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A Safety and Efficacy Study of Different Doses of Oxfendazole Compared to a Single Dose of Albendazole to Treat Trichuris Trichiura Infection in Adults

Primary Purpose

Trichuriasis

Status
Not yet recruiting
Phase
Phase 2
Locations
Peru
Study Type
Interventional
Intervention
Albendazole
Oxfendazole
Sponsored by
Asociacion Benefica Prisma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Trichuriasis focused on measuring Adults, Albendazole, Comparative Study, Efficacy, Oxfendazole, Phase 2, Trichuris trichiura

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female aged 18-65 years, inclusive.
  2. Are willing to participate in this trial, as evidenced by written or witnessed oral informed consent.
  3. T. trichiura* is demonstrated in a stool sample obtained within 14 days before randomization and enrollment.

    *The presence of A. lumbricoides, N. americanus, A. duodenalis, or other helminths will not be a cause for exclusion.

  4. Are willing to comply with the requirements of this protocol, particularly to provide four stool samples and two blood samples* over approximately 4- 6 weeks.

    *An extra stool or blood sample might be required if the samples are not collected within the appropriate time frame or to follow up on abnormal laboratory tests.

  5. Females of reproductive potential must have a negative serum pregnancy test within 10 days or a negative urine pregnancy test within 72 hours of the first study drug administration.*

    *If a woman of child bearing potential is on an injectable form of contraception, a single serum pregnancy test at screening (Days -10 to -3) is acceptable. If the woman is not using an injectable form of contraception, a pregnancy test must be negative within 72 hours of the first study drug administration.

  6. Female subjects of childbearing potential must be using effective contraception.* *Effective methods of contraception include: abstinence from sexual intercourse, monogamous relationship with a vasectomized partner, male condoms with spermicide, surgical sterility, intrauterine contraceptive device, oral or injectable contraceptives, diaphragm in combination with contraceptive cream or foam. Females aged >/=50 years who have had no menstrual periods for 1 year may be enrolled. Females must agree to continue effective contraception for approximately 28 days following the last study drug administration.

Exclusion Criteria:

  1. Has demonstrated a previous hypersensitivity reaction to oxfendazole or a related compound (e.g. albendazole, mebendazole).
  2. Has a diarrheal disease that would interfere with the evaluation of stool samples*.

    * More than 6 stools per day or stools that are completely liquid.

  3. Has received an antihelminthic within 14 days before enrolment.
  4. Has received an investigational drug within 30 days before the screening visit or is scheduled to receive such a drug during this trial.
  5. Has a concomitant infection or another underlying disease that would compromise the safety, diagnosis, and evaluation of responses to the study drug.
  6. Has a known history of renal dysfunction or plasma creatinine >/=1.5 times the upper limit of normal (ULN) for age.
  7. Has a known history of hepatic dysfunction or AST, ALT, total bilirubin >/=1.5 times the ULN.
  8. Has a hemoglobin that is less than 8 g/dL.
  9. Is a female who is pregnant, lactating, or planning a pregnancy during this trial (up to days 28 after the last scheduled dose).
  10. Has previously been enrolled in this trial.
  11. Has any condition that would, in the investigator's opinion, interfere with this trial.

Sites / Locations

  • Policlinico Asociacion Benefica PRISMA-Laboratorio Satelite IQTLAB

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Group A

Group B

Group C

Arm Description

400 mg (4 capsules of 100 mg) of Oxfendazole administered orally as a single dose on Day 1. N=83.

800 mg (8 capsules of 100 mg) of Oxfendazole administered orally as a single dose on Day 1. N=83.

400 mg (1 tablet of 400 mg) of Albendazole administered orally as a single dose on Day 1. N=83.

Outcomes

Primary Outcome Measures

Number of infection cures (Clinical Cure) as shown by absence of Trichuris trichiura eggs using the Kato-Katz stool examination method
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).

