Trial Outcomes & Findings for Evaluation of Effectiveness of ALBENDAZOLIVERMECTIN Coformulation vs ALBENDAZOLE for Treatment of Intestinal Worms (NCT NCT05124691)
NCT ID: NCT05124691
Last Updated: 2025-09-22
Results Overview
For Trichuris trichiura, the cure rate is defined as the proportion of participants who test negative for T. trichiura eggs in the Kato-Katz fecal examination on day 21 post-treatment, relative to the total number of participants infected at baseline (n=636).
TERMINATED
PHASE2/PHASE3
1001 participants
21 days
2025-09-22
Participant Flow
Participant milestones
| Measure |
Albendazole
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Phase II
STARTED
|
30
|
51
|
54
|
|
Phase II
Received Any Study Drug After Randomization
|
27
|
50
|
51
|
|
Phase II
COMPLETED
|
24
|
48
|
51
|
|
Phase II
NOT COMPLETED
|
6
|
3
|
3
|
|
Phase III
STARTED
|
213
|
330
|
323
|
|
Phase III
Received Any Study Drug After Randomization
|
213
|
330
|
323
|
|
Phase III
COMPLETED
|
206
|
326
|
319
|
|
Phase III
NOT COMPLETED
|
7
|
4
|
4
|
Reasons for withdrawal
| Measure |
Albendazole
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Phase II
Eligibility criteria
|
0
|
1
|
0
|
|
Phase II
Withdrawal by Subject
|
6
|
2
|
3
|
|
Phase III
Withdrawal by Subject
|
6
|
4
|
4
|
|
Phase III
Lost to Follow-up
|
1
|
0
|
0
|
Baseline Characteristics
Phase II (n=135) and Phase III (n=866) data are shown separately
Baseline characteristics by cohort
| Measure |
Albendazole
n=243 Participants
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
n=381 Participants
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
n=377 Participants
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
Total
n=1001 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Sex: Female, Male
Phase III · Male
|
100 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
165 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
144 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
409 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Age, Continuous
Phase II
|
9.0 Years
STANDARD_DEVIATION 2.55 • n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
8.9 Years
STANDARD_DEVIATION 2.66 • n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
9.2 Years
STANDARD_DEVIATION 2.74 • n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
9.1 Years
STANDARD_DEVIATION 2.65 • n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Age, Continuous
Phase III
|
11.4 Years
STANDARD_DEVIATION 3.08 • n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
11.2 Years
STANDARD_DEVIATION 3.05 • n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
11.3 Years
STANDARD_DEVIATION 3.24 • n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
11.3 Years
STANDARD_DEVIATION 3.13 • n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Sex: Female, Male
Phase II · Female
|
20 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
28 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
31 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
79 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Sex: Female, Male
Phase II · Male
|
10 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
23 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
23 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
56 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Sex: Female, Male
Phase III · Female
|
113 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
165 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
179 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
457 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase II · American Indian or Alaska Native
|
0 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase II · Asian
|
0 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase II · Native Hawaiian or Other Pacific Islander
|
0 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase II · Black or African American
|
30 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
51 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
54 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
135 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase II · White
|
0 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase II · More than one race
|
0 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase II · Unknown or Not Reported
|
0 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase III · American Indian or Alaska Native
|
0 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase III · Asian
|
0 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase III · Native Hawaiian or Other Pacific Islander
|
0 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase III · Black or African American
|
213 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
330 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
323 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
866 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase III · White
|
0 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase III · More than one race
|
0 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Race (NIH/OMB)
Phase III · Unknown or Not Reported
|
0 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Region of Enrollment
Ethiopia · Phase II
|
0 Participants
n=96 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=107 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=104 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=307 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Region of Enrollment
