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CTRI Number  CTRI/2026/03/105674 [Registered on: 09/03/2026] Trial Registered Prospectively
Last Modified On: 05/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Preventive
Behavioral 
Study Design  Cluster Randomized Trial 
Public Title of Study   Effectiveness of Scabies Control Interventions in Bangladesh 
Scientific Title of Study   Effectiveness of Different Scabies Control Interventions among Madrasa Students of Tungipara Sub-district, Bangladesh 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Tanvir Ahmed 
Designation  Upazila Health and Family Planning Officer 
Affiliation  Office of the Upazila Health and Family Planning Officer 
Address  158 Sobujbag Road Chandmari Gopalganj Sadar
Bangladesh


8100
Other 
Phone  8801717025358  
Fax    
Email  tanvir.cmc03@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Tanvir Ahmed 
Designation  Upazila Health and Family Planning Officer 
Affiliation  Office of the Upazila Health and Family Planning Officer 
Address  158 Sobujbag Road Chandmari Gopalganj Sadar
Bangladesh


8100
Other 
Phone  8801717025358  
Fax    
Email  tanvir.cmc03@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Tanvir Ahmed 
Designation  Upazila Health and Family Planning Officer 
Affiliation  Office of the Upazila Health and Family Planning Officer 
Address  158 Sobujbag Road Chandmari Gopalganj Sadar
Bangladesh


8100
Other 
Phone  8801717025358  
Fax    
Email  tanvir.cmc03@gmail.com  
 
Source of Monetary or Material Support  
Local Government, Upazila Parishad, Tungipara, Gopalganj, Postal Code: 8121, Bangladesh 
 
Primary Sponsor  
Name  Dr Tanvir Ahmed 
Address  Office of the Upazila Health and Family Planning Officer, Tungipara, Gopalganj, Bangladesh - 8710 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Bangladesh  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Tanvir Ahmed  Upazila Health Complex, Tungipara  Upazila Health Complex Tungipara Gopalganj 8710 Bangladesh

 
8801717025358

tanvir.cmc03@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Review Committee Gopalganj Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Absence of relevant disease (B86||Scabies) 
Patients  (1) ICD-10 Condition: B86||Scabies,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ivermectin Oral Tablet  200 microgram per kg body weight taken orally on day 0 and day 7 
Intervention  Permethrin 5% Topical Cream  15gm (children) or 30gm (adults) tube applied overnight on day 0 and day 7 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  All students teachers and staff of participating madrassas who are aged 5 years or above and residing in the boarding facility 
 
ExclusionCriteria 
Details  Known allergies or contraindication to permethrin or oral ivermectin; Received treatment for scabies within last 14 days; Pregnancy (for ivermectin groups); Body weight below 15 kg (for ivermectin groups) ; Non-boarding madrassa students; Madrassas currently in any scabies or other skin treatment program; Madrassas not willing to participate 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Point prevalence of active scabies  1 month 
 
Secondary Outcome  
Outcome  TimePoints 
Point prevalence of scabies  06 months and 12 months 
Reinfestation rates  06 months and 12 months 
Incident cases between follow up period  06 months and 12 months 
Adverse events or serious side effects  1 month 06 months and 12 months 
Acceptability of topical permethrin or oral ivermectin  1 month 06 months and 12 months 
Adherence to interventions and health education  06 months and 12 months 
Changes in hygiene-related knowledge attitudes and practices (KAP)  06 months and 12 months 
Per-student cost of interventions  Baseline 1 month 06 months and 12 months 
Incremental cost-effectiveness ratio (ICER)  Baseline 1 month 06 months and 12 months 
Barriers and facilitators to scabies management program  Baseline 1 month 06 months and 12 months 
 
Target Sample Size   Total Sample Size="1600"
Sample Size from India="0" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  17/03/2026 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Applicable 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Scabies is a parasitic skin infestation caused by Sarcoptes scabiei affecting millions worldwide particularly in overcrowded settings like madrassas in Bangladesh. This cluster randomized controlled trial aims to compare the effectiveness of different public health approaches for controlling scabies among madrassa students in Tungipara Subdistrict Bangladesh.

A total of 16 madrassas with approximately 1600 participants will be randomly allocated to four intervention groups. Arm A receives Mass Drug Administration plus health education with either Permethrin 5 percent cream or Oral Ivermectin (200 microgram per kg body weight). Arm B receives targeted therapy (cases and close contacts only) plus health education with the same drugs. Topical Permethrin is applied overnight for two rounds seven days apart. Oral Ivermectin is taken on empty stomach for two rounds seven days apart.

The primary outcome is point prevalence of active scabies at one month post intervention. Secondary outcomes include prevalence and reinfestation rates at 06 and 12 months adverse events acceptability adherence changes in hygiene related knowledge attitudes and practices cost effectiveness and barriers and facilitators to program implementation.

This study will provide evidence on optimal public health strategies for scabies control in high risk institutional settings and inform routine program implementation in Bangladesh.
 
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