Secondary Outcome Measures

Change from baseline in eggs per gram of stool for helminths other than Trichuris trichiura using the Kato Katz examination method
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Change from baseline in eggs per gram of stool for helminths other than Trichuris trichiura using the stool concentration examination method
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Change from baseline in eggs per gram of stool using the Kato-Katz stool examination method
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Change from baseline in eggs per gram of stool using the stool concentration method
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Egg reduction rate, relative to egg counts at baseline, measured using the Kato-Katz stool examination method
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from egg counts (eggs per gram) from two stool samples (each evaluated in duplicate).
Egg reduction rate, relative to egg counts at baseline, using the stool concentration method
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from egg counts (eggs per gram) from two stool samples (each evaluated in duplicate).
Number of infection cures (Clinical Cure) as shown by absence of Trichuris trichiura eggs using the stool concentration method
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Proportion of abnormal laboratory tests
As measured in each oxfendazole dose group compared to the albendazole dose group. Abnormal laboratory tests include hemoglobin (Hgb), white blood cells (WBC), neutrophil and eosinophil counts, platelet counts, aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, alkaline phosphatase, and creatinine.
Proportion of solicited clinical reactogenicity events
As measured in each oxfendazole dose group compared to the albendazole dose group. Solicited clinical reactogenicity events including nausea, vomiting, abdominal pain, diarrhea, and anorexia.
Proportion of subjects in each dose group with moderate or heavy infection who had no infection or only light infection after treatment based on WHO classes of intensity, measured using the Kato-Katz tool examination method
According to WHO thresholds, infections of 1-999 eggs per gram (epg) are classified as light intensity infections, 1,000-9,999 epg are classified as moderate, and >/= 10,000 epg are classified as heavy. Classification at baseline will be based on the screening stool sample, and classification post-treatment will be based on two stool samples each oxfendazole dose group compared to the albendazole dose group.
Proportion of unsolicited adverse events (AEs)
As measured in each oxfendazole dose group compared to the albendazole dose group.
Serious adverse events (SAEs) related to the study product
As measured in each oxfendazole dose group compared to the albendazole dose group.

Full Information

First Posted
January 14, 2021
Last Updated
September 15, 2023
Sponsor
Asociacion Benefica Prisma
Collaborators
Policlinico Asociacion Benefica PRISMA-Laboratorio Satelite IQTLAB, National Institutes of Health (NIH), University of Iowa, University of Virginia
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1. Study Identification

Unique Protocol Identification Number
NCT04713787
Brief Title
A Safety and Efficacy Study of Different Doses of Oxfendazole Compared to a Single Dose of Albendazole to Treat Trichuris Trichiura Infection in Adults
Official Title
A Phase 2, Partially-Blinded, Randomized, Comparative Study of the Efficacy of Different Doses of Oxfendazole Compared to a Single Dose of Albendazole for the Treatment of Trichuris Trichiura Infection in Adults
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
October 1, 2023 (Anticipated)
Primary Completion Date
October 1, 2025 (Anticipated)
Study Completion Date
December 1, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Asociacion Benefica Prisma
Collaborators
Policlinico Asociacion Benefica PRISMA-Laboratorio Satelite IQTLAB, National Institutes of Health (NIH), University of Iowa, University of Virginia

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 2 trial to evaluate the efficacy of different doses of oxfendazole versus a single dose of albendazole in curing or reducing the egg burden in subjects with T. trichiura infections. 249 subjects will be randomized in a 1:1:1 ratio to one of three dose-groups to receive a single dose of oxfendazole 400 mg or 800 mg, or a single dose of albendazole 400 mg. The study team members and study subjects will not be blinded to the dose group. However, the laboratory assessors evaluating the stool samples will be blinded. Subjects will be recruited in Iquitos, Peru, and surrounding villages where there is a high prevalence of T. trichiura infection. Subjects will be solicited through town hall meetings and local clinics and through recommendations from local care providers. A two-stage screening process will be utilized. If subjects are found on the screening stool exam to have only a stool parasite other than T. trichuria or if the subject chooses not to participate in the study, the subject will be referred to a local health provider. If stool analysis performed at the end of the study period demonstrates stool parasites, the subjects will be contacted and referred to their local health provider where they will receive standard of care treatment. The primary objective is to assess the cure rate of different dose regimens of oxfendazole vs. albendazole in the treatment of T. trichiura infections using the Kato-Katz stool examination method.
Detailed Description
This is a Phase 2 trial to evaluate the efficacy of different doses of oxfendazole versus a single dose of albendazole in curing or reducing the egg burden in subjects with T. trichiura infections. 249 subjects will be randomized in a 1:1:1 ratio to one of three dose-groups to receive a single dose of oxfendazole 400 mg or 800 mg, or a single dose of albendazole 400 mg. Water and a snack will be provided to aid in ingestion of the study product and a study team member will observe the ingestion of study product. The study team members and study subjects will not be blinded to the dose group. However, the laboratory assessors evaluating the stool samples will be blinded. Subjects will be recruited in Iquitos, Peru, and surrounding villages where there is a high prevalence of T. trichiura infection. Subjects will be solicited through town hall meetings and local clinics and through recommendations from local care providers. A two-stage screening process will be utilized. If subjects are found on the screening stool exam to have only a stool parasite other than T. trichuria or if the subject chooses not to participate in the study, the subject will be referred to a local health provider. If stool analysis performed at the end of the study period demonstrates stool parasites, the subjects will be contacted and referred to their local health provider where they will receive standard of care treatment. The primary objective is to assess the cure rate of different dose regimens of oxfendazole vs. albendazole in the treatment of T. trichiura infections using the Kato-Katz stool examination method. The secondary objectives are to: 1) assess the cure rate of different dose regimens of oxfendazole vs albendazole in the treatment of T. trichiura infections using the stool concentration examination method, 2) assess the clinical response compared to baseline, as shown by reduction in T. trichiura egg counts using the Kato-Katz stool examination method, 3) assess the clinical response compared to baseline, as shown by reduction in T. trichiura egg counts using the stool concentration method, 4) assess the proportion of subjects with moderate or heavy infection before treatment who had no infection or only light infection after treatment using the Kato-Katz stool examination method, 5) assess the proportion of subjects with moderate or heavy infection before treatment who had no infection or only light infection after treatment using the stool concentration examination method, 6) establish the spectrum of activity of oxfendazole against other intestinal helminths using the Kato-Katz stool examination method, 7) establish the spectrum of activity of oxfendazole against other intestinal helminths using the stool concentration examination method, 8) assess the tolerability of each oxfendazole dose group compared to the albendazole dose group, and 9) assess the safety in subjects treated with oxfendazole.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Trichuriasis
Keywords
Adults, Albendazole, Comparative Study, Efficacy, Oxfendazole, Phase 2, Trichuris trichiura

