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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT03876262
Other study ID # MDGH-MOX-3001
Secondary ID
Status Active, not recruiting
Phase Phase 3
First received
Last updated
Start date May 3, 2021
Est. completion date July 2026

Study information

Verified date August 2023
Source Medicines Development for Global Health
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary purpose of this phase 3b study is to determine the safety and efficacy of moxidectin administration twice a year, compared to once a year, in maintaining undetectable levels in skin of O. volvulus microfilaria in skin, the parasite that causes river blindness. Secondary purposes are to determine the effectiveness of moxidectin compared to ivermectin once or twice a year in maintaining undetectable levels, or reducing levels, of skin microfilaria.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 323
Est. completion date July 2026
Est. primary completion date July 2024
Accepts healthy volunteers No
Gender All
Age group 12 Years and older
Eligibility Inclusion Criteria: - Provision of written informed consent, or assent with parental or guardian written consent. - Mean = 10 O. volvulus microfilariae/mg skin, determined by four skin snips - Living in a village selected for the study. - Age = 12 years. - All female participants of childbearing potential must commit to the use of a reliable method of birth control for the duration of treatment and until 3 months after completion of dosing with investigational product. Exclusion Criteria: - Pregnant or breast-feeding. - Any concurrent condition that, in the opinion of the Investigator, would preclude evaluation of response to treatment or would pose undue risk to the participant's health. - Has received ivermectin, oral diethylcarbamazine (DEC) or doxycycline (for > 2 weeks) within 6 months of Baseline. - Has received treatment with an investigational agent within the last 30 days (or 5 half-lives, whichever is longer) prior to Baseline. - Known or suspected allergy to ivermectin or moxidectin or their excipients. - Self-reported planned or ongoing activities within the study period that would make it unlikely that a participant will be available for all planned treatment rounds and follow-up examinations. - Weight > 88 kg. - Infection with Loa loa.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Moxidectin
2mg tablets, encapsulated for blinding
Ivermectin
3mg tablets, encapsulated for blinding

Locations

Country Name City State
Congo, The Democratic Republic of the Centre de Recherche pour les Maladies Tropicales Negligees Rethy Ituri

Sponsors (1)

Lead Sponsor Collaborator
Medicines Development for Global Health

Country where clinical trial is conducted

Congo, The Democratic Republic of the, 

Outcome

Type Measure Description Time frame Safety issue
Other Signs and symptoms of onchocerciasis in all dose groups Proportion of participants with signs and symptoms of onchocerciasis with these signs and symptoms at baseline. 6 months, 12 months, 18 months, 24 months, 30 months, 36 months
Other Viability and fertility of male and female macrofilariae in all dose groups Histopathological assessment of male and female macrofilariae excised from participants with palpable nodules 36 months
Primary Proportion of moxidectin annual and biannual recipients with sustained microfilarial response at month 12 Proportion of recipients with zero Onchocerca volvulus microfilariae/mg skin at all post-treatment timepoints to month 12 Up to 12 months
Primary Incidence and severity of adverse events Incidence and severity of adverse events, vital signs and liver function tests Up to 36 months
Secondary Proportion of participants in all dose groups with sustained microfilariae response Proportion of participants with zero Onchocerca volvulus microfilariae/mg skin 6 months, 12 months, 18 months, 24 months, 30 months, 36 months
Secondary Sustained ocular microfilariae response in all dose groups Proportion of participants with 0 live O. volvulus microfilariae in the anterior chambers of the eyes at all post-Baseline assessments in those with liver ocular microfilariae before the first treatment 6 months, 12 months, 18 months, 24 months, 30 months, 36 months
Secondary Skin microfilarial density in all dose groups Mean, median and percentage reduction Onchocerca volvulus microfilariae/mg skin from baseline 6 months, 12 months, 18 months, 24 months, 30 months, 36 months
Secondary Ocular microfilariae response in all dose groups Proportion of participants in all dose groups with 0 Onchocerca volvulus microfilariae/mg skin and 0 live microfilariae in the anterior chambers of the eyes each timepoint 6 months, 12 months, 18 months, 24 months, 30 months, 36 months
Secondary Mean skin microfilariae density at each post-Screening assessment Mean and mean change from baseline of Onchocerca volvulus microfilariae/mg skin 6 months, 12 months, 18 months, 24 months, 30 months, 36 months
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