Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR201907565746388 Date of Approval: 15/07/2019
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title Determination of a Dose of Moxidectin in Individuals < 12 Years of Age
Official scientific title An open-label study of the pharmacokinetics and safety of a single dose of moxidectin per oral in subjects aged 4 to 17 years with (or at risk of) onchocerciasis to identify an optimal dose for treatment of children 4 to 11 years
Brief summary describing the background and objectives of the trial This study will permit the characterization of the pharmacokinetics of moxidectin in adolescents, as well as assess pharmacokinetics and safety in children (aged 4 to 11 years). The primary objective of this study is to determine a dose of moxidectin for children 4 to 11 years that is equivalent to an 8 mg dose administered for treatment of onchocerciasis in people 12 years and over. The secondary objective is to evaluate the safety and pharmacokinetics of a single dose of moxidectin in children and adolescents aged 4 to 17 years.
Type of trial CCT
Acronym (If the trial has an acronym then please provide)
Disease(s) or condition(s) being studied Infections and Infestations,Paediatrics
Sub-Disease(s) or condition(s) being studied Onchocerciasis
Purpose of the trial Treatment: Drugs
Anticipated trial start date 06/01/2020
Actual trial start date 29/03/2021
Anticipated date of last follow up 30/09/2022
Actual Last follow-up date 28/09/2022
Anticipated target sample size (number of participants) 36
Actual target sample size (number of participants) 36
Recruitment status Completed
Publication URL
Secondary Ids Issuing authority/Trial register
MDGH MOX 1006 Medicines Development for Global Health
UHAS REC A.7 6 18.19 University of Health and Allied Sciences, Ghana
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Factorial: participants randomly allocated to either no, one, some or all interventions simultaneously Non-randomised Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Control Group NA N/A N/A N/A 0 Uncontrolled
Experimental Group Moxidectin 8 mg per oral, or as determined by pharmacokinetic modelling, taken once Single dose Moxidectin 2 mg tablets (4x or as determined by pharmacokinetic modelling), taken orally 9
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
1. Aged 4 to 17 years, inclusive: Cohort I: 12 to 17 years; Cohort II: 8 to 11 years; Cohort III: 4 to 7 years; 2. Live in a region designated by the World Health Organization (WHO) as endemic for O. volvulus infection (World Health Organization, 2017). Specifically, participants will be recruited from the Kpassa sub-district of the Nkwanta North district.The specific communities will include Wii, Jagri-Do, and Azua where mass drug administration with ivermectin for onchocerciasis commenced in October 2017; 3. Willing and able to remain at the study clinic from Screening up to Day 7; 4. Provision of parental or guardian written informed consent and assent as appropriate; 5. Females of childbearing potential must commit to using a reliable method of contraception as per local family planning guidelines from Screening until 6 months after treatment with study drug. 1. History of serious medical or psychiatric condition which, in the opinion of the investigator, would put the subject at increased risk by participating in the study or jeopardize study outcomes; 2. Known or suspected concurrent clinically significant renal, cardiac, pulmonary, vascular, metabolic (thyroid disorders, adrenal disease), immunological disorders or malignancy, congenital heart disease, chronic lung disease 3. Has received an investigational product within 28 days or 5 half-lives of Screening, whichever is longer; 4. Has received ivermectin or any other anti-helminthic treatments within 28 days of Screening; 5. Has received a vaccination within 7 days of Screening; 6. Known or suspected hypersensitivity to macrocyclic lactones or excipients used in the formulation of moxidectin; 7. Poor venous access; 8. Unable to swallow tablets; 9. Weight: Cohort I (12 to 17 years): < 30 kg Cohort II (8 to 11 years): < 18 kg Cohort III (4 to 7 years): < 12 kg 10. Clinically relevant laboratory abnormalities at Screening, including: Hemoglobin < 9.5 grams per deciliter (g/dL) Neutrophil (granulocyte) count < 1.5 x 109/L Platelet count < 110 x 109/L Alanine aminotransferase (ALT) > 1.5 times the upper limit of normal range (ULN) Total bilirubin > 1.5 times ULN 11. Hepatitis B, Hepatitis C, or human immunodeficiency virus (HIV) positive 12. Known or suspected malaria or other ongoing viral, bacterial, or plasmodium infection at Screening and/or Baseline; 13. Loa loa co-infection; 14. Unwilling, unlikely or unable to comply with all protocol specified assessments. 15. For females of child bearing potential, pregnant or breastfeeding, or planning to become pregnant 16. Previous enrolment in this study 17. Is a sibling of another child already enrolled in this study Adolescent: 13 Year-18 Year,Child: 6 Year-12 Year,Preschool Child: 2 Year-5 Year 4 Year(s) 17 Year(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 20/08/2020 University of Health and Allied Sciences Research Ethics Committee
