ClinicalTrials.gg
CompletedNCT05875441Updated Jun 16, 2026Results posted

Efficacy and Safety Study of Moxidectin in Adults With Scabies

A Phase 2 interventional study of Moxidectin Oral Product and Moxidectin Oral Product in Scabies, sponsored by Medicines Development for Global Health. Completed at 9 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-16.

Sponsored by Medicines Development for Global Health · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Moxidectin is not approved to treat scabies in humans. The effective dose of moxidectin to treat scabies is not known. This study aims to assess the efficacy of a single administration of 8 mg, 16 mg, or 32 mg moxidectin per oral in achieving Scabies Complete Cure at Day 28. This study also aims to assess the safety of three strengths of single moxidectin doses in adults with scabies.

02

Conditions studied

  • Scabies

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Keywords

  • Moxidectin
  • Oral
03

In context

Scabies

51 studies on the registry are indexed under Scabies; 10 are open to participants now.

This study's enrollment of 200 is close to the median of 183 across 41 interventional studies indexed under Scabies.

Browse Scabies studies →

Lead sponsor

Medicines Development for Global Health is the lead sponsor of 11 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 and older
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. Aged 18 years or older.
  2. Provided written .
  3. Diagnosis of active scabies infestation confirmed by the presence of clinical signs and symptoms (evidence of burrows or typical inflammatory/noninflammatory lesions and pruritus) and either microscopic confirmation of scabies mite(s), ova or scybala by skin scraping or dermoscopy.
  4. All female subjects of must agree to the use of a highly effective method of until 16 weeks after administration of Product (IP).

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis of crusted/Norwegian scabies or scabies presentation that, in the opinion of the Investigator, would require treatment with more than one standard of care treatment for scabies (e.g., scabies requiring concurrent topical and oral treatment).
  2. History of chronic or recurrent dermatologic disease or skin conditions other than scabies that could interfere with the diagnosis of scabies and evaluation of cure.
  3. Received any treatment with one or more scabicides within the 28 days prior to Screening, or between Screening and Baseline, including but not limited to permethrin, ivermectin, benzyl benzoate, sulfur, lindane, crotamiton, malathion, tea tree oil or spinosad.
  4. > 35 kg/m2.
  5. \< 30 mL/min (using Cockcroft-Gault equation).
  6. Both total >1.5 x (ULN) and > ULN.
  7. Abnormal and findings in hematology or biochemistry assessments at Screening, or in vital signs, 12-lead , or physical examination at Screening and/or Baseline, that in the opinion of the Investigator would put the subjects at increased risk from participating in the study, confound study evaluations, or may interfere with study conduct.
  8. Presence of any other clinically relevant condition, including infection, immunological disorder, malignant disease, and/or other underlying condition or circumstance at Screening or Baseline that in the opinion of the Investigator would put the subjects at increased risk from participating in the study, confound study evaluations, or interfere with the study conduct.
  9. Use of topical , systemic or high-dose inhaled corticosteroids (>500 µg per day of fluticasone propionate or equivalent for adults), or other immunomodulators within 14 days of Baseline.
  10. Requiring ongoing treatment with, or received within 5 half-lives before Screening, any of the following medications that are clinical BCRP inhibitors: curcurmin (turmeric) supplements, cyclosporine A, darolutamide, eltrombopag, febuxostat, fostamatinib, rolapitant and teriflunomide.
  11. Received an agent within 28 days of Screening (or 5 half-lives of the investigational agent, whichever is longer).
  12. Known or suspected to macrocyclic lactones or used in the formulation of moxidectin or ivermectin.
  13. Known or suspected hypersensitivity to any of the components in permethrin 5% cream, to any synthetic pyrethroid or pyrethrin, or to the components of spinosad 0.9% topical suspension.
  14. Known, suspected or at risk of Loa loa coinfection.
  15. Difficulty swallowing tablets or capsules.
  16. Pregnant or breastfeeding or planning to become pregnant from Screening until 16 weeks after treatment with IP.
  17. Known or suspected alcohol or illicit substance abuse.
  18. Unwilling, unlikely or unable to comply with all protocol specified assessments.
  19. Previous enrolment in this study.
  20. Previous moxidectin exposure within 6 months (5 half-lives) from Baseline.
  21. Has household members who refuse or are unable to receive permethrin 5% cream treatment for scabies.
Terms in these criteria, in plain language(14)

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.

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.

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.

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.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

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.

