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HelminthiasisPhase 1NCT03173742

Bioavailability and Safety of Two Oral Fixed Dose Preparations Containing 18 mg Ivermectin (IVM 18 MG TABLETS, LICONSA S.A., Spain) Versus Reference Dosing (Weight Based) Containing 6 mg Ivermectin (REVECTINA®, Abbott Laboratórios do Brasil Ltda, Brazil)

A Phase 1 study testing T1, T2, T3, T1,T3,T2 and T2,T1,T3 in people with Helminthiasis, run by Insud Pharma.

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

Evaluation of the bioavailability and safety of one oral preparation containing fixed dose 18 mg ivermectin (IVM 18 MG TABLETS, LICONSA S.A., Spain) or two oral preparations containing fixed dose 18 mg ivermectin (IVM 36 MG TABLETS, LICONSA S.A., Spain) vs. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Helminthiasis
What is being tested?
T1, T2, T3, T1,T3,T2 and T2,T1,T3
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
54 participants
Where
No sites listed yet
Study dates
Mar 2016to Jan 2017
Phase
Phase 1
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 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Caucasian subjects of either gender (male or female) with an age between 18 and 45 years (both inclusive).
  • Medical history and physical examination with no relevant abnormal findings.
  • No evidence of significant disease (organic or psychiatric) based on medical history, physical examination and complementary tests.
  • Laboratory tests (complete hematology, clinical chemistry and urinalysis).
  • Vital signs (systolic and diastolic blood pressure, heart rate and temperature) and electrocardiogram (ECG) record within normal range at screening.
  • Participating female volunteers must use a reliable contraception method not containing hormones. List of accepted contraception method includes barrier methods (i.e. female/male condoms, diaphragms, spermicides), voluntary sterilization (female tubal occlusion) or non-medicated intrauterine devices (IUD) (i.e. inert or copper-releasing). Abstention is not considered a reliable contraception method.
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  • For female volunteers only: they must declare that they did not intend to become pregnant in the last month prior to screening and they do not intend to become pregnant during one month following the last study drug administration.
  • Voluntary participation in the study, with written informed consent from the volunteer.
  • The subject agrees to abstain from beverages or food containing methylxanthines (coffee, tea, cola, energy drinks, chocolate etc.), St John's Wort, vitamins, herbal remedies and chewing-gum for 48 hours prior to study drug administration and during each study period.
  • The subject agrees to abstain from beverages or food containing grapefruit for 14 days prior to the first study drug administration and during the study (until last sample from the last period).

Who cannot join

  • Background of allergy, idiosyncrasy or hypersensitivity to the study drugs or its excipients.
  • Heavy consumer of stimulating drinks (>5 cups of coffee, tea, chocolate or cola drinks per day).
  • Background of alcoholism or drug dependence in the last one year or daily consumption of alcohol > 40 gr/day for men or > 24 gr/day for women.
  • Use of any medication within 15 days prior to taking the study treatment, including over-the-counter medications and medicinal plants (except for the use of paracetamol in short-term symptomatic treatments).
  • Positive serology for hepatitis B, C or HIV.
  • Background or clinical evidence of cardiovascular, respiratory, renal, hepatic, endocrine, gastrointestinal, hematological or neurological disease or other chronic diseases.
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  • Smokers or ex-smokers that gave up smoking less than 1 year prior to the study (day 1 of period I)
  • Pregnancy or lactation status for female subjects.
  • Participation in another clinical trial during the 3 months before starting the current trial.
  • Donate blood in the 8 weeks prior to starting the study.
  • Undergone major surgery during the previous 6 months.
  • Clinically significant abnormal ECG with clinical significance in accordance with the CIM's clinical criterion
  • Restrictive vegetarian diet
  • Positive results to the breath alcohol test at screening or at Day -1
  • Positive results to the drug abuse checks (urine test for: amphetamines, cannabinoids, opiates, benzodiazepines and cocaine) at screening or at admission on Day -1
  • Epidemiological risk of being infected by Loa loa or other filariases, defined as those who have lived or have travelled to any of the following countries: Angola, Cameroon, Central Africa Republic, Chad, Congo, Democratic Republic of the Congo, Equatorial Guinea, Ethiopia, Gabon, Nigeria and Sudan.

About this study

Official title: Bioavailability and Safety of Two Oral Fixed Dose Preparations Containing 18 mg Ivermectin (IVM 18 MG TABLETS, LICONSA S.A., Spain) Versus Reference Dosing (Weight Based) Containing 6 mg Ivermectin (REVECTINA, Abbott Laboratórios do Brasil Ltda, Brazil)

Evaluation of the bioavailability and safety of one oral preparation containing fixed dose 18 mg ivermectin (IVM 18 MG TABLETS, LICONSA S.A., Spain) or two oral preparations containing fixed dose 18 mg ivermectin (IVM 36 MG TABLETS, LICONSA S.A., Spain) vs. reference dosing (weight based) of reference drug containing 6 mg ivermectin (REVECTINA®, Abbott Laboratórios do Brasil Ltda, Brazil) in fasting conditions. A monocentric, open, randomized, single dose, three-period crossover trial in healthy volunteers.

