Albendazole Plus High Dose Ivermectin for Trichuriasis in Pediatric Patients
NCT ID: NCT04041453
Last Updated: 2020-07-29
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2
176 participants
INTERVENTIONAL
2019-10-09
2020-03-07
Brief Summary
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As is the case in most Latin America, STH are a public health problem in Honduras. The World Health Organization (WHO) informs that more than 2.5 million children (under 15 years of age) in the country are at risk of infection. To control these infections Honduras has established a national deworming program that operates since 2001 but despite these efforts, the prevalence of STH infections remains unacceptably high. This is especially true in rural communities where prevalence can be as high as 70% of the children population.
Ivermectin (IVM) in combination with albendazole (ALB) has demonstrated the capacity to improve efficacy compared to any of these drugs in monotherapy; the efficacy is however, still inadequate in terms of cure rate, although egg reduction rates are significant.
The purpose of the current trial is to assess the safety and efficacy of 3 experimental regimens for the treatment of infections by Trichuris trichiura in children in comparison with the current standard of practice in Mass Drug Administration (MDA) campaigns. The experimental regimens will explore the effect of multiple day regimens and high dose ivermectin.
Treatment arms:
* Group 1: single dose of ALB 400 mg. (active control arm). N:39
* Group 2: single dose ALB 400mg + IVM 600µg/Kg. N: 57
* Group 3: daily dose ALB 400mg for 3 consecutive days. N:24
* Group 4: daily dose ALB 400mg + IVM 600µg for 3 consecutive days. N:57
Total Study Population: 177
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Albendazole 400mg
Albendazole 400mg in single dose
Albendazole
Albendazole will be provided as an active control or in experimental arms for 1 or 3 days with ivermectin.
Albendazole/Ivermectin
Combination of albendazole 400mg + ivermectin 600mcg/kg in single dose.
Ivermectin
Ivermectin at 600mcg/kg in addition to albendazole will be provided for 1 or 3 days.
Albendazole
Albendazole will be provided as an active control or in experimental arms for 1 or 3 days with ivermectin.
Albendazole 400mg x 3
Albendazole 400mg/day for 3 consecutive days
Albendazole
Albendazole will be provided as an active control or in experimental arms for 1 or 3 days with ivermectin.
Albendazole/Ivermectin x 3
Combination of albendazole 400mg/day + ivermectin 600mcg/kg/day for 3 consecutive days
Ivermectin
Ivermectin at 600mcg/kg in addition to albendazole will be provided for 1 or 3 days.
Albendazole
Albendazole will be provided as an active control or in experimental arms for 1 or 3 days with ivermectin.
Interventions
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Ivermectin
Ivermectin at 600mcg/kg in addition to albendazole will be provided for 1 or 3 days.
Albendazole
Albendazole will be provided as an active control or in experimental arms for 1 or 3 days with ivermectin.
Eligibility Criteria
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Inclusion Criteria
* Body weight \>15kg.
* Accepts participation
Exclusion Criteria
* Allergy to the study drugs
* Acute medical conditions
* Clinical trial participation in the previous 3 months.
* Pregnancy.
2 Years
14 Years
ALL
No
Sponsors
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Brock University
OTHER
Universidad Nacional del Centro de la Provincia de Buenos Aires
OTHER
Universidad Nacional Autonoma de Honduras
OTHER
Alejandro Krolewiecki
OTHER
Responsible Party
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Alejandro Krolewiecki
Investigador CIC CONICET
Principal Investigators
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Alejandro J Krolewiecki, MD, PhD
Role: STUDY_DIRECTOR
IIET - Universidad Nacional de Salta
Locations
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IIET
Orán, Salta Province, Argentina
Universidad Autónoma de Honduras
Tegucigalpa, , Honduras
Countries
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References
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Matamoros G, Sanchez A, Cimino R, Krolewiecki A, Mejia R. A comparison of the diagnostic capability of Kato-Katz and real-time PCR for the assessment of treatment efficacy of ivermectin and albendazole combination against T. trichiura infections. PLoS Negl Trop Dis. 2024 Nov 19;18(11):e0012677. doi: 10.1371/journal.pntd.0012677. eCollection 2024 Nov.
Matamoros G, Sanchez A, Gabrie JA, Juarez M, Ceballos L, Escalada A, Rodriguez C, Marti-Soler H, Rueda MM, Canales M, Lanusse C, Cajal P, Alvarez L, Cimino RO, Krolewiecki A. Efficacy and Safety of Albendazole and High-Dose Ivermectin Coadministration in School-Aged Children Infected With Trichuris trichiura in Honduras: A Randomized Controlled Trial. Clin Infect Dis. 2021 Oct 5;73(7):1203-1210. doi: 10.1093/cid/ciab365.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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01-2019
Identifier Type: -
Identifier Source: org_study_id
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