ClinicalTrials.gg
CompletedNCT06736691TREMO-PembaUpdated Oct 8, 2026

Efficacy and Safety of Emodepside in Participants With Soil-transmitted Helminth Infections

A Phase 3 interventional study of emodepside (BAY 44-4400) and matching placebo of emodepside in Trichuris Trichiura; Infection, Hookworm Infection and Ascaris Lumbricoides Infection, sponsored by Swiss Tropical & Public Health Institute. Completed at 1 site in Tanzania. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by Swiss Tropical & Public Health Institute · Phase 3, Interventional, and Treatment

Updated Oct 8, 2026Now CompletedEnrollment updated+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
315
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

This study aims to assess the efficacy and safety of emodepside compared to mebendazole in adults and adolescents infected with T. trichiura, either as single infection or co-infections with hookworm and/or A. lumbricoides.

02

Conditions studied

  • Trichuris Trichiura; Infection
  • Hookworm Infection
  • Ascaris Lumbricoides Infection

Keywords

  • Trichuris trichiura
  • Ascaris lumbricoides
  • STH
  • Efficacy
  • Safety
  • Hookworm
  • Emodepside
  • Soil-transmitted helminths
  • Roundworm
  • Whipworm
  • Mebendazole
03

In context

Trichuriasis

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

This study's enrollment of 315 is close to 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
12 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. Male or non-pregnant (confirmed by a negative serum pregnancy test) and non-breastfeeding female participants aged 12 years and older.
  2. T. trichiura as a single infection or co-infection with hookworm and/or A. lumbricoides, confirmed by presence of T. trichiura eggs assessed by Kato-Katz thick smears from two stool samples (infection intensity defined as number of eggs per gram of stool (EPG): (1) light (1-999 EPG), (2) moderate to heavy (≥1000 EPG).
  3. A minimum infection intensity of 24 eggs per gram of stool at baseline and at least two positive slides out of the four slides assessed at baseline.
  4. Written signed by the participant and/or legally authorized representative(s) according to the participant's age as established per local regulations. In addition, participant's assent is required as applicable by local laws and regulations for adolescents of 12-17 years of age.
  5. Women of must agree to use an effective, culturally appropriate measure from at least 28 days prior to first dosage for hormonal contraceptives only and for non-hormonal contraceptive measures from screening Visit 2 until End of Study Visit.

Exclusion criteria

Exclusion Criteria:

  1. Presence of any systemic illnesses, renal and/or hepatic impairment, any other acute or chronic health conditions or congenital disorders which, in the opinion of the Investigator, would make the participant unsuitable for participation in a clinical study or may interfere with the efficacy, safety, and/or pharmacokinetic (PK) evaluation of the study drug.
  2. Any of the following:

    1. \<75,000/mm3
    2. (ALT) or Serum Glutamic Pyruvic Transaminase (SGPT) >3x (ULN)
    3. Total >2xULN
    4. Estimated (eGFR) \<90 ml/min/1.73 m2 (adolescents) or estimated (CrCl) \<90 ml/min (adults)
  3. Treatment with the following anthelminthic drugs: albendazole, mebendazole, ivermectin, within 28 days before the first dose of study intervention or planned before End of Study Visit.
  4. Use of sensitive substrates within 14 days before the start of the first study intervention and until at least 14 days after the last administration of study intervention (detailed list of prohibited medication is provided in Section 6.5.1).
  5. Treatment with metronidazole within 2 days before the first dose of study intervention or planned before 24 hours after last administration of study intervention.
  6. Previous assignment to a study intervention for another study planned to be administered during the period the participant is enrolled in this study (from date of to last follow-up).
  7. Known allergy/ to mebendazole and/or emodepside
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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
315 participants (actual)

Study arms

  • Experimental
    Emodepside

    Drug: emodepside (BAY 44-4400) · Drug: similar placebo to mebendazole

  • Active comparator
    Mebendazole

    Drug: matching placebo of emodepside · Drug: Mebendazole

Interventions

  • Treatment with single dose of oral 15 mg emodepside

  • Drugmatching placebo of emodepside

    Treatment with single dose of oral emodepside matching placebo

  • Treatment with 100 mg mebendazole orally administered b.i.d. for 3 days

  • Drugsimilar placebo to mebendazole

    Treatment with mebendazole similar placebo orally administered b.i.d. for 3 days

06

What researchers measure

Primary outcomes

  1. Cured of T. trichiura infection

    Determined by negative Kato-Katz thick smears in two stool samples taken at the Test of Cure Visit

    Time frame: Test of Cure Visit at 14 to 21 days after end of treatment

Secondary outcomes

  1. Cured of A. lumbricoides infection

    Determined by negative Kato-Katz thick smears in two stool samples taken at the Test of Cure Visit. This endpoint is only applicable for the subgroup of participants co-infected with A. lumbricoides at baseline.

