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A Randomized, Double-blind, Placebo-controlled Evaluation of Increasing Doses of Weekly Tafenoquine for Chemosuppression of Plasmodium Falciparum

Primary Purpose

Malaria

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Placebo
Tafenoquine 25mg
Tafenoquine 50mg
Tafenoquine 100 mg
Tafenoquine 200 mg
Mefloquine 250 mg
Sponsored by
U.S. Army Medical Research and Development Command
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Malaria

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Willing subjects in good general health.

    • Males aged 18 to 60; females aged 50 to 60.
    • Subjects who planned to stay in the study area until the end of the study.

Exclusion Criteria:

  • Subjects with any cardiovascular, liver, neurologic, or renal function abnormality which, in the opinion of the clinical investigators, would have placed them at increased risk of an adverse event or confused the result.

    • Subjects with a personal or family history of seizures or frank psychiatric disorder.
    • Females who had not ceased menstruation; a urine β-human chorionic gonadotrophin (β-HCG) test was to be performed at screening females who had ceased menstruation to exclude pregnancy as a cause.
    • Females who were lactating.
    • Subjects given antimalarial drugs for treatment within two weeks of study drug initiation.
    • Subjects with clinically significant abnormalities (to include but not limited to abnormal hepatic or renal function) as determined by history, physical and routine blood chemistry and haematology values.
    • Subjects with known hypersensitivity to any of the study drugs.
    • Subjects unwilling to remain in the area, report for drug administration or blood drawing during the 3-4 month duration of the study.
    • Subjects with G6PD deficiency (as determined by two separate qualitative tests per subject administered using distinct methods; methods used were visual dye and filter paper methods).
    • Subjects with any of the following laboratory values: haemoglobin (Hb) <8g/dL, platelets <80,000/mm3, white blood cell count (WBC) <3000/mm3, creatinine >1.5mg/dL, alanine transaminase (ALT) >60IU or 1+ haematuria as detected by urine dipstick.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Placebo Comparator

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Placebo

    Tafenoquine 25mg

    Tafenoquine 50mg

    Tafenoquine 100 mg

    Tafenoquine 200 mg

    Mefloquine 250 mg

    Arm Description

    Placebo was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.

    Tafenoquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.

    Tafenoquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.

    Tafenoquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.

    Tafenoquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.

    Mefloquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.

    Outcomes

    Primary Outcome Measures

    First occurrence of malaria infection
    First occurrence of malaria infection as documented by a positive malaria smear.

    Secondary Outcome Measures

    Time to confirmation of parasitaemia
    Time to confirmation of parasitaemia as documented by two consecutive positive smears and the incidence density of parasitaemia.

    Full Information

    First Posted
    June 30, 2015
    Last Updated
    September 12, 2018
    Sponsor
    U.S. Army Medical Research and Development Command
    Collaborators
    SmithKline Beecham
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02488902
    Brief Title
    A Randomized, Double-blind, Placebo-controlled Evaluation of Increasing Doses of Weekly Tafenoquine for Chemosuppression of Plasmodium Falciparum
    Official Title
    A Randomized, Double-blind, Placebo-controlled Evaluation of Increasing Doses of Weekly Tafenoquine for Chemosuppression of Plasmodium Falciparum in Semi-immune Adults Living in the Kassena-Nankana District of Northern Ghana
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    August 1998 (undefined)
    Primary Completion Date
    September 1998 (Actual)
    Study Completion Date
    March 2003 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    U.S. Army Medical Research and Development Command
    Collaborators
    SmithKline Beecham

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This was a randomised, double-blind, placebo-controlled study to compare the efficacy of a range four weekly doses of tafenoquine, and weekly mefloquine, with placebo as chemosuppression of P. falciparum malaria. Medications and placebo were matched and a double-dummy technique enabled blinding of tafenoquine versus mefloquine.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Malaria

