About this trial
The aim of this study is to collect efficacy and safety data to support the registration of tafenoquine in India.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Males and females >=2 years of age and under (<) 65 years of age, weighing >10 kg.
The participant has a positive malarial smear for P. vivax with a parasite density of >100/microliter and <100,000/microliter.
The participant has a screening Hb value >8 g/dL.
The participant has an axillary temperature of 37.5°C or history of fever 48 hours before recruitment.
Disqualifiers
The participant has severe P. vivax malaria as defined by WHO criteria [WHO, 2023].
The participant has a mixed malaria infection (identified by a malarial smear).
The participant has a condition that may affect absorption of study medication, such as severe vomiting (no food or inability to take food during the previous 8 hours).
The participant has a history of porphyria, psoriasis, or epilepsy.
Trial design
Parallel
Treatments tested in this trial
Tafenoquine
DrugA single dose of TQ will be administered orally on Day 1 or Day 2.
Primaquine
DrugA single dose of PQ will be administered orally, daily, on Day 1 or 2 to Day 14 (or Day 15 if PQ started on Day 2).
Chloroquine
DrugA single dose of CQ will be administered orally, daily, on Days 1 to 3.
Treatment groups
Trial outcomes
Primary outcomes
Number of participants remaining recurrence-free during the 6 months post-treatment and have a negative blood smear at the Month 6 (end of study [EOS]) visit
Two consecutive negative blood smears between Day 2 and Day 8, no positive blood smear for P. vivax parasites at any point during the 6-month follow-up period, and a negative P. vivax smear at the 6-month assessment.
Secondary outcomes
Number of participants with clinically relevant hemolysis change from baseline
A decrease in hemoglobin of greater than or equal to (\>=) 30% or greater than (\>) 3g/deciliter (dL) from baseline; or an overall drop in hemoglobin below 6.0 g/dL or complications thereof (e.g., required transfusions, acute renal failure) are considered clinically relevant hemolysis changes.
Time to recurrence of P. vivax malaria
Recurrence is defined as a positive blood smear for P. vivax parasites within the 6-month follow-up period, after clearance of blood-stage parasitemia.
Number of participants with treatment emergent adverse events (TEAEs) up to Month 6
An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Number of participants with TEAEs meeting >= Division of Acquired Immunodeficiency Syndrome (DAIDS) Grade 3 criteria
Severity was graded according to DAIDS grading criteria, where Grade 1-mild, Grade 2-moderate, Grade 3-severe, Grade 4-potentially life-threatening, Grade 5-Death.
Sponsors and contacts
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