Ethiopia · Phase III
|
96 Participants
n=96 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
107 Participants
n=107 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
104 Participants
n=104 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
307 Participants
n=307 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Region of Enrollment
Kenya · Phase II
|
30 Participants
n=114 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
51 Participants
n=209 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
54 Participants
n=209 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
135 Participants
n=532 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Region of Enrollment
Kenya · Phase III
|
84 Participants
n=114 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
158 Participants
n=209 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
155 Participants
n=209 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
397 Participants
n=532 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Region of Enrollment
Mozambique · Phase II
|
0 Participants
n=33 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=65 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=64 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
0 Participants
n=162 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Region of Enrollment
Mozambique · Phase III
|
33 Participants
n=33 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
65 Participants
n=65 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
64 Participants
n=64 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
162 Participants
n=162 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Number of subjects positive for infection with T. trichiura
Phase II
|
30 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
51 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
54 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
135 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
|
Number of subjects positive for infection with T. trichiura
Phase III
|
101 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
200 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
200 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
501 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
|
Eggs per gram (EPG) detected by Kato-Katz technique in participants infected with T. trchiura
Phase II
|
113.0 Eggs per gram of stool
STANDARD_DEVIATION 1.2 • n=30 Participants • The population corresponds to those infected at baseline with T. trichiura (n=636). Measure Analysis Population Description: Phase II (n=135) and Phase III (n=501) data are shown separately
|
137.4 Eggs per gram of stool
STANDARD_DEVIATION 1.5 • n=51 Participants • The population corresponds to those infected at baseline with T. trichiura (n=636). Measure Analysis Population Description: Phase II (n=135) and Phase III (n=501) data are shown separately
|
159.4 Eggs per gram of stool
STANDARD_DEVIATION 1.4 • n=54 Participants • The population corresponds to those infected at baseline with T. trichiura (n=636). Measure Analysis Population Description: Phase II (n=135) and Phase III (n=501) data are shown separately
|
139.6 Eggs per gram of stool
STANDARD_DEVIATION 1.4 • n=135 Participants • The population corresponds to those infected at baseline with T. trichiura (n=636). Measure Analysis Population Description: Phase II (n=135) and Phase III (n=501) data are shown separately
|
|
Eggs per gram (EPG) detected by Kato-Katz technique in participants infected with T. trchiura
Phase III
|
128.0 Eggs per gram of stool
STANDARD_DEVIATION 1.5 • n=101 Participants • The population corresponds to those infected at baseline with T. trichiura (n=636). Measure Analysis Population Description: Phase II (n=135) and Phase III (n=501) data are shown separately
|
124.2 Eggs per gram of stool
STANDARD_DEVIATION 1.4 • n=200 Participants • The population corresponds to those infected at baseline with T. trichiura (n=636). Measure Analysis Population Description: Phase II (n=135) and Phase III (n=501) data are shown separately
|
121.6 Eggs per gram of stool
STANDARD_DEVIATION 1.5 • n=200 Participants • The population corresponds to those infected at baseline with T. trichiura (n=636). Measure Analysis Population Description: Phase II (n=135) and Phase III (n=501) data are shown separately
|
123.9 Eggs per gram of stool
STANDARD_DEVIATION 1.5 • n=501 Participants • The population corresponds to those infected at baseline with T. trichiura (n=636). Measure Analysis Population Description: Phase II (n=135) and Phase III (n=501) data are shown separately
|
|
Number of subjects positive for infection with Hookworms
Phase II
|
2 Participants
n=30 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
4 Participants
n=51 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
4 Participants
n=54 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
10 Participants
n=135 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
|
Number of subjects positive for infection with Hookworms
Phase III
|
106 Participants
n=213 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
124 Participants
n=330 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
120 Participants
n=323 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
350 Participants
n=866 Participants • Phase II (n=135) and Phase III (n=866) data are shown separately.
