ClinicalTrials.gg
CompletedNCT06497075FACE-ITpilotUpdated Dec 20, 2024

Co-administration of IVM and ALB in School-based Deworming in Uganda

An observational study in Helminthiasis and Intestinal Worms, sponsored by Jennifer Keiser. Completed at 2 sites in Uganda. Open to participants aged 5 Years to 14 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-12-20.

Sponsored by Jennifer Keiser · Observational

Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
8,767
Ages
5 Years to 14 Years
Sex
All
01

Study summary

The goal of this small-scale implementation research pilot study is to assess the feasibility and acceptability of the co-administration of ivermectin (IVM) and albendazole (ALB) compared to albendazole alone during school-based mass drug administration in Uganda. The study will target up to 10,000 school-aged children from 20 schools in Kabale and Kisoro districts in South-Western Uganda.

The main questions it aims to answer are:

  • How feasible is the introduction of co-administered IVM plus ALB in the routine school-based deworming campaign in terms of training, material and processes?
  • How well do beneficiary communities (pupils, parents) and implementers (teachers, health workers) accept the new treatment scheme and what are potential barriers and enablers for uptake?
  • What are common implementation-related costs that can inform the methodology to estimate monetary and non-monetary costs as well as performance of the two treatment arms for the future cost-effectiveness analysis?

The study employs a cross-sectional mixed-method design (we will collect qualitative and quantitative data) to evaluate the feasibility and acceptability of co-administering IVM and ALB versus ALB alone in routine school-based mass drug administration. Assessments will take place during and after the drug distribution to document the implementation process and evaluate experiences made by the different stakeholders (e.g. children, parents, teachers, health workers):

  • The implementation activities start with a training of all implementers at district level who will also undergo a pre- and post-training knowledge assessment.
  • Schoolchildren aged 5-14 years will receive a single dose of ALB alone or co-administered ALb (400mg) and IVM (200µg/kg; as determined by height category on a dose pole) by health workers at school. 1-2 weeks post-distribution a subsample of 19 children per school will be invited to answer to questionnaires administered by social science researchers.
  • Implementers will administer the treatments and document all distribution-related aspects during the campaign under supervision of the routine staff. Researchers will conduct additional monitoring and evaluation in order to assure data quality and provide support in performance assessment and cost evaluation.
  • Beneficiaries (parents) and implementers will be asked to take part in focus group discussions and questionnaire interviews one week after the drug distribution.
02

Conditions studied

  • Helminthiasis
  • Intestinal Worms

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Keywords

  • soil-transmitted helminths
  • ivermectin
  • deworming
  • albendazole
03

In context

Helminthiasis

37 studies on the registry are indexed under Helminthiasis; 2 are open to participants now.

Browse Helminthiasis studies →

Lead sponsor

Jennifer Keiser is the lead sponsor of 17 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
5 Years to 14 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

  • Study population receiving intervention: All eligible school-aged children (5-14 years) from 20 pre-selected schools present in the school at the day of the treatment campaign, will be treated with the respective single or combination treatment regimen depending on the treatment arm under which the schools fall.
  • Study population of post-distribution social science study: Subsamples of treated schoolchildren, parents of school-aged children of the respective study schools, teachers involved in distribution, health workers involved in distribution.

Eligibility criteria

  • School-aged children (5-14 years) of the selected schools
  • Written from the participant's parents/caretakers and assent (for children aged 8 years and older) from the participant him/herself or written informed consent from the school teacher (for children attending schools receiving routine albendazole deworming)
  • No signs of major acute or chronic illness
  • No known allergy to study medication (i.e. benzimidazoles or ivermectin)
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.

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.

05

Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
8,767 participants (actual)
Patient registry
No

Groups and cohorts

  • Albendazole only

    Schoolchildren aged 5-14 years of 10 schools randomized to receive the standard deworming treatment of a single dose of albendazole 400mg.

    Drug: Albendazole 400mg

  • Ivermectin and albendazole

    Schoolchildren aged 5-14 years of 10 schools randomized to receive the combination treatment of a single dose of ivermectin 200ug/kg (according to height category using a dose-pole) plus albendazole 400mg.

