Actively Recruiting

Phase 3
Age: 18Years +
All Genders
ID06148792

A Revised Tafenoquine Dose to Improve Radical Cure for Vivax Malaria - TAfenoquine DOsing REvised

Led by Menzies School of Health Research · Updated on 2025-07-18

1090

Participants Needed

4

Research Sites

N/A

Total Duration

On this page

Sponsors

M

Menzies School of Health Research

Lead Sponsor

U

University of Melbourne

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating a revised weight-based dose of tafenoquine (target dose 7.5mg/kg) to treat patients with vivax malaria. This Phase 3 trial aims to determine if this revised regimen is not worse than a high dose of primaquine given over seven days and if it is better than the standard fixed dose of tafenoquine. The study also looks at how well patients tolerate the revised dose and whether it is practical to use. Participants will be randomly assigned to one of three groups. One group will receive a single weight-based oral dose of tafenoquine along with schizontocidal treatment. Another group will receive a single fixed oral dose of 300mg tafenoquine plus schizontocidal treatment. The third group will receive schizontocidal treatment plus a high dose of primaquine given orally over seven days. The trial will monitor safety and effectiveness over several months. During the study, participants will be followed for six months. Researchers will assess the occurrence of vivax parasitaemia at 4 and 6 months as the main outcome. Other measurements include symptomatic vivax parasitaemia, anemia incidence at different time points, hemoglobin changes, adverse events, and methemoglobin levels. Participants must provide informed consent and live in the study area to allow regular follow-up and monitoring throughout the trial.

CONDITIONS

Brief Title

A Revised Tafenoquine Dose to Improve Radical Cure for Vivax Malaria

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • P. vivax peripheral parasitaemia (mono-infection)
  • G6PD normal status (G6PD activity 670% of the adjusted male median as determined by the Standard G6PD (SDBioline, ROK))
  • Fever (temperature 6537.5DAC) 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
Not Eligible

You will not qualify if you...

  • 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

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

Participants receive schizontocidal treatment plus one of the study drug regimens: a single weight-based oral dose of tafenoquine, a single fixed oral dose of 300mg tafenoquine, or a high dose oral primaquine over 7 days.

1 baseline visit and daily dosing over 7 days

Follow-up

Duration - 6 months

Participants are followed to monitor for vivax parasitaemia, anaemia, adverse events, and other outcomes for up to 6 months after treatment.

Weekly visits for the first 6 weeks, then monthly visits up to 6 months

Trial Site Locations

Total: 4 locations

1

Dr Marcus Lacerda

Manaus, Brazil

Actively Recruiting

2

Arba Minch General Hospital

Arba Minch, Ethiopia

Actively Recruiting

3

Puskesmas Hanura

Hanura, Indonesia

Not Yet Recruiting

4

Dr Moses Laman and Dr Brioni Moore

Alexishafen, Papua New Guinea

Actively Recruiting

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Research Team

H

Hellen Mnjala

K

kamala K Thriemer

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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