|
|
Eggs per gram (EPG) detected by Kato-Katz technique in participants infected with hookworm
Phase II
|
42.6 Eggs per gram of stool
STANDARD_DEVIATION 0.2 • n=2 Participants • Measure Analysis Population Description: The population corresponds to those infected at baseline with hookworms (n=360). Measure Analysis Population Description: Phase II (n=10) and Phase III (n=350) data are shown separately
|
527.3 Eggs per gram of stool
STANDARD_DEVIATION 1.5 • n=4 Participants • Measure Analysis Population Description: The population corresponds to those infected at baseline with hookworms (n=360). Measure Analysis Population Description: Phase II (n=10) and Phase III (n=350) data are shown separately
|
93.0 Eggs per gram of stool
STANDARD_DEVIATION 2.3 • n=4 Participants • Measure Analysis Population Description: The population corresponds to those infected at baseline with hookworms (n=360). Measure Analysis Population Description: Phase II (n=10) and Phase III (n=350) data are shown separately
|
159.2 Eggs per gram of stool
STANDARD_DEVIATION 1.9 • n=10 Participants • Measure Analysis Population Description: The population corresponds to those infected at baseline with hookworms (n=360). Measure Analysis Population Description: Phase II (n=10) and Phase III (n=350) data are shown separately
|
|
Eggs per gram (EPG) detected by Kato-Katz technique in participants infected with hookworm
Phase III
|
116.6 Eggs per gram of stool
STANDARD_DEVIATION 1.3 • n=106 Participants • Measure Analysis Population Description: The population corresponds to those infected at baseline with hookworms (n=360). Measure Analysis Population Description: Phase II (n=10) and Phase III (n=350) data are shown separately
|
118.2 Eggs per gram of stool
STANDARD_DEVIATION 1.3 • n=124 Participants • Measure Analysis Population Description: The population corresponds to those infected at baseline with hookworms (n=360). Measure Analysis Population Description: Phase II (n=10) and Phase III (n=350) data are shown separately
|
112.9 Eggs per gram of stool
STANDARD_DEVIATION 1.4 • n=120 Participants • Measure Analysis Population Description: The population corresponds to those infected at baseline with hookworms (n=360). Measure Analysis Population Description: Phase II (n=10) and Phase III (n=350) data are shown separately
|
115.9 Eggs per gram of stool
STANDARD_DEVIATION 1.3 • n=350 Participants • Measure Analysis Population Description: The population corresponds to those infected at baseline with hookworms (n=360). Measure Analysis Population Description: Phase II (n=10) and Phase III (n=350) data are shown separately
|
|
Number of subjects positive for infection with S. stercoralis
Phase II
|
0 Participants
n=30 Participants • Measure Analysis Population Description: Phase II (n=135) and Phase III (n=866) data are shown separately
|
4 Participants
n=51 Participants • Measure Analysis Population Description: Phase II (n=135) and Phase III (n=866) data are shown separately
|
3 Participants
n=54 Participants • Measure Analysis Population Description: Phase II (n=135) and Phase III (n=866) data are shown separately
|
7 Participants
n=135 Participants • Measure Analysis Population Description: Phase II (n=135) and Phase III (n=866) data are shown separately
|
|
Number of subjects positive for infection with S. stercoralis
Phase III
|
16 Participants
n=213 Participants • Measure Analysis Population Description: Phase II (n=135) and Phase III (n=866) data are shown separately
|
40 Participants
n=330 Participants • Measure Analysis Population Description: Phase II (n=135) and Phase III (n=866) data are shown separately
|
41 Participants
n=323 Participants • Measure Analysis Population Description: Phase II (n=135) and Phase III (n=866) data are shown separately
|
97 Participants
n=866 Participants • Measure Analysis Population Description: Phase II (n=135) and Phase III (n=866) data are shown separately
|
PRIMARY outcome
Timeframe: 21 daysPopulation: Intention to treat population infected with Trichuris trichiura from both Phase II and Phase III of the study (n=636). A separate efficacy analysis by phase was not conducted, as the protocol specifies that the required sample size for this outcome is derived from all participants infected with T. trichiura at baseline, combining those from Phase II and Phase III.
For Trichuris trichiura, the cure rate is defined as the proportion of participants who test negative for T. trichiura eggs in the Kato-Katz fecal examination on day 21 post-treatment, relative to the total number of participants infected at baseline (n=636).
Outcome measures
| Measure |
Albendazole
n=131 Participants
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
n=251 Participants
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
n=254 Participants
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Cure Rate for T. Trichiura (CR)
|
47 Participants
|
208 Participants
|
247 Participants
|
PRIMARY outcome
Timeframe: 21 days postreatmentPopulation: Intention-to-Treat (ITT) population from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis).