    Time frame: Test of Cure Visit at 14 to 21 days after end of treatment

  2. Occurrence of TEAEs

    Defined as any AE that occurred or worsened after the first dose of study intervention up to 21 days after the last dose of study intervention

    Time frame: Adverse events that occur after the first dose of study intervention up to 21 days after the last dose of study intervention

Other outcomes

  1. Cured of hookworm infection

    Determined by negative Kato-Katz thick smears in two stool samples taken at the Test of Cure Visit. This endpoint is only applicable for the subgroup of participants co-infected with hookworm at baseline.

    Time frame: Test of Cure Visit at 14 to 21 days after end of treatment

  2. Egg reduction of each species of STH (T. trichiura, A. lumbricoides and hookworm infection)

    Defined as logarithm of the number of eggs/g (+1) from stool samples taken at the Test of Cure Visit minus the logarithm of the number of eggs/g (+1) in stool samples taken at baseline. Egg reduction of A. lumbricoides and hookworm will only be calculated in participants co-infected with A. lumbricoides and hookworm at baseline, respectively.

    Time frame: Test of Cure Visit at 14 to 21 days after end of treatment

  3. Listing of individual plasma concentrations of emodepside

    Time frame: Plasma concentrations at 3, 6, 21-48 hours and 14-21 days after the end of treatment

07

Study locations

1 site
  • Public Health Laboratory - Ivo de Carneri (PHL-IdC)
    Chake Chake, Tanzania
08

References and documents

Publications

  • Taylor L, Ahmada AA, Ali MS, Ali SM, Hattendorf J, Mohammed IS, Keiser J. Efficacy and safety of emodepside compared with albendazole in adolescents and adults with hookworm infection in Pemba Island, Tanzania: a double-blind, superiority, phase 2b, randomised controlled trial. Lancet. 2024 Aug 17;404(10453):683-691. doi: 10.1016/S0140-6736(24)01403-X. PubMed 39153818 ↗
  • Mrimi EC, Welsche S, Ali SM, Hattendorf J, Keiser J. Emodepside for Trichuris trichiura and Hookworm Infection. N Engl J Med. 2023 May 18;388(20):1863-1875. doi: 10.1056/NEJMoa2212825. PubMed 37195942 ↗

Individual participant data

Plan to share: Yes — There is a data sharing agreement between Swiss TPH and PHL-IdC in place (study site). Data may be shared with other researchers upon request.

Supporting information: Study protocol

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2025 to primary completion in Jul 2026, 7 months.

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

Registered
Dec 12, 2024
First posted
Dec 17, 2024
StartActual
Nov 25, 2025
Primary completionActual
Jul 1, 2026
CompletionActual
Sep 16, 2026
Last update
Oct 8, 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.
Status
Active, not recruiting→Completed
changed Oct 8, 2026
Sponsor
Collaborators added: Coefficient Giving; collaborators removed: Coefficient Giving (Formerly Open Philanthropy)
Oct 8, 2026
Show all 1 update
  1. Oct 8, 2026
    Active, not recruiting→Completed
    Sponsor Collaborators added: Coefficient Giving; collaborators removed: Coefficient Giving (Formerly Open Philanthropy)
    + 2 other changes: verification date and date precision

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06736691
Lead sponsor
Swiss Tropical & Public Health Institute
Collaborators
Public Health Laboratory Ivo de Carneri, Bayer, Coefficient Giving, Ifakara Health Institute
Responsible party
Sponsor
First posted
Dec 17, 2024
Start date
Nov 25, 2025
Primary completion
Jul 1, 2026
Completion
Sep 16, 2026
Last update
Oct 8, 2026

Study contacts

Jennifer Keiser, Professor
study director · Swiss Tropical & Public Health Institute
Said Mohammed Ali, MSc
principal investigator · Public Health Laboratory Ivo de Carneri

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 Oct 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Emodepside

Start the discussion