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Masking Description
This study is masked only to the laboratory personnel. All stool samples, labelled only with a barcode and the date of sample collection by the study team will be evaluated by blinded laboratory staff and will remain blinded until locked.
Allocation
Randomized
Enrollment
249 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Description
400 mg (4 capsules of 100 mg) of Oxfendazole administered orally as a single dose on Day 1. N=83.
Arm Title
Group B
Arm Type
Experimental
Arm Description
800 mg (8 capsules of 100 mg) of Oxfendazole administered orally as a single dose on Day 1. N=83.
Arm Title
Group C
Arm Type
Active Comparator
Arm Description
400 mg (1 tablet of 400 mg) of Albendazole administered orally as a single dose on Day 1. N=83.
Intervention Type
Drug
Intervention Name(s)
Albendazole
Intervention Description
Albendazole, 5-(prophylthio)-2-benzimidazole carbamate, is a broad-spectrum benzimidazole antihelminthic drug. It is provided as a white to off-white, circular, film-coated tablet with a slightly raised pentagonal projection on either side. This trial will use the 400 mg tablet formulation.
Intervention Type
Drug
Intervention Name(s)
Oxfendazole
Intervention Description
The active pharmaceutical ingredient is methyl-5 (6)-phenylsulfiyl-2-benzimidazole carbamate, which is a broad-spectrum benzimidazole antihelminthic. Oxfendazole is the sulphoxide metabolite of fenbendazole.
Primary Outcome Measure Information:
Title
Number of infection cures (Clinical Cure) as shown by absence of Trichuris trichiura eggs using the Kato-Katz stool examination method
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Time Frame
Day 18 through Day 23
Secondary Outcome Measure Information:
Title
Change from baseline in eggs per gram of stool for helminths other than Trichuris trichiura using the Kato Katz examination method
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Time Frame
Day 18 through Day 23
Title
Change from baseline in eggs per gram of stool for helminths other than Trichuris trichiura using the stool concentration examination method
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Time Frame
Day 18 through Day 23
Title
Change from baseline in eggs per gram of stool using the Kato-Katz stool examination method
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Time Frame
Day 18 through Day 23
Title
Change from baseline in eggs per gram of stool using the stool concentration method
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Time Frame
Day 18 through Day 23
Title
Egg reduction rate, relative to egg counts at baseline, measured using the Kato-Katz stool examination method
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from egg counts (eggs per gram) from two stool samples (each evaluated in duplicate).
Time Frame
Day 18 through Day 23
Title
Egg reduction rate, relative to egg counts at baseline, using the stool concentration method
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from egg counts (eggs per gram) from two stool samples (each evaluated in duplicate).
Time Frame
Day 18 through Day 23
Title
Number of infection cures (Clinical Cure) as shown by absence of Trichuris trichiura eggs using the stool concentration method
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Calculated from two stools samples (each evaluated in duplicate).
Time Frame
Day 18 through Day 23
Title
Proportion of abnormal laboratory tests
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Abnormal laboratory tests include hemoglobin (Hgb), white blood cells (WBC), neutrophil and eosinophil counts, platelet counts, aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, alkaline phosphatase, and creatinine.
Time Frame
Day 1 through Day 23
Title
Proportion of solicited clinical reactogenicity events
Description
As measured in each oxfendazole dose group compared to the albendazole dose group. Solicited clinical reactogenicity events including nausea, vomiting, abdominal pain, diarrhea, and anorexia.
Time Frame
Day 1 through Day 23
Title
Proportion of subjects in each dose group with moderate or heavy infection who had no infection or only light infection after treatment based on WHO classes of intensity, measured using the Kato-Katz tool examination method
Description
According to WHO thresholds, infections of 1-999 eggs per gram (epg) are classified as light intensity infections, 1,000-9,999 epg are classified as moderate, and >/= 10,000 epg are classified as heavy. Classification at baseline will be based on the screening stool sample, and classification post-treatment will be based on two stool samples each oxfendazole dose group compared to the albendazole dose group.
Time Frame
Day 18 through Day 23
Title
Proportion of unsolicited adverse events (AEs)
Description
As measured in each oxfendazole dose group compared to the albendazole dose group.
Time Frame
Day 1 through Day 23
Title
Serious adverse events (SAEs) related to the study product
Description
As measured in each oxfendazole dose group compared to the albendazole dose group.
Time Frame
Day 1 through Day 23

