PK PD Study of IDA and Azithromycin for NTDs ( ComboNTDs )

NCT ID: NCT03664063

Last Updated: 2019-02-28

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

PHASE2

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-01

Study Completion Date

2019-01-01

Brief Summary

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This is a Pharmacokinetic and Pharmacodynamic study evaluating the safety of co-administering Azithromycin alongside the new IDA (Ivermectin, Diethylcarbamazine, Albendazole) combination treatment for LF. Individuals will be randomised to receive Azithromycin alone, IDA or combination therapy. Clinical and biochemical monitoring for safety will be undertaken. Drug levels will be measured in each of the three arms to assess whether combination therapy significantly alters drug levels.

Detailed Description

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Conditions

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Lymphatic Filariasis Yaws Trauma

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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Azithromycin for Yaws

Patients will receive standard treatment for yaws alone

Group Type ACTIVE_COMPARATOR

Azithromycin

Intervention Type DRUG

Treatment with Azithromycin single dose - weight based dosing max 2gm

IDA for Lymphatic Filariasis

Patients will receive standard IDA (Ivermectin \& Diethylcarbamazine \& Albendazole) treatment for Lymphatic Filariasis alone

Group Type ACTIVE_COMPARATOR

Albendazole

Intervention Type DRUG

Single dose of Albendazole weight based dosing

\- 400mg

Ivermectin

Intervention Type DRUG

Ivermectin weight based dosing - max 21mg

Diethylcarbamazine

Intervention Type DRUG

Diethylcarbamazine weight based dosing - max 500mg

Combination Therapy of Azithromycin for Yaws and IDA for LF

Patients will receive combination therapy for both yaws and IDA for Lymphatic Filariasis at the same time.

Group Type EXPERIMENTAL

Azithromycin

Intervention Type DRUG

Treatment with Azithromycin single dose - weight based dosing max 2gm

Albendazole

Intervention Type DRUG

Single dose of Albendazole weight based dosing

\- 400mg

Ivermectin

Intervention Type DRUG

Ivermectin weight based dosing - max 21mg

Diethylcarbamazine

Intervention Type DRUG

Diethylcarbamazine weight based dosing - max 500mg

Interventions

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Azithromycin

Treatment with Azithromycin single dose - weight based dosing max 2gm

Intervention Type DRUG

Albendazole

Single dose of Albendazole weight based dosing

\- 400mg

Intervention Type DRUG

Ivermectin

Ivermectin weight based dosing - max 21mg

Intervention Type DRUG

Diethylcarbamazine

Diethylcarbamazine weight based dosing - max 500mg

Intervention Type DRUG

Other Intervention Names

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IDA IDA IDA

Eligibility Criteria

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Inclusion Criteria

* Adult aged 18-65
* Able to give informed consent

Exclusion Criteria

* Known chronic illness
* Hb \<7 at baseline
* Liver function or Creatinine \* 1.5 Upper Limit of Normal
* Urinary tract infection at baseline
* Pregnancy (female participants only)
* Routine medications which interact with study drugs
* Lactose/Gluten intolerance
* Permanent disability impeding study participation
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Lihir Medical Centre

OTHER

Sponsor Role lead

Responsible Party

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Oriol Mitja

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Lihir Medical Centre

Londolovit, New Ireland Province, Papua New Guinea

Site Status

Countries

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Papua New Guinea

References

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Alshehri A, Chhonker YS, Bala V, Edi C, Bjerum CM, Koudou BG, John LN, Mitja O, Marks M, King CL, Murry DJ. Population pharmacokinetic model of ivermectin in mass drug administration against lymphatic filariasis. PLoS Negl Trop Dis. 2023 Jun 1;17(6):e0011319. doi: 10.1371/journal.pntd.0011319. eCollection 2023 Jun.

Reference Type DERIVED
PMID: 37262040 (View on PubMed)

John LN, Bjerum C, Martinez PM, Likia R, Silus L, Wali C, Elizah A, Chhonker YS, Bala V, King CL, Murry DJ, Mitja O, Marks M. Pharmacokinetic and safety study of co-administration of albendazole, diethylcarbamazine, Ivermectin and azithromycin for the integrated treatment of Neglected Tropical Diseases. Clin Infect Dis. 2020 Aug 20:ciaa1202. doi: 10.1093/cid/ciaa1202. Online ahead of print.

Reference Type DERIVED
PMID: 32818264 (View on PubMed)

Other Identifiers

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ComboNTDs-PK

Identifier Type: -

Identifier Source: org_study_id