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TrichuriasisPhase 2IverpedNCT06184399

Efficacy, Safety and Acceptability of Ivermectin ODT in PSAC

A Phase 2 study testing Ivermectin 1.5 mg ODT, Ivermectin 3 mg Oral Tablet and Albendazole 400 mg Oral Tablet in people with Trichuriasis and Ascariasis, run by Jennifer Keiser at 1 site in Tanzania.

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

This study is a single-blind randomized controlled dose-ranging trial aiming at providing evidence on the on the optimal dose of co-administered ivermectin and albendazole in terms of efficacy, safety and acceptability in preschool-aged children (PSAC; aged 2-5 years) infected with whipworm (Trichuris trichiura) on… Read more about this study

Who is it for?
Ages 2 to 5 years
Conditions the study is for
Trichuriasis, Ascariasis, Hookworm Infections
What is being tested?
Ivermectin 1.5 mg ODT, Ivermectin 3 mg Oral Tablet and Albendazole 400 mg Oral Tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
260 participants
Where
1 siteTanzania
Study dates
5 Jun 2024to 9 Aug 2024
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 2 to 5 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • individuals aged 2-5 years (24-71 months; confirmed by birth certificate or similar document)
  • having given written informed consent signed by parents/caregivers
  • being able and willing to provide two stool samples at baseline and at follow-up assessment (14-21 days)
  • having at least two out of four Kato-Katz slides positive for T. trichiura at baseline
  • being able and willing to be examined by a study physician before and after treatment

Who cannot join

  • presence or signs of major systemic illness, e.g. fever (temporal body temperature of >38.0°C), severe anaemia (haemoglobin level of <70 g/l)
  • history of severe acute disease or unmanaged, severe chronic disease (i.e., condition is not as therapeutically controlled as necessary)
  • use of anthelminthic drugs during study period
  • known allergy to study medication (i.e., ivermectin or albendazole)
  • being prescribed or taking concomitantly medication with known contraindications or drug interactions with the study medication
  • concurrent participation in other clinical trials

Trial locations and contacts

1 site in 1 country.

Tanzania1 site
  • Public Health Laboratory Ivo de Carneri

    Chake Chake

Other trials in Tanzania

About this study

Official title: Efficacy, Safety and Acceptability of Ascending Doses of Ivermectin in Combination With Albendazole for Trichuris Trichiura Infections in Preschool-aged Children: a Single-blind Randomised Controlled Dose-ranging Trial

This study is a single-blind randomized controlled dose-ranging trial aiming at providing evidence on the on the optimal dose of co-administered ivermectin and albendazole in terms of efficacy, safety and acceptability in preschool-aged children (PSAC; aged 2-5 years) infected with whipworm (Trichuris trichiura) on Pemba Island, Tanzania. Additionally, the pharmacokinetics of the newly developed oro-dispersible tablets (ODTs) and the standard ivermectin tablets (Stromectol®) will be compared in this age group.

As measure of efficacy of the treatment the cure rate (percentage of egg-positive participants at baseline who become egg-negative after treatment) will be determined 14-21 days post-treatment.

Read the detailed description

This study is a single-blind randomized controlled dose-ranging trial aiming at providing evidence on the optimal dose of co-administered ivermectin and albendazole in terms of efficacy, safety and acceptability in preschool-aged children (PSAC; aged 2-5 years) infected with whipworm (Trichuris trichiura) on Pemba Island, Tanzania. Additionally, the pharmacokinetics of the newly developed ODTs and the standard ivermectin tablets (Stromectol®) will be compared in this age group.

The primary objective of the trial is to comparatively assess the efficacy in terms of cure rate (CR) against T. trichiura infections among PSAC receiving different doses of ivermectin.

The secondary objectives of the trial are to compare the egg reduction rates (ERRs) of the treatment regimens against T. trichiura, to determine the CRs and ERRs of the drugs in study participants co-infected with A. lumbricoides and hookworm, and to evaluate the safety and tolerability of the treatment regimens.

In addition, this study aims to characterize population pharmacokinetics of the ivermectin ODTs compared to standard tablets in T. trichiura infected individuals, and to assess the acceptability of the treatments.

After obtaining informed consent from parents and/or caregivers, the medical history of the participants will be assessed with a standardized questionnaire, in addition to a clinical examination carried out by the study physician before treatment. Enrollment will be based on two stool samples, which will be collected, if possible, on two consecutive days or otherwise within a maximum of 5 days. All stool samples will be examined with duplicated Kato-Katz thick smears by experienced laboratory technicians.