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    521 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.
    Arm Title
    Tafenoquine 25mg
    Arm Type
    Experimental
    Arm Description
    Tafenoquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.
    Arm Title
    Tafenoquine 50mg
    Arm Type
    Experimental
    Arm Description
    Tafenoquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.
    Arm Title
    Tafenoquine 100 mg
    Arm Type
    Experimental
    Arm Description
    Tafenoquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.
    Arm Title
    Tafenoquine 200 mg
    Arm Type
    Experimental
    Arm Description
    Tafenoquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.
    Arm Title
    Mefloquine 250 mg
    Arm Type
    Experimental
    Arm Description
    Mefloquine was administered initially as a loading course of one capsule daily for 3 days, followed by a weekly dosing regimen at the same dose.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo
    Intervention Type
    Drug
    Intervention Name(s)
    Tafenoquine 25mg
    Intervention Description
    Tafenoquine 25mg
    Intervention Type
    Drug
    Intervention Name(s)
    Tafenoquine 50mg
    Intervention Description
    Tafenoquine 50mg
    Intervention Type
    Drug
    Intervention Name(s)
    Tafenoquine 100 mg
    Intervention Description
    Tafenoquine 100 mg
    Intervention Type
    Drug
    Intervention Name(s)
    Tafenoquine 200 mg
    Intervention Description
    Tafenoquine 200 mg
    Intervention Type
    Drug
    Intervention Name(s)
    Mefloquine 250 mg
    Intervention Description
    Mefloquine 250 mg
    Primary Outcome Measure Information:
    Title
    First occurrence of malaria infection
    Description
    First occurrence of malaria infection as documented by a positive malaria smear.
    Time Frame
    16 weeks
    Secondary Outcome Measure Information:
    Title
    Time to confirmation of parasitaemia
    Description
    Time to confirmation of parasitaemia as documented by two consecutive positive smears and the incidence density of parasitaemia.
    Time Frame
    16 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Willing subjects in good general health. Males aged 18 to 60; females aged 50 to 60. Subjects who planned to stay in the study area until the end of the study. Exclusion Criteria: Subjects with any cardiovascular, liver, neurologic, or renal function abnormality which, in the opinion of the clinical investigators, would have placed them at increased risk of an adverse event or confused the result. Subjects with a personal or family history of seizures or frank psychiatric disorder. Females who had not ceased menstruation; a urine β-human chorionic gonadotrophin (β-HCG) test was to be performed at screening females who had ceased menstruation to exclude pregnancy as a cause. Females who were lactating. Subjects given antimalarial drugs for treatment within two weeks of study drug initiation. Subjects with clinically significant abnormalities (to include but not limited to abnormal hepatic or renal function) as determined by history, physical and routine blood chemistry and haematology values. Subjects with known hypersensitivity to any of the study drugs. Subjects unwilling to remain in the area, report for drug administration or blood drawing during the 3-4 month duration of the study. Subjects with G6PD deficiency (as determined by two separate qualitative tests per subject administered using distinct methods; methods used were visual dye and filter paper methods). Subjects with any of the following laboratory values: haemoglobin (Hb) <8g/dL, platelets <80,000/mm3, white blood cell count (WBC) <3000/mm3, creatinine >1.5mg/dL, alanine transaminase (ALT) >60IU or 1+ haematuria as detected by urine dipstick.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Braden Hale, MD
    Organizational Affiliation
    US Naval Medical Research Unit
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    28495354
    Citation
    Novitt-Moreno A, Ransom J, Dow G, Smith B, Read LT, Toovey S. Tafenoquine for malaria prophylaxis in adults: An integrated safety analysis. Travel Med Infect Dis. 2017 May-Jun;17:19-27. doi: 10.1016/j.tmaid.2017.05.008. Epub 2017 May 8.
    Results Reference
    derived

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    A Randomized, Double-blind, Placebo-controlled Evaluation of Increasing Doses of Weekly Tafenoquine for Chemosuppression of Plasmodium Falciparum

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