Schistosomiasis Infections and Infestations Schistosomiasis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Subjects 10 - 19 years old 2. Harbouring at least 100 eggs per gram of faeces (epg) 3. Able and willing to follow-up and provide written informed consent
Exclusion criteria
Exclusion criteria: 1. Pregnancy or lactation 2. Acute or chronic severe disease including hepato-splenic schistosomiasis 3. Use of praziquantel in the last 30 days 4. Known hypersensitivity associated with praziquantel 5. Current use of other medication that may affect the result of present trial e.g. antibiotics and corticosteroids Withdrawal criteria: Serious adverse event, intake of any other anti-schistosomal medication during the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Cure rate and egg reduction rate at 21 days after treatment 2. Reinfection rate and egg reduction rate at six and twelve months after treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Occurrence of the following symptoms following praziquantel administration: 1.1. Abdominal pain 1.2. Diarrhoea 1.3. Vomiting 1.4. Nausea 1.5. Drowsiness 1.6. General malaise 1.7. Oedema 1.8. Skin rash 1.9. Urticaria 1.10. Myalgia 1.11. Heartburn 1.12. Fever 1.13. Dizziness and headache 2. Weight (kg) and height (m) measured at day 0, 6 months and 12 months follow-up visits 3. Presence/absence of periportal fibrosis and liver or spleen enlargement at day 0, 6 months and 12 months follow-up visits 4. Factors associated with cure/failure at day 21 evaluation: 4.1. Haematological: haemoglobin/haematocrit, leukocytes count, lymphocytes and eosinophyles count 4.2. Biochemistry: liver function will be evaluated by serum bilirubin, alkaline phosphatase, aspartate aminotransferase, and alanine aminotransferase levels 4.3. Immunological: titres of anti-soluble egg antigen (anti-SEA) and anti-SWAB antibodies 5. Periportal fibrosis and liver/spleen enlargement | — |
Countries
Brazil, Mauritania, Philippines, Tanzania