Trial Outcomes & Findings for Dose Ranging Study of Ivermectin Treatment Conditioner in Subjects With Head Lice Infestation (NCT NCT00857948)

NCT ID: NCT00857948

Last Updated: 2012-03-30

Results Overview

Live lice eradication was assessed by visual checks of hair and scalp on Days 1, 2 and 8 and by visual checks and counting both live and dead lice from rinse water on Day 15. Eradication was defined as cessation of motility (antennae and leg movement) in all lice.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

78 participants

Primary outcome timeframe

Day 1 through Day 15 post-application

Results posted on

2012-03-30

Participant Flow

Participants were enrolled and treated on 14 March 2009 in 1 US clinical center.

A total of 78 participants who met the inclusion and exclusion criteria were enrolled and treated.

Participant milestones

Participant milestones
Measure
0.15% Ivermectin
Participants received a single treatment with 0.15% ivermectin treatment conditioner on Day 1.
0.25% Ivermectin
Participants received a single treatment with 0.25% ivermectin treatment conditioner on Day 1.
0.50% Ivermectin
Participants received a single treatment with 0.50% ivermectin treatment conditioner on Day 1.
Placebo
Participants received a single treatment with placebo (treatment conditioner vehicle) on Day 1.
Overall Study
STARTED
18
18
19
23
Overall Study
COMPLETED
15
18
18
23
Overall Study
NOT COMPLETED
3
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
0.15% Ivermectin
Participants received a single treatment with 0.15% ivermectin treatment conditioner on Day 1.
0.25% Ivermectin
Participants received a single treatment with 0.25% ivermectin treatment conditioner on Day 1.
0.50% Ivermectin
Participants received a single treatment with 0.50% ivermectin treatment conditioner on Day 1.
Placebo
Participants received a single treatment with placebo (treatment conditioner vehicle) on Day 1.
Overall Study
Withdrawal by Subject
2
0
0
0
Overall Study
Protocol Violation
1
0
1
0

Baseline Characteristics

Dose Ranging Study of Ivermectin Treatment Conditioner in Subjects With Head Lice Infestation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
0.15% Ivermectin
n=18 Participants
Participants received a single treatment with 0.15% ivermectin treatment conditioner on Day 1.
0.25% Ivermectin
n=18 Participants
Participants received a single treatment with 0.25% ivermectin treatment conditioner on Day 1.
0.50% Ivermectin
n=19 Participants
Participants received a single treatment with 0.50% ivermectin treatment conditioner on Day 1.
Placebo
n=23 Participants
Participants received a single treatment with placebo (treatment conditioner vehicle) on Day 1.
Total
n=78 Participants
Total of all reporting groups
Age, Categorical
<=18 years
16 Participants
n=5 Participants
14 Participants
n=7 Participants
13 Participants
n=5 Participants
21 Participants
n=4 Participants
64 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
2 Participants
n=4 Participants
14 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age Continuous
Age Continuous
12.28 Years
STANDARD_DEVIATION 13.00 • n=5 Participants
14.11 Years
STANDARD_DEVIATION 8.71 • n=7 Participants
14.21 Years
STANDARD_DEVIATION 12.87 • n=5 Participants
11.13 Years
STANDARD_DEVIATION 8.73 • n=4 Participants
12.83 Years
STANDARD_DEVIATION 10.79 • n=21 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
15 Participants
n=7 Participants
18 Participants
n=5 Participants
22 Participants
n=4 Participants
70 Participants
n=21 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
8 Participants
n=21 Participants
Region of Enrollment
United States
18 Participants
n=5 Participants
18 Participants
n=7 Participants
19 Participants
n=5 Participants
23 Participants
n=4 Participants
78 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 1 through Day 15 post-application

Population: Live lice eradication was assessed in the Intent-to-treat Population. Any participant with live lice on or after Day 2 received an FDA approved head lice treatment and was classified as a treatment failure, imputed as such for remaining assessments.

