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Trial · NCT04848688

Efficacy and Safety of Moxidectin Versus Ivermectin Against Strongyloides Stercoralis

NCT04848688, Phase 3, Completed, Jennifer Keiser; results first posted 2024-01-24

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Moxidectin Versus Ivermectin Against Strongyloides Stercoralis. Trials, record NCT04848688. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04848688

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety of Moxidectin Versus Ivermectin Against Strongyloides Stercoralis
NCT number
NCT04848688
Status
Completed
Phases
Phase 3
Enrollment
332 participants, actual
Lead sponsor
Jennifer Keiser
Conditions
Strongyloides Stercoralis Infection
Interventions
Moxidectin 2 mg, Ivermectin 3 mg, Placebo
First posted
2021-04-19
Last updated
2024-01-25
Results first posted
2024-01-24

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryCure Rate Against Strongyloides Stercoralis14-21 days after treatmentThe conversion from being larvae positive pre-treatment to larvae negative post-treatment, or cure rate (CR).
SecondaryLarvae Reduction Rate (LRR) Against Strongyloidiasis Stercoralis
14-21 days after treatment. The originally planned follow-ups at 42-49 days and 63-70 days as well as the sample collection every second day between day 0 and day 70 (Moxidectin arm, n=50) was not performed.
Larvae per gram (LPG) stool sample will be assessed by calculating the mean of the larvae counts from the three duplicate Baermann assays and divided by the mean weighted amount of these stool samples. The LRR will be calculated following: (LRR = (1-(mean at follow-up/mean at baseline))\*100)
SecondaryCRs Against Concomitant Soil-transmitted Helminth Infections - Ascaris Lumbricoides14-21 days after treatmentCRs will be calculated for Ascaris lumbricoides, Trichuris trichiura and hookworm infections as described in primary outcome.
SecondaryCRs Against Concomitant Soil-transmitted Helminth Infections - Trichuris Trichiura14-21 days after treatmentCRs will be calculated for Ascaris lumbricoides, Trichuris trichiura and hookworm infections as described in primary outcome.
SecondaryCRs Against Concomitant Soil-transmitted Helminth Infections - Hookworm14-21 days after treatmentCRs will be calculated for Ascaris lumbricoides, Trichuris trichiura and hookworm infections as described in primary outcome.
SecondaryNumber of Participants Reporting Adverse Events2-3 hours, 24 hours and 14-21 days after treatment. The originally planned follow-ups at 42-49 days and 63-70 days after treatment were not conducted.
Participants will be monitored on site for at least 3 hours following treatment for any acute adverse events. In addition, participants will be interviewed 2-3 and 24 hours and at several weeks after treatment about the occurrence of adverse events. A standardized symptom questionnaire is used, that includes the recording of headache, abdominal pain, itching, nausea, vomiting, diarrhea, allergic reaction as well as any further mentioned event by the participant.
OtherSocioeconomic Characteristics (SES)Pre-treatment
To all participating households, a brief questionnaire will be administered assessing information on socioeconomic characteristics (SES) and access to sanitation, water facilities, and hygiene behaviour.
OtherGenetic Profiling of S. Stercoralis Positive Stool SamplesPre-treatment
From all S. stercoralis positive stool samples, the extracted larvae will be stored in 70% Ethanol after examination by Baermann. Samples will be shipped to the investigating laboratory (La Trobe University) at room temperature.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYCure Rate Against Strongyloides Stercoralis14-21 days after treatmentpercentage of participantsNUMBER
SECONDARYLarvae Reduction Rate (LRR) Against Strongyloidiasis Stercoralis
14-21 days after treatment. The originally planned follow-ups at 42-49 days and 63-70 days as well as the sample collection every second day between day 0 and day 70 (Moxidectin arm, n=50) was not performed.
percent changeGEOMETRIC_MEAN
SECONDARYCRs Against Concomitant Soil-transmitted Helminth Infections - Ascaris Lumbricoides14-21 days after treatmentNo participants infected with Ascaris lumbricoides pre- or post-treatment
SECONDARYCRs Against Concomitant Soil-transmitted Helminth Infections - Trichuris Trichiura14-21 days after treatmentNo participants infected with Trichuris trichiura pre- or post-treatment
SECONDARYCRs Against Concomitant Soil-transmitted Helminth Infections - Hookworm14-21 days after treatmentParticipants co-infected with Hookwormpercentage of participantsNUMBER
SECONDARYNumber of Participants Reporting Adverse Events2-3 hours, 24 hours and 14-21 days after treatment. The originally planned follow-ups at 42-49 days and 63-70 days after treatment were not conducted.Analysis population at 2-3 hours after drug administration: N=332. Analysis population at 24 hours after drug administration: N=332. Analysis population at 14-21 days after drug administration: N=315.ParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDSocioeconomic Characteristics (SES)Pre-treatment
OTHER_PRE_SPECIFIEDGenetic Profiling of S. Stercoralis Positive Stool SamplesPre-treatment

Results by group48

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Cure Rate Against Strongyloides StercoralisMoxidectin94.895% Confidence Interval 90.0 to 97.7percentage of participants
Cure Rate Against Strongyloides StercoralisIvermectin99.495% Confidence Interval 96.6 to 100percentage of participants
Larvae Reduction Rate (LRR) Against Strongyloidiasis StercoralisMoxidectin98.895% Confidence Interval 96.0 to 99.9percent change
Larvae Reduction Rate (LRR) Against Strongyloidiasis StercoralisIvermectin10095% Confidence Interval 100 to 100percent change
CRs Against Concomitant Soil-transmitted Helminth Infections - HookwormMoxidectin82.095% Confidence Interval 74.7 to 89.2percentage of participants
CRs Against Concomitant Soil-transmitted Helminth Infections - HookwormIvermectin81.095% Confidence Interval 73.2 to 88.8percentage of participants
Number of Participants Reporting Adverse EventsMoxidectin2-3 hours: Headache4Participants
Number of Participants Reporting Adverse EventsIvermectin2-3 hours: Headache10Participants
Number of Participants Reporting Adverse EventsMoxidectin2-3 hours: Abdominal pain2Participants
Number of Participants Reporting Adverse EventsIvermectin2-3 hours: Abdominal pain4Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMoxidectin166
Overall StudySTARTEDIvermectin166
Overall StudyCOMPLETEDMoxidectin154
Overall StudyCOMPLETEDIvermectin161
Overall StudyNOT COMPLETEDMoxidectin12
Overall StudyNOT COMPLETEDIvermectin5

Adverse events14

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersMoxidectin31663
otherAbdominal painGastrointestinal disordersIvermectin51665
otherDiarrheaGastrointestinal disordersMoxidectin11661
otherDiarrheaGastrointestinal disordersIvermectin21662
otherVomitingGastrointestinal disordersMoxidectin01660
otherVomitingGastrointestinal disordersIvermectin11661
otherAllergic reactionGeneral disordersMoxidectin01660
otherAllergic reactionGeneral disordersIvermectin01660
otherHeadacheGeneral disordersMoxidectin81668
otherHeadacheGeneral disordersIvermectin1016612

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMoxidectin0166
Total, all-cause mortalityIvermectin0166
Total, other adverse eventsMoxidectin15166
Total, other adverse eventsIvermectin19166
Total, serious adverse eventsMoxidectin0166
Total, serious adverse eventsIvermectin0166

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
37949090DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Moxidectin vs Ivermectin: deaths from any causeTrial comparisons
Moxidectin vs Ivermectin: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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GET https://conductscience.org/api/trials/v1/NCT04848688/results?page=2