of xanthine-containing beverages (e.g. chocolates, tea, coffee or cola drinks).
  • Regular daily consumption of more than 5 cigarettes daily.
  • Use of a prescription medicine during the 28 days before the first dose of trial medication or use of an over-the-counter medicine, during the 7 days before the first dose of trial medication.
  • Use of dietary supplements or herbal remedies (such as St John's Wort) known to interfere with the and/or P-gp metabolic pathway during the 28 days before the first dose of trial medication.
  • Therapies which may impact on the interpretation of study results in the opinion of the Investigator.
  • Medical, social condition, psychiatric disorder or occupational reasons that, in the judgment of the Investigator, is a to protocol participation, may impair the volunteer's ability to give or effectively participate in the study, may significantly increase the risk to the volunteer because of participation in the study or may impair interpretation of the study data.
  • Blood pressure and heart rate in supine position at the screening examination outside one (or more) of the ranges 105-136 mm Hg systolic, 58-84 mm Hg diastolic; heart rate 56- 96 beats/min.
  • Febrile illness within 1 week before the start of study treatment.
  • History of relevant diseases of vital organs, of the central nervous system or other organs.
  • Participants with a history of allergies, non-allergic drug reactions, adverse reaction to any drug, or multiple drug allergies.
  • Participants with a to the drug, related benzimidazole compounds or the control agent and/ or to inactive constituents.
  • Presence or history of drug or alcohol abuse in the last 10 years.
  • Surgery (e.g. stomach bypass) or medical condition that might affect absorption of study drug taken orally.
  • abnormal medical history, concurrent medical condition, acute or chronic illness or history of chronic illness sufficient to invalidate the subject's participation in the trial or make it unnecessarily hazardous.
  • Relevant pathological abnormalities in the such as a second or third-degree atrioventricular (AV) block, prolongation of the QRS complex over 120 msec or of the -interval over 450 msec (corrected interval according to Fridericia's formula).
  • Positive test for or C.
  • Positive test for .
  • Positive pregnancy test ().
  • Positive stool or urine test for helminth infestation by Kato-Katz, urine filtration or Baermann test.
  • Positive for malaria by thick blood smear.
  • Positive test for (neuro-) cysticercosis.
  • Positive test for echinococcosis.
  • Positive test for onchocerciasis.
  • Presence of abnormal physical findings, ECG, or laboratory values at the screening assessment that could interfere with the objectives of the trial or the safety of the subject.
Terms in these criteria, in plain language(13)

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.

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Single Dose of 100mg Oxfendazole versus Placebo

    8 participants will receive a single oral dose of 100mg of oxfendazole. 2 participants will receive a single oral dose of placebo.

    Drug: Oxfendazole · Drug: Placebo

  • Experimental
    Single Dose of 400mg Oxfendazole versus Placebo

    8 participants will receive a single oral dose of 400mg of oxfendazole. 2 participants will receive a single oral dose of placebo.

    Drug: Oxfendazole · Drug: Placebo

  • Experimental
    Multiple Doses of 400mg Oxfendazole versus Placebo

    8 participants will receive multiple oral doses of 400mg of oxfendazole on 5 consecutive days. 2 participants will receive multiple oral doses of placebo on 5 consecutive days.

    Drug: Oxfendazole · Drug: Placebo

Interventions

  • Oxfendazole is a benzimidazole anthelminthic drug.

  • DrugPlacebo

    The placebo tablet is made using the same non-active ingredients and matches the investigational tablet.

06

What researchers measure

Primary outcomes

  1. Area under the plasma concentration curve from time zero to the last quantifiable concentration at time t (AUC0-t) of oxfendazole and its metabolites fenbendazole and fenbendazole sulfone

    For single dose arms

    Time frame: At different time points from pre-dose up to 48 hours after single dose administration

  2. Area under the plasma concentration curve (AUC) from time zero extrapolated to infinity (AUC0-∞) of oxfendazole and its metabolites fenbendazole and fenbendazole sulfone

    For single dose arms

    Time frame: At different time points from pre-dose up to 48 hours after single dose administration

  3. Maximum observed concentration (Cmax) of oxfendazole and its metabolites fenbendazole and fenbendazole sulfone

    For single dose arms

    Time frame: At different time points from pre-dose up to 48 hours after single dose administration

  4. Time to maximum observed concentration (Tmax) of oxfendazole and its metabolites fenbendazole and fenbendazole sulfone