Live lice eradication was assessed by visual checks of hair and scalp on Days 1, 2 and 8 and by visual checks and counting both live and dead lice from rinse water on Day 15. Eradication was defined as cessation of motility (antennae and leg movement) in all lice.

Outcome measures

Outcome measures
Measure
0.15% Ivermectin
n=18 Participants
Participants received a single treatment with 0.15% ivermectin treatment conditioner on Day 1.
0.25% Ivermectin
n=18 Participants
Participants received a single treatment with 0.25% ivermectin treatment conditioner on Day 1.
0.50% Ivermectin
n=19 Participants
Participants received a single treatment with 0.50% ivermectin treatment conditioner on Day 1.
Placebo
n=23 Participants
Participants received a single treatment with placebo (treatment conditioner vehicle) on Day 1.
Percentage of Participants Who Were Lice-Free by Day 2 That Were Maintained Through Day 15 Post-treatment With Either Ivermectin or Placebo (Vehicle Control)
56 Percent of participants
50 Percent of participants
Interval 0.0 to 0.0
74 Percent of participants
Interval 0.0 to 0.0
9 Percent of participants
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: Day 1 through Day 8 post-application

Population: Live lice eradication was assessed in the Intent-to-treat Population. Any participant with live lice on or after Day 2 received an FDA approved head lice treatment and was classified as a treatment failure, imputed as such for remaining assessments.

Live lice eradication was assessed on Days 1, 2, and 8 by visual checks of hair and scalp. Eradication was defined as cessation of motility (antennae and leg movement) in all lice.

Outcome measures

Outcome measures
Measure
0.15% Ivermectin
n=18 Participants
Participants received a single treatment with 0.15% ivermectin treatment conditioner on Day 1.
0.25% Ivermectin
n=18 Participants
Participants received a single treatment with 0.25% ivermectin treatment conditioner on Day 1.
0.50% Ivermectin
n=19 Participants
Participants received a single treatment with 0.50% ivermectin treatment conditioner on Day 1.
Placebo
n=23 Participants
Participants received a single treatment with placebo (treatment conditioner vehicle) on Day 1.
Percentage of Index Participants Who Were Lice-Free at Different Time Points Post-treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 1: 2 hours post-application
33 Percent of participants
44 Percent of participants
Interval 0.0 to 0.0
32 Percent of participants
Interval 0.0 to 0.0
22 Percent of participants
Interval 0.0 to 0.0
Percentage of Index Participants Who Were Lice-Free at Different Time Points Post-treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 1: 6 hours post-application
50 Percent of participants
67 Percent of participants
Interval 0.0 to 0.0
58 Percent of participants
Interval 0.0 to 0.0
30 Percent of participants
Interval 0.0 to 0.0
Percentage of Index Participants Who Were Lice-Free at Different Time Points Post-treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 2
83 Percent of participants
94 Percent of participants
Interval 0.0 to 0.0
95 Percent of participants
Interval 0.0 to 0.0
17 Percent of participants
Interval 0.0 to 0.0
Percentage of Index Participants Who Were Lice-Free at Different Time Points Post-treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 8
67 Percent of participants
72 Percent of participants
Interval 0.0 to 0.0
84 Percent of participants
Interval 0.0 to 0.0
9 Percent of participants
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: Day 1 through Day 15 post-application

Population: The level of lice infestation was assessed in the Intent-to-treat population. Any participant with live lice on or after Day 2 received an FDA approved head lice treatment and was classified as a treatment failure, imputed as such for remaining assessments.

The severity of lice infestation was determined by visual checks of hair and scalp. Severity was rated as None: no live lice; Mild: 1 to 5 live lice; Moderate: 6 to 10 live lice; Severe: 11 to 20 live lice; or Very severe \> 20 live lice.

