About this trial
The goal of this clinical trial is to learn if nitazoxanide (NTZ) can treat Cryptosporidium infection in children age 6-12 months. The main questions it aims to answer are:
* Does NTZ treatment of diarrheal Cryptosporidium infection lower the number of days of diarrhea? * Does NTZ treatment of diarrheal and non-diarrheal Cryptosporidium infection lower the number of days that parasites can be found in the stool?
Researchers will compare NTZ to a placebo (a look-alike substance that contains no drug) to see if NTZ works to treat Cryptosporidium.
Participants will:
* Take NTZ or placebo for 3 days * Receive regular visits from field research assistants * Provide blood and urine samples
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
tests positive for Cryptosporidium by stool point-of-care test, with or without active diarrhea
family plans on remaining in the area for next 6 months
Disqualifiers
history of hypersensitivity to nitazoxanide.
taking warfarin. Tizoxanide, the metabolite of nitazoxanide is highly bound to plasma proteins and may compete with binding sites of other highly plasma bound drugs with narrow therapeutic indices, including warfarin.
history of renal insufficiency or a baseline serum creatinine = 40 µmol/L. Renal clearance of the drug has not been studied.
history of hepatic dysfunction or serum aspartate aminotransferase (AST) ;
Trial design
Parallel
Treatments tested in this trial
Nitazoxanide
Drug5 mL suspension (100 mg), 2x/day for 3 days
Placebo
Drugidentical in consistency, appearance, and taste to nitazoxanide suspension. 5 mL suspension given 2x/day for 3 days
Treatment groups
Trial outcomes
Primary outcomes
Days of Cryptosporidium-associated diarrhea
Time to clearance of Cryptosporidium from stool
Measured in days
Secondary outcomes
Adverse events, total and stratified by age
Time-to-first Cryptosporidium infection in sibling
Measured in days
Change in weight from baseline to 6 months post-treatment
Weight measured in kilograms
Change in Lactulose:Mannitol ratio from baseline to 6 months post treatment
Locations
Sponsors and contacts
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Johns Hopkins Bloomberg School of Public Health
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborator
This trial is not recruiting at the moment. You can still explore other options: