Actively Recruiting

Phase 4
Age: 18Years +
All Genders
ID07468513

Primaquine Treatment for Vivax Malaria in Patients with G6PD Intermediate and Deficient Status

Led by Menzies School of Health Research · Updated on 2026-03-12

100

Participants Needed

4

Research Sites

26 weeks

Total Duration

On this page

Sponsors

M

Menzies School of Health Research

Lead Sponsor

C

Curtin University

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are observing the safety and effectiveness of high dose primaquine treatment in patients with Vivax Malaria who have different levels of G6PD enzyme activity. The study focuses on two groups: those with intermediate G6PD activity (30-70%) and those who are G6PD deficient (less than 30%). The goal is to assess how well these dosing regimens work and their safety for these specific patient groups. Participants with G6PD activity between 30 and less than 70% will receive a treatment combining schizontocidal therapy and a high dose of primaquine at 1 mg per kg each day for 7 days. Those with G6PD activity below 30% will receive schizontocidal treatment plus primaquine once weekly at a dose of 0.75 mg per kg, repeated for 8 weeks. This is a non-randomized study without blinding. During the study, participants will be monitored for six months to evaluate treatment safety and effectiveness. Researchers will measure outcomes related to the safety and efficacy of the high-dose primaquine regimen over this period. Participants must provide informed consent and agree to follow-up visits, during which health status, including haemoglobin levels and fever history, will be assessed.

CONDITIONS

Brief Title

Primaquine for Vivax Malaria in G6PD Intermediate and Deficient Cases.

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • P. vivax peripheral parasitaemia (mono-infection)
  • G6PD intermediate or deficient status (G6PD activity 30-<70% or �30% of the adjusted male median as determined by the Standard G6PD test)
  • Fever (temperature �37.5�B0C) or history of fever in the preceding 48 hours
  • Age 18 years or older
  • Haemoglobin at presentation 8 g/dl or higher
  • Written informed consent
  • Living in the study area and willing to be followed for six months.
Not Eligible

You will not qualify if you...

  • Danger signs or symptoms of severe malaria
  • Pregnant or lactating females
  • Regular use of drugs with haemolytic potential
  • Known hypersensitivity to any of the study drugs.

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - 7 days for participants with G6PD intermediate status; 8 weeks for participants with G6PD deficient status

Participants receive schizontocidal treatment plus primaquine according to their G6PD enzyme activity level.

1 visit to start treatment and weekly visits for up to 8 weeks depending on regimen

Follow-up

Duration - 6 months

Participants are followed for safety and efficacy monitoring after treatment ends.

Periodic visits during the 6-month follow-up period

Trial Site Locations

Total: 4 locations

1

Dr Marcus Lacerda

Manaus, Brazil

Actively Recruiting

2

Arba Minch General Hospital

Arba Minch, Ethiopia

Not Yet Recruiting

3

Dr Moses Laman and Dr Brioni Moore

Alexishafen, Madang Province, Papua New Guinea

Actively Recruiting

4

Papua New Guinea Institute of Medical Research

Port Moresby, Magang, Papua New Guinea

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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