A Randomised, Single-Blinded Phase II Trial to Assess the Efficacy, Safety and Acceptability of Oxantel Pamoate in Comparison to Mebendazole for Trichuris Trichiura Infections in Children Aged 2-12 Years
Overview
- Phase
- Phase 2
- Intervention
- Oxantel Pamoate
- Conditions
- Trichuris Trichiura; Infection
- Sponsor
- Jennifer Keiser
- Enrollment
- 163
- Locations
- 1
- Primary Endpoint
- Cure rate (CR) of oxantel pamoate single dose compared to mebendazole T. trichiura
- Status
- Completed
- Last Updated
- 10 months ago
Overview
Brief Summary
This study aims to provide evidence on the efficacy, safety and acceptability of the new, chewable formulation of oxantel pamoate administered as a single dose or multiple doses, compared to mebendazole in children infected with T. trichiura. This study will involve children aged 2-12 years, since an infection with T. trichiura occurs often in children.
Investigators
Jennifer Keiser
Prof. Dr.
Swiss Tropical & Public Health Institute
Eligibility Criteria
Inclusion Criteria
- •Aged between 2 and 12 years.
- •Written informed consent signed by parents/caregivers (signature or thumbprint) and, for children aged 6-12 years, written assent from the child.
- •Agree to comply with study procedures, including provision of two stool samples at the baseline and at follow-up assessment 14-21 days after treatment, respectively.
- •At least two out of four Kato-Katz thick smears positive for T. trichiura at baseline.
- •Willing to be examined by a study physician prior to treatment.
Exclusion Criteria
- •Presence or signs of major systemic illness or abnormal physical findings at screening, e.g. severe anaemia (Hb level \<80 g/L according to WHO) upon initial clinical assessment.
- •Known allergy to study medication (i.e. oxantel pamoate, mebendazole or any of the excipients).
- •Use of anthelminthic drugs within 4 weeks before or during study period.
- •Being prescribed or taking concomitantly medication with known contraindication or drug interactions with the study medication.
- •Actively participating in other clinical trials during the study.
- •Pregnancy (female participants that report to have reached menarche
Arms & Interventions
Oxantel Single Dose
Treatment with oxantel pamoate (20 mg/kg), orally administered on day 0
Intervention: Oxantel Pamoate
Oxantel Multiple Dose
Treatment with oxantel pamoate (20 mg/kg), orally administered on each of day 0, 1 and 2
Intervention: Oxantel Pamoate
Mebendazole Single Dose
Mebendazole (500mg), orally administered on day 0
Intervention: Mebendazole
Outcomes
Primary Outcomes
Cure rate (CR) of oxantel pamoate single dose compared to mebendazole T. trichiura
Time Frame: 14-21 days after treatment
CR will be calculated as the percentage of Trichuris trichiura egg-positive participants at baseline who become egg-negative after treatment.
Secondary Outcomes
- Egg reduction rate (ERR) of oxantel pamoate single dose compared to mebendazole against T. trichiura(14-21 days after treatment)
- Cure rate (CR) and egg reduction rate (ERR) of oxantel pamoate multiple doses compared to oxantel single dose against T. trichiura(14-21 days after treatment)
- Cure rate (CR) and egg reduction rate (ERR) of oxantel pamoate multiple doses compared to mebendazole against T. trichiura(14-21 days after treatment)
- Cure rates (CRs) and egg reduction rates (ERRs) of oxantel pamoate compared to mebendazole against Ascaris lumbricoides and hookworm infections in co-infected participants(14-21 days after treatment)
- Number of adverse events (AE) to assess safety and tolerability of oxantel pamoate administered as a single dose or as multiple doses, and compared with mebendazole(3 hours, 24 hours (and 48 and 72h for the multiple dose treatment arm) and 14-21 days after treatment)