NCT02509481

Brief Summary

The purpose of this study is to determine whether repeated ivermectin mass drug administrations to Burkinabé villagers, performed in three week intervals over the rainy-season, is well-tolerated and safe, and also effective in reducing local malaria transmission and thus clinical malaria episodes in treated village children.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
2,712

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jun 2015

Shorter than P25 for phase_2

Geographic Reach
2 countries

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2015

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

July 23, 2015

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 28, 2015

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2015

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2015

Completed
3.1 years until next milestone

Results Posted

Study results publicly available

January 4, 2019

Completed
Last Updated

January 4, 2019

Status Verified

January 1, 2019

Enrollment Period

5 months

First QC Date

July 23, 2015

Results QC Date

July 6, 2018

Last Update Submit

January 2, 2019

Conditions

Keywords

malarialymphatic filariasismosquitoivermectinmass drug administration

Outcome Measures

Primary Outcomes (1)

  • Incidence of Clinical Malaria Episodes

    Cumulative incidence of malaria episodes in a cohort of village children ≤ 5 years of age (as assessed by active case surveillance in study villages - malaria episode defined as ≥38.0°C fever or history of fever in the last 24 hours + positive rapid diagnostic test for Plasmodium falciparum). Incidence is reported as malaria episodes per child over the course of the trial, a higher incidence is a worse outcome.

    Approximately 18 weeks, from the start of the first MDA to 3 weeks following the last MDA in the Experimental arm

Secondary Outcomes (5)

  • Adverse Events

    Approximately 18 weeks, from the start of the first MDA to 3 weeks following the last MDA in the Experimental arm

  • Entomological Indicator of Parasite Transmission

    Approximately 20 weeks, from before the start of the first MDA to 4 weeks following the last MDA in the Experimental arm

  • Molecular Force of P. Falciparum Infection

    Approximately 18 weeks, from the start of the first MDA to 3 weeks following the last MDA in the Experimental arm

  • Number of 6-10 Year Old Participants With Soil Transmitted Helminths (STH)

    Approximately 20 weeks, from before the start of the first MDA to 4 weeks following the last MDA in the Experimental arm

  • Entomological Inoculation Rate

    6 sampling periods over 18 weeks, starting in week 2 following the first MDA, and sampling every 3 weeks thereafter until week 17 of the treatment phase.

Study Arms (2)

Single MDA

ACTIVE COMPARATOR

Single mass drug administration of ivermectin (150 µg/kg) + albendazole (400 mg) performed after the start of the rainy season as part of public health efforts to eliminate lymphatic filariasis.

Drug: IvermectinDrug: Albendazole

Repeated MDA

EXPERIMENTAL

Same at Active Comparator, but then followed by five more mass drug administrations of ivermectin only (150 µg/kg) every three weeks thereafter.

Drug: IvermectinDrug: Albendazole

Interventions

Also known as: Mectizan
Repeated MDASingle MDA
Repeated MDASingle MDA

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Residence in the study site
  • Able to understand the information and willing to give consent and assent (parent or guardian consent if study participant age is \< 18 years)

You may not qualify if:

  • Residence outside of in the study site
  • Height ≤ 90 cm
  • Permanent disability, serious medical illness that prevents or impedes study participation and/or comprehension
  • Pregnancy
  • Breast feeding if infant is within 1 week of birth
  • Known allergy to the study drugs

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Colorado State University

Fort Collins, Colorado, 80523, United States

Location

Institut de Recherche en Sciences de la Santé

Bobo-Dioulasso, Houet, 10400-000, Burkina Faso

Location

Related Publications (1)

  • Foy BD, Alout H, Seaman JA, Rao S, Magalhaes T, Wade M, Parikh S, Soma DD, Sagna AB, Fournet F, Slater HC, Bougma R, Drabo F, Diabate A, Coulidiaty AGV, Rouamba N, Dabire RK. Efficacy and risk of harms of repeat ivermectin mass drug administrations for control of malaria (RIMDAMAL): a cluster-randomised trial. Lancet. 2019 Apr 13;393(10180):1517-1526. doi: 10.1016/S0140-6736(18)32321-3. Epub 2019 Mar 14.

MeSH Terms

Conditions

MalariaElephantiasis, Filarial

Interventions

IvermectinAlbendazole

Condition Hierarchy (Ancestors)

Protozoan InfectionsParasitic DiseasesInfectionsMosquito-Borne DiseasesVector Borne DiseasesFilariasisSpirurida InfectionsSecernentea InfectionsNematode InfectionsHelminthiasisLymphedemaLymphatic DiseasesHemic and Lymphatic Diseases

Intervention Hierarchy (Ancestors)

MacrolidesPolyketidesLactonesOrganic ChemicalsCarbamatesAcids, AcyclicCarboxylic AcidsBenzimidazolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Limitations and Caveats

We could not provide placebo MDA for the control villages, and the trial was not blinded to the study population or the study team. Adverse event analysis bias may have from the knowledge of the village populace as to what arm they were part of.

Results Point of Contact

Title
Dr. Brian D. Foy, Professor
Organization
Colorado State University

Study Officials

  • Brian D. Foy, PhD

    Colorado State University

    PRINCIPAL INVESTIGATOR
  • Roch K Dabire, PhD

    Institute de Recherche en Sciences de la Santé

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 23, 2015

First Posted

July 28, 2015

Study Start

June 1, 2015

Primary Completion

November 1, 2015

Study Completion

December 1, 2015

Last Updated

January 4, 2019

Results First Posted

January 4, 2019

Record last verified: 2019-01

Locations