Clinical Trials

Numerous clinical trials spanning Phase 1 through Phase 4 evaluate moxidectin against parasitic infections, including onchocerciasis, scabies, loiasis, strongyloidiasis, and soil-transmitted helminthiasis. Supported by non-profit, academic, and pharmaceutical sponsors, trial recruitment statuses range from recruiting and active not recruiting to completed studies evaluating efficacy and safety. Overall, this clinical landscape highlights moxidectin as a critical macrocyclic lactone candidate for global health initiatives targeting neglected tropical diseases.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07145736 RECRUITING
Onchocerciasis; Ascaris Lumbricoides Infection; Trichuris Trichiura; Infection; Hookworm Infections; Scabies
Kirby Institute
2025-08-04 PHASE4
NCT07159373 NOT_YET_RECRUITING
Lymphatic Filariasis; Scabies; Strongyloidiasis
Medicines Development for Global Health
2026-03 PHASE3
NCT06070116 ACTIVE_NOT_RECRUITING
Onchocercal Subcutaneous Nodule; Onchocerciasis; Onchocerciasis, Ocular; Onchocerca Infection; Tropical Disease
Washington University School of Medicine
2024-04-05 PHASE2
NCT06795165 COMPLETED
Blepharitis
Eye Research Foundation, Inc.
2025-02-02 PHASE4
NCT05875441 COMPLETED
Scabies
Medicines Development for Global Health
2023-11-23 PHASE2
NCT04410406 COMPLETED
Lymphatic Filariasis
Washington University School of Medicine
2020-08-20 PHASE3
NCT04311671 COMPLETED
Onchocerciasis
Medicines Development for Global Health
2021-05-03 PHASE3
NCT06188715 COMPLETED
Trichuriasis; Ascariasis; Hookworm Infections
Jennifer Keiser
2024-05-14 PHASE3
NCT03876262 ACTIVE_NOT_RECRUITING
Onchocerciasis
Medicines Development for Global Health
2021-05-03 PHASE3
NCT04049851 COMPLETED
Onchocerciasis, Ocular; Loiasis
Center for Research on Filariasis and Other Tropical Diseases, Cameroon
2022-04-07 PHASE2
NCT04848688 COMPLETED
Strongyloides Stercoralis Infection
Jennifer Keiser
2022-02-05 PHASE3
NCT03962062 COMPLETED
Onchocerciasis
Medicines Development for Global Health
2021-03-29 PHASE1
NCT03905265 COMPLETED
Scabies
Medicines Development for Global Health
2020-01-13 PHASE2
NCT04726969 COMPLETED
Trichuriasis; Ascariasis; Hookworm Infections
Jennifer Keiser
2021-06-15 PHASE3
NCT04700423 COMPLETED
Trichuriasis; Ascariasis; Hookworm Infections; Helminthes; Infestation, Intestinal
Jennifer Keiser
2021-03-01 PHASE2; PHASE3
NCT03876262 Active not recruiting
Onchocerciasis
Medicines Development for Global Health
2021-05-03 Phase 3
NCT04056325 COMPLETED
Strongyloides Stercoralis Infection
Jennifer Keiser
2019-11-27 PHASE2; PHASE3
NCT03962062 Completed
Onchocerciasis
Medicines Development for Global Health
2021-03-29 Phase 1
NCT03905265 Completed
Scabies
Medicines Development for Global Health
2020-01-13 Phase 2
NCT03501251 COMPLETED
Trichuris Trichiura; Infection
Swiss Tropical & Public Health Institute
2018-07-03 PHASE2
NCT03012828 COMPLETED
QT Effects in Healthy Volunteers
Medicines Development for Global Health
2017-01 PHASE1
NCT00790998 COMPLETED
Onchocerciasis
Medicines Development for Global Health
2009-04 PHASE3
NCT01035619 WITHDRAWN
Onchocerciasis
Pfizer
2011-04 PHASE2
NCT00300768 COMPLETED
Onchocerciasis
Medicines Development for Global Health
2006-09-06 PHASE2
NCT00751764 COMPLETED
Infection
Wyeth is now a wholly owned subsidiary of Pfizer
2008-11 PHASE1
NCT00856362 COMPLETED
Healthy
Wyeth is now a wholly owned subsidiary of Pfizer
2009-04 PHASE1
NCT00736697 COMPLETED
Infection
Wyeth is now a wholly owned subsidiary of Pfizer
2008-11 PHASE1

(data from https://clinicaltrials.gov, updated on 2025-11-21)

Check the Moxidectin product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Moxidectin selectively binds to glutamate-gated chloride ion channels in invertebrate nerve and muscle cells, promoting an influx of chloride ions that hyperpolarizes the postsynaptic membrane and disrupts neuromuscular transmission. This sustained hyperpolarization causes flaccid paralysis and parasite death, providing effective therapeutic action against clinical indications including onchocerciasis, scabies, and intestinal helminthiasis.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.