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Trial registered on ANZCTR
Registration number
ACTRN12609000263291
Ethics application status
Approved
Date submitted
17/02/2009
Date registered
14/05/2009
Date last updated
5/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
A drug intervention trial (praziquantel) against the Schistosoma japonicum parasite in China.
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Scientific title
A cluster-randomised trial of combination bovine and human treatment with praziquantel to reduce human infection rates of Schistosom japonicum in volunteer villagers in China
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Preventive schistosomiasis intervention
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Condition category
Condition code
Public Health
4581
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0
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Epidemiology
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Infection
4592
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A combination of bovine and human treatment with the drug praziquantel. Oral dose of 40mg/Kg for humans (as per WHO guidelines);25mg/Kg for water buffaloes and 30 mg/Kg for cattle. Oral tablets once per year for humans for four years. Oral tablets twice per year for bovines for four years.
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Intervention code [1]
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Prevention
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Comparator / control treatment
Human praziquantel treatment 40mg/kg, oral tablets,once annually for 4 years.
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Control group
Active
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Outcomes
Primary outcome [1]
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Human Incidence (%) of Schistosoma japonicum infection in humans within study villages. Assessed by the Kato Katz thick smear faecal technique to detemine parasite egg numbers.
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Assessment method [1]
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Timepoint [1]
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Baseline then yearly following baseline for three years (Total of trial = 4 years).
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Secondary outcome [1]
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Bovine infection rates (%) of Schistosoma japonicum in bovines assessed miracidial larva hatching test.
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Assessment method [1]
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Timepoint [1]
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Baseline then yearly following baseline for three years (Total of trial = 4 years).
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Eligibility
Key inclusion criteria
a) a resident of the selected village; b) a resident of the village for more than 12 months; c) aged 5–60 years; d) not intending to migrate out of the village for the next 4 years; e) continuously reside in the study area over the study period; f) consent obtained.
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Minimum age
5
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Residents who are in the study area only weekends or once a month
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Within each matched village pair the intervention village was randomly assigned via random number genaration leaving the other as the control. Allocation was concealed in that the whole village was assigned the intervention with central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using coin toss procedure within SAS program
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2004
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
3777
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
1573
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Wellcome Trust
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Address [1]
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Wellcome Trust
Gibbs Building
215 Euston Road
London NW1 2BE, UK
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Country [1]
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United Kingdom
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Funding source category [2]
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Government body
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Name [2]
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National Health and Medical Research Council (NHMRC)
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Address [2]
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GPO Box 1421, Canberra, ACT 2601
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Donald P McManus
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Address
Queensland Institute of Medical Research
300 Herston Rd Herston
Brisbane, 4006.
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Feng Zheng
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Address [1]
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Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention, 207 Rui Jin Er Lu, Shanghai 200005, P.R. China
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Country [1]
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China
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Background Zoonotic schistosomiasis japonica is a major public health problem in China. Bovines, particularly water buffaloes, are thought to play a major role in the transmission of schistosomiasis to humans in China. Preliminary results (1998-2003) of a praziquantel (PZQ)-based pilot intervention study we undertook provided proof of principle that water buffaloes are major reservoir hosts for Schistosoma japonicum in the Poyang Lake region, Jiangxi Province. Methods and Findings We undertook a cluster-randomised intervention trial (2004-2007) in Hunan and Jiangxi Provinces in China, with increased power and more general applicability to the lake and marshlands regions of southern China. The trial involved four matched pairs of villages with one village within each pair randomly selected as a control (human PZQ treatment only), leaving the other as the intervention (human and bovine PZQ treatment). A sentinel cohort of people to be monitored for new infections for the duration of the study was selected from each village. Results showed that combined human and bovine chemotherapy with PZQ had a greater effect on human incidence than human PZQ treatment alone. This was supported by Poisson regression analyses yielding crude and adjusted (for water contact) relative risks of 0.5 and 0.54 Conclusions The results from this study supported by previous experimental evidence, confirms that bovines are the major reservoir host of human schistosomiasis in the lake and marshland regions of southern China, and reinforce the rationale for the development and deployment of a transmission blocking anti-S. japonicum vaccine targeting bovines.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Donald P McManus
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Address
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Queensland Institute of Medical Research
300 Herston Rd Herston
Brisbane, 4006
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Country
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Australia
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Phone
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+61 7 3362 0401
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Donald P McManus
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Address
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Queensland Institute of Medical Research
300 Herston Rd Herston
Brisbane
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Country
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Australia
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Phone
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+61 7 3362 0401
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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