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

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

Study arms

  • Experimental
    Moxidectin 8mg

    Moxidectin 8 mg (over encapsulated) will be administered as a single dose on Day 0. Each subject will receive the same number of capsules made up of moxidectin 2 mg over encapsulated tablets and placebo capsules to maintain the blind.

    Drug: Moxidectin Oral Product

  • Experimental
    Moxidectin 16mg

    Moxidectin 16 mg (over encapsulated) will be administered as a single dose on Day 0. Each subject will receive the same number of capsules made up of moxidectin 2 mg over encapsulated tablets and placebo capsules to maintain the blind.

    Drug: Moxidectin Oral Product

  • Experimental
    Moxidectin 32mg

    Moxidectin 32 mg (over encapsulated) will be administered as a single dose on Day 0.

    Drug: Moxidectin Oral Product

  • Placebo comparator
    Placebo

    16 Placebo capsules will be administered as a single dose on Day 0.

    Drug: Placebo

Interventions

  • The required number of moxidectin 2 mg tablet over encapsulated capsules will be administered as a single dose with placebo capsules to match as required

  • The required number of moxidectin 2 mg tablet over encapsulated capsules will be administered as a single dose with placebo capsules to match as required

  • The required number of moxidectin 2 mg tablet over encapsulated capsules will be administered as a single dose.

  • DrugPlacebo

    16 placebo capsules will be administered as a single dose.

06

What researchers measure

Primary outcomes

  1. Percentage of Index Subjects Achieving Complete Cure (Efficacy)

    Complete Cure is defined as demonstration of both: 1. Clinical cure: all signs and symptoms have completely resolved, including burrows, inflammatory/noninflammatory lesions and pruritus. And 2. Microscopic or dermatoscopic cure demonstrating the absence of mites, eggs, and/or scybala, and negative dermoscopy for burrows.

    Time frame: 28 Days

  2. Incidence and Severity of Treatment Emergent Adverse Event (Safety)

    Incidence and severity of Treatment Emergent Adverse Event (TEAEs), Incidence of serious TEAEs and Incidence of TEAEs leading to study withdrawal and/or death. The analysis of adverse events (AEs) was focused on treatment emergent adverse events (TEAEs), defined as AEs that started, or worsened, on or after the start of the administration of IP.

    Time frame: Day 0 to Week 16 inclusive.

Other outcomes

  1. Percentage of Subjects Achieving Day 28 Cure Rates: Clinical Cure

    The Percentage of index subjects demonstrating clinical cure without microscopic or dermatoscopic cure at Day 28, assessed by skin examination to confirm all signs of scabies have completely resolved.

    Time frame: 28 Days

  2. Percentage of Subjects Achieving Day 28 Cure Rates: Microscopic or Dermatoscopic Cure Without Clinical Cure.

    The Percentage of index subjects demonstrating microscopic or dermatoscopic cure without clinical cure at Day 28. Microscopic or dermatoscopic cure is assessed by demonstrating the absence of scabies mites, eggs, and/or scybala, and negative dermoscopy for burrows.

    Time frame: 28 Days

  3. Percentage of Subjects Reporting Day 28 Cure Rates: Investigator Assessed Cure

    The Percentage of index subjects demonstrating cure as assessed by the Investigator at Day 28.

    Time frame: Day 28

07

Results

Posted Jun 16, 2026

Participant flow

The study was open to recruitment on 9 Nov 2023 and the first participant was screened on 14 Nov 2023. Last participant last study visit was completed on 11 Feb 2025.

Participant flow — Overall Study
MilestoneMoxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlacebo
Started50505149
Full analysis set50495149
Per protocol analysis set49475148
Safety analysis set50495149
Complete analysis set50485148
Completed50485048
Not completed0211
Withdrew: Withdrawal by subject0111
Withdrew: Withdrawal prior to dosing0100

Outcome measures

PrimaryPercentage of Index Subjects Achieving Complete Cure (Efficacy)

Complete Cure is defined as demonstration of both: 1. Clinical cure: all signs and symptoms have completely resolved, including burrows, inflammatory/noninflammatory lesions and pruritus. And 2. Microscopic or dermatoscopic cure demonstrating the absence of mites, eggs, and/or scybala, and negative dermoscopy for burrows.

