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Efficacy and Safety of Emodepside in Adults Infected With Trichuris Trichiura and Hookworm

Phase 2
Completed
Conditions
Hookworm Infections
Trichuris Trichiura; Infection
Interventions
Registration Number
NCT05017194
Lead Sponsor
Jennifer Keiser
Brief Summary

The rationale of the study is to provide evidence on the efficacy and safety of Emodepside in adults infected with Trichuris trichiura and hookworm.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
442
Inclusion Criteria
  • Male or female adults aged between 18 and 45 years
  • Written and signed informed consent
  • Examined by a study physician before treatment
  • Provided two stool samples at baseline
  • Trichuris trichiura and hookworm EPG ≥ 48 and at least two Kato-Katz thick smears slides with more than one Trichuris trichiura and hookworm eggs
Exclusion Criteria
  • Pregnant or lactating and/or planning to become pregnant within three months after drug treatment
  • Type 1 and/or 2 diabetes
  • Psychiatric disorders
  • History of ophthalmological conditions
  • Presence or history of major systemic or chronic illnesses, as assessed by a medical doctor, during initial clinical assessment
  • Suffers from severe anaemia (Hb < 80 g/l)
  • Received anthelminthic treatment within past four weeks
  • Attending other clinical trials during the study
  • Received strong CYP3A4 inducers or inhibitors as well as concomitant treatments that are relevant substrate for CYP3A4 such as clarithromycin, erythromycin and rifampicin
  • Received strong P-gp inhibitors as well as concomitant treatments that are relevant substrates for P-gp such as clotrimazole and ritonavir

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AlbendazoleEmodepside-
Emodepside 15 mgEmodepside-
Emodepside 5 mgEmodepside-
Emodepside 10 mgEmodepside-
Emodepside 20 mgEmodepside-
Emodepside 25 mgEmodepside-
Emodepside 30 mgEmodepside-
PlaceboEmodepside-
Primary Outcome Measures
NameTimeMethod
Cure rate (CR) of emodepside against Trichuris trichiuraIn the week between 14 and 21 days post-treatment

CR will be calculated as the percentage of Trichuris trichiura egg-positive participants at baseline who become egg-negative after treatment.

Cure rate (CR) of emodepside against hookwormIn the week between 14 and 21 days post-treatment

CR will be calculated as the percentage of hookworm egg-positive participants at baseline who become egg-negative after treatment.

Secondary Outcome Measures
NameTimeMethod
CR against Ascaris lumbricoidesIn the week between 14 and 21 days post-treatment

CR will be calculated as the percentage of Ascaris lumbricoides egg-positive participants at baseline who become egg-negative after treatment.

ERR against Ascaris lumbricoidesIn the week between 14 and 21 days post-treatment

Eggs per gram of stool (EPG) will be assessed by adding up the egg counts from the quadruplicate Kato-Katz thick smears and multiplying this number by a factor of six. The egg reduction rate (ERR) is calculated as follows: ERR = (1-(geometric mean EPG at follow-up/geometric mean EPG at baseline))\*100). Note: in contrast to the publication the "outcome measure" entry mask requires the complementary percentage: (geometric mean at follow-up/geometric mean at baseline)\*100).

Geometric Mean Egg Reduction Rate (ERR) of the emodepside against Trichuris trichiura and hookworm.In the week between 14 and 21 days post-treatment

Eggs per gram of stool (EPG) will be assessed by adding up the egg counts from the quadruplicate Kato-Katz thick smears and multiplying this number by a factor of six. The egg reduction rate (ERR) is calculated as follows: ERR = (1-(geometric mean EPG at follow-up/geometric mean EPG at baseline))\*100). Note: in contrast to the publication the "outcome measure" entry mask requires the complementary percentage: (geometric mean at follow-up/geometric mean at baseline)\*100).

Trial Locations

Locations (1)

Public Health Laboratory - Ivo de Carneri

🇹🇿

Chake Chake, Tanzania

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