Multiple Versus Single Dose of Ivermectin for the Treatment of Strongyloidiasis

NCT ID: NCT01570504

Last Updated: 2018-06-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

312 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2018-06-08

Brief Summary

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Ivermectin is currently the best drug to cure strongyloidiasis, but the "standard" single dose of 200 mcg/kg is probably not enough to guarantee cure. As strongyloidiasis can be fatal in immunosuppressed patients, it is mandatory to define the optimal dosage to eradicate the parasite.

Aim of this study is to define the most effective dose schedule of ivermectin to cure strongyloidiasis.

Detailed Description

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Conditions

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Strongyloidiasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ivermectin multiple doses

A dose of 200 mcg/kg of ivermectin given on days 1,2, 15 and 16

Group Type EXPERIMENTAL

Ivermectin

Intervention Type DRUG

oral formulation

1 dose ivermectin

A single 200 mcg/kg dose of ivermectin

Group Type ACTIVE_COMPARATOR

Ivermectin

Intervention Type DRUG

oral formulation

Interventions

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Ivermectin

oral formulation

Intervention Type DRUG

Other Intervention Names

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Stromectol

Eligibility Criteria

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Inclusion Criteria

* Male and female patients older than 5 years and weighting \> 15 kg
* Current residence in non-endemic areas
* Either direct diagnosis of S. stercoralis infection AND positive serology at any titer OR positive serology at "high" titer, irrespective of results of direct tests

Exclusion Criteria

* Pregnant or lactating women
* Subjects suffering from CNS diseases
* Disseminated strongyloidiasis
* Immunocompromised patients.
* Lack of informed consent
* Previous treatment with ivermectin (in the last year)
Minimum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Commission

OTHER

Sponsor Role collaborator

Centro per le Malattie Tropicali

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Zeno Bisoffi, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Centre for Tropical Diseases, Negrar (Verona), Italy

Locations

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Centro per le Malattie Tropicali, Ospedale Sacro Cuore

Negrar, Verona, Italy

Site Status

Clinica di Malattie Infettive e Tropicali

Brescia, , Italy

Site Status

UFDID, Azienda Ospedaliero-universitaria Careggi

Florence, , Italy

Site Status

Unità di Malattie Infettive, Anna Meyer Children's Universisty Hospital

Florence, , Italy

Site Status

Unidad de Medicina, Hospital de Poniente-El Ejido

El Ejido, Almeria, Spain

Site Status

FCRB, Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Unitat Medicina Tropical i Salut Internacional Drassanes

Barcelona, , Spain

Site Status

Addenbrookes Hospital, Cambridge University Hospital

Cambridge, , United Kingdom

Site Status

UCLH

London, , United Kingdom

Site Status

Countries

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Italy Spain United Kingdom

References

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Buonfrate D, Salas-Coronas J, Munoz J, Maruri BT, Rodari P, Castelli F, Zammarchi L, Bianchi L, Gobbi F, Cabezas-Fernandez T, Requena-Mendez A, Godbole G, Silva R, Romero M, Chiodini PL, Bisoffi Z. Multiple-dose versus single-dose ivermectin for Strongyloides stercoralis infection (Strong Treat 1 to 4): a multicentre, open-label, phase 3, randomised controlled superiority trial. Lancet Infect Dis. 2019 Nov;19(11):1181-1190. doi: 10.1016/S1473-3099(19)30289-0. Epub 2019 Sep 23.

Reference Type DERIVED
PMID: 31558376 (View on PubMed)

Other Identifiers

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2011-002784-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CTD1-2012

Identifier Type: -

Identifier Source: org_study_id

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