Proportions of participants presenting at least one treatment-related adverse event by arm
Outcome measures
| Measure |
Albendazole
n=243 Participants
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
n=381 Participants
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
n=377 Participants
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Frequency of Related Adverse Events
ITT Phase II and Phase III
|
34 Participants
|
75 Participants
|
88 Participants
|
|
Frequency of Related Adverse Events
ITT Phase II
|
3 Participants
|
8 Participants
|
10 Participants
|
|
Frequency of Related Adverse Events
ITT Phase III
|
31 Participants
|
67 Participants
|
78 Participants
|
SECONDARY outcome
Timeframe: 21 daysPopulation: Intention to treat population infected with Trichuris trichiura from both Phase II and Phase III of the study (n=636). A separate efficacy analysis by phase was not conducted, as the protocol specifies that the required sample size for this outcome is derived from all participants infected with T. trichiura at baseline, combining those from Phase II and Phase III.
The Egg Reduction Rate (ERR) is defined as the percentage reduction in the geometric mean (GM) of eggs per gram (EPG) of feces from baseline to post-treatment.
Outcome measures
| Measure |
Albendazole
n=131 Participants
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
n=251 Participants
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
n=254 Participants
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Egg Reduction Rate for T. Trichiura (ERR)
|
83.4 Percentage of reduction
Interval 73.7 to 89.8
|
99.2 Percentage of reduction
Interval 98.9 to 99.5
|
99.9 Percentage of reduction
Interval 99.8 to 99.9
|
SECONDARY outcome
Timeframe: 21 daysPopulation: Intention to treat population infected with hookworm from Phase III of the study (n=350). A separate efficacy analysis by phase was not conducted, as the protocol specifies that the required sample size for this outcome is derived exclusively from participants infected with hookworms at baseline in Phase III.
For hookworm, the cure rate is defined as the proportion of participants who test negative for hookworm eggs in the Kato-Katz fecal examination on day 21 post-treatment, relative to the total number of participants infected at baseline in Phase III (n=350).
Outcome measures
| Measure |
Albendazole
n=106 Participants
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
n=124 Participants
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
n=120 Participants
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Cure Rate for for Hookworm (CR)
|
69 Participants
|
99 Participants
|
114 Participants
|
SECONDARY outcome
Timeframe: 21 daysPopulation: Intention to treat population infected with hookworm from Phase III of the study (n=350). A separate efficacy analysis by phase was not conducted, as the protocol specifies that the required sample size for this outcome is derived exclusively from participants infected with hookworms at baseline in Phase III.
The Egg Reduction Rate (ERR) is defined as the percentage reduction in the geometric mean (GM) of eggs per gram (EPG) of feces from baseline to post-treatment.
Outcome measures
| Measure |
Albendazole
n=106 Participants
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
n=124 Participants
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
n=120 Participants
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Egg Reduction Rate for Hookworm (ERR)
|
97.8 Percentage of reduction
Interval 96.6 to 98.7
|
99.0 Percentage of reduction
Interval 98.2 to 99.4
|
99.8 Percentage of reduction
Interval 99.5 to 99.9
|
SECONDARY outcome
Timeframe: 21 daysPopulation: Intention to treat population infected with S. stercoralis from Phase III of the study (n=97). A separate efficacy analysis by phase was not conducted, as the protocol specifies that the required sample size for this outcome is derived exclusively from participants infected with S. stercoralis at baseline in Phase III.
For S. stercoralis, the cure rate is defined as the proportion of participants who test negative for S. stercoralis larvae in the Baermann tesi on day 21 post-treatment, relative to the total number of participants infected at baseline in Phase III (n=97).
Outcome measures
| Measure |
Albendazole
n=16 Participants
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
n=40 Participants
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
n=41 Participants
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Cure Rates for for S. Stercoralis
|
13 Participants
|
38 Participants
|
41 Participants
|
SECONDARY outcome
Timeframe: 21 daysPopulation: For Trichuris trichiura, the cure rate is defined as the proportion of participants who test negative by qPCR (Ct-value\>35) on day 21 post-treatment, relative to the total number of participants that were positves at baseline by Kato-Katz and qPCR (n=534).
For Trichuris trichiura, the cure rate is defined as the proportion of participants who test negative by qPCR (Ct-value\>35) on day 21 post-treatment, relative to the total number of participants that were positves at baseline by Kato-Katz and qPCR (n=534).
Outcome measures
| Measure |
Albendazole
n=110 Participants
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
n=203 Participants
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
n=221 Participants
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Cure Rate for T. Trichiura (CR) by qPCR
|
55 Participants
|
152 Participants
|
188 Participants
|
SECONDARY outcome
Timeframe: 21 daysPopulation: Although samples were collected from participants, they were not analyzed and will not be analyzed in the future, as emerging scientific evidence has invalidated the hypothesis.