Randomization of participants into the six treatment arms will be stratified according to intensity of infection and age. All participants will be interviewed before treatment, and at 3 and 24 hours and 14-21 days after treatment about the occurrence of adverse events. The efficacy of the treatment will be determined 14-21 days post-treatment by collecting another two stool samples.

The primary analysis will include all participants with primary end point data (available case analysis). Supplementary, a per-protocol analysis will be conducted. CRs will be calculated as the percentage of egg-positive participants at baseline who become egg-negative after treatment. Differences among CRs between treatment arms will be analysed using crude and adjusted logistic regression modeling (adjustment for age, sex and weight). Geometric and arithmetic mean egg counts will be calculated for the different treatment arms before and after treatment to assess the corresponding ERRs. Bootstrap resampling method with 5,000 replicates will be used to calculate 95% confidence intervals (CIs) for differences in ERRs.Using the DoseFinding package of the statistical software environment R, Emax models will be implemented to predict the dose-response curves based on CRs and ERRs.

Adverse events will be compiled into frequency tables and compared between treatment groups using descriptive summary statistics.

Being tested
Ivermectin 1.5 mg ODT, Ivermectin 3 mg Oral Tablet, Albendazole 400 mg Oral Tablet, Placebo Ivermectin ODT
Keywords
Ivermectin, Albendazole, Anthelminthics, Trichuris trichiura, Ascaris lumbricoides, Hookworm, Whipworm, Soil-transmitted helminths
Medical subject headings
Trichuriasis, Ascariasis, Hookworm Infections, Ancylostomiasis

What participants receive

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

  • Ivermectin 1.5 mg ODTDrug

    Oro-dispersible tablets of 1.5 mg ivermectin

  • Ivermectin 3 mg Oral TabletDrug

    Also called Stromectol®

    Tablets of 3 mg ivermectin

  • Albendazole 400 mg Oral TabletDrug

    Also called Zentel®

    Tablets of 400 mg albendazole

  • Placebo Ivermectin ODTDrug

    Placebo for ivermectin ODT

Study groups in NCT06184399
Study groupRoleWhat they receive
Arm A: Ivermectin ODT Placebo & AlbendazolePlacebo comparatorPlacebo for ivermectin (oro-dispersible tablets) and albendazole (Zentel®, 1 tablet of 400 mg) administered orally at day 0
Receives: Drug: Albendazole 400 mg Oral Tablet; Drug: Placebo Ivermectin ODT
Arm B: Ivermectin ODT 100 µg/kg & AlbendazoleExperimentalCombination therapy of ivermectin (100 µg/kg using oro-dispersible tablets of 1.5 mg) and albendazole (Zentel®, 1 tablet of 400 mg) administered orally at day 0
Receives: Drug: Ivermectin 1.5 mg ODT; Drug: Albendazole 400 mg Oral Tablet
Arm C: Ivermectin ODT 200 µg/kg & AlbendazoleExperimentalCombination therapy of ivermectin (200 µg/kg using oro-dispersible tablets of 1.5 mg) and albendazole (Zentel®, 1 tablet of 400 mg) administered orally at day 0
Receives: Drug: Ivermectin 1.5 mg ODT; Drug: Albendazole 400 mg Oral Tablet
Arm D: Ivermectin ODT 300 µg/kg & AlbendazoleExperimentalCombination therapy of ivermectin (300 µg/kg using oro-dispersible tablets of 1.5 mg) and albendazole (Zentel®, 1 tablet of 400 mg) administered orally at day 0
Receives: Drug: Ivermectin 1.5 mg ODT; Drug: Albendazole 400 mg Oral Tablet
Arm E: Ivermectin ODT 400 µg/kg & AlbendazoleExperimentalCombination therapy of ivermectin (400 µg/kg using oro-dispersible tablets of 1.5 mg) and albendazole (Zentel®, 1 tablet of 400 mg) administered orally at day 0
Receives: Drug: Ivermectin 1.5 mg ODT; Drug: Albendazole 400 mg Oral Tablet
Arm F: Ivermectin standard tablets & AlbendazoleActive comparatorCombination therapy of ivermectin (Stromectol®, 200 µg/kg using tablets of 3 mg) and albendazole (Zentel®, 1 tablet of 400 mg) administered orally at day 0
Receives: Drug: Ivermectin 3 mg Oral Tablet; Drug: Albendazole 400 mg Oral Tablet

What is being measured

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

  1. Cure Rate (CR) Against T. Trichiura

    The CR will be calculated as the proportion of participants converting from being egg-positive pre-treatment to egg-negative post-treatment.

