MedPath

Trachoma Elimination Follow-up

Phase 4
Completed
Conditions
Trachoma
Chlamydia
Registration Number
NCT00221364
Lead Sponsor
University of California, San Francisco
Brief Summary

The WHO has initiated a program to eliminate blinding trachoma by the year 2020, in large part by mass oral azithromycin distributions. It is not clear how frequently or for how long these treatments are necessary. Here we assess the frequency and duration of treatment.

Detailed Description

40 villages in the Gurage Zone of Ethiopia were randomly assigned to biannual treatment, annual treatment, and a single treatment. Each treatment consisted of a single dose of oral azithromycin to the entire population over the age of 1 year (when the study was started, azithromycin had not yet been approved for ages below 1 year). We assess the prevalence the ocular chlamydia that causes trachoma in the peak prevalence age of 1-5 years at baseline, and 2, 6, 12, 18, and 24 months post treatment. An extension of the study monitors infection at 30 and 36 months post treatment. Untreated villages from the same area are enrolled in a step-wedge design to assess the presence of a secular trend. A random sample of those not within the 1-5 year old age group are examined to assess the prevalence of infection in the entire community.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20000
Inclusion Criteria

Age 1 to 5 years old in a village in the Gurage zone with endemic trachoma

Exclusion Criteria

Refusal of village chief (for village inclusion), or refusal of parent or guardian (for individual inclusion)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
The prevalence of ocular chlamydia infection in a village as determined by PCR
Secondary Outcome Measures
NameTimeMethod
Clinical active trachoma, as determined by the WHO simplified grading system, by village

Trial Locations

Locations (1)

ORBIS-Ethiopia

🇪🇹

Addis Ababa, Ethiopia

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