Title

Dose Ranging Study of Ivermectin Treatment Conditioner in Subjects With Head Lice Infestation
A Double-Blind, Placebo-Controlled Study Comparing the Safety and Efficacy of 3 Strengths of Ivermectin Treatment Conditioner and Placebo in Subjects With Pediculus Humanus Capitis (Head Lice) Infestation
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    ivermectin ...
  • Study Participants

    78
This is a Phase 2 single center study designed to compare the safety, local tolerability, and efficacy of 3 strengths of ivermectin treatment conditioner to placebo.
Study Started
Mar 31
2009
Primary Completion
Apr 30
2009
Study Completion
Apr 30
2009
Results Posted
Mar 30
2012
Estimate
Last Update
Mar 30
2012
Estimate

Drug ivermectin treatment conditioner

Application followed by thorough rinsing of the hair and scalp with water.

Drug Placebo, vehicle control

Application followed by thorough rinsing of the hair and scalp with water.

0.15% ivermectin Experimental

Participant on 0.15% ivermectin treatment conditioner

0.25% ivermectin Experimental

Participants on 0.25% ivermectin treatment conditioner

0.50% ivermectin Experimental

Participants on 0.50% ivermectin treatment conditioner

Placebo Placebo Comparator

participants on Placebo (Vehicle control)

Criteria

Inclusion Criteria:

Subjects who are at least 6 months old and weighing at least 15 kg.
Infestation with head lice and viable nits.
Are otherwise in a normal state of health.
Willing and able to attend all study visits as scheduled.
Agree not to cut or chemically treat their hair in the period between treatment and the final visit.
The subject and/or his/her parent/legal guardian have provided written informed consent, and, if appropriate, the child has provided assent.
Females of childbearing potential must have a negative urine pregnancy test at screening and agree to take reasonable precautions against becoming pregnant during the study period.

Exclusion Criteria:

Subjects who have received any over the counter or prescription treatment for head lice in the last 2 weeks.
Subjects unable to comply with the study obligations and all study visits.
Subjects with eczema or other chronic conditions of the scalp and skin.
Subjects in a household with more than 5 infested members.
Subjects with a history of allergy to ivermectin or any ingredients commonly included in hair products such as shampoos, hair conditioners, or styling aids.
Subjects with neurologic conditions including a seizure disorder or history of seizures.
Subjects with an infestation of body lice or pubic lice (determined by questioning).
Subjects suffering from a condition likely to require medical attention, including administration of oral or systemic antibiotics, oral or systemic corticosteroids, or any other treatment, which in the opinion of the Investigator and visiting physician could influence the results of the study.
Subjects with other diagnoses which, in the opinion of the Investigator, would interfere with efficacy or safety assessments or would preclude study participation.
Subjects with very short (shaved) hair.
Subjects who have been treated with a systemic antibiotic within the previous 2 weeks before screening.
Subjects who have been previously enrolled in any clinical study within the past 30 days; subjects may not participate in another study while participating in this study.
Pregnant and/or nursing females.

Summary

0.15% Ivermectin

0.25% Ivermectin

0.50% Ivermectin

Placebo

All Events

Event Type Organ System Event Term 0.15% Ivermectin 0.25% Ivermectin 0.50% Ivermectin Placebo

Percentage of Participants Who Were Lice-Free by Day 2 That Were Maintained Through Day 15 Post-treatment With Either Ivermectin or Placebo (Vehicle Control)

Live lice eradication was assessed by visual checks of hair and scalp on Days 1, 2 and 8 and by visual checks and counting both live and dead lice from rinse water on Day 15. Eradication was defined as cessation of motility (antennae and leg movement) in all lice.

0.15% Ivermectin

56.0
Percent of participants

0.25% Ivermectin

50.0
Percent of participants

0.50% Ivermectin

74.0
Percent of participants

Placebo

9.0
Percent of participants

Percentage of Index Participants Who Were Lice-Free at Different Time Points Post-treatment With Either Ivermectin or Placebo (Vehicle Control)

Live lice eradication was assessed on Days 1, 2, and 8 by visual checks of hair and scalp. Eradication was defined as cessation of motility (antennae and leg movement) in all lice.

0.15% Ivermectin

Day 1: 2 hours post-application

33.0
Percent of participants

Day 1: 6 hours post-application

50.0
Percent of participants

Day 2

83.0
Percent of participants

Day 8

67.0
Percent of participants

0.25% Ivermectin

Day 1: 2 hours post-application

44.0
Percent of participants

Day 1: 6 hours post-application

67.0
Percent of participants

Day 2

94.0
Percent of participants

Day 8

72.0
Percent of participants

0.50% Ivermectin

Day 1: 2 hours post-application

32.0
Percent of participants

Day 1: 6 hours post-application

58.0
Percent of participants

Day 2

95.0
Percent of participants

Day 8

84.0
Percent of participants

Placebo

Day 1: 2 hours post-application

22.0
Percent of participants

Day 1: 6 hours post-application

30.0
Percent of participants

Day 2

17.0
Percent of participants

Day 8

9.0
Percent of participants

Level of Live Lice Infestation at Different Time Points Post-Treatment With Either Ivermectin or Placebo (Vehicle Control)

The severity of lice infestation was determined by visual checks of hair and scalp. Severity was rated as None: no live lice; Mild: 1 to 5 live lice; Moderate: 6 to 10 live lice; Severe: 11 to 20 live lice; or Very severe > 20 live lice.