Time frame:
28 Days
Reported as:
Count of participants · Participants
Percentage of Index Subjects Achieving Complete Cure (Efficacy)
ParticipantsMoxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlacebo
Percentage of Index Subjects Achieving Complete Cure (Efficacy)2831321
PrimaryIncidence and Severity of Treatment Emergent Adverse Event (Safety)

Incidence and severity of Treatment Emergent Adverse Event (TEAEs), Incidence of serious TEAEs and Incidence of TEAEs leading to study withdrawal and/or death. The analysis of adverse events (AEs) was focused on treatment emergent adverse events (TEAEs), defined as AEs that started, or worsened, on or after the start of the administration of IP.

Time frame:
Day 0 to Week 16 inclusive.
Reported as:
Number · participants
Incidence and Severity of Treatment Emergent Adverse Event (Safety)
participantsMoxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlacebo
Number of Participants with one or more Treatment Emergent Adverse Events (TEAEs)95118
Number of Participants with Grade 1 TEAE7477
Number of Participants with Grade 2 TEAE2141
Number of Participants with Grade 3 or Grade 4 TEAE0000
Number of Participants with TEAE defined as Serious0000
Number of participants with TEAE leading to Death0000
Any TEAEs leading to death0000
Number of Participants with a TEAE leading to withdrawal from study0000
Number of Participants with TEAE Related to study drug (possibly, probably and definitely related)4273
Number of Participants with TEAE considered Unrelated to study drug (unrelated or unlikely related)5345
Other pre-specifiedPercentage of Subjects Achieving Day 28 Cure Rates: Clinical Cure

The Percentage of index subjects demonstrating clinical cure without microscopic or dermatoscopic cure at Day 28, assessed by skin examination to confirm all signs of scabies have completely resolved.

Time frame:
28 Days
Reported as:
Count of participants · Participants
Percentage of Subjects Achieving Day 28 Cure Rates: Clinical Cure
ParticipantsMoxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlacebo
Percentage of Subjects Achieving Day 28 Cure Rates: Clinical Cure2831321
Other pre-specifiedPercentage of Subjects Achieving Day 28 Cure Rates: Microscopic or Dermatoscopic Cure Without Clinical Cure.

The Percentage of index subjects demonstrating microscopic or dermatoscopic cure without clinical cure at Day 28. Microscopic or dermatoscopic cure is assessed by demonstrating the absence of scabies mites, eggs, and/or scybala, and negative dermoscopy for burrows.

Time frame:
28 Days
Reported as:
Count of participants · Participants
Percentage of Subjects Achieving Day 28 Cure Rates: Microscopic or Dermatoscopic Cure Without Clinical Cure.
ParticipantsMoxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlacebo
Percentage of Subjects Achieving Day 28 Cure Rates: Microscopic or Dermatoscopic Cure Without Clinical Cure.4039435
Other pre-specifiedPercentage of Subjects Reporting Day 28 Cure Rates: Investigator Assessed Cure

The Percentage of index subjects demonstrating cure as assessed by the Investigator at Day 28.

Time frame:
Day 28
Reported as:
Count of participants · Participants
Percentage of Subjects Reporting Day 28 Cure Rates: Investigator Assessed Cure
ParticipantsMoxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlacebo
Scabies infestation is clear with all signs resolved3132321
Scabies infestation is clear with incomplete resolution of signs, no SOC treatment warranted1010133
Scabies infestation is not clear and additional treatment with standard of care is warranted96644

Adverse events

Collected over Day 0 to Week 16, inclusive.. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Moxidectin 8mg0/50 (0%)0/50 (0%)9/50 (18%)
Moxidectin 16mg0/48 (0%)0/48 (0%)5/48 (10.4%)
Moxidectin 32mg0/52 (0%)0/52 (0%)11/52 (21.2%)
Placebo0/49 (0%)0/49 (0%)8/49 (16.3%)
Most frequent other events
Showing 10 of 20
Most frequent other events
EventMoxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlacebo
DiarrhoeaGastrointestinal disorders2/500/485/520/49
HeadacheNervous system disorders1/501/484/521/49
InfluenzaInfections and infestations3/501/481/521/49
Taste disorderNervous system disorders1/500/483/520/49
NauseaGastrointestinal disorders0/501/482/521/49
ToothacheGastrointestinal disorders0/501/480/520/49
Blood urea decreasedInvestigations0/501/480/520/49
Skin burning sensationSkin and subcutaneous tissue disorders0/501/480/520/49
PalpitationsCardiac disorders0/501/480/520/49
Alanine aminotransferase increasedInvestigations1/500/481/521/49

Baseline characteristics

A total of 200 index subjects were randomized in the study. 199 (99.5%) randomized index subjects were included in the analysis population (Full Analysis Set and Safety Analysis Set). Only one subject was excluded from these analysis sets as they withdrew prior to IP administration.

