TheraRadar
Data updated: May 26, 2026

MOXIDECTIN

Trial Activity: Declining 2 active trials
Orphan Drug Priority Review
Infectious Disease Approved 2018-06-13

Moxidectin is an anthelmintic medication used for patients with onchocerciasis caused by the parasite Onchocerca volvulus. It treats both adults and children aged 4 years and older who weigh at least 13 kg. Because the drug does not kill the adult version of the parasite, healthcare providers should perform follow-up evaluations after use.

How MOXIDECTIN Works

Moxidectin works as an anthelmintic drug to address parasitic infections. It belongs to a class of medications known as macrocyclic lactones.

Development Insights

Medicines Development for Global Health conducting 5 trials (42%)
10 indications explored (Broad Platform)
onchocerciasis (6 trials)
infection (2 trials)
lymphatic filariasis (1 trials)
2
Indications
--
Phase 3 Trials
2
Priority Reviews
7
Years on Market

Details

Status
Prescription
First Approved
2018-06-13
Patent Cliff
2032

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Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: MOXIDECTIN

MOXIDECTIN Approval History

2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2018 to 2025 · 1 indication expansions
Feb 2025 SUPPL Priority
Efficacy
Mar 2021 SUPPL
Label · Labeling
Jan 2019 SUPPL
Label · Labeling

What MOXIDECTIN Treats

1 indications

MOXIDECTIN is approved for 1 conditions since its original approval in 2018. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Onchocerciasis
Source: FDA Label

MOXIDECTIN Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

Indication competitors

2

Same indication, different mechanism — what else might this patient receive?

Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to MOXIDECTIN

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

IVERMECTIN
IVERMECTIN
1 shared
RUBICON RESEARCH
Shared indications:
Onchocerciasis
STROMECTOL
IVERMECTIN
1 shared
Merck
Shared indications:
Onchocerciasis
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Clinical Trial Registry

12 trials
Trial Sponsor ID Phase Status Title
NCT04311671 results posted MDGH-MOX-3002 Ph 3 completed Safety of a Single Dose of Moxidectin Compared With Ivermectin in Individuals Living in Onchocerciasis Endemic Areas and in Individuals Living in Onchocerciasis Endemic Areas With High Levels of Lymphatic Filariasis Co-endemicity Receiving Concomitant Albendazole
NCT04410406 results posted 202005076 Ph 3 completed Moxidectin for LF, Cote d'Ivoire (DOLF)
NCT03876262 MDGH-MOX-3001 Ph 3 active not recruiting Safety and Efficacy of Annual or Biannual Doses of Moxidectin or Ivermectin for Onchocerciasis
NCT07145736 EKAIO KirbyI Ph 4 recruiting Moxidectin Versus Ivermectin as Mass Drug Administration for the Control of Onchocerciasis and Other Neglected Tropical Diseases
NCT03962062 results posted MDGH-MOX-1006 Ph 1 completed A Pharmacokinetic and Safety Study of Moxidectin to Identify an Optimal Dose for Treatment of Children 4 to 11 Years
NCT04056325 StrongMoxi results posted 3 Ph 2, Ph 3 completed Efficacy, Safety, and PK of Ascending Dosages of Moxidectin Versus Ivermectin Against Strongyloides Stercoralis
NCT03012828 results posted MDGH-MOX-1008 Ph 1 completed Effect of a Single Oral Dose of Moxidectin on the Cardiac QT Interval of Healthy Volunteers
NCT00790998 3110A1-3000 B1751006 - ONCBL60801 Ph 3 completed Study Comparing Moxidectin And Ivermectin In Subjects With Onchocerca Volvulus Infection
NCT01035619 B1751005 3110A1-2201 Ph 2 withdrawn Pediatric Pharmacokinetics And Safety Study Of Moxidectin
NCT00736697 3110A1-1005 Ph 1 completed Study Evaluating The Effect Of High-Fat Meal On Bioavailability And Pharmacokinetics Of Single Dose Of Moxidectin
NCT00856362 3110A1-1004 Ph 1 completed Study Evaluating The Co-Administration Of Moxidectin And Midazolam In Healthy Subjects
NCT00751764 3110A1-1002 Ph 1 completed Study Evaluating The Excretion Of Moxidectin Into The Breast Milk Of Lactating, Non-Breastfeeding Women
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

MOXIDECTIN FDA Label Details

Indications & Usage

FDA Label (PDF)

MOXIDECTIN is indicated for the treatment of Onchocerciasis.

MOXIDECTIN Patents & Exclusivity

Exclusivity: Feb 2032

Exclusivity

ODE-528 Until Feb 2032
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment