Phase2a Primaquine Dose Escalation Study

NCT ID: NCT01743820

Last Updated: 2015-01-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

81 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2014-12-31

Brief Summary

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The purpose of this study is to evaluate the safety, efficacy, and pharmacokinetics of low single-dose primaquine for gametocidal activity against P.falciparum among adult glucose-6-phosphate dehydrogenase (G6PD)-normal malaria patients.

Detailed Description

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Conditions

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Malaria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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dihydroartemisinin-piperaquine only

dihydroartemisinin -piperaquine (DP) only

Group Type ACTIVE_COMPARATOR

dihydroartemisinin-piperaquine

Intervention Type DRUG

DP and 0.125 mg/kg primaquine

DP and single dose oral 0.125 mg/kg primaquine

Group Type EXPERIMENTAL

dihydroartemisinin-piperaquine

Intervention Type DRUG

0.125 mg/kg Primaquine

Intervention Type DRUG

DP and 0.5 mg/kg primaquine

DP and single dose oral 0.5 mg/kg primaquine

Group Type EXPERIMENTAL

dihydroartemisinin-piperaquine

Intervention Type DRUG

0.5 mg/kg Primaquine

Intervention Type DRUG

DP and 0.25 mg/kg primaquine

DP and a single dose oral 0.25 mg/kg primaquine

Group Type EXPERIMENTAL

dihydroartemisinin-piperaquine

Intervention Type DRUG

0.25 mg/kg Primaquine

Intervention Type DRUG

DP and 0.0625 mg/kg primaquine

DP and a single dose oral 0.0625 mg/kg primaquine

Group Type EXPERIMENTAL

dihydroartemisinin-piperaquine

Intervention Type DRUG

0.0625 mg/kg Primaquine

Intervention Type DRUG

Interventions

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dihydroartemisinin-piperaquine

Intervention Type DRUG

0.125 mg/kg Primaquine

Intervention Type DRUG

0.5 mg/kg Primaquine

Intervention Type DRUG

0.25 mg/kg Primaquine

Intervention Type DRUG

0.0625 mg/kg Primaquine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male
* Age \>= 18 years and \< 50 years
* Malaria blood thick film positive
* Presence of gametocytes on thick blood film
* Agrees to admission to study ward for 26 hours post diagnosis and available for follow up visits
* No allergies to study drugs
* Hemoglobin \>= 8 g/dl
* No evidence of severe or chronic disease
* Written, informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Malaria Research and Training Center, Bamako, Mali

OTHER

Sponsor Role collaborator

Shoklo Malaria Research Unit

OTHER

Sponsor Role collaborator

Mahidol Oxford Tropical Medicine Research Unit

OTHER

Sponsor Role collaborator

Bill and Melinda Gates Foundation

OTHER

Sponsor Role collaborator

Wellcome Trust

OTHER

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roland Gosling, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Alassane Dicko, MD

Role: PRINCIPAL_INVESTIGATOR

Malaria Research and Training Centre

François Nosten, MD

Role: PRINCIPAL_INVESTIGATOR

Shoklo Malaria Research Unit

Locations

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Malaria Research and Training Centre

Bamako, , Mali

Site Status

Countries

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Mali

References

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Gosling RD, Okell L, Mosha J, Chandramohan D. The role of antimalarial treatment in the elimination of malaria. Clin Microbiol Infect. 2011 Nov;17(11):1617-23. doi: 10.1111/j.1469-0691.2011.03660.x. Epub 2011 Sep 26.

Reference Type BACKGROUND
PMID: 21951597 (View on PubMed)

Baird JK, Schwartz E, Hoffman SL. Prevention and treatment of vivax malaria. Curr Infect Dis Rep. 2007 Jan;9(1):39-46. doi: 10.1007/s11908-007-0021-4.

Reference Type BACKGROUND
PMID: 17254503 (View on PubMed)

WHO (2011) World Malaria Report 2011. Geneva: World Health Organization.

Reference Type BACKGROUND

WHO (2010) Guidelines for the treatment of malaria, Second edition. Geneva: World Health Organization

Reference Type BACKGROUND

El-Sayed B, El-Zaki SE, Babiker H, Gadalla N, Ageep T, Mansour F, Baraka O, Milligan P, Babiker A. A randomized open-label trial of artesunate- sulfadoxine-pyrimethamine with or without primaquine for elimination of sub-microscopic P. falciparum parasitaemia and gametocyte carriage in eastern Sudan. PLoS One. 2007 Dec 12;2(12):e1311. doi: 10.1371/journal.pone.0001311.

Reference Type BACKGROUND
PMID: 18074034 (View on PubMed)

Shekalaghe SA, ter Braak R, Daou M, Kavishe R, van den Bijllaardt W, van den Bosch S, Koenderink JB, Luty AJ, Whitty CJ, Drakeley C, Sauerwein RW, Bousema T. In Tanzania, hemolysis after a single dose of primaquine coadministered with an artemisinin is not restricted to glucose-6-phosphate dehydrogenase-deficient (G6PD A-) individuals. Antimicrob Agents Chemother. 2010 May;54(5):1762-8. doi: 10.1128/AAC.01135-09. Epub 2010 Mar 1.

Reference Type BACKGROUND
PMID: 20194698 (View on PubMed)

Dicko A, Brown JM, Diawara H, Baber I, Mahamar A, Soumare HM, Sanogo K, Koita F, Keita S, Traore SF, Chen I, Poirot E, Hwang J, McCulloch C, Lanke K, Pett H, Niemi M, Nosten F, Bousema T, Gosling R. Primaquine to reduce transmission of Plasmodium falciparum malaria in Mali: a single-blind, dose-ranging, adaptive randomised phase 2 trial. Lancet Infect Dis. 2016 Jun;16(6):674-684. doi: 10.1016/S1473-3099(15)00479-X. Epub 2016 Feb 20.

Reference Type DERIVED
PMID: 26906747 (View on PubMed)

Other Identifiers

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MEG001

Identifier Type: -

Identifier Source: org_study_id

NCT02011555

Identifier Type: -

Identifier Source: nct_alias

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