Randomised controlled trial of two different dosing regimens of praziquantel anti-bilharzia drug

ISRCTN ISRCTN18009264
DOI https://doi.org/10.1186/ISRCTN18009264
Secondary identifying numbers PZQ 17
Submission date
08/08/2019
Registration date
28/08/2019
Last edited
28/08/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The aim of this study is to compare the effectiveness and side effects of two different doses of the drug praziquantel for the treatment of Schistosoma haematobium parasite infection (bilharzia) in children.

Who can participate?
Primary school children in the two villages of Elkeriab and Tayba Elkababish , Khartoum State, who are affected with urinary bilharzia

What does the study involve?
Children randomly allocated to one of two different doses of praziquantel (the standard drug for bilharzia). Schistosoma eggs, blood in the urine and egg viability are measured by urine testing weekly for six weeks.

What are the possible benefits and risks of participating?
Praziquantel has been used for more than 30 years, with a good track record using the same doses used in this study. The children will benefit by getting treated for bilharzia with an effective and safe medicine. This drug can have minor side effects such as nausea, vomiting and skin rash, but side effects are not common.

Where is the study run from?
The study will be run and conducted in the villages of Elkeriab and Tayba Elkababish, East Nile Locality, Khartoum State, Sudan.

When is the study starting and how long is it expected to run for?
January 2017 to April 2017

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Prof. Abu Bakr Ibrahim
drabubakrhim@gmail.com

Contact information

Dr Osama Elshazali
Scientific

Faculty Of Medicine
University of Khartoum
Khartoum
PO Box 102
Sudan

Phone +249 (0)123001487
Email o.elshazali@uofk.edu

Study information

Study designSingle-centre blinded randomised parallel trial
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)School
Study typeTreatment
Scientific titleRandomised controlled trial of two different dosing regimens of praziquantel for the treatment of Schistosoma haematobium in children
Study acronymPZQRCT
Study objectivesThe higher dose of praziquantel is better than the standard dose in treating Schistosoma haematobium in children.
Ethics approval(s)Approved 07/01/2017, Ethics Committee of Khartoum State Ministry of Health, Sudan (Dr Mona Fath Alrahman Omer,
Directorate of the research Department, Khartoum Ministry of Health (KMOH); Tel +249 (0)183760140; Email: ibtikar.Kmoh@gmail.com)
Health condition(s) or problem(s) studiedUrinary schistosomiasis in children
InterventionRandomisation was computer-generated, allocation concealment using opaque brown envelopes. The children, their parents and the research assistant checking for the outcome were all blinded to the group allocation.

Two different dosing regimens of praziquantel were compared for the treatment of urinary schistosomiasis in children: a dose of 40 mg/kg vs 60 mg/kg. The 40 mg/kg was given in two equal doses four hours apart and the 60 mg/kg was divided into three equal doses four hours apart. The doses were administered by a doctor.

The patients were followed up weekly for a total duration of 6 weeks post intervention.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Praziquantel
Primary outcome measureSchistosoma ova, haematuria and ova viability measured using urine test weekly for six weeks
Secondary outcome measuresSide effects of praziquantel assessed using patient interviews at week one
Overall study start date15/01/2017
Completion date01/04/2017

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Years
Upper age limit14 Years
SexBoth
Target number of participantsThe population of the study was all the primary school children in the two primary schools (Elkeriab and Tayba Elkababish ). The total number of school children was 1205 children, 105 students tested positive for urinary schistosomiasis, so were included in the trial.
Total final enrolment105
Key inclusion criteria1. School age children (6-14 years of age)
2. Male and females
3. Positive urine test for Schistosoma ova
4. Lives in specific locality of Elkeriab and Tayba Elkababish, Khartoum State, Sudan
Key exclusion criteria1. Refused to participate in the study
2. Age less than 6 years or more than 14 years
Date of first enrolment18/01/2017
Date of final enrolment01/02/2017

Locations

Countries of recruitment

  • Sudan

Study participating centre

Elkeriab and Tayba Elkabaish primary schools
Elkeriab Village, East Nile Locality
Khartoum North
0000
Sudan

Sponsor information

The National Ribat University
University/education

Faculty of Laboratory Science
Buri
Khartoum
0000
Sudan

Phone +249 (0)999990150
Email drabubakrhim@gmail.com
ROR logo "ROR" https://ror.org/01x7yyx87

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/10/2019
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe researchers will publish the final results of the study in the next few weeks.
IPD sharing planPlease contact Prof Abu Bakr Ibrahim (drabubakrhim@gmail.com) for access to the datasets, the data will be available from September 2019 for three months, the researchers have obtained consent from participants that data may be shared for research and educational purposes only.

Editorial Notes

22/08/2019: Trial's existence confirmed by ethics committee.