ClinicalTrials.gg
RecruitingNCT06148792TADOREUpdated Jul 18, 2025

A Revised Tafenoquine Dose to Improve Radical Cure for Vivax Malaria

A Phase 3 interventional study of Tafenoquine and Primaquine in Vivax Malaria, sponsored by Menzies School of Health Research. Recruiting at 4 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-18.

Sponsored by Menzies School of Health Research · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started May 2024; still recruiting 2 years 6 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
1,090
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to assess the efficacy and safety or a revised weight band tafenoquine dose in vivax malaria patients. The main question[s] it aims to answer are:

  • is a revised weight-based TQ regimen (TQRevised: target dose 7.5mg/kg) non-inferior to high dose primaquine (7mg/kg over 7 days)
  • is a revised weight-based TQ regimen (TQRevised: target dose 7.5mg/kg) superior to fixed dose tafenoquine (300mg)
  • is the tolerability and safety of TQRevised acceptable
  • is TQRevised acceptable and feasible Participants will receive a tafenoquine target dose 7.5mg/kg in weight bands. Researchers will compare this to patients receiving a fixed dose tafenoquine and high dose primaquine to see if safe and effective.
02

Conditions studied

  • Vivax Malaria

Browse trials for

03

In context

Malaria, Vivax

123 studies on the registry are indexed under Malaria, Vivax; 19 are open to participants now.

This study's planned enrollment of 1,090 is above the median of 150 across 103 interventional studies indexed under Malaria, Vivax.

Browse Malaria, Vivax studies →

Lead sponsor

Menzies School of Health Research is the lead sponsor of 45 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • P. vivax peripheral parasitaemia (mono-infection)
  • G6PD normal status (G6PD activity ≥70% of the adjusted male median as determined by the Standard G6PD (SDBioline, ROK))
  • Fever (temperature ≥37.5⁰C) or history of fever in the preceding 48 hours
  • Written
  • Living in the study area and willing to be followed for six months

Exclusion criteria

Exclusion Criteria:

  • Danger signs or symptoms of severe malaria
  • Anaemia (defined as \<8g/dl)
  • Pregnant or lactating females
  • Regular use of drugs with haemolytic potential
  • Known to any of the study drugs.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,090 participants (estimated)

Study arms

  • Experimental
    TQRevised

    Patients are treated with schizontocidal treatment plus a single weight-based oral dose of TQ (target dose 7.5mg/kg)

    Drug: Tafenoquine

  • Active comparator
    TQStandard

    Patients are treated with schizontocidal treatment plus single fixed oral dose of 300mg TQ (TQStandard)

    Drug: Tafenoquine

  • Experimental
    PQ7

    Patients are treated with schizontocidal treatment plus oral high dose PQ (total dose 7 mg/kg) over 7 days (PQ7)

    Drug: Primaquine

Interventions

06

What researchers measure

Primary outcomes

  1. The incidence risk of vivax parasitaemia

    The incidence risk (time to first event) of any P. vivax parasitaemia during the 4-month follow up period as determined by microscopy. * compared between TQRevised and the PQ7 (non-inferiority) * compared between TQRevised and TQStandard (superiority)

    Time frame: 4 months

Secondary outcomes

  1. The incidence risk of vivax parasitaemia

    The incidence risk (time to first event) of any P. vivax parasitaemia during the 4-month follow up period as determined by microscopy compared between TQStandard and PQ7

    Time frame: 4 months

  2. The incidence risk of symptomatic vivax parasitaemia

    The incidence risk (time to first event) of symptomatic P. vivax parasitaemia during the 4 months follow up period as determined by microscopy

    Time frame: 4 months

  3. The incidence risk of vivax parasitaemia

    The incidence risk (time to first event) of any P. vivax parasitaemia at 6-month follow up as determined by microscopy

    Time frame: 6 months

  4. The incidence risk of symptomatic vivax parasitaemia

    The incidence risk (time to first event) of symptomatic P. vivax parasitaemia at 6-month follow up as determined by microscopy

    Time frame: 6 months

  5. The incidence rate of vivax parasitaemia

    The incidence rate (events per person-time) of any P. vivax parasitaemia during the 6 months follow up period as determined by microscopy

    Time frame: 6 months

  6. The incidence rate of symptomatic vivax parasitaemia

    The incidence rate (events per person-time) of symptomatic P. vivax parasitaemia during the 6 months follow up period as determined by microscopy

    Time frame: 6 months

  7. The incidence risk of anaemia

    The incidence risk of developing severe anaemia (Hb \< 5g/dl) or moderate (5g/dl and \<7g/dl) anaemia within 7 and 14 days of starting treatment and/or requiring blood transfusion within the 6 months follow up period

    Time frame: 7 and 14 days, 6 months

  8. The incidence risk of an acute drop in Hb

    The incidence risk of an acute drop in Hb of \>25% to \<7g/dl within 7 and 14 days of starting treatment

    Time frame: 7 and 14 days

  9. Adverse events

    The number and proportion of adverse and serious adverse events in each arm within 42 days after start of treatment

    Time frame: 42 days

  10. Meth Hb concentration

    day 7 methaemoglobin concentration

    Time frame: day 7

07

Study locations

3 of 4 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes

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 Jul 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06148792
Lead sponsor
Menzies School of Health Research
Collaborators
University of Melbourne, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Arba Minch University, Addis Ababa University, Eijkman Research Center for Molecular Biology, National Research and Innovation Agency, Indonesia, Curtin University, Papua New Guinea Institute of Medical Research
Responsible party
Sponsor
First posted
Nov 28, 2023
Start date
May 10, 2024
Primary completion
Mar 1, 2027 (estimated)
Completion
Mar 1, 2027 (estimated)
Last update
Jul 18, 2025

Study contacts

Hellen Mnjala
Contact
hellen.mnjala@menzies.edu.au
+610889468675
kamala K Thriemer
Contact
kamala.ley-thriemer@menzies.edu.au
+610889468644
Kamala N Thriemer, PhD
principal investigator · Menzies School of Health Research

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Tafenoquine · Primaquine

Start the discussion