Ethics Committee Address
Street address City Postal code Country
PMB 31 Ho, Volta Region Ho 0000 Ghana
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 23/10/2020 Ghana Health Service Ethical Review Committee
Ethics Committee Address
Street address City Postal code Country
Research and Development Division, Ghana Health Service, Dodoo Ln Accra 0000 Ghana
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 18/03/2021 World Health Organization Research Ethics Review Committee
Ethics Committee Address
Street address City Postal code Country
World Health Organization 20, Appia Avenue Geneva 1211 Switzerland
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome Area under the plasma concentration versus time curve of moxidectin - Moxidectin concentration in plasma collected at pre-specified intervals after dosing with oral moxidectin determined using a validated liquid chromatography-mass spectrometry(MS)/MS method. Pre-dose to Day 28
Secondary Outcome Area under the concentration versus time curve (zero to infinity) of moxidectin - Moxidectin concentration in plasma collected at pre-specified intervals after dosing with oral moxidectin determined using a validated liquid chromatography-mass spectrometry(MS)/MS method. Pre-dose to Week 12
Secondary Outcome Maximum observed plasma concentrations (Cmax) of moxidectin - Moxidectin concentration in plasma collected at pre-specified intervals after dosing with oral moxidectin determined using a validated liquid chromatography-mass spectrometry(MS)/MS method. Hour 0 to Hour 8
Secondary Outcome Incidence and severity of adverse events, assessed by the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Paediatric Adverse Events, Version 2.1. Day 0 to Week 24
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
School of Public Health University of Health and Allied Sciences School of Public Health University of Health and Allied Sciences Hohoe Ghana
FUNDING SOURCES
Name of source Street address City Postal code Country
Medicines Development for Global Health Level 1, 18 Kavanagh Street Southbank 3006 Australia
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor Medicines Development for Global Health Level 1, 18 Kavanagh Street Southbank 3006 Australia Charities/Societies/Foundation
COLLABORATORS
Name Street address City Postal code Country
Nicholas Obuobisa Opoku School of Public Health, University of Health and Allied Sciences PMB31 Hohoe Volta 0000 Ghana
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Nicholas Obuobisa Opoku noopoku@uhas.edu.gh +2330244776668 School of Public Health University of Health and Allied Sciences
City Postal code Country Position/Affiliation
Hohoe Ghana Senior Lecturer
Role Name Email Phone Street address
Public Enquiries Sally Kinrade sally.kinrade@medicinesdevelopment.com +61399122400 Level 1, Kavanagh Street
City Postal code Country Position/Affiliation
Southbank 3006 Australia Moxidectin for Onchocerciasis Project Leader
Role Name Email Phone Street address
Scientific Enquiries Sally Kinrade sally.kinrade@medicinesdevelopment.com +61399122400 Level 1, 18 Kavanagh St
City Postal code Country Position/Affiliation
Southbank 3006 Australia Moxidectin for Onchocerciasis Project Leader
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes Data to be shared: anonymised demographic, baseline and pharmacokinetic data. Clinical Study Report Following finalisation of the Clinical Study Report and initial publications, anticipated Q1, 2022 Controlled access. Requests anticipated from researchers. Decision made by Sponsor in consultation with site, on the following criteria: quality/purpose of request, and mutual agreement regarding publication planning and confidentiality provisions.
URL Results Available Results Summary Result Posting Date First Journal Publication Date
Yes 14/08/2024
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result - 14/08/2024
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information