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RecruitingNCT07145736EKAIOUpdated Nov 21, 2025

Moxidectin Versus Ivermectin as Mass Drug Administration for the Control of Onchocerciasis and Other Neglected Tropical Diseases

A Phase 4 interventional study of Moxidectin and Ivermectin in Onchocerciasis, Ascaris Lumbricoides Infection and Trichuris Trichiura; Infection, sponsored by Kirby Institute. Recruiting at 1 site in Angola. Open to participants aged 5 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Kirby Institute · Phase 4, Interventional, and Other

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 3 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
52,000
Allocation
Randomized
Ages
5 Years and older
Sex
All
01

Study summary

This clinical trial compares two treatments - ivermectin and moxidectin - to learn which is better at reducing the proportion of people with onchocerciasis (river blindness) when given through mass drug administration (MDA) in Angola. Both drugs are approved by the United States Food and Drug Administration (FDA) to treat this disease. The study also explores how these treatments affect other infections common in the region, including intestinal worms (soil-transmitted helminths) and scabies.

The trial aims to answer the following key questions:

  • How do moxidectin and ivermectin compare in reducing the prevalence (how common the disease is) and intensity (amount of parasites per person) of onchocerciasis in the community?
  • Do the treatments differ in their effect on the prevalence and intensity of soil-transmitted helminths and the prevalence of scabies?
  • Does moxidectin reduce transmission of onchocerciasis more effectively than ivermectin, based on genetic testing of parasites in people and lab testing of the blackflies that carry the infection?
  • How many more years of treatment would be needed to reach elimination with each drug, based on mathematical disease modelling?
  • How do communities feel about receiving moxidectin versus ivermectin, and what factors help or make it harder to carry out MDA programs with moxidectin versus ivermectin?

The study takes place in Bié Province, Angola, and involves 20 groups of villages randomly assigned to receive either moxidectin or ivermectin once a year for four years. Prior to every round of MDA, researchers will collect skin, stool and blood samples from a sample of the people living in the study area. We believe the results will help guide global policy on the use of moxidectin in efforts to eliminate onchocerciasis and control related diseases.

02

Conditions studied

  • Onchocerciasis
  • Ascaris Lumbricoides Infection
  • Trichuris Trichiura; Infection
  • Hookworm Infections
  • Scabies
03

In context

Onchocerciasis

35 studies on the registry are indexed under Onchocerciasis; 7 are open to participants now.

This study's planned enrollment of 52,000 is above the median of 216 across 26 interventional studies indexed under Onchocerciasis.

Browse Onchocerciasis studies →

Lead sponsor

Kirby Institute is the lead sponsor of 94 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
5 Years and older
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 or female children and adults
  • Residents in the villages selected for MDA treatment

Exclusion criteria

Exclusion Criteria:

  • Arm 1 (ivermectin): children under the age of 5 and/or under 90 cm of height
  • Arm 2 (moxidectin): children under the age of 12 years (who will receive ivermectin if they are at least 90 cm in height/5 years of age and above).
  • Arm 1 (ivermectin): Women breast-feeding babies under 45 days of age
  • Arm 2 (moxidectin): All breastfeeding women (who will be offered ivermectin if their infants is at least 45 days old)
  • Know allergy to ivermectin or moxidectin
  • Attending other clinical trials during the study
  • Pregnant
  • Arm 2 (moxidectin): Women planning to become pregnant in the 3 months post-treatment
  • Refusal to receive one or both study drugs, i.e. participants in villages allocated to receive moxidectin who refuse to receive moxidectin will be given the option to receive ivermectin; if they refuse to receive both drugs they will be excluded from the MDA altogether
  • Has an illness that makes them too sick or weak to get out of bed
  • Currently hospitalized
05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
52,000 participants (estimated)

Study arms

  • Experimental
    Moxidectin

    Single oral dose of moxidectin treatment 8 mg (4 tablets of 2 mg of moxidectin), once per year

    Drug: Moxidectin

  • Active comparator
    Ivermectin

    Single oral dose of ivermectin treatment with approximately 150 µg/kg determined based on height (between 1 and 4 tablets of 3 mg of ivermectin), once per year

    Drug: Ivermectin

Interventions

06

What researchers measure

Primary outcomes

  1. Prevalence of Onchocerca volvulus microfilariae

    Prevalence of O. volvulus microfilariae at 36 months in skin snips, the marker most likely to show change in the shorter term as demonstrated by the therapeutic trials

    Time frame: 36 months after the first intervention

Secondary outcomes

  1. Prevalence of O. volvulus microfilaria/mg skin

    Time frame: 12, 24 and 36 months after the first intervention

  2. Microfilariae density (mean, median)

    Time frame: 12, 24 and 36 months after the first intervention

  3. Prevalence of nodules

    Time frame: 12, 24 and 36 months after the first intervention

  4. Prevalence of onchocerciasis skin disease

    Time frame: 12, 24 and 36 months after the first intervention

  5. Proportion of black flies with infective O. volvulus larvae

    Infection assessed based on all 3 are markers recommended by WHO to define population-level elimination

    Time frame: 12, 24 and 36 months after the first intervention

  6. Prevalence of anti-Ov-16

    Time frame: 12, 24 and 36 months after the first intervention

  7. Prevalence of Ascaris lumbricoides

    Measured through qPCR

    Time frame: 12, 24 and 36 months after the first intervention

  8. Intensity of Ascaris lumbricoides infection

    Measured through qPCR

    Time frame: 12, 24 and 36 months after the first intervention

  9. Prevalence of Trichuris trichiura

    Measured through qPCR

    Time frame: 12, 24 and 36 months after the first intervention

  10. Intensity of Trichuris trichiura infection

    Measured through qPCR

    Time frame: Baseline and 12, 24 and 36 months after the first intervention

  11. Prevalence of hookworm

    Measured through qPCR

    Time frame: 12, 24 and 36 months after the first intervention

  12. Intensity of hookworm infection

    Measured through qPCR

    Time frame: 12, 24 and 36 months after the first intervention

  13. Prevalence of Strongyloides stercoralis

    Measured through qPCR

    Time frame: 12, 24 and 36 months after the first intervention

  14. Intensity of Strongyloides stercoralis infection

    Measured through qPCR

    Time frame: 12, 24 and 36 months after the first intervention

  15. Prevalence of scabies/impetigo

    Time frame: 12, 24 and 36 months after the first intervention

07

Study locations

1 of 1 sites recruiting
  • Villages in Andulo and Nharea Municipalities
    Andulo, Bíe Province, Angola
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07145736
Lead sponsor
Kirby Institute
Collaborators
Emory University, La Trobe University, Murdoch Childrens Research Institute, Medicines Development for Global Health, University of Melbourne, Swiss Tropical & Public Health Institute, University of Ottawa, The Mentor Initiative, Erasmus Medical Center, Ministry of Health, Angola, The END Fund, Center for Research on Filariasis and Other Tropical Diseases, Cameroon, World Health Organization
Responsible party
Sponsor
First posted
Aug 28, 2025
Start date
Aug 4, 2025
Primary completion
Mar 31, 2029 (estimated)
Completion
Jun 30, 2029 (estimated)
Last update
Nov 21, 2025

Study contacts

Susana V Nery, PhD
Contact
snery@kirby.unsw.edu.au
+61467076047
Marta S Palmeirim, PhD
Contact
mpalmeirim@kirby.unsw.edu.au
+351916563622
Susana V Nery, PhD
principal investigator · Kirby Institute, University of New South Wales, Australia

Oversight

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

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