Conditions
Helminthiasis
Being tested
T1, T2, T3, T1,T3,T2, T2,T1,T3, T2,T3,T1, T3,T1,T2
Medical subject headings
Helminthiasis

What participants receive

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

  • T1, T2, T3Drug

    Also called Treatment 1-2-3

    T1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight.

    T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)

  • T1,T3,T2Drug

    Also called Treatment 1-3-2

    T1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight.

    T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)

  • T2,T1,T3Drug

    Also called Treatment 2-1-3

    T1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight.

    T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)

  • T2,T3,T1Drug

    Also called Treatment 2-3-1

    T1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight.

    T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)

  • T3,T1,T2Drug

    Also called Treatment 3-1-2

    T1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight.

    T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)

  • T3,T2,T1Drug

    Also called Treatment 3-2-1

    T1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight.

    T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)

Study groups in NCT03173742
Study groupRoleWhat they receive
T1, T2, T3ExperimentalT1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight. T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)
Receives: Drug: T1, T2, T3
T1, T3, T2ExperimentalT1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight. T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)
Receives: Drug: T1,T3,T2
T2,T1,T3ExperimentalT1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight. T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)
Receives: Drug: T2,T1,T3
T2,T3,T1ExperimentalT1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight. T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)
Receives: Drug: T2,T3,T1
T3,T1,T2ExperimentalT1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight. T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)
Receives: Drug: T3,T1,T2
T3,T2,T1ExperimentalT1: Ivermectin 6 mg (Revectina®) administered according to the SmPC by body weight. T2: Ivermectin 18 mg (IVM 18 mg Tablet Liconsa x 1 tablet) T3: Ivermectin 36 mg (IVM 18 mg Tablet Liconsa x 2 tablets)
Receives: Drug: T3,T2,T1

What is being measured

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

  1. Primary endpoint evaluated will be the PK parameters that define bioavailability in extent Ln [AUC0t]

    For group 3

    Measured: up to day 7

  2. Primary endpoint evaluated will be the PK parameters that define bioavailability in extent in rate: Ln [Cmax] for each treatment in healthy volunteers with high weight (Group 3), calculated by means of a non-compartmental analysis.

    For group 3

    Measured: up to day 7

Secondary outcomes (21)
  1. Relative bioavailability for each treatment and for groups 1 and 2 will be evaluated with the PK parameters that define bioavailability in extent Ln [AUC0t]

    for group 1 and 2

    Measured: up to day 7

  2. Relative bioavailability for each treatment and for groups 1 and 2 will be evaluated with the PK parameters that define bioavailability in extent in rate: Ln [Cmax]

    for group 1 and 2

    Measured: up to day 7

  3. AUC0t (for non-compartmental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  4. AUC0∞ (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  5. %AUC extra (residual area) (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  6. tmax (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  7. tlag (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  8. Cl/F (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  9. V/F (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  10. t1/2 (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  11. Ke (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  12. MRT (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  13. Cmax (for non-compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  14. tlag (for compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  15. ka (for compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: D7

  16. Cl/F(for compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  17. V/F (for compartimental analysis)

    PK profile for each treatment and each study group will be evaluated by means of a compartmental and non-compartmental analysis

    Measured: up to day 7

  18. vital signs

    To asses safety and tolerability of the treatments

    Measured: up to week 6

  19. laboratory analysis

    To asses safety and tolerability of the treatments

    Measured: up to week 6

  20. Incidence of adverse events.

    To asses safety and tolerability of the treatments

    Measured: up to week 6

  21. ECG

    To asses safety and tolerability of the treatments

    Measured: up to week 6

Timeline

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

  1. First posted2 Jun 2017
  2. Study startMar 2016
  3. Primary completionDec 2016
  4. Study completionJan 2017

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
54 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03173742
Sponsor's protocol ID
MS842-101
Other IDs
2015-005690-20, 2015
Status last verified
May 2017
First submitted
17 May 2017
Last updated
2 Jun 2017
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Munoz J, Ballester MR, Antonijoan RM, Gich I, Rodriguez M, Colli E, Gold S, Krolewiecki AJ. Safety and pharmacokinetic profile of fixed-dose ivermectin with an innovative 18mg tablet in healthy adult volunteers. PLoS Negl Trop Dis. 2018 Jan 18;12(1):e0006020. doi: 10.1371/journal.pntd.0006020. eCollection 2018 Jan.

    PubMed 29346388

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing T1, T2, T3, T1,T3,T2 and T2,T1,T3 in people with Helminthiasis, run by Insud Pharma.

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 10 inclusion and 16 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 2 Jun 2017. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Primary endpoint evaluated will be the PK parameters that define bioavailability in extent Ln [AUC0t] (time frame: up to day 7). The study lists 2 primary outcomes in all. 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 NCT03173742, which also lists 1 linked publication.

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 2 Jun 2017.

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