Trial Outcomes & Findings for Impact of Two Alternative Dosing Strategies for Trachoma Control in Niger (NCT NCT00618449)

NCT ID: NCT00618449

Last Updated: 2012-05-08

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

1139 participants

Primary outcome timeframe

1-year post-treatment

Results posted on

2012-05-08

Participant Flow

Recruitment period Jan-08 thru May-09 in ten villages within the Maradi Region of Niger with high prevalence of clinically active trachoma amongst children\<= age 10.

Participant milestones

Participant milestones
Measure
Two-doses of Azithromycin
Subjects residing in villages assigned to treatment arm 2 received a clinical evaluation for trachoma and provided a swab specimen of conjunctivae of the R eye at enrollment (Day 0) followed by an initial treatment with 1 gm oral dose of Azithromycin; received a second 1 gm oral dose of Azithromycin at Day 30; were re-screened (clinical evaluation and swab specimen of R eye collected) at Day 60; and again at Day 360.
Single-dose Azithromcyin
Subjects residing in villages assigned to treatment arm 1 received a clinical evaluation for trachoma and provided a swab specimen of conjunctivae of the R eye at enrollment (Day 0); received the WHO standard of care for trachoma - 1 gm oral dose of Azithromycin at Day 30; were re-screened (clinical evaluation and swab specimen of R eye collected) at Day 60; and again at Day 360.
Overall Study
STARTED
679
668
Overall Study
1-month, Post-treatment
666
656
Overall Study
1-year, Post-treatment
581
558
Overall Study
COMPLETED
581
558
Overall Study
NOT COMPLETED
98
110

Reasons for withdrawal

Reasons for withdrawal
Measure
Two-doses of Azithromycin
Subjects residing in villages assigned to treatment arm 2 received a clinical evaluation for trachoma and provided a swab specimen of conjunctivae of the R eye at enrollment (Day 0) followed by an initial treatment with 1 gm oral dose of Azithromycin; received a second 1 gm oral dose of Azithromycin at Day 30; were re-screened (clinical evaluation and swab specimen of R eye collected) at Day 60; and again at Day 360.
Single-dose Azithromcyin
Subjects residing in villages assigned to treatment arm 1 received a clinical evaluation for trachoma and provided a swab specimen of conjunctivae of the R eye at enrollment (Day 0); received the WHO standard of care for trachoma - 1 gm oral dose of Azithromycin at Day 30; were re-screened (clinical evaluation and swab specimen of R eye collected) at Day 60; and again at Day 360.
Overall Study
Lost to Follow-up
98
110

Baseline Characteristics

Impact of Two Alternative Dosing Strategies for Trachoma Control in Niger

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Two-doses of Azithromycin
n=679 Participants
Subjects residing in villages assigned to treatment arm 2 received a clinical evaluation for trachoma and provided a swab specimen of conjunctivae of the R eye at enrollment (Day 0) followed by an initial treatment with 1 gm oral dose of Azithromycin; received a second 1 gm oral dose of Azithromycin at Day 30; were re-screened (clinical evaluation and swab specimen of R eye collected) at Day 60; and again at Day 360.
Single-dose Azithromcyin
n=668 Participants
Subjects residing in villages assigned to treatment arm 1 received a clinical evaluation for trachoma and provided a swab specimen of conjunctivae of the R eye at enrollment (Day 0); received the WHO standard of care for trachoma - 1 gm oral dose of Azithromycin at Day 30; were re-screened (clinical evaluation and swab specimen of R eye collected) at Day 60; and again at Day 360.
Total
n=1347 Participants
Total of all reporting groups
Age Continuous
18.47 years
STANDARD_DEVIATION 17.77 • n=5 Participants
19.25 years
STANDARD_DEVIATION 18.66 • n=7 Participants
18.86 years
STANDARD_DEVIATION 18.22 • n=5 Participants
Age, Customized
<=10 years
350 participants
n=5 Participants
345 participants
n=7 Participants
695 participants
n=5 Participants
Age, Customized
Between 11 and 65 years
313 participants
n=5 Participants
309 participants
n=7 Participants
622 participants
n=5 Participants
Age, Customized
>=65 years
16 participants
n=5 Participants
14 participants
n=7 Participants
30 participants
n=5 Participants
Sex: Female, Male
Female
352 Participants
n=5 Participants
354 Participants
n=7 Participants
706 Participants
n=5 Participants
Sex: Female, Male
Male
327 Participants
n=5 Participants
314 Participants
n=7 Participants
641 Participants
n=5 Participants
Region of Enrollment
Niger
679 participants
n=5 Participants
668 participants
n=7 Participants
1347 participants
n=5 Participants

PRIMARY outcome

Timeframe: 1-year post-treatment

Population: Per protocol.

Outcome measures

Outcome measures
Measure
Two-doses of Azithromycin
n=679 Participants
Subjects residing in villages assigned to treatment arm 2 received a clinical evaluation for trachoma and provided a swab specimen of conjunctivae of the R eye at enrollment (Day 0) followed by an initial treatment with 1 gm oral dose of Azithromycin; received a second 1 gm oral dose of Azithromycin at Day 30; were re-screened (clinical evaluation and swab specimen of R eye collected) at Day 60; and again at Day 360.
Single-dose Azithromcyin
n=668 Participants
Subjects residing in villages assigned to treatment arm 1 received a clinical evaluation for trachoma and provided a swab specimen of conjunctivae of the R eye at enrollment (Day 0); received the WHO standard of care for trachoma - 1 gm oral dose of Azithromycin at Day 30; were re-screened (clinical evaluation and swab specimen of R eye collected) at Day 60; and again at Day 360.
Infection With Chlamydia Trachomatis Diagnosed by Use of NAATs [Nucleic Acid Amplification Test]
1-year, post treatment
19 Participants
12 Participants
Infection With Chlamydia Trachomatis Diagnosed by Use of NAATs [Nucleic Acid Amplification Test]
Baseline, Day-0
57 Participants
42 Participants
Infection With Chlamydia Trachomatis Diagnosed by Use of NAATs [Nucleic Acid Amplification Test]
1-month, post-treatment
5 Participants
3 Participants

Adverse Events

Two-doses of Azithromycin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Single-dose Azithromcyin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Julius Schachter, PhD / Emeritus Professor of Laboratory Medicine

University of California, San Francisco

Phone: +1 (415) 824-5115

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place