Oral Ivermectin Versus Topical Permethrin to Treat Scabies in Children and Adults

NCT ID: NCT02407782

Last Updated: 2024-06-17

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

1092 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-19

Study Completion Date

2022-01-18

Brief Summary

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Scabies remains a frequent condition that affects adults and children. The aim of this study is to compare the efficacy and safety of two drug treatments against scabies in children and their close contacts. One group will apply topical permethrin 5% and the other group will receive oral ivermectin.

Both groups will be treated twice, once at inclusion and the second time 10 days later. Both treatment regimens have been used widely and are safe to use.

Detailed Description

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Scabies is a common condition, even in European countries, and the annual incidence seems to have increased over the past several years.

Children and infants represent one-third of patients with scabies. Diagnostic features comprise pruritus, skin burrows and the delta jet wing dermoscopic sign.

In many countries, topical permethrin is the first line therapy. Moreover, oral treatment with ivermectin represents an interesting alternative therapy, usually used as one dose of 200μg/kg, and more and more frequently recommended as two doses (one on day 1 and one between day 8 and day 15) without strong evidence. Management of scabies requires giving a treatment not only to the patient but also to the patient's close contacts.

The objective of our study is to compare efficacy and safety of topical permethrin applied twice at day 1 and day 10 versus oral ivermectin given twice at day 1 and day 10 to treat scabies in children and their close contacts. Children (2 to15 years) with scabies and their close contacts - or first circle- will be randomized 1:1 to receive permethrin or ivermectin.

A clinical follow-up will be performed 28 days (V2) and 56 days (V3) after the inclusion, including a dermatological examination and to collect safety data.

Conditions

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Scabies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Ivermectin

Group Type EXPERIMENTAL

Ivermectin

Intervention Type DRUG

oral ivermectin, 200μg/kg given at baseline and at day 10.

Permethrin

Group Type EXPERIMENTAL

Permethrin

Intervention Type DRUG

topical permethrin 5% cream applied at baseline and at day 10.

Interventions

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Ivermectin

oral ivermectin, 200μg/kg given at baseline and at day 10.

Intervention Type DRUG

Permethrin

topical permethrin 5% cream applied at baseline and at day 10.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* children or adult
* For children, weight more than 15 kg
* Documented diagnosis of scabies, defined by positive dermoscopic examination.

Exclusion Criteria

* Previous scabies therapy during the past 4 weeks
* Known allergy to ivermectin or permethrin
* Widespread eczematization or impetiginization
* Liver or renal failure
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Bordeaux

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bruneau Giraudeau, Doctor

Role: STUDY_CHAIR

Centre d'investigation clinique Inserm 1415 CHRU de Tours

Locations

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CHU de Bordeaux Hôpital Pellegrin

Bordeaux, Aquitaine, France

Site Status

CHU de Lyon

Bron, Auvergne-Rhône-Alpes, France

Site Status

CHG de Chalon sur Saône

Chalon-sur-Saône, Bourgogne-Franche-Comté, France

Site Status

CHU de Dijon

Dijon, Bourgogne-Franche-Comté, France

Site Status

CHU de Rennes

Rennes, Brittany Region, France

Site Status

CHRU de Tours

Tours, Centre-Val de Loire, France

Site Status

CHU de Montpellier

Montpellier, Languedoc-Roussillon, France

Site Status

CHU de la Réunion

Saint-Pierre, Martinique, France

Site Status

CHU d'Angers

Angers, Pays de la Loire Region, France

Site Status

CH du Mans

Le Mans, Pays de la Loire Region, France

Site Status

CHU de Nantes

Nantes, Pays de la Loire Region, France

Site Status

CHI de Fréjus

Fréjus, Provence-Alpes-Côte d'Azur Region, France

Site Status

CHU de Nice

Nice, Provence-Alpes-Côte d'Azur Region, France

Site Status

APHP- Bobigny - Avicenne

Bobigny, , France

Site Status

CHU de Bordeaux - Saint André

Bordeaux, , France

Site Status

CHU de Brest

Brest, , France

Site Status

CHD Vendée

La Roche-sur-Yon, , France

Site Status

CH Le Havre

Le Havre, , France

Site Status

CHRU de Lille

Lille, , France

Site Status

AP-HM

Marseille, , France

Site Status

APHP Hôpital Cochin

Paris, , France

Site Status

CH de Périgueux

Périgueux, , France

Site Status

CHU de Reims

Reims, , France

Site Status

CHU de Rouen

Rouen, , France

Site Status

CHU de Saint-Etienne

Saint-Etienne, , France

Site Status

CH d'Argenteuil

Argenteuil, Île-de-France Region, France

Site Status

CHU de Créteil - Hôpital Henry Mondor

Créteil, Île-de-France Region, France

Site Status

AP-HP - Hôpital Robert Debré

Paris, Île-de-France Region, France

Site Status

CHU de Pointe à Pitre

Pointe-à-Pitre, , Guadeloupe

Site Status

Countries

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France Guadeloupe

Other Identifiers

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CHUBX 2011/16

Identifier Type: -

Identifier Source: org_study_id

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