    Drug: Albendazole 400mg · Drug: Ivermectin 3 MG

Interventions

  • Single oral dose of Albendazole 400mg tablet

    Also known as: Zentel

  • Generic ivermectin 3mg tablets given as a single oral dose of 200ug/kg using a dose-pole (height categories: 90-119 cm: 1 tablet , 120-140 cm: 2 tablets, 141-158 cm: 3 tablets or \> 158 cm: 4 tablets)

    Also known as: Mectizan, Stromectol

06

What researchers measure

Primary outcomes

  1. Feasibility of IVM + ALB introduction

    Feasibility will be assessed using quantitative and qualitative data sources for the following performance and process indicators: * Reported therapeutic coverage (proportion) * Programme reach (proportion) * Compliance rate (children that ingested drugs divided by the total number of children who got offered the drugs) * Reasons for not offering the drugs (non-eligibility) * Reasons for not swallowing the drugs (refusal) * Reported safety: Number, type and severity of adverse events recorded * Incremental time needs for IVM-ALB co-administration * Additional training needs * Incremental staff needs * Drug logistics (tablet balance) Short and structured training evaluation questionnaires will be administered to teachers and health workers directly after training and cover aspects on (i) drug dosing including dose-pole utilization, (ii) identification of non-eligible populations, (iii) documentation processes and (iv) drug information (including safety)

    Time frame: Documentation before, during and up to 12 weeks after the drug distribution

Secondary outcomes

  1. Acceptability and barriers & enablers to introduction of IVM-ALB co-administration (recipient perspective)

    Qualitative data on acceptability of the intervention from a recipient perspective (parents) will be collected trough FGDs that will cover: * Current knowledge about STHs: transmission, health impact, prevention and treatment * Prior knowledge of MDA activities and related experiences * Potential enabling factors for willingness of parents to let their children participate in MDA * Potential barriers for acceptance of parents for their child's participation in MDA Quantitative data on acceptability of the intervention from a recipient perspective (schoolchildren) will be collected through structured interviews using Likert scale questions (5-point scale from strongly disagree to strongly agree) and cover aspects on: * Attitudes towards treatment * Convenience of taking the treatment * Self-reported willingness and understanding for need of treatment * Self-reported satisfaction with the treatment and procedures of the campaign

    Time frame: 1-2 weeks after drug distribution

  2. Potential incremental costs related to IVM-ALB co-administration

    The following cost components related to the activities required to implement the interventions will be included in the analysis: * Medicine Procurement and Distribution: Costs associated with purchasing and distributing albendazole and ivermectin. * Stationary and Supplies: Costs related to necessary materials for documentation and record-keeping. * Transport: Costs involved in transporting medicines and supplies to the designated MDA locations. * Allowances: Allowances provided to personnel involved in the implementation. * Training Costs: Expenses associated with training personnel on the co-administration protocol. * Personnel Time: Costs of personnel time dedicated to delivering interventions.

    Time frame: Documentation before, during and up to 12 weeks after the drug distribution

  3. Acceptability and barriers & enablers to introduction of IVM-ALB co-administration (provider perspective)

    Qualitative data on acceptability of the intervention from a provider perspective (teachers and health workers) will be collected trough FGDs and KIIs and will cover: * Current knowledge about STHs: transmission, health impact, prevention and treatment * Prior involvement in any MDA activities and related experiences * Post-distribution training evaluation * Potential enabling factors for willingness and barriers for acceptance of parents to let their children participate in MDA Quantitative data on acceptability of the intervention from a provider perspective will be collected through structured interviews using Likert scale questions (5-point scale from strongly disagree to strongly agree) and cover: * Attitudes towards treatment * Convenience of distributing the treatment and satisfaction with training * Observed willingness and understanding for need of treatment * Observed satisfaction with the treatment and procedures of the campaign

    Time frame: 1-2 weeks after drug distribution

07

Study locations

2 sites
  • Makerere University, College of Humanities and Social Sciences
    Kampala, Uganda
  • Vector Borne & Neglected Tropical Disease Control Division, Ministry of Health
    Kampala, Uganda
08

References and documents

Individual participant data

Plan to share: No — There is a data sharing agreement between Swiss TPH, Uganda MoH and Makerere University in place. Data may be shared with other researchers upon request.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2024 to primary completion in Jul 2024, 0 months.

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

Registered
Jun 26, 2024
First posted
Jul 11, 2024
StartActual
Jul 1, 2024
Primary completionActual
Jul 16, 2024
CompletionActual
Oct 19, 2024
Last update
Dec 20, 2024
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, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06497075
Lead sponsor
Jennifer Keiser
Collaborators
Vector Borne & Neglected Tropical Disease Control Division, Ministry of Health, Uganda, Makerere University
Responsible party
Jennifer Keiser (Prof. Dr., Swiss Tropical & Public Health Institute) — Sponsor-investigator
First posted
Jul 11, 2024
Start date
Jul 1, 2024
Primary completion
Jul 16, 2024
Completion
Oct 19, 2024
Last update
Dec 20, 2024

Study contacts

Jennifer Keiser, Prof.
principal investigator · Swiss Tropical & Public Health Institute

Oversight

Data monitoring committee
No
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 2024. You cannot join it, but the record below documents what was studied.

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