    Measured: 14-21 days post-treatment

Secondary outcomes (9)
  1. Egg Reduction Rate (ERR) Against T. Trichiura (Geometric Mean ERR)

    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. Geometric and arithmetic mean egg counts will be calculated for the two treatment arms before and after treatment to assess the corresponding ERRs.

    Measured: 14-21 days post-treatment

  2. Egg Reduction Rate (ERR) Against T. Trichiura (Arithmetic Mean ERR)

    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. Geometric and arithmetic mean egg counts will be calculated for the two treatment arms before and after treatment to assess the corresponding ERRs.

    Measured: 14-21 days post-treatment

  3. Cure Rate (CR) Against A. Lumbricoides

    The CR will be calculated as the proportion of participants converting from being egg-positive pre-treatment to egg-negative post-treatment.

    Measured: 14-21 days post-treatment

  4. Egg Reduction Rate (ERR) Against A. Lumbricoides (Geometric Mean ERR)

    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. Geometric and arithmetic mean egg counts will be calculated for the two treatment arms before and after treatment to assess the corresponding ERRs.

    Measured: 14-21 days post-treatment

  5. Egg Reduction Rate (ERR) Against A. Lumbricoides (Arithmetic Mean ERR)

    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. Geometric and arithmetic mean egg counts will be calculated for the two treatment arms before and after treatment to assess the corresponding ERRs.

    Measured: 14-21 days post-treatment

  6. Cure Rate (CR) Against Hookworm

    The CR will be calculated as the proportion of participants converting from being egg-positive pre-treatment to egg-negative post-treatment.

    Measured: 14-21 days post-treatment

  7. Egg Reduction Rate (ERR) Against Hookworm (Geometric Mean ERR)

    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. Geometric and arithmetic mean egg counts will be calculated for the two treatment arms before and after treatment to assess the corresponding ERRs.

    Measured: 14-21 days post-treatment

  8. Egg Reduction Rate (ERR) Against Hookworm (Arithmetic Mean ERR)

    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. Geometric and arithmetic mean egg counts will be calculated for the two treatment arms before and after treatment to assess the corresponding ERRs.

    Measured: 14-21 days post-treatment

  9. Number of Participants Reporting Adverse Events (AEs)

    Participants will be monitored at the site for 3 hours following treatment for any acute AEs and reassessment will be done at 24h post-treatment. In addition, participants will be interviewed 3 and 24 hours after treatment and retrospectively at days 14-21 about the occurrence of AEs.

    Measured: 3 hours, 24 hours and 14-21 days post-treatment

Timeline

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

  1. First posted28 Dec 2023
  2. Study start5 Jun 2024
  3. Primary completion9 Aug 2024
  4. Study completion9 Aug 2024

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
260 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06184399
Sponsor's protocol ID
Iverped_1
Acronym
Iverped
Status last verified
Sep 2025
First submitted
14 Dec 2023
Last updated
22 Sep 2025
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Sprecher VP, Schnoz A, Biendl S, Hussein HS, Najim SO, Ali MN, Mohammed IS, Ali SM, Hattendorf J, Keiser J. Efficacy and safety of ascending doses of orodispersible ivermectin co-administered with albendazole for Trichuris trichiura infections in preschool-aged children in Tanzania: a single-blind, randomised, controlled, dose-ranging, phase 2 trial. Lancet Infect Dis. 2026 Feb;26(2):160-169. doi: 10.1016/S1473-3099(25)00472-4. Epub 2025 Sep 17.

    PubMed 40975108

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Ivermectin 1.5 mg ODT, Ivermectin 3 mg Oral Tablet and Albendazole 400 mg Oral Tablet in people with Trichuriasis and Ascariasis, run by Jennifer Keiser at 1 site in Tanzania.

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 5 inclusion and 6 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 22 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Tanzania. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Sep 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Cure Rate (CR) Against T. Trichiura (time frame: 14-21 days post-treatment). 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 NCT06184399, 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 22 Sep 2025.

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