A Revised Tafenoquine Dose to Improve Radical Cure for Vivax Malaria
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Tafenoquine, Primaquine.
- Who it may be relevant to
- Registry conditions: Vivax Malaria. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Brazil, Ethiopia, Indonesia, Papua New Guinea
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Revised Tafenoquine Dose to Improve Radical Cure for Vivax Malaria - TAfenoquine DOsing REvised
Overview
The goal of this clinical trial is to assess the efficacy and safety or a revised weight band tafenoquine dose in vivax malaria patients. The main question\[s\] it aims to answer are: * is a revised weight-based TQ regimen (TQRevised: target dose 7.5mg/kg) non-inferior to high dose primaquine (7mg/kg over 7 days) * is a revised weight-based TQ regimen (TQRevised: target dose 7.5mg/kg) superior to fixed dose tafenoquine (300mg) * is the tolerability and safety of TQRevised acceptable * is TQRevised acceptable and feasible Participants will receive a tafenoquine target dose 7.5mg/kg in weight bands. Researchers will compare this to patients receiving a fixed dose tafenoquine and high dose primaquine to see if safe and effective.
Interventions
- Drug Tafenoquine
oral treatment - Drug Primaquine
oral treatment
Primary outcome measures
- The incidence risk of vivax parasitaemia [Time frame: 4 months]
Secondary outcome measures (10)
- The incidence risk of vivax parasitaemia [Time frame: 4 months]
- The incidence risk of symptomatic vivax parasitaemia [Time frame: 4 months]
- The incidence risk of vivax parasitaemia [Time frame: 6 months]
- The incidence risk of symptomatic vivax parasitaemia [Time frame: 6 months]
- The incidence rate of vivax parasitaemia [Time frame: 6 months]
- The incidence rate of symptomatic vivax parasitaemia [Time frame: 6 months]
- The incidence risk of anaemia [Time frame: 7 and 14 days, 6 months]
- The incidence risk of an acute drop in Hb [Time frame: 7 and 14 days]
- Adverse events [Time frame: 42 days]
- Meth Hb concentration [Time frame: day 7]
Eligibility criteria
Inclusion criteria
- P. vivax peripheral parasitaemia (mono-infection)
- G6PD normal status (G6PD activity ≥70% of the adjusted male median as determined by the Standard G6PD (SDBioline, ROK))
- Fever (temperature ≥37.5⁰C) or history of fever in the preceding 48 hours
- Written informed consent
- Living in the study area and willing to be followed for six months
Exclusion criteria
- Danger signs or symptoms of severe malaria
- Anaemia (defined as Hb <8g/dl)
- Pregnant or lactating females
- Regular use of drugs with haemolytic potential
- Known hypersensitivity to any of the study drugs.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Brazil · 1 center
- Dr Marcus Lacerda — Manaus
Ethiopia · 1 center
- Arba Minch General Hospital — Arba Minch
Indonesia · 1 center
- Puskesmas Hanura — Hanura
Papua New Guinea · 1 center
- Dr Moses Laman and Dr Brioni Moore — Alexishafen
Identifiers
NCT: NCT06148792 · TADORE