ClinicalTrials.gg
CompletedNCT06606860HELP-OXAUpdated Aug 28, 2025

Safety, Tolerability and PK of Single and Multiple Doses of Oxantel Pamoate Tablets

A Phase 1 interventional study of Oxantel Pamoate and Placebo in Healthy, 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 2025-08-28.

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

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

Study summary

The goal of this clinical trial is to evaluate the safety, tolerability and pharmacokinetics of oxantel pamoate tablet after administration of a single and multiple dose in healthy male and female adult volunteers.

The main questions aim to answer if oxantel pamoate is safe and well tolerated in healthy volunteers and if is it absorbed by the human body.

A single dose and a multiple dose of oxantel pamoate will be compared to placebo to see if there are any different effects.

Read the detailed description

Objectives:

Primary objective:

To investigate the safety and tolerability of oxantel pamoate after single and multiple oral administration of a chewable tablet formulation.

Secondary objective:

To investigate the pharmacokinetics (PK) of oxantel pamoate after single and multiple oral administration of a chewable tablet formulation.

Study Design:

This is a randomized, placebo controlled, double blind, 3-arm Phase I single centre study in a total of 45 healthy adults. The participants will be randomized into one of the following three study arms:

  • Study arm 1, 20 participants: Treatment with single dose of 20 mg/kg oxantel pamoate on day 1 followed by administration of two daily doses placebo
  • Study arm 2, 20 participants: Treatment with three daily dose of 20 mg/kg oxantel pamoate
  • Study arm 3, 5 participants: Treatment with three daily dose of placebo PK sampling will be performed at 13 defined time points (baseline included).

The participants will be admitted to the ward one day prior to commencement of the study treatment (day -1) and will stay until one day after the last dose has been administered. They will have a final follow-up visit on day 14. The safety and tolerability will be assessed as of the first dosage up to the last follow-up visit. Biochemistry, haematology, coagulation and urinalysis will be checked at baseline, day 3 and at the final follow-up visit.

02

Conditions studied

  • Healthy

Keywords

  • Soil transmitted helminths
  • Phase I
  • Safety
  • Tolerability
  • Pharmacokinetics
  • Trichuriasis
  • Whipworm
  • Parasitic Diseases
  • Neglected Diseases
03

In context

Trichuriasis

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

This study's enrollment of 45 is below the median of 315 across 27 interventional studies indexed under Trichuriasis.

Browse Trichuriasis 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 or non-pregnant (confirmed by a negative serum pregnancy test) and non-breastfeeding female participants, aged between 18 to 45 years at the time of consent.
  • Written (IC) obtained before any study procedure.
  • 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 (following a test with a maximum of two attempts). 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 from at least 28 days prior to first dosage to 30 days after discharge from the ward.
  • Normal body weight range ( 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. tea, coffee, cola or chocolate 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 the protocol, 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 (BP) and heart rate (HR) in supine position at the screening examination outside the ranges (systolic BP range: 105-136 mm Hg systolic, diastolic BP range: 58-84 mm Hg diastolic; HR range: 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.
  • Known renal or hepatic impairment
  • Participants with a history of allergies, non-allergic drug reactions, adverse reaction to any drug, or multiple drug allergies.
  • 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 volunteer\'s participation in the trial or make it unnecessarily hazardous.
  • Relevant pathological abnormalities in the (ECG) such as a second or third-degree 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 (HIV), or C.
  • Positive stool or urine test for helminth infestation by Kato-Katz, urine filtration or Baermann test.
  • Positive for malaria by thick blood smear (TBS).
  • Presence of abnormal physical findings, or laboratory values at the screening assessment that could interfere with the objectives of the trial or the safety of the volunteer.
Terms in these criteria, in plain language(11)

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    Arm 1

    Treatment with a single dose of 20 mg/kg oxantel pamoate followed by administration of two daily doses placebo

    Drug: Oxantel Pamoate

  • Experimental
    Arm 2

    Treatment with three daily dose of 20 mg/kg oxantel pamoate

    Drug: Oxantel Pamoate

  • Placebo comparator
    Arm 3

    Treatment with three daily doses of placebo

    Drug: Placebo

Interventions

  • DrugOxantel Pamoate

    Oxantel Pamoate tablet, 250mg

  • DrugPlacebo

    Placebo tablet

06

What researchers measure

Primary outcomes

  1. General safety (number, frequency, severity, seriousness and duration of adverse events)

    Summarized statistics on adverse events will be reported under categories such as total adverse events, serious adverse events, treatment emerging adverse events

    Time frame: After first dosage on day 0 to day 14

  2. Heart rate from baseline

    Change of pulse rate from baseline

    Time frame: After first dosage on day 0 to day 14

  3. Blood pressure from baseline

    Change of blood pressure from baseline. Systolic and diastolic blood pressure will be assessed