Age, Categorical
Age, Categorical(Participants)Moxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlaceboTotal
<=18 years00000
Between 18 and 65 years47454845185
>=65 years343414
Age, Continuous
Age, Continuous(Years)Moxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlaceboTotal
Mean38.0 ± 14.8042.6 ± 15.5743.6 ± 14.2942.9 ± 17.9041.8 ± 15.72
Sex: Female, Male
Sex: Female, Male(Participants)Moxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlaceboTotal
Female32323331128
Male1817181871
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Moxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlaceboTotal
Hispanic or Latino49494945192
Not Hispanic or Latino10236
Unknown or Not Reported00011
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Moxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlaceboTotal
American Indian or Alaska Native00000
Asian00000
Native Hawaiian or Other Pacific Islander00000
Black or African American912171452
White41373435147
More than one race00000
Unknown or Not Reported00000
Region of Enrollment
Region of Enrollment(participants)Moxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlaceboTotal
Dominican Republic911151348
El Salvador1814141561
Honduras1618151564
United States767626
Body Mass Index
Body Mass Index(Participants)Moxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlaceboTotal
Underweight (<18.5)01001
Healthy weight (≥ 18.5 to < 25)1414181561
Overweight (≥25 to < 30)2622192289
Obese (≥ 30)1012141248
Baseline Scabies Disease Characteristics - Scabies Severity
Baseline Scabies Disease Characteristics - Scabies Severity(Participants)Moxidectin 8mgMoxidectin 16mgMoxidectin 32mgPlaceboTotal
Mild (≤ 10 lesions)344415
Moderate (≥ 11 and ≤ 49 lesions)34354234145
Severe (≥ 50 lesions)131051139

2 further baseline measures are reported on the registry.

08

Study locations

9 sites
  • LA Universal Research Center, Inc
    Los Angeles, California 90057, United States
  • Evolution Clinical Trials
    Miami, Florida 33016, United States
  • Advanced Care and Clinical Trials, LLC
    Miami, Florida 33155, United States
  • Medical Research of Westchester, Inc
    Miami, Florida 33165, United States
  • Affinity Clinical Research LLC
    Tampa, Florida 33612, United States
  • Instituto Dermatologico Dominicano y Cirugia de Piel
    Santo Domingo Oeste, Santo Domingo Province, Dominican Republic
  • Vargas Clinic
    San Salvador, San Salvador Department 01101, El Salvador
  • Derclinic
    San Pedro Sula, Cortez 21104, Honduras
  • Hospital y Clinica Bendana
    San Pedro Sula, Cortés Department 21104, Honduras
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Deidentified individual participant data in the form of data listings and datasets may be available for sharing on application to the Sponsor.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data will become available 12 months after publication, ending 36 months following publication.

Access criteria: Provision of a methodologically sound and relevant proposal detailing the intended use of the data and relevant ethics approval for the proposed analysis, as applicable.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2023 to primary completion in Nov 2024, 12 months.

Results were first posted in Jun 2026, 1 year 6 months after primary completion.

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

Registered
May 16, 2023
First posted
May 25, 2023
StartActual
Nov 23, 2023
Primary completionActual
Nov 27, 2024
CompletionActual
Feb 11, 2025
Results first posted
Jun 16, 2026
Last update
Jun 16, 2026
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 Jun 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05875441
Lead sponsor
Medicines Development for Global Health
Responsible party
Sponsor
First posted
May 25, 2023
Start date
Nov 23, 2023
Primary completion
Nov 27, 2024
Completion
Feb 11, 2025
Results posted
Jun 16, 2026
Last update
Jun 16, 2026

Study contacts

Richard L Fernandez, MD
principal investigator · Advance Care and Clinical Trials
Jorge Lopez, MD
principal investigator · Hospital y Clinica Bendana
Daisy Blanco, MD
principal investigator · Instituto Dermatologico Dominicano y Cirugia de Pie
Jorge Castillo Molina, MD
principal investigator · Affinity Clinical Research Services
Patricia A Zuniga Munoz, MD
principal investigator · Derclinic
Laura B Vargas Rivas, MD
principal investigator · Vargas Clinic
Gilberto Perez, MD
principal investigator · Evolution Clinical Trials
Armando Pineda-Velez, MD
principal investigator · Medical Research of Westchester, Inc
Bruce Torkan, MD
principal investigator · LA Universal Research Center, Inc

Oversight

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

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