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CompletedNCT04073953Updated Nov 21, 2024

Primaquine Enantiomers in G6PD Deficient Human Volunteers

A Phase 1 interventional study of RPQ and SPQ in G6PD Deficiency, sponsored by University of Mississippi, Oxford. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-21.

Sponsored by University of Mississippi, Oxford · Phase 1, Interventional, and Basic science

From the registry’s dates

  • Primary completion was Sep 2023, 3 years 1 month ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study is a single center, prospective, cross-over phase 1 trial. Eighteen subjects will be enrolled in the study evaluating the metabolism, pharmacokinetic behavior and tolerability of primaquine enantiomers and placebo over the course of 5 days.

Read the detailed description

Each subject will receive a 15 mg dose of one enantiomer (SPQ or RPQ or Placebo) daily for up to 5 days, with careful monitoring of hematological parameters before and after each dose. In addition to the general CMP14 safety criteria, any subject who displays a fractional hemoglobin drop of 15% below his/her baseline value, then drug administration will stop (e.g. for baseline Hgb of 14 g/dL, if there is at any point a decrease of 2.1 g/dL). Hematocrit will be similarly monitored, with proportional stop criteria. Elevation in total bilirubin to 2.0 mg/dL or greater will also be used as a stopping criterion. After stopping drug administration (5 days or whenever stop criteria are met), subjects will have a 3-week washout period, and the study repeated with the other enantiomer, and similarly with Placebo.

02

Conditions studied

  • G6PD Deficiency

Keywords

  • G6PD
  • Hemolysis
  • Primaquine
  • Pharmacokinetics
  • Malaria
03

In context

Glucosephosphate Dehydrogenase Deficiency

35 studies on the registry are indexed under Glucosephosphate Dehydrogenase Deficiency; 4 are open to participants now.

This study's enrollment of 18 is below the median of 100 across 23 interventional studies indexed under Glucosephosphate Dehydrogenase Deficiency.

Browse Glucosephosphate Dehydrogenase Deficiency studies →

Lead sponsor

University of Mississippi, Oxford is the lead sponsor of 12 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • G6PD deficient, otherwise normal healthy adults aged 18 to 65

Exclusion criteria

Exclusion Criteria:

  • Known history of liver, kidney or hematological disease (other than G6PD deficiency)
  • Known history of cardiac disease, non-sinus rhythm arrhythmia or QT prolongation
  • Autoimmune disorders
  • Report of an active infection
  • Subject is pregnant or breast-feeding, or is expecting to conceive during the study.
05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    RPQ (-) enantiomer

    Cohort 1 will receive 15mg of RPQ every day for 5 days. Cohort 2 will receive 22.5 mg of RPQ every day for five days.

    Drug: RPQ

  • Experimental
    SPQ (+) enantiomer

    Cohort 1 will receive 15mg of SPQ every day for 5 days. Cohort 2 will receive 22.5 mg of SPQ every day for five days.

    Drug: SPQ

  • Placebo comparator
    Placebo

    Cohort 1 will receive placebo capsules every day for 5 days. Cohort 2 will receive placebo capsules every day for five days.

    Drug: Placebo

Interventions

  • DrugRPQ

    The study will compare the individual enantiomers of Primaquine -R-(-)-PQ, S-(+)-PQ, and Placebo.

    Also known as: R-(-) Enantiomer of Primiquine Phosphate

  • DrugSPQ

    The study will compare the individual enantiomers of Primaquine -R-(-)-PQ, S-(+)-PQ, and Placebo.

    Also known as: S-(+) Enantiomer of Primaquine Phosphate

  • DrugPlacebo

    The study will compare the individual enantiomers of Primaquine -R-(-)-PQ, S-(+)-PQ, and Placebo.

06

What researchers measure

Primary outcomes

  1. Change in Methemoglobin concentration in blood from baseline

    Change in Methemoglobin concentration in blood from baseline (% hemoglobin)

    Time frame: Days 0, 3, 5

Secondary outcomes

  1. Primaquine Plasma Concentration, ng/mL

    Plasma concentrations of parent drug

    Time frame: Days 0, 3, 5

  2. Carboxy-Primaquine Plasma Contration, ng/mL

    Plasma concentrations of carboxy-primaquine metabolite

    Time frame: Days 0, 3, 5

  3. Primaquine N-carbamoyl-glucuronide Plasma contration, ng/mL

    Plasma concentrations of Primaquine N-carbamoyl-glucuronide metabolite

    Time frame: Days 0, 3, 5

  4. Primaquine Orthoquinone Plasma concentration, ng/mL

    Plasma concentrations of Primaquine Orthoquinone metabolite

    Time frame: Days 0, 3, 5

  5. Change in Hematocrit (%) compared to baseline

    Change in Hematocrit (%) compared to baseline

    Time frame: Days 0, 3, 5

  6. Change in Hemoglobin (g/dL) compared to baseline

    Change in Hemoglobin (g/dL) compared to baseline

    Time frame: Days 0, 3, 5

  7. Change is AST (U/L) compared to baseline

    Change is AST (U/L) compared to baseline; used to monitor liver function

    Time frame: Days 0, 3, 5

  8. Change in ALT (U/L) compared to baseline

    Change in ALT (U/L) compared to baseline; used to monitor liver function

    Time frame: Days 0, 3, 5

  9. Change in total Bilirubin (mg/dL) compared to baseline

    Change in total Bilirubin (mg/dL) compared to baseline; used to monitor liver function and red cell integrity

    Time frame: Days 0, 3, 5

07

Study locations

1 site
  • University of Mississippi
    University, Mississippi 38677, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04073953
Lead sponsor
University of Mississippi, Oxford
Responsible party
Sponsor
First posted
Aug 29, 2019
Start date
Sep 1, 2020
Primary completion
Sep 1, 2023
Completion
Sep 1, 2023
Last update
Nov 21, 2024

Study contacts

Larry Walker, Ph.D.
principal investigator · University of Mississippi Medical Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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