About this trial
Current treatment regimens to prevent relapsing malaria are too long. A shorter higher dose treatment could improve treatment outcomes, but this needs to be balanced against increased risk of side effects. Recent data from a trial in children in Papua New Guinea (PNG) suggests a shortened treatment of 3 days is safe and effective. Our multicentre trial will assess the safety and efficacy of an ultra-short primaquine course. This trial is expected to directly influence global treatment policies.
Eligibility criteria
Qualifiers
P. vivax peripheral parasitaemia as determined by microscopy
G6PD normal status (G6PD activity ≥70% of the site specific adjusted male median as determined by the Standard G6PD (SD Bioline, ROK))
Fever (temperature ≥37.5°C) or history of fever in the preceding 48 hours,
Age ≥5 years
Disqualifiers
Signs or symptoms of severe malaria,
Anaemia (defined as Hb <8g/dl) and measured by the Standard G6PD
Pregnant or lactating
Blood transfusion within the preceding four months
Trial design
Treatments tested in this trial
- High dose ultra short Primaquine
- Placebo
Treatment groups
Sponsors and collaborators
Menzies School of Health Research
Lead sponsor
Curtin University
Collaborator
University of Melbourne
Collaborator
Papua New Guinea Institute of Medical Research
Collaborator
Arba Minch University
Collaborator
Jimma University
Collaborator
Universitas Sumatera Utara
Collaborator
Aga Khan University
Collaborator
PathWest Laboratory Medicine WA
Collaborator