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Evaluation of the impact of large scale, community directed delivery of doxycycline for the treatment of onchocerciasis

Evaluation of the impact of large scale, community directed delivery of doxycycline for the treatment of onchocerciasis: the Anti-Wolbachia (A-WOL) trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN95189962
Enrollment
682
Registered
2011-08-10
Start date
2011-05-13
Completion date
Unknown
Last updated
2016-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Onchocerciasis (Onchocerca volvulus) Infections and Infestations Onchocerciasis

Interventions

The treatment was carried out in a previous feasibility trial of community delivered doxycycline treatment. The drug given in the feasibility trial was doxycycline at 100mg/day, once a day for 6 weeks

Sponsors

Liverpool School of Tropical Medicine (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Stage 1 1. Participants of both sexes aged 19 years or above 2. Received either 6 weeks of doxycycline MDA followed by one or two rounds of annual ivermectin MDA or one or two rounds of annual ivermectin MDA alone 3. Willingness to participate in the study by signing the informed consent form Stage 2 1. Participants of both sexes aged 19 years or above 2. Received either 6 weeks of doxycycline MDA followed by one or two rounds of annual ivermectin MDA or one or two rounds of annual ivermectin MDA alone 3. Presence of a minimum of one onchocercoma detected by palpation 4. Good general health without any clinical condition under treatment with long term medication 5. Willingness to participate in the study by signing the informed consent form

Exclusion criteria

Exclusion criteria: For stages 1 and 2: 1. Ivermectin intake since June 2010 (date of last ivermectin MDA) 2. Intake of antibiotics (tetracyclines or rifamycins) for longer that 2 weeks since June 2007 3. Behavioural, cognitive or psychiatric diseases that in the opinion of the trial clinician affects the ability of the participant to understand and cooperate with the study protocol 4. Any other condition that, in the opinion of the investigator (trial clinician), would risk the safety or rights of the participants in the trial or would render the subject unable to comply with the protocol

Design outcomes

Secondary

MeasureTime frame
To evaluate whether ultrasonograpy of palpable nodules to detect parasite motility can be used to monitor and evaluate macrofilaricidal activity after doxycycline MDA

Primary

MeasureTime frame
To evaluate the efficacy of doxycycline MDA followed by ivermectin MDA four years after delivery, at the community level (Stage 1) and known infected patients (Stage 2) and validate compliance rate of phase III implementation trial

Countries

Cameroon

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026