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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
480
5 mL suspension (100 mg), 2x/day for 3 days
identical in consistency, appearance, and taste to nitazoxanide suspension. 5 mL suspension given 2x/day for 3 days
Days of Cryptosporidium-associated diarrhea
Time frame: 7 days
Time to clearance of Cryptosporidium from stool
Measured in days
Time frame: 6 months
Adverse events, total and stratified by age
Time frame: 6 months
Time-to-first Cryptosporidium infection in sibling
Measured in days
Time frame: 6 months
Change in weight from baseline to 6 months post-treatment
Weight measured in kilograms
Time frame: Baseline, 6 months
Change in Lactulose:Mannitol ratio from baseline to 6 months post treatment
Time frame: Baseline, 6 months
Change in height-for-age adjusted z-score from baseline to 6 months post treatment
Measured in centimeters
Time frame: Baseline, 6 months
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