Clinical trial

Efficacy and Safety of Moxidectin-albendazole Combination for Trichuris Trichiura Infections in School-aged Children: a Double-blind Randomised Controlled Superiority Trial

Name
Moxiped_1
Description
This study is a double-blind randomized controlled superiority trial aiming at providing evidence on the efficacy and safety of co-administered moxidectin and albendazole compared to albendazole monotherapy in school-aged children (SAC; aged 6-12 years) infected with whipworm (Trichuris trichiura) on Pemba Island, Tanzania. Additionally, evidence on the safety profile of moxidectin-albendazole combination in this age group will be substantiated using a placebo (and albendazole) only arm. To date, this has only been established in adolescents (aged 16-18 years), who might present different symptoms or symptom severity compared with SAC. As measure of efficacy of the treatment the cure rate (percentage of eggpositive subjects at baseline who become egg-negative after treatment) will be determined 14-21 days post-treatment.
Trial arms
Trial start
2024-05-14
Estimated PCD
2024-07-01
Trial end
2024-07-01
Status
Active (not recruiting)
Phase
Early phase I
Treatment
Moxidectin 2 mg Oral Tablet
Tablets of 2 mg moxidectin
Arms:
Arm A: MOX 4/8 mg
Albendazole 400 mg Oral Tablet
Tablets of 400 mg albendazole
Arms:
Arm A: MOX 4/8 mg, Arm B: ALB
Other names:
Zentel®
Placebo MOX
Placebo tablets for moxidectin
Arms:
Arm B: ALB, Arm C: Placebo
Placebo ALB
Placebo tablets for albendazole
Arms:
Arm C: Placebo
Size
210
Primary endpoint
Cure rate (CR) against T. trichiura
14-21 days post-treatment
Eligibility criteria
Inclusion Criteria: * individuals aged 6-12 years (confirmed by birth certificate or similar document) * having given written informed consent signed by parents/caregivers * being able and willing to provide two stool samples at baseline and at follow-up assessment (14-21 days) * having at least two out of four Kato-Katz slides positive for T. trichiura at baseline * being able and willing to be examined by a study physician before and after treatment Exclusion Criteria: * presence or signs of major systemic illness, e.g. fever (temporal body temperature of \>38.0°C), severe anaemia (haemoglobin level of \<80 g/l) * history of severe acute disease or unmanaged, severe chronic disease (i.e., condition is not as therapeutically controlled as necessary) * use of anthelminthic drugs during study period * known allergy to study medication (i.e., moxidectin or albendazole) * being prescribed or taking concomitantly medication with known contraindications or drug interactions with the study medication * pregnancy (female participants aged 10-12 years) * concurrent participation in other clinical trials
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'QUADRUPLE', 'maskingDescription': 'The trial will be double blinded (i.e. study participants and the trial team/researchers conducting the treatment and assessing the outcomes will be blinded) using appearance-matching placebos.', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 210, 'type': 'ESTIMATED'}}
Updated at
2024-06-06

1 organization

4 products

3 indications

Organization
Jennifer Keiser
Product
Moxidectin
Indication
Trichuriasis
Indication
Ascariasis
Product
Placebo