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Efficacy and Safety of Emodepside in Adolescents and Adults Infected With Hookworm

Phase 2
Completed
Conditions
Hookworm Infections
Interventions
Registration Number
NCT05538767
Lead Sponsor
Jennifer Keiser
Brief Summary

To compare the efficacy and safety of emodepside to that of albendazole (Zentel®) in participants aged 12-60, inclusive, infected with hookworm.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
320
Inclusion Criteria
  • Male or female adults aged between 12 and 60 years;
  • Written and signed informed consent;
  • Was examined by a study physician before treatment;
  • Provided two stool samples at baseline;
  • Hookworm EPG > 48 and at least two Kato-Katz thick smears slides with more than one hookworm eggs.
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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.
  • Participated in stage I trials of this protocol
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Emodepside 30 mgEmodepside-
Albendazole 400 mgAlbendazole 400mg-
Primary Outcome Measures
NameTimeMethod
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
Infection status and intensity assessed for at baseline and 14-21 days post-treatment by FECPAK-G2.At baseline and 14-21 days post-treatment
Geometric Mean Egg Reduction Rate (ERR) of the emodepside against 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).

CR of emodepside against Trichuris trichiura and Ascaris lumbricoidesIn the week between 14 and 21 days post-treatment

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

ERR of the emodepside against Trichuris trichiura and Ascaris lumbricoides.In the week between 14 and 21 days post-treatment

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 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, Pemba, Tanzania

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