Single Ascending Dose Safety Study of Oxfendazole (OXFEND-02)
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Purpose
This research is being done to learn about the safety in humans of a medicine that is already used in cows and pigs to treat worms. The medicine may be useful for people who have these or other worms. The medicine will be studied first in healthy people, who will be given a very small amount of the medicine once. If the smallest amount of medicine is found to be safe, a slightly higher amount will be given to a new group of volunteers. The highest amount that will be tested is similar to the amount given to animals. If the medicine can be given safely to healthy people in the planned amounts, a later study will be done in people who have worms to see if the medicine kills the worms.
| Condition | Intervention | Phase |
|---|---|---|
|
Tenia Solium Infection |
Drug: oxfendazole Drug: placebo |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Phase I Study of Oxfendazole (Toward the Treatment of Neurocysticercosis) |
- serious adverse events [ Time Frame: up to three weeks after dosing ] [ Designated as safety issue: Yes ]Proportion of patients who present with serious adverse events (SAEs) related to oxfendazole.
- adverse events [ Time Frame: up to three weeks after dosing ] [ Designated as safety issue: Yes ]proportion of subjects who present with adverse events (AEs) related to ocfendazole
- Pharmacokinetic Profile [ Time Frame: blood samples are drawn at 17 time points up to three weeks and urine is collected at 7 intervals up to 72 hours after dosing ] [ Designated as safety issue: No ]
The following PK parameters will be analyzed:
Maximum plasma concentration (Cmax), Time to Cmax (Tmax), Elimination rate constant (Iz), Elimination half-life (T½), Area under the curve to the final sample (AUC0-t), Area under the curve to infinity (AUC∞), Oral clearance (CL/F), Oral volume of distribution (Vz/F)
| Estimated Enrollment: | 70 |
| Study Start Date: | September 2012 |
| Estimated Study Completion Date: | October 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: oxfendazole 0.3
administration of a single oral 0.3mg/kg dose of oxfendazole
|
Drug: oxfendazole
administration of a single oral 0.3 mg/kg dose of oxfendazole
|
|
Placebo Comparator: placebo comparator
administration of a single oral dose of placebo
|
Drug: placebo
single oral dose of placebo
|
|
Experimental: oxfendazole 1.0
administration of a single oral 1.0 mg/kg dose of oxfendazole
|
Drug: oxfendazole
administration of a single oral 1.0 mg/kg dose of oxfendazole
|
|
Experimental: oxfendazole 3.0
administration of a single oral 3 mg/kg dose of oxfendazole
|
Drug: oxfendazole
administration of a single oral 3.0 mg/kg dose of oxfendazole
|
|
Experimental: oxfendazole 10
administration of a single oral 10 mg/kg dose of oxfendazole
|
Drug: oxfendazole
administration of a single oral 10 mg/kg dose of oxfendazole
|
|
Experimental: oxfendazole 20
administration of a single oral 20 mg/kg dose of oxfendazole
|
Drug: oxfendazole
administration of a single oral 20 mg/kg dose of oxfendazole
|
|
Experimental: oxfendazole 30
administration of a single oral 30 mg/kg dose of oxfendazole
|
Drug: oxfendazole
administration of a single oral 30 mg/kg dose of oxfendazole
|
Detailed Description:
The Phase I study proposed is a randomized, double-blind, placebo-controlled evaluation of the safety and pharmacokinetics of escalating single oral doses of oxfendazole (0.3 to 30 mg/kg) in healthy volunteers. The dose will be increased approximately three-fold (one-half log) at each increment, and each cohort will comprise ten volunteers (eight drug, two placebo). Subjects will be monitored for three weeks after dosing, including monitoring the pharmacokinetics and metabolism of oxfendazole in blood and urine. Each new cohort will be dosed only after the three week safety data for the preceding group have been analyzed. If a clinically significant adverse event is observed, and if this event is possibly drug-related, an additional (and final) cohort of volunteers will repeat the highest tolerated dose of oxfendazole. Up to 70 volunteers (56 drug, 14 placebo) will complete the study.
Eligibility| Ages Eligible for Study: | 18 Years to 45 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Height and weight within 25% of means for his/her gender and age.
- Willing to use two acceptable methods of contraception (approved oral, injectable, or implantable drug, IUD, diaphragm or condom with spermicidal jelly or foam, or sexual abstinence) for a minimum of one week before, and three weeks after dosing with oxfendazole; or surgically sterile.
- Able to give written informed consent.
- Able to provide a home phone number, and the name, address, and phone number of a person willing to assist making contact during the follow-up phase of the study.
Exclusion Criteria:
- Pregnant.
- Breast feeding.
- Chronic drug/alcohol user.
- Has clinically significant abnormalities in screening examinations
- Has history of sensitivity to related benzimidazole compounds (e.g. albendazole, mebendazole).
Contacts and Locations| Contact: Robert H Gilman, MD | (410) 614-3959 | rgilman@jhsph.edu |
| Principal Investigator: | Robert H Gilman, MD | Johns Hopkins University |
More Information
Publications:
| Responsible Party: | Robert Gilman, Professor, Johns Hopkins Bloomberg School of Public Health |
| ClinicalTrials.gov Identifier: | NCT01584362 History of Changes |
| Other Study ID Numbers: | OXFEND-02, IND 113,628, IND 113,628 |
| Study First Received: | April 18, 2012 |
| Last Updated: | April 24, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Johns Hopkins Bloomberg School of Public Health:
|
Taenia solium neurocysticercosis oxfendazole |
clinical trial, phase 1 safety pharmacokinetics |
Additional relevant MeSH terms:
|
Neurocysticercosis Cysticercosis Taeniasis Central Nervous System Helminthiasis Central Nervous System Parasitic Infections Parasitic Diseases Cestode Infections Helminthiasis Central Nervous System Infections |
Central Nervous System Diseases Nervous System Diseases Oxfendazole Anthelmintics Antiparasitic Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Antinematodal Agents |
ClinicalTrials.gov processed this record on May 22, 2013