Co-administration of IVM and ALB in School-based Deworming in Uganda

NCT ID: NCT06497075

Last Updated: 2024-12-20

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

Total Enrollment

8767 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-01

Study Completion Date

2024-10-19

Brief Summary

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The goal of this small-scale implementation research pilot study is to assess the feasibility and acceptability of the co-administration of ivermectin (IVM) and albendazole (ALB) compared to albendazole alone during school-based mass drug administration in Uganda. The study will target up to 10,000 school-aged children from 20 schools in Kabale and Kisoro districts in South-Western Uganda.

The main questions it aims to answer are:

* How feasible is the introduction of co-administered IVM plus ALB in the routine school-based deworming campaign in terms of training, material and processes?
* How well do beneficiary communities (pupils, parents) and implementers (teachers, health workers) accept the new treatment scheme and what are potential barriers and enablers for uptake?
* What are common implementation-related costs that can inform the methodology to estimate monetary and non-monetary costs as well as performance of the two treatment arms for the future cost-effectiveness analysis?

The study employs a cross-sectional mixed-method design (we will collect qualitative and quantitative data) to evaluate the feasibility and acceptability of co-administering IVM and ALB versus ALB alone in routine school-based mass drug administration. Assessments will take place during and after the drug distribution to document the implementation process and evaluate experiences made by the different stakeholders (e.g. children, parents, teachers, health workers):

* The implementation activities start with a training of all implementers at district level who will also undergo a pre- and post-training knowledge assessment.
* Schoolchildren aged 5-14 years will receive a single dose of ALB alone or co-administered ALb (400mg) and IVM (200µg/kg; as determined by height category on a dose pole) by health workers at school. 1-2 weeks post-distribution a subsample of 19 children per school will be invited to answer to questionnaires administered by social science researchers.
* Implementers will administer the treatments and document all distribution-related aspects during the campaign under supervision of the routine staff. Researchers will conduct additional monitoring and evaluation in order to assure data quality and provide support in performance assessment and cost evaluation.
* Beneficiaries (parents) and implementers will be asked to take part in focus group discussions and questionnaire interviews one week after the drug distribution.

Detailed Description

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Conditions

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Helminthiasis Intestinal Worms

Keywords

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soil-transmitted helminths ivermectin deworming albendazole

Study Design

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Observational Model Type

ECOLOGIC_OR_COMMUNITY

Study Time Perspective

PROSPECTIVE

Study Groups

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Albendazole only

Schoolchildren aged 5-14 years of 10 schools randomized to receive the standard deworming treatment of a single dose of albendazole 400mg.

Albendazole 400mg

Intervention Type DRUG

Single oral dose of Albendazole 400mg tablet

Ivermectin and albendazole

Schoolchildren aged 5-14 years of 10 schools randomized to receive the combination treatment of a single dose of ivermectin 200ug/kg (according to height category using a dose-pole) plus albendazole 400mg.

Albendazole 400mg

Intervention Type DRUG

Single oral dose of Albendazole 400mg tablet

Ivermectin 3 MG

Intervention Type DRUG

Generic ivermectin 3mg tablets given as a single oral dose of 200ug/kg using a dose-pole (height categories: 90-119 cm: 1 tablet , 120-140 cm: 2 tablets, 141-158 cm: 3 tablets or \> 158 cm: 4 tablets)

Interventions

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Albendazole 400mg

Single oral dose of Albendazole 400mg tablet

Intervention Type DRUG

Ivermectin 3 MG

Generic ivermectin 3mg tablets given as a single oral dose of 200ug/kg using a dose-pole (height categories: 90-119 cm: 1 tablet , 120-140 cm: 2 tablets, 141-158 cm: 3 tablets or \> 158 cm: 4 tablets)

Intervention Type DRUG

Other Intervention Names

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Zentel Mectizan Stromectol

Eligibility Criteria

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Inclusion Criteria

* School-aged children (5-14 years) of the selected schools
* Written informed consent from the participant's parents/caretakers and assent (for children aged 8 years and older) from the participant him/herself or written informed consent from the school teacher (for children attending schools receiving routine albendazole deworming)
* No signs of major acute or chronic illness
* No known allergy to study medication (i.e. benzimidazoles or ivermectin)
Minimum Eligible Age

5 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Vector Borne & Neglected Tropical Disease Control Division, Ministry of Health, Uganda

UNKNOWN

Sponsor Role collaborator

Makerere University

OTHER

Sponsor Role collaborator

Jennifer Keiser

OTHER

Sponsor Role lead

Responsible Party

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Jennifer Keiser

Prof. Dr.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jennifer Keiser, Prof.

Role: PRINCIPAL_INVESTIGATOR

Swiss Tropical & Public Health Institute

Locations

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Makerere University, College of Humanities and Social Sciences

Kampala, , Uganda

Site Status

Vector Borne & Neglected Tropical Disease Control Division, Ministry of Health

Kampala, , Uganda

Site Status

Countries

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Uganda

Other Identifiers

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2283p

Identifier Type: -

Identifier Source: org_study_id