Lymphatic filariasis (Wuchereria bancrofti) Infections and Infestations Filariasis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Men between 18 - 60 years 2. Resident in the village for five years or more 3. Evidence of hydrocele assessed by physical examination and ultrasonography 4. Good general health without any clinical condition requiring long-term medication 5. Minimum body weight 40 kg
Exclusion criteria
Exclusion criteria: 1. Evidence of clinically significant neurological, cardiac, pulmonary, hepatic, rheumatological, or renal disease by history, physical examination, and/or laboratory tests 2. Behavioural, cognitive or psychiatric disease that, in the opinion of the investigator, affects the ability of the volunteer to understand and cooperate with the study protocol 3. Laboratory evidence of liver disease (aspartate aminotransferase [AST] alanine aminotransferase [ALT] and/or gamma-glutamyl transferase (gGT) greater than 1.25 times the upper limit of normal of the testing laboratory) 4. Laboratory evidence of renal disease (serum creatinine greater than 1.25 times of the upper limit of normal of the testing laboratory) 5. Other conditions that, in the opinion of the investigator, would jeopardise the safety or rights of a volunteer participating in the trial or would render the subject unable to comply with the protocol 6. Volunteer has abused alcohol or illicit drugs during the past 6 months by history 7. History of severe allergic reaction or anaphylaxis 8. Intolerance to doxycycline
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in size of clinical and sub-clinical hydrocele, measured pre-treatment as well as 12 months and 24 months after the start of drug administration. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Reduction in the stage of supratesticular dilation of scrotal lymphatic vessels, measured pre-treatment as well as 12 months and 24 months after the start of drug administration 2. Reduction in circulating filarial antigen levels as a measure of macrofilaricidal effect of doxycycline, measured pre-treatment as well as 3 months, 12 months and 24 months after the start of drug administration 3. Change in systemic immune responses, measured pre-treatment as well as 3 months, 12 months and 24 months after the start of drug administration | — |
Countries
Ghana