Outcome measures

Outcome measures
Measure
0.15% Ivermectin
n=18 Participants
Participants received a single treatment with 0.15% ivermectin treatment conditioner on Day 1.
0.25% Ivermectin
n=18 Participants
Participants received a single treatment with 0.25% ivermectin treatment conditioner on Day 1.
0.50% Ivermectin
n=19 Participants
Participants received a single treatment with 0.50% ivermectin treatment conditioner on Day 1.
Placebo
n=23 Participants
Participants received a single treatment with placebo (treatment conditioner vehicle) on Day 1.
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 1: 2 Hours Post Dose: None
33 Percent of participants
44 Percent of participants
Interval 0.0 to 0.0
32 Percent of participants
Interval 0.0 to 0.0
22 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 1: 2 Hours Post Dose: Mild
50 Percent of participants
56 Percent of participants
Interval 0.0 to 0.0
63 Percent of participants
Interval 0.0 to 0.0
65 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 1: 2 Hours Post Dose: Moderate
17 Percent of participants
0 Percent of participants
Interval 0.0 to 0.0
5 Percent of participants
Interval 0.0 to 0.0
13 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 1: 6 Hours Post Dose: None
50 Percent of participants
67 Percent of participants
Interval 0.0 to 0.0
58 Percent of participants
Interval 0.0 to 0.0
30 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 1: 6 Hours Post Dose: Mild
39 Percent of participants
33 Percent of participants
Interval 0.0 to 0.0
37 Percent of participants
Interval 0.0 to 0.0
61 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 1: 6 Hours Post Dose: Moderate
11 Percent of participants
0 Percent of participants
Interval 0.0 to 0.0
5 Percent of participants
Interval 0.0 to 0.0
9 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 2: None
83 Percent of participants
94 Percent of participants
Interval 0.0 to 0.0
95 Percent of participants
Interval 0.0 to 0.0
17 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 2: Mild
17 Percent of participants
6 Percent of participants
Interval 0.0 to 0.0
5 Percent of participants
Interval 0.0 to 0.0
78 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 2: Moderate
0 Percent of participants
0 Percent of participants
Interval 0.0 to 0.0
0 Percent of participants
Interval 0.0 to 0.0
4 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 8: Treatment Failure Day 2
17 Percent of participants
6 Percent of participants
Interval 0.0 to 0.0
5 Percent of participants
Interval 0.0 to 0.0
83 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 8: None
72 Percent of participants
72 Percent of participants
Interval 0.0 to 0.0
84 Percent of participants
Interval 0.0 to 0.0
9 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 8: Mild
11 Percent of participants
6 Percent of participants
Interval 0.0 to 0.0
5 Percent of participants
Interval 0.0 to 0.0
9 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 8: Moderate
0 Percent of participants
6 Percent of participants
Interval 0.0 to 0.0
0 Percent of participants
Interval 0.0 to 0.0
0 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 8: Severe
0 Percent of participants
11 Percent of participants
Interval 0.0 to 0.0
5 Percent of participants
Interval 0.0 to 0.0
0 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 15: Treatment Failure Day 8
33 Percent of participants
28 Percent of participants
Interval 0.0 to 0.0
16 Percent of participants
Interval 0.0 to 0.0
91 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 15: None
56 Percent of participants
56 Percent of participants
Interval 0.0 to 0.0
74 Percent of participants
Interval 0.0 to 0.0
9 Percent of participants
Interval 0.0 to 0.0
Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)
Day 15: Mild
11 Percent of participants
17 Percent of participants
Interval 0.0 to 0.0
11 Percent of participants
Interval 0.0 to 0.0
0 Percent of participants
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: Day 1 up to Day 28 post-application

Population: Adverse events were assess in the Safety (Intent-to-treat) Population.