The original objective as per the protocol was to "To evaluate the frequency of known ALB resistant alleles in hookworm and T. trichiura in the three treatment arms before and after treatment" with the endpoint being "Evaluation of genotypic albendazole resistance in the three arms." This objective was based on the hypothesis that mutations at codons 167, 198, and 200 of the beta-tubulin gene of Trichuris trichiura were associated with resistance. However, since this time, it has become increasingly evident, based on research from us (PMID: 35895348, 39546832, 34563247) and others, that this hypothesis is no longer supported, and that the genetic determinants of resistance in T. trichiura are yet to be discovered. Therefore, we have begun evaluating, using whole genome sequencing, other genetic variants and their association with poor treatment response. This research is exploratory and ongoing. Therefore, the original outcome as defined in the protocol could not be assessed.
Outcome measures
Outcome data not reported
Adverse Events
Albendazole
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Albendazole
n=243 participants at risk
Single dose of Albendazole 400mg
|
Single Dose Albendazole-Ivermectin Fixed Dose Co-formulation (FDCx1)
n=381 participants at risk
Single dose 400mg Albendazole- 9mg Ivermectin for participants \<45 kg of body weight Single dose 400mg Albendazole- 18mg Ivermectin for participants \>= 45 kg of body weight
|
Daily Dose of Albendazole-Ivermectin FIxed Dose Co-formulation for Three Consecutive Days (FDCx3)
n=377 participants at risk
Daily dose of 400mg Albendazole- 9mg Ivermectin for 3 consecutive days for participants \<45 kg of body weight Daily dose of 400mg Albendazole- 18mg Ivermectin for 3 consecutive days for participants \>= 45 kg of body weight
|
|---|---|---|---|
|
Gastrointestinal disorders
Abdominal pain
|
9.5%
23/243 • Number of events 24 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
13.6%
52/381 • Number of events 60 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
12.5%
47/377 • Number of events 52 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
|
Nervous system disorders
Headache
|
2.9%
7/243 • Number of events 7 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
5.2%
20/381 • Number of events 21 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
3.7%
14/377 • Number of events 18 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
|
Gastrointestinal disorders
Diarrhoea
|
2.1%
5/243 • Number of events 5 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
4.5%
17/381 • Number of events 17 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
3.2%
12/377 • Number of events 14 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
|
Gastrointestinal disorders
Vomiting
|
1.6%
4/243 • Number of events 4 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
2.6%
10/381 • Number of events 10 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
3.2%
12/377 • Number of events 15 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
|
Gastrointestinal disorders
Nausea
|
0.82%
2/243 • Number of events 2 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
1.6%
6/381 • Number of events 6 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
4.5%
17/377 • Number of events 18 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
|
Respiratory, thoracic and mediastinal disorders
Cough
|
0.41%
1/243 • Number of events 1 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
1.0%
4/381 • Number of events 4 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
2.7%
10/377 • Number of events 10 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
|
Gastrointestinal disorders
Parasitic gastroenteritis
|
1.2%
3/243 • Number of events 5 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
0.79%
3/381 • Number of events 3 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
1.1%
4/377 • Number of events 4 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
|
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
|
1.6%
4/243 • Number of events 4 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
0.52%
2/381 • Number of events 2 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
1.3%
5/377 • Number of events 5 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
|
Respiratory, thoracic and mediastinal disorders
Upper respiratory track infection
|
0.82%
2/243 • Number of events 2 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
1.0%
4/381 • Number of events 4 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
0.53%
2/377 • Number of events 2 • For the safety evaluation on treatment days, participants stayed at the sites for 3 h after drug administration.Safety was also actively monitored on days 1, 2, 7, and 21 after taking the medication.
Adverse events were reported for the intention-to-treat (ITT) population comprising participants from both Phase II and Phase III (n = 1001), regardless of baseline infection type (T. trichiura, hookworms, or S. stercoralis). All events were documented systematically following treatment administration.
|
Additional Information
Jose Muñoz
Instituto de Salud Global de Barcelona - ISGLOBAL
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: LTE60