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Lymphatic FilariasisPhase 4NCT02784743

Impact of Albendazole -Ivermectin on Wuchereria Bancrofti in Mali

A Phase 4 study testing ''albendazole'' and ''ivermectin'' in people with Lymphatic Filariasis, run by Centre d'Appui à la lutte contre la Maladie.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Lymphatic filariasis is a public health problem in Mali. The existing data are not up to date and most of them are more than 15 years old. To address this issue in April 2000, the investigators started studies to update the epidemiology of lymphatic filariasis. Read more about this study

Who is it for?
Ages 5 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Lymphatic Filariasis
What is being tested?
''albendazole'' and ''ivermectin''
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,139 participants
Where
No sites listed yet
Study dates
May 2001to Apr 2015
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • resident of the 6 villages
  • 5 years and above

Who cannot join

  • pregnant women
  • breastfeeding women

About this study

Official title: Impact of Albendazole -Ivermectin Combination Treatment on Wuchereria Bancrofti Infection and Transmission in Mali

Lymphatic filariasis is a public health problem in Mali. The existing data are not up to date and most of them are more than 15 years old. To address this issue in April 2000, the investigators started studies to update the epidemiology of lymphatic filariasis. There is no ongoing lymphatic filariasis control program in 2000 in Mali in terms of preventive chemotherapy treatment or vector control.

To fill these gaps, this current study aims to assess the impact of albendazole-ivermectin combination treatment on Wuchereria bancrofti infection and transmission in 6 rural highly endemic villages of Mali.

Read the detailed description

Lymphatic filariasis is a public health problem in Mali. The existing data are not up to date and most of them are more than 15 years old. To address this issue in April 2000, the investigators started studies to update the epidemiology of lymphatic filariasis. As a result, in two rural areas (Banambani and Sirakoro) located at about 25 km North-East Bamako, the parasite prevalence using ICT cards in August 2000 were 16% (n=150) and 15.0% (n=113) respectively in Banambani and Sirakoro. There is no ongoing lymphatic filariasis control program in 2000 in Mali in terms of preventive chemotherapy treatment or vector control.

To fill these gaps, this current study aims to assess the impact of albendazole-ivermectin combination treatment on Wuchereria bancrofti infection and transmission in 6 rural highly endemic villages of Mali.

The study will be conducted in three phases: the pre treatment assessment of lymphatic filariasis infection and transmission parameters, treatment phase with annual single dose of albendazole and ivermectin and the post treatment assessment of Anopheles gambiae s.l mosquitoes, the transmission parameters of the vectors in the community, human infection prevalence post treatment using Giemsa -stained thick smears and others test like the Immuno chromatographic test (ICT).

Being tested
''albendazole'' and ''ivermectin''
Keywords
Wuchereria bancrofti, Anopheles, Albendazole, Ivermectin, MDA
Medical subject headings
Elephantiasis, Filarial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ''albendazole'' and ''ivermectin''Drug

    Also called Zentel and Mectizan

    annual single dose administration of albendazole 400mg and ivermectin 150ug/kg of weight (according to the height)

Study groups in NCT02784743
Study groupRoleWhat they receive
albendazole and ivermectinExperimentalBefore and after design with all eligible volunteers receiving the study drugs. Administration of a yearly unique dose of albendazole 400mg and ivermectin 150ug/kg weight ( according to the height).
Receives: Drug: ''albendazole'' and ''ivermectin''

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. vector infection and infectivity rates

    vectors are collected with human landing catch technique and the presence of Wb larvae stage s assessed using dissection method

    Measured: up to 7 months

Secondary outcomes (2)
  1. Post MDA adverses events related to the drug albendazo and ivermectin

    after the administration of the drug the investigators assess the reaction to the treatment

    Measured: up to 12 months

  2. impact of albendazole ivermectin treatment on microfilaremia

    night thick smears on eligible volunteers 5 years and above

    Measured: up to 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 May 2016 (estimated)
  2. Study startMay 2001
  3. Primary completionDec 2008
  4. Study completionApr 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
1,139 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02784743
Sponsor's protocol ID
OMS/TDR ID# A00563
Status last verified
May 2016
First submitted
29 Apr 2015
Last updated
27 May 2016
Results posted
No
Data monitoring committee
No

Publications

  • Coulibaly YI, Dembele B, Diallo AA, Konate S, Dolo H, Coulibaly SY, Doumbia SS, Soumaoro L, Coulibaly ME, Bockarie MJ, Molyneux D, Nutman TB, Klion AD, Toure YT, Traore SF. The Impact of Six Annual Rounds of Mass Drug Administration on Wuchereria bancrofti Infections in Humans and in Mosquitoes in Mali. Am J Trop Med Hyg. 2015 Aug;93(2):356-60. doi: 10.4269/ajtmh.14-0516. Epub 2015 Jun 1.

    PubMed 26033027
  • Coulibaly YI, Dembele B, Diallo AA, Kristensen S, Konate S, Dolo H, Dicko I, Sangare MB, Keita F, Boatin BA, Traore AK, Nutman TB, Klion AD, Toure YT, Traore SF. Wuchereria bancrofti transmission pattern in southern Mali prior to and following the institution of mass drug administration. Parasit Vectors. 2013 Aug 28;6(1):247. doi: 10.1186/1756-3305-6-247.

    PubMed 23981378

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing ''albendazole'' and ''ivermectin'' in people with Lymphatic Filariasis, run by Centre d'Appui à la lutte contre la Maladie.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 May 2016. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

vector infection and infectivity rates (time frame: up to 7 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02784743, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 May 2016.

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