    For single dose arms

    Time frame: At different time points from pre-dose up to 48 hours after single dose administration

  5. Elimination half-life (t1/2) of oxfendazole and its metabolites fenbendazole and fenbendazole sulfone

    For single dose arms

    Time frame: At different time points from pre-dose up to 48 hours after single dose administration

  6. Area under the plasma concentration curve over dosing interval (AUCtau) of oxfendazole and its metabolites fenbendazole

    For multiple doses arm

    Time frame: At different time points from pre-dose up to 72 hours after last dose administration

  7. Accumulation Ratio (Racc) of oxfendazole and its metabolites fenbendazole

    For multiple doses arm

    Time frame: At different time points from pre-dose up to 72 hours after last dose administration

  8. Maximum observed concentration (Cmax) of oxfendazole and its metabolites fenbendazole and fenbendazole sulfone

    For multiple doses arm

    Time frame: At different time points from pre-dose up to 72 hours after last dose administration

  9. Time to maximum observed concentration (Tmax) of oxfendazole and its metabolites fenbendazole and fenbendazole sulfone

    For multiple doses arm

    Time frame: At different time points from pre-dose up to 72 hours after last dose administration

  10. Elimination half-life (t1/2) of oxfendazole and its metabolites fenbendazole and fenbendazole sulfone

    For multiple doses arm

    Time frame: At different time points from pre-dose up to 72 hours after last dose administration

Secondary outcomes

  1. Safety and tolerability of oxfendazole as measured by number of participants with treatment related adverse events and serious adverse events

    Number of participants with treatment related adverse events and serious adverse events

    Time frame: From Day 1 to Day 14.

  2. Safety and tolerability of oxfendazole as measured by number of participants with physical examination findings

    Number of participants with physical examination findings. Standard examination done on skin, lymph nodes, head, eyes, ears, nose, throat, respiratory, cardiovascular, abdomen, extremities, musculoskeletal, and neurological.

    Time frame: At different time points from baseline to Day 14

  3. Safety and tolerability of oxfendazole as measured by number of participants with vital signs findings

    Number of participants with vital signs findings (heart rate, blood pressure, axillar temperature, respiratory rate,)

    Time frame: At different time points from baseline to Day 14

  4. Safety and tolerability of oxfendazole as measured by number of participants with clinical laboratory test findings

    Number of participants with relevant abnormal clinical laboratory tests results (hematology (hemoglobin, white blood cells (differentiation of eosinophils and neutrophils) and platelets), coagulation (prothrombin time and activated partial thromboplastin time), biochemistry (Creatinine, Alanine aminotransferase, Aspartate aminotransferase, total bilirubin, sodium, potassium, chloride, bicarbonate, blood urea nitrogen), urinalysis (proteinuria and glucose))

    Time frame: At different time points from baseline to Day 14

  5. Safety and tolerability of oxfendazole as measured by number of participants with 12-lead ECG findings Safety and tolerability of oxfendazole as measured by the change in ECG parameters

    Number of participants with 12-lead ECG findings (heart rate (HR), PR interval, QRS, QT, QTcB, QTcF, cardiac rhythm and T wave morphology)

    Time frame: Pre-dose, 1 and 2 hours after single dose administration on Day 1; Pre-dose, 1 and 2 hours after dose administration on Day 1 and pre-dose, 1 and 2 hours after dose administration on Day 5 (last dose) for multiple doses administration arm.

07

Study locations

1 site
  • Ifakara Health Institute
    Bagamoyo, Tanzania
08

References and documents

Individual participant data

Plan to share: Undecided — It is intended that Summary results will be shared once Clinical Study Report will be available.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2022 to primary completion in Nov 2022, 6 months.

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

Registered
May 28, 2021
First posted
Jun 9, 2021
StartActual
Apr 21, 2022
Primary completionActual
Nov 7, 2022
CompletionActual
Nov 14, 2022
Last update
Dec 20, 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 Dec 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04920292
Lead sponsor
Swiss Tropical & Public Health Institute
Collaborators
Ifakara Health Institute, Drugs for Neglected Diseases
Responsible party
Sponsor
First posted
Jun 9, 2021
Start date
Apr 21, 2022
Primary completion
Nov 7, 2022
Completion
Nov 14, 2022
Last update
Dec 20, 2022

Study contacts

Daniel Paris
study director · Swiss TPH
Said Jongo
principal investigator · Ifakara Health Institute

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 Dec 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Oxfendazole

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