Outcome measures

Outcome measures
Measure
0.15% Ivermectin
n=18 Participants
Participants received a single treatment with 0.15% ivermectin treatment conditioner on Day 1.
0.25% Ivermectin
n=18 Participants
Participants received a single treatment with 0.25% ivermectin treatment conditioner on Day 1.
0.50% Ivermectin
n=19 Participants
Participants received a single treatment with 0.50% ivermectin treatment conditioner on Day 1.
Placebo
n=23 Participants
Participants received a single treatment with placebo (treatment conditioner vehicle) on Day 1.
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Conjunctivitis
0 Participants
0 Participants
Interval 0.0 to 0.0
1 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Severe Conjunctivitis
0 Participants
0 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Eye Pruritus
1 Participants
0 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Severe Eye Pruritus
0 Participants
0 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Erythema
0 Participants
0 Participants
Interval 0.0 to 0.0
1 Participants
Interval 0.0 to 0.0
3 Participants
Interval 0.0 to 0.0
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Severe Erythema
0 Participants
0 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Folliculitis
0 Participants
1 Participants
Interval 0.0 to 0.0
0 Participants
Interval 0.0 to 0.0
1 Participants
Interval 0.0 to 0.0
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Severe Folliculitis
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Pruritus
5 Participants
1 Participants
3 Participants
1 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Severe Pruritus
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Skin Irritation
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).
Severe Skin Irritation
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

0.15% Ivermectin

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

0.25% Ivermectin

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

0.50% Ivermectin

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
0.15% Ivermectin
n=18 participants at risk
Participants received a single treatment with 0.15% ivermectin treatment conditioner on Day 1.
0.25% Ivermectin
n=18 participants at risk
Participants received a single treatment with 0.25% ivermectin treatment conditioner on Day 1.
0.50% Ivermectin
n=19 participants at risk
Participants received a single treatment with 0.50% ivermectin treatment conditioner on Day 1.
Placebo
n=23 participants at risk
Participants received a single treatment with placebo (treatment conditioner vehicle) on Day 1.
Eye disorders
Conjunctivitis
0.00%
0/18 • Adverse event data were collected from Day 1 up to Day 28 post-application.
0.00%
0/18 • Adverse event data were collected from Day 1 up to Day 28 post-application.
5.3%
1/19 • Number of events 1 • Adverse event data were collected from Day 1 up to Day 28 post-application.
0.00%
0/23 • Adverse event data were collected from Day 1 up to Day 28 post-application.
Eye disorders
Eye Pruritus
5.6%
1/18 • Number of events 1 • Adverse event data were collected from Day 1 up to Day 28 post-application.
0.00%
0/18 • Adverse event data were collected from Day 1 up to Day 28 post-application.
0.00%
0/19 • Adverse event data were collected from Day 1 up to Day 28 post-application.
0.00%
0/23 • Adverse event data were collected from Day 1 up to Day 28 post-application.
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/18 • Adverse event data were collected from Day 1 up to Day 28 post-application.
0.00%
0/18 • Adverse event data were collected from Day 1 up to Day 28 post-application.
5.3%
1/19 • Number of events 1 • Adverse event data were collected from Day 1 up to Day 28 post-application.
13.0%
3/23 • Number of events 3 • Adverse event data were collected from Day 1 up to Day 28 post-application.
Skin and subcutaneous tissue disorders
Folliculitis
0.00%
0/18 • Adverse event data were collected from Day 1 up to Day 28 post-application.
5.6%
1/18 • Number of events 1 • Adverse event data were collected from Day 1 up to Day 28 post-application.
0.00%
0/19 • Adverse event data were collected from Day 1 up to Day 28 post-application.
4.3%
1/23 • Number of events 1 • Adverse event data were collected from Day 1 up to Day 28 post-application.
Skin and subcutaneous tissue disorders
Pruritus
27.8%
5/18 • Number of events 5 • Adverse event data were collected from Day 1 up to Day 28 post-application.
11.1%
2/18 • Number of events 2 • Adverse event data were collected from Day 1 up to Day 28 post-application.
21.1%
4/19 • Number of events 4 • Adverse event data were collected from Day 1 up to Day 28 post-application.
4.3%
1/23 • Number of events 1 • Adverse event data were collected from Day 1 up to Day 28 post-application.

Additional Information

Medical Director

Sanofi Topaz

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications
  • Publication restrictions are in place

Restriction type: OTHER