Efficacy of Oxfendazole in the Treatment of Trichuris Trichiura Infection in Adults

NCT ID: NCT03435718

Last Updated: 2023-11-08

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-31

Study Completion Date

2026-10-31

Brief Summary

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The main objective of this study is to provide data on the efficacy profile of different doses of oxfendazole when used in Trichuris trichiura infection. The drug will be also be examined for efficacy against other common nematodes encountered in man (Ascaris lumbricoides, Ancylostoma duodenale, Necator americanus). The study will also provide data on the safety and tolerability of the oxfendazole in patients.

Detailed Description

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This is an assessor blind, randomized, comparative study in adult patients with proven intestinal infection with Trichuris trichiura to be conducted as a field study. Patients meeting the study entry criteria will receive either 6 mg/kg or 15 mg/kg or 30 mg/kg of oxfendazole as a single oral dose, three single doses of oxfendazole on consecutive days, or albendazole 400mg as a single oral dose. Stool samples will be obtained and examined prior to treatment and at 7, 14 and 21 days after treatment.

Conditions

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Trichuris Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study will be conducted as a field trial. Patients will be randomly assigned to one of five treatment groups: 6 mg/kg, 15 mg/kg or 30 mg/kg oxfendazole as a single dose; 15 mg/kg oxfendazole on three consecutive days; or 400 mg albendazole as a single dose (50 patients per group). The main objective of this study is to assess the efficacy (Cure Rate) of oral oxfendazole. Secondary objectives are to assess the Egg Reduction Rate for Trichuris in those subjects not cured of infection, to assess the efficacy (Cure Rate and Egg Reduction Rate) of oxfendazole against other common intestinal helminth infections, and to assess the safety and tolerability of oxfendazole treatment in adult patients.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Each patient's treatment condition will be masked by a code assigned at randomization. The study pharmacist will know this assignment. A person other than the investigator will administer the drug as directed by the pharmacists.

Study Groups

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OXF6

Patients receive a single 6 mg/kg dose of oxfendazole administered orally.

Group Type EXPERIMENTAL

Oxfendazole

Intervention Type DRUG

oral suspension

OXF15

Patients receive a single 15 mg/kg dose of oxfendazole administered orally.

Group Type EXPERIMENTAL

Oxfendazole

Intervention Type DRUG

oral suspension

OXF30

Patients receive a single 30 mg/kg dose of oxfendazole administered orally.

Group Type EXPERIMENTAL

Oxfendazole

Intervention Type DRUG

oral suspension

OXF15x3

Patients receive a 15 mg/kg dose of oxfendazole administered orally once a day for each of three consecutive days.

Group Type EXPERIMENTAL

Oxfendazole

Intervention Type DRUG

oral suspension

ALB400

Patients receive a single 400 mg/kg dose of albendazole administered orally.

Group Type ACTIVE_COMPARATOR

Albendazole

Intervention Type DRUG

tablet

Interventions

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Oxfendazole

oral suspension

Intervention Type DRUG

Albendazole

tablet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female outpatient, more than 18 years and less than 65 years of age.
2. Written or witnessed oral informed consent has been obtained.
3. Trichuris trichiura demonstrated in stool samples obtained during the week before enrolment: The presence of Ascaris lumbricoides, Necator americanus, Ancylostoma duodenalis or other helminths will not be a cause for exclusion.
4. Willingness to comply with the requirements of the protocol and particularly to provide 4 stool samples, pretreatment and 7, 14 and 21 days after treatment.
5. Female patients of child bearing potential, who are using an established method of birth control (surgically sterile, intra-uterine contraceptive device, oral contraceptives, diaphragm in combination with contraceptive cream or foam, or condom in combination with contraceptive cream or foam) may be included

9. The patient is unwilling or unable to take part in this study.
10. The patient has previously been enrolled in the study.

Exclusion Criteria

1. The patient has demonstrated a previous hypersensitivity reaction to benzimidazole or other related compound.
2. Presence of other helminths without Trichuris trichiura. Non-target species may be present and details of response will be recorded.
3. The patient has diarrhoeal disease that would interfere with the evaluation of stool samples.
4. The patient has received an anthelminthic in the 2 weeks prior to enrolment into the study.
5. The patient has received an investigational drug within 30 days or 5 half-lives (whichever is longer) of the screening visit or is scheduled to receive such a drug during the study period.
6. The patient has a concomitant infection or any other underlying disease that would compromise the diagnosis and the evaluation of the response to the study medication.
7. The patient has a known history of renal dysfunction or plasma creatinine ≥ 1.5 times upper limit of normal for age or a known history of hepatic dysfunction or liver enzymes ≥ 1.5 times upper limit of normal.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad Peruana Cayetano Heredia, Lima, Peru

UNKNOWN

Sponsor Role collaborator

Oxfendazole Development Group

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Héctor Hugo Garcia, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Oxfendazole Development Group

Central Contacts

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ellen codd, MS

Role: CONTACT

484 557 3831

Other Identifiers

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OXF2 v3.21

Identifier Type: -

Identifier Source: org_study_id

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