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female aged 18-65 years, inclusive. Are willing to participate in this trial, as evidenced by written or witnessed oral informed consent. T. trichiura* is demonstrated in a stool sample obtained within 14 days before randomization and enrollment. *The presence of A. lumbricoides, N. americanus, A. duodenalis, or other helminths will not be a cause for exclusion. Are willing to comply with the requirements of this protocol, particularly to provide four stool samples and two blood samples* over approximately 4- 6 weeks. *An extra stool or blood sample might be required if the samples are not collected within the appropriate time frame or to follow up on abnormal laboratory tests. Females of reproductive potential must have a negative serum pregnancy test within 10 days or a negative urine pregnancy test within 72 hours of the first study drug administration.* *If a woman of child bearing potential is on an injectable form of contraception, a single serum pregnancy test at screening (Days -10 to -3) is acceptable. If the woman is not using an injectable form of contraception, a pregnancy test must be negative within 72 hours of the first study drug administration. Female subjects of childbearing potential must be using effective contraception.* *Effective methods of contraception include: abstinence from sexual intercourse, monogamous relationship with a vasectomized partner, male condoms with spermicide, surgical sterility, intrauterine contraceptive device, oral or injectable contraceptives, diaphragm in combination with contraceptive cream or foam. Females aged >/=50 years who have had no menstrual periods for 1 year may be enrolled. Females must agree to continue effective contraception for approximately 28 days following the last study drug administration. Exclusion Criteria: Has demonstrated a previous hypersensitivity reaction to oxfendazole or a related compound (e.g. albendazole, mebendazole). Has a diarrheal disease that would interfere with the evaluation of stool samples*. * More than 6 stools per day or stools that are completely liquid. Has received an antihelminthic within 14 days before enrolment. Has received an investigational drug within 30 days before the screening visit or is scheduled to receive such a drug during this trial. Has a concomitant infection or another underlying disease that would compromise the safety, diagnosis, and evaluation of responses to the study drug. Has a known history of renal dysfunction or plasma creatinine >/=1.5 times the upper limit of normal (ULN) for age. Has a known history of hepatic dysfunction or AST, ALT, total bilirubin >/=1.5 times the ULN. Has a hemoglobin that is less than 8 g/dL. Is a female who is pregnant, lactating, or planning a pregnancy during this trial (up to days 28 after the last scheduled dose). Has previously been enrolled in this trial. Has any condition that would, in the investigator's opinion, interfere with this trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Patricia L. Winokur
Phone
13193844590
Email
patricia-winokur@uiowa.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Margaret N Kosek
Phone
4439007269
Email
mkosek@virginia.edu
Facility Information:
Facility Name
Policlinico Asociacion Benefica PRISMA-Laboratorio Satelite IQTLAB
City
Iquitos
State/Province
Maynas
Country
Peru

12. IPD Sharing Statement

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A Safety and Efficacy Study of Different Doses of Oxfendazole Compared to a Single Dose of Albendazole to Treat Trichuris Trichiura Infection in Adults

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