ClinicalTrials.gg
Status unknownNCT05354258MALHELMINUpdated Jul 14, 2022

Feasibility and Safety of Combining Anti-malarial With Deworming Drugs in African Children

An interventional study of Albendazole and Praziquantel in Malaria, Soil Transmitted Helminths and Schistosomiasis, sponsored by London School of Hygiene and Tropical Medicine. Status unknown at 1 site in Senegal. Open to participants aged 1 Year to 14 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-07-14.

Sponsored by London School of Hygiene and Tropical Medicine · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Apr 2022), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
1 Year to 14 Years
Sex
All
01

Study summary

Malaria remains a major health problem, especially in sub-Saharan Africa where more than 90% of the disease and deaths occur in children. Adding to this high burden among the children is the co-existence of intestinal and genito-urinary worms. Prominent among these are soil-transmitted helminths and schistosomiasis. Existing control programmes for the worms are operating below the expected level, despite the commitments and support that followed the 2012 London Declaration of achieving 75% treatment coverage by 2020. On the other hand, a malaria prevention programme, called Seasonal Malaria Chemoprevention (SMC), introduced in the same year 2012 has achieved more than 75% treatment coverage and prevented 75-85% cases of uncomplicated and severe malaria in children. This encouraging development supports the need to explore the strategies involving the integration of worm control with successful platforms such as SMC. This would align worm and malaria control with the WHO road map for Neglected Tropical Diseases (NTD) of ending the neglect to attain Sustainable Development Goals by eradicating diseases of poverty and promoting health and well-being for those at risk. Given this context, it is important to develop a treatment approach that combines malaria and helminth control in an integrated framework that will be safe, effective and easy to deliver. This study will, therefore, investigate the feasibility and effectiveness of co-administration of anthelminthic and SMC drugs in a high-risk paediatric population living in a malaria-helminth co-endemic setting in Senegal, West Africa. This study is designed to test the hypothesis that co-administration of SMC and anthelminthic drugs will be safe and tolerated among children aged 1-14 years and that the incidence of side effects will not be significant. The objectives of this study are to assess the safety, tolerability, and effects of co-administration of SMC and anthelminthic drugs among the children

02

Conditions studied

  • Malaria
  • Soil Transmitted Helminths
  • Schistosomiasis
  • Integrated Control
  • Seasonal Malaria Chemoprevention
  • Mass Drug Administration With Anthelminthic Drugs
03

In context

Malaria

1,184 studies on the registry are indexed under Malaria; 79 are open to participants now.

This study's planned enrollment of 600 is above the median of 252 across 937 interventional studies indexed under Malaria.

Browse Malaria 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
1 Year to 14 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

  • Male and female children aged 1-14 years;
  • Provision of a written by the parent/caregiver and a positive assent by children aged ≥ 12 years (in line with legal regulations in Senegal);
  • Willingness to provide finger-prick blood samples, urine, and stool samples;
  • Residence in the study area for at least six months

Exclusion criteria

Exclusion Criteria:

  • Acutely ill child at the time of the drug administration;
  • Child whose parents/caregivers decline to provide consent;
  • A known positive child receiving cotrimoxazole prophylaxis;
  • A child who has received a dose of any of sulphadoxine-pyrimethamine, amodiaquine, albendazole or praziquantel during the previous six months;
  • A child with a known allergy to any of sulphadoxine-pyrimethamine, amodiaquine, albendazole or praziquantel.
Terms in these criteria, in plain language(2)

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.

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
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
600 participants (estimated)

Study arms

  • Placebo comparator
    Vitamin A + Zinc supplements on Day 0, followed by SMC course on Day 1,2 & 3

    Drug: Amodiaquine · Drug: Sulfadoxine pyrimethamine

  • Experimental
    Praziquantel + Vitamin A on Day 0, followed SMC course on Days 1,2 & 3

    Drug: Praziquantel · Drug: Amodiaquine · Drug: Sulfadoxine pyrimethamine

  • Experimental
    Albendazole + Praziquantel on Day 0, followed by SMC course on Days 1, 2 & 3

    Drug: Albendazole · Drug: Praziquantel · Drug: Amodiaquine · Drug: Sulfadoxine pyrimethamine

Interventions

  • Anthelminthic drugs for the treatment of soil-transmitted helminths

  • Anthelminthic drugs for the treatment of schistosomiasis

  • SMC partner drug

  • DrugSulfadoxine pyrimethamine

    SMC partner drug

06

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events

    Incidence of Treatment-Emergent Adverse Events will be measured by collecting solicited and unsolicited adverse events and adverse drug reactions for causal relationships to the study drugs.

    Time frame: For six consecutive days after start of the drug administration

Secondary outcomes

  1. Prevalence of helminth co-infection

    Faecal egg counts for soil transmitted helminths

    Time frame: On the day of randomisation (pre-intervention) and up to 4 months post-intervention

  2. Prevalence of Schistosoma co-infection

    Urine egg counts for Schistosoma haematobium

    Time frame: On the day of randomisation (pre-intervention) and up to 4 months post-intervention

  3. Prevalence of intensity of helminth infection

    Arithmetic mean intensity of helminth infection

    Time frame: On the day of randomisation (pre-intervention) and up to 4 months post-intervention

Other outcomes

  1. Prevalence of anaemia

    Haemoglobin concentration of all study children will be checked using HemoCue®

    Time frame: On the day of randomisation (pre-intervention) and up to 4 months post-intervention

07

Study locations

1 site
  • Saraya Health Centre
    Saraya, Kedougou 00221, Senegal
08

References and documents

Publications

  • Afolabi MO, Sow D, Ndiaye JLA, Greenwood B. Safety and effectiveness of delivering mass drug administration for helminths through the seasonal malaria chemoprevention platform among Senegalese children: study protocol for a randomised controlled trial. Trials. 2022 Aug 3;23(1):627. doi: 10.1186/s13063-022-06579-0. PubMed 35922819 ↗

Individual participant data

Plan to share: Yes — We will share the summary results of this trial or a link to the summary results within the trial registration record within 12 months of the study completion date

Supporting information: Study protocol

Time frame: Within 12 months of the study completion date

Access criteria: Open access requests will be entertained, the decision will be made by the Principal Investigator, quality of the request will be reviewed before granting it

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2022 (actual). Primary completion is estimated for Nov 2022, 5 months after the start.

Of 95 non-industry interventional studies with no phase under Malaria, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 35. This study's planned 5 months is below that.

Counting every sponsor, half of 101 studies reached it within 23 months; a quarter within 8 and three quarters within 33.

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

Registered
Apr 12, 2022
First posted
Apr 29, 2022
StartActual
Jun 16, 2022
Primary completionEst.
Nov 30, 2022
CompletionEst.
Sep 2023
Last update
Jul 14, 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 Jul 14, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05354258
Collaborators
Université de Thies, UFR Santé, Senegal
Responsible party
Sponsor
First posted
Apr 29, 2022
Start date
Jun 16, 2022
Primary completion
Nov 30, 2022 (estimated)
Completion
Sep 2023 (estimated)
Last update
Jul 14, 2022

Study contacts

Brian Greenwood, MD, FMedSci
study director · London School of Hygiene and Tropical Medicine

Oversight

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

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This study is status unknown, as verified in Apr 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 drugs tested here: Albendazole · Praziquantel

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