Determination of a Dose of Moxidectin in Individuals < 12 Years of Age
- Conditions
- OnchocerciasisPaediatrics
- Registration Number
- PACTR201907565746388
- Lead Sponsor
- Medicines Development for Global Health
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 36
1. Aged 4 to 17 years, inclusive:
Cohort I: 12 to 17 years;
Cohort II: 8 to 11 years;
Cohort III: 4 to 7 years;
2. Live in a region designated by the World Health Organization (WHO) as endemic for O. volvulus infection (World Health Organization, 2017). Specifically, participants will be recruited from the Kpassa sub-district of the Nkwanta North district.The specific communities will include Wii, Jagri-Do, and Azua where mass drug administration with ivermectin for onchocerciasis commenced in October 2017;
3. Willing and able to remain at the study clinic from Screening up to Day 7;
4. Provision of parental or guardian written informed consent and assent as appropriate;
5. Females of childbearing potential must commit to using a reliable method of contraception as per local family planning guidelines from Screening until 6 months after treatment with study drug.
1. History of serious medical or psychiatric condition which, in the opinion of the investigator, would put the subject at increased risk by participating in the study or jeopardize study outcomes;
2. Known or suspected concurrent clinically significant renal, cardiac, pulmonary, vascular, metabolic (thyroid disorders, adrenal disease), immunological disorders or malignancy, congenital heart disease, chronic lung disease
3. Has received an investigational product within 28 days or 5 half-lives of Screening, whichever is longer;
4. Has received ivermectin or any other anti-helminthic treatments within 28 days of Screening;
5. Has received a vaccination within 7 days of Screening;
6. Known or suspected hypersensitivity to macrocyclic lactones or excipients used in the formulation of moxidectin;
7. Poor venous access;
8. Unable to swallow tablets;
9. Weight:
Cohort I (12 to 17 years): < 30 kg
Cohort II (8 to 11 years): < 18 kg
Cohort III (4 to 7 years): < 12 kg
10. Clinically relevant laboratory abnormalities at Screening, including:
Hemoglobin < 9.5 grams per deciliter (g/dL)
Neutrophil (granulocyte) count < 1.5 x 109/L
Platelet count < 110 x 109/L
Alanine aminotransferase (ALT) > 1.5 times the upper limit of normal
range (ULN)
Total bilirubin > 1.5 times ULN
11. Hepatitis B, Hepatitis C, or human immunodeficiency virus (HIV) positive
12. Known or suspected malaria or other ongoing viral, bacterial, or plasmodium infection at Screening and/or Baseline;
13. Loa loa co-infection;
14. Unwilling, unlikely or unable to comply with all protocol specified assessments.
15. For females of child bearing potential, pregnant or breastfeeding, or planning to become pregnant
16. Previous enrolment in this study
17. Is a sibling of another child already enrolled in this study
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Area under the plasma concentration versus time curve of moxidectin - Moxidectin concentration in plasma collected at pre-specified intervals after dosing with oral moxidectin determined using a validated liquid chromatography-mass spectrometry(MS)/MS method.
- Secondary Outcome Measures
Name Time Method Area under the concentration versus time curve (zero to infinity) of moxidectin - Moxidectin concentration in plasma collected at pre-specified intervals after dosing with oral moxidectin determined using a validated liquid chromatography-mass spectrometry(MS)/MS method.<br>;Maximum observed plasma concentrations (Cmax) of moxidectin - Moxidectin concentration in plasma collected at pre-specified intervals after dosing with oral moxidectin determined using a validated liquid chromatography-mass spectrometry(MS)/MS method.;Incidence and severity of adverse events, assessed by the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Paediatric Adverse Events, Version 2.1.