0.15% Ivermectin

Day 1: 2 Hours Post Dose: Mild

50.0
Percent of participants

Day 1: 2 Hours Post Dose: Moderate

17.0
Percent of participants

Day 1: 2 Hours Post Dose: None

33.0
Percent of participants

Day 15: Mild

11.0
Percent of participants

Day 15: None

56.0
Percent of participants

Day 15: Treatment Failure Day 8

33.0
Percent of participants

Day 1: 6 Hours Post Dose: Mild

39.0
Percent of participants

Day 1: 6 Hours Post Dose: Moderate

11.0
Percent of participants

Day 1: 6 Hours Post Dose: None

50.0
Percent of participants

Day 2: Mild

17.0
Percent of participants

Day 2: Moderate

Day 2: None

83.0
Percent of participants

Day 8: Mild

11.0
Percent of participants

Day 8: Moderate

Day 8: None

72.0
Percent of participants

Day 8: Severe

Day 8: Treatment Failure Day 2

17.0
Percent of participants

0.25% Ivermectin

Day 1: 2 Hours Post Dose: Mild

56.0
Percent of participants

Day 1: 2 Hours Post Dose: Moderate

Day 1: 2 Hours Post Dose: None

44.0
Percent of participants

Day 15: Mild

17.0
Percent of participants

Day 15: None

56.0
Percent of participants

Day 15: Treatment Failure Day 8

28.0
Percent of participants

Day 1: 6 Hours Post Dose: Mild

33.0
Percent of participants

Day 1: 6 Hours Post Dose: Moderate

Day 1: 6 Hours Post Dose: None

67.0
Percent of participants

Day 2: Mild

6.0
Percent of participants

Day 2: Moderate

Day 2: None

94.0
Percent of participants

Day 8: Mild

6.0
Percent of participants

Day 8: Moderate

6.0
Percent of participants

Day 8: None

72.0
Percent of participants

Day 8: Severe

11.0
Percent of participants

Day 8: Treatment Failure Day 2

6.0
Percent of participants

0.50% Ivermectin

Day 1: 2 Hours Post Dose: Mild

63.0
Percent of participants

Day 1: 2 Hours Post Dose: Moderate

5.0
Percent of participants

Day 1: 2 Hours Post Dose: None

32.0
Percent of participants

Day 15: Mild

11.0
Percent of participants

Day 15: None

74.0
Percent of participants

Day 15: Treatment Failure Day 8

16.0
Percent of participants

Day 1: 6 Hours Post Dose: Mild

37.0
Percent of participants

Day 1: 6 Hours Post Dose: Moderate

5.0
Percent of participants

Day 1: 6 Hours Post Dose: None

58.0
Percent of participants

Day 2: Mild

5.0
Percent of participants

Day 2: Moderate

Day 2: None

95.0
Percent of participants

Day 8: Mild

5.0
Percent of participants

Day 8: Moderate

Day 8: None

84.0
Percent of participants

Day 8: Severe

5.0
Percent of participants

Day 8: Treatment Failure Day 2

5.0
Percent of participants

Placebo

Day 1: 2 Hours Post Dose: Mild

65.0
Percent of participants

Day 1: 2 Hours Post Dose: Moderate

13.0
Percent of participants

Day 1: 2 Hours Post Dose: None

22.0
Percent of participants

Day 15: Mild

Day 15: None

9.0
Percent of participants

Day 15: Treatment Failure Day 8

91.0
Percent of participants

Day 1: 6 Hours Post Dose: Mild

61.0
Percent of participants

Day 1: 6 Hours Post Dose: Moderate

9.0
Percent of participants

Day 1: 6 Hours Post Dose: None

30.0
Percent of participants

Day 2: Mild

78.0
Percent of participants

Day 2: Moderate

4.0
Percent of participants

Day 2: None

17.0
Percent of participants

Day 8: Mild

9.0
Percent of participants

Day 8: Moderate

Day 8: None

9.0
Percent of participants

Day 8: Severe

Day 8: Treatment Failure Day 2

83.0
Percent of participants

Number of Participants Reporting Treatment-Emergent Adverse Events Post-treatment With Either Ivermectin or Placebo (Vehicle Control).

0.15% Ivermectin

Conjunctivitis

Erythema

Eye Pruritus

1.0
Participants

Folliculitis

Pruritus

5.0
Participants

Severe Conjunctivitis

Severe Erythema

Severe Eye Pruritus

Severe Folliculitis

Severe Pruritus

Severe Skin Irritation

Skin Irritation

0.25% Ivermectin

Conjunctivitis

Erythema

Eye Pruritus

Folliculitis

1.0
Participants

Pruritus

1.0
Participants

Severe Conjunctivitis

Severe Erythema

Severe Eye Pruritus

Severe Folliculitis

Severe Pruritus

Severe Skin Irritation

Skin Irritation

0.50% Ivermectin

Conjunctivitis

1.0
Participants

Erythema

1.0
Participants

Eye Pruritus

Folliculitis

Pruritus

3.0
Participants

Severe Conjunctivitis

Severe Erythema

Severe Eye Pruritus

Severe Folliculitis

Severe Pruritus

Severe Skin Irritation

Skin Irritation

Placebo

Conjunctivitis

Erythema

3.0
Participants

Eye Pruritus

Folliculitis

1.0
Participants

Pruritus

1.0
Participants

Severe Conjunctivitis

Severe Erythema

Severe Eye Pruritus

Severe Folliculitis

Severe Pruritus

Severe Skin Irritation

Skin Irritation

1.0
Participants

Total

78
Participants

Age, Categorical

Age Continuous

Region of Enrollment

Sex: Female, Male

Overall Study

0.15% Ivermectin

0.25% Ivermectin

0.50% Ivermectin

Placebo

Drop/Withdrawal Reasons

0.15% Ivermectin

0.50% Ivermectin