Rach, J.J., M. P. Gaikowski, and R.T. Ramsay. 2000. Pivotal Studies to Evaluate the Efficacy of Hydrogen Peroxide to Control Parasite Infestations on Cultured Fish at Selected Fish Hatcheries. Submitted to the U.S. Food and Drug Administration Center for Veterinary Medicine. April 13, 2000. 279 pp. The efficacy of hydrogen peroxide to control parasite numbers on rainbow trout (Oncorhynchus mykiss) was evaluated in three clinical field trials conducted at two Wisconsin Department of Natural Resources hatcheries. In separate trials, rainbow trout were transferred from the source culture unit into a test system of 12 individually plumbed tanks. Each tank was supplied with a continuous flow of hatchery water at a flow rate providing an exchange rate similar to that of the culture unit. Fish in trials 1 and 2 were exposed to hydrogen peroxide concentrations of 50, 100, or 200 µL/L for 30 min once every-other-day for a total of three treatments. Fish in trial 3 were exposed to hydrogen peroxide concentrations of 50, 100, or 200 µL/L for 30 min once every-other-day for a total of three treatments. Pre and post- treatment (analyzed 4 h after last treatment, except in Trial 3 analyzed at 14d ) skin and gill samples were microscopically examined to identify and enumerate external parasites. The severity of the infestation was classified as low (1-10 organisms), moderate (11-20), or high (?21). Ambiphrya numbers on the skin of the test fish was high at the inition of trial 1. Post-treatment examinations indicated Ambiphrya was eliminated from all treated fish, while control fish remained highly infested with Ambiphrya. In trial 2 pretreatment examinations of skin and gill samples indicated a high infestation of the trematode Gyrodactylus (skin) and the protozoan Trichodina (gills) on all fish. Post-treatment examinations of treated fish revealed Gyrodactylus was eliminated from the skin, however, high numbers of Trichodina remained on the gills. All control fish remained highly infected with Trichodina (gills) and Gyrodactylus (skin). High numbers of Ambiphrya were present on the skin of test fish in trial 3. Post-treatment skin examinations indicated Ambiphrya was eliminated from most treated fish (56 %), even though the last treatment was applied 14 d previously. Control fish remained highly infested with the parasite. Hydrogen peroxide treatments were efficacious in the control of the protozoan Ambiphrya and the monogenetic trematode Gyrodactylus.