HEALTH Trial - Healthy Adult Evaluation of Ivermectin Bioequivalence: Infant Versus Standard Formulation

Murdoch Childrens Research Institute

Status and phase: Begins enrollment in 3 months; Phase 1

Conditions: Scabies

Treatments: Drug: ivermectin infant formula preparation; Drug: Standard ivermectin 3mg tablet

Study type: Interventional

Funder types: Other

Identifiers

NCT06918665

113992

Details and patient eligibility

About

This is a clinical trial to compare two formulations of the drug ivermectin: the standard 3mg tablet formulation versus a newly developed infant formula preparation. The goal of the trial is to determine if the new formulation functions in the same way, tastes the same and causes no new side effects. The trial will involve 52 participants who will be healthy adult volunteers. The participants will receive both formulations - the order they receive each formulation will be assigned randomly (similar to the toss of a coin).

Full description

Randomised open-label cross-over trial of 52 healthy adult volunteers comparing two ivermectin formulations: the standard tablet formulation, and a newly developed infant formula preparation. Participants will be randomised to receive one of these two formulations at the start of the trial and after a 21 day wash out period will be given the alternative formulation. Blood samples will be taken to determine serum drug concentrations. The bioequivalence, tolerability and drug-related adverse effects will be evaluated.

Enrollment: 52 estimated patients

Sex: All

Ages: 18 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adult aged over 18 years up to 55 years; and
• Body mass index of 18.0 - 32.0 kg/m2 with body weight ≥ 50.0 kg; and
• Medically healthy, determined by medical history, physical examination, no clinically significant abnormalities on baseline blood tests, vital signs (blood pressure, oxygen saturation and heart rate) as deemed by the study Doctor; and
• Females must be non-pregnant, non-lactating or postmenopausal for at least 1 year or surgically sterile for at least 6 months prior to dosing; and
• Sexually active, non-pregnant female participants will be required to use an effective form of contraception from 28 days prior to study until end of study; and
• Males must not have a pregnant partner and must agree to use condoms as a method of contraception from the time of signing informed consent until end of the study; and
• Must be willing and able to read, understand, and sign the participant information and consent form. Willing to comply with all study requirements, including the inpatient period and outpatient visits for the duration of the study; and
• Good venous access on at least one arm as assessed by study staff.

Exclusion criteria

• History of any clinically important cardiac, endocrinologic, haematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, and renal, or other major disease, as determined by the study doctor; or
• Known allergy to ivermectin or taking a drug that interacts with ivermectin via the P-glycoprotein transport system (e.g. amiodarone, carvedilol, clarithromycin, clotrimazole); or
• Currently taking warfarin; or
• Known lactose intolerance or cow's protein intolerance; or
• Known elective surgery scheduled within the next 3 months; or
• Inability to comply with the study protocol.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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52 participants in 2 patient groups

Sequence 1 (standard 3mg ivermectin tablet then ivermectin infant formula preparation)

Active Comparator group

Description:

Ivermectin standard 3mg tablet washout 21 days ivermectin infant formula preparation

Treatment:

Drug: Standard ivermectin 3mg tablet

Drug: ivermectin infant formula preparation

Sequence 2 (ivermectin infant formula preparation then standard ivermectin 3mg tablet)

Active Comparator group

Description:

ivermectin infant formula preparation 21 days washout ivermectin standard 3mg tablet

Treatment:

Drug: Standard ivermectin 3mg tablet

Drug: ivermectin infant formula preparation