An Interventional Study to Compare the Efficacy and Safety of Tafenoquine (TQ) and Primaquine (PQ) When Either Are Taken Together With Chloroquine (CQ) for the Treatment of P. Vivax Malaria in Indian Participants Aged 2 Years and Older

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age2-64
SponsorGlaxoSmithKline

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Tafenoquine

    Drug

    A single dose of TQ will be administered orally on Day 1 or Day 2.

  • Primaquine

    Drug

    A 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

    Drug

    A single dose of CQ will be administered orally, daily, on Days 1 to 3.

Treatment groups

324 Participants
are divided into 2 treatment groups
Group A: TQ/CQExperimental treatment 2 interventions
Group B: PQ/CQActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

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.

Time frame
Up to Month 6

Secondary outcomes

1

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 frame
Up to Day 14
2

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.

Time frame
Up to Month 6
3

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.

Time frame
Up to Month 6
4

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.

Time frame
Up to Month 6

Other outcomes

Sponsors and contacts

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