    Time frame: After first dosage on day 0 to day 14

  4. Temperature from baseline

    Change of axillary temperature from baseline

    Time frame: After first dosage on day 0 to day 14

  5. Respiratory rate from baseline

    Change of respiratory rate from baseline

    Time frame: After first dosage on day 0 to day 14

  6. Creatinine value from baseline

    Change of creatinine value from baseline

    Time frame: After first dosage on day 0 to day 14

  7. Alanine aminotransferase value from baseline

    Change of alanine aminotransferase value from baseline

    Time frame: After first dosage on day 0 to day 14

  8. Aspartate aminotransferase value from baseline

    Change of aspartate aminotransferase value from baseline

    Time frame: After first dosage on day 0 to day 14

  9. Total bilirubin value from baseline

    Change of total bilirubin value from baseline

    Time frame: After first dosage on day 0 to day 14

  10. Sodium value from baseline

    Change of sodium value from baseline

    Time frame: After first dosage on day 0 to day 14

  11. Potassium value from baseline

    Change of potassium value from baseline

    Time frame: After first dosage on day 0 to day 14

  12. Blood urea nitrogen value from baseline

    Change of blood urea nitrogen value from baseline

    Time frame: After first dosage on day 0 to day 14

  13. Haemoglobin value from baseline

    Change of haemoglobin value from baseline

    Time frame: After first dosage on day 0 to day 14

  14. Red blood cell count from baseline

    Change of red blood cell count from baseline

    Time frame: After first dosage on day 0 to day 14

  15. Mean corpuscular volume from baseline

    Change of mean corpuscular volume from baseline

    Time frame: After first dosage on day 0 to day 14

  16. Mean corpuscular haemoglobin value from baseline

    Change of mean corpuscular haemoglobin value from baseline

    Time frame: After first dosage on day 0 to day 14

  17. Mean corpuscular haemoglobin concentration from baseline

    Change of mean corpuscular haemoglobin concentration from baseline

    Time frame: After first dosage on day 0 to day 14

  18. Platelets value from baseline

    Change of platelets value from baseline

    Time frame: After first dosage on day 0 to day 14

  19. White blood cell count from baseline

    Change of white blood cell count from baseline

    Time frame: After first dosage on day 0 to day 14

  20. Neutrophils value from baseline

    Change of neutrophils value from baseline

    Time frame: After first dosage on day 0 to day 14

  21. Lymphocytes value from baseline

    Change of lymphocytes value from baseline

    Time frame: After first dosage on day 0 to day 14

  22. Monocytes value from baseline

    Change of monocytes value from baseline

    Time frame: After first dosage on day 0 to day 14

  23. Eosinophils value from baseline

    Change of eosinophils value from baseline

    Time frame: After first dosage on day 0 to day 14

  24. Basophils value from baseline

    Change of basophils value from baseline

    Time frame: After first dosage on day 0 to day 14

  25. Prothrombin time from baseline

    Change of prothrombin time value from baseline

    Time frame: After first dosage on day 0 to day 14

  26. Activated partial thromboplastin time from baseline

    Change of activated partial thromboplastin time value from baseline

    Time frame: After first dosage on day 0 to day 14

  27. Protein in urine from baseline

    Change of proteine in urine from baseline

    Time frame: After first dosage on day 0 to day 14

  28. Blood in urine from baseline

    Change of blood in urine from baseline

    Time frame: After first dosage on day 0 to day 14

Secondary outcomes

  1. Cmax of oxantel pamoate

    Peak Plasma Concentration (Cmax) of oxantel pamoate, if detectable

    Time frame: Plasma samples taken pre-dose -0.5 hours prior first dose, then 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after first dose and 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after third dose

  2. Tmax of oxantel pamoate

    Time to reach Cmax (Tmax), in case of plasma concentration determined.

    Time frame: Plasma samples taken pre-dose -0.5 hours prior first dose, then 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after first dose and 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after third dose

  3. AUC of oxantel pamoate

    Area under the curve (AUC) of the plasma concentration determined.

    Time frame: Plasma samples taken pre-dose -0.5 hours, then 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after first dose and 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after third dose

  4. AUC (0-t) of oxantel pamoate

    Concentration from time zero to the last quantifiable concentration at time t, in case plasma concentration can be determined.

    Time frame: Plasma samples taken pre-dose -0.5 hours prior first dose, then 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after first dose and 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after third dose

  5. T1/2 of oxantel pamoate

    The plasma elimination half-life, In case plasma concentration can be determined.

    Time frame: Plasma samples taken pre-dose -0.5 hours prior first dose, then 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after first dose and 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after third dose

  6. AUC (tau) of oxantel pamoate

    The area under the plasma concentration curve over dosing interval, in case plasma concentration can be determined.

    Time frame: Plasma samples taken pre-dose -0.5 hours prior first dose, then 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after first dose and 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after third dose

  7. AUC (0-∞) of oxantel pamoate

    The AUC of the plasma concentration from time zero to infinity with extrapolation of the terminal phase, In case plasma concentration can be determined.

    Time frame: Plasma samples taken pre-dose -0.5 hours prior first dose, then 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after first dose and 1 hour, 3 hours, 5 hours, 8 hours, 12 hours, 24 hours after third dose

07

Study locations

1 site
  • Ifakara Health Institute
    Bagamoyo, Tanzania
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2025 to primary completion in Apr 2025, 2 months.

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

Registered
Sep 12, 2024
First posted
Sep 23, 2024
StartActual
Jan 27, 2025
Primary completionActual
Apr 8, 2025
CompletionActual
Apr 8, 2025
Last update
Aug 28, 2025
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 Aug 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06606860
Lead sponsor
Swiss Tropical & Public Health Institute
Collaborators
Ifakara Health Institute, Drugs for Neglected Diseases initiative
Responsible party
Sponsor
First posted
Sep 23, 2024
Start date
Jan 27, 2025
Primary completion
Apr 8, 2025
Completion
Apr 8, 2025
Last update
Aug 28, 2025

Study contacts

Daniel Paris, MD, PhD
study director · Swiss Tropical & Public Health Institute
Jennifer Keiser, PhD
study chair · Swiss Tropical & Public Health Institute
Hussein Mbarak, MD
principal investigator · Ifakara Health Insitute, Tanzania

Oversight

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

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