Clinical trial Recruiting at 3 sites Phase 3 Interventional Ages 18 and up

Revised tafenoquine dosing for treating vivax malaria

Official title: A Revised Tafenoquine Dose to Improve Radical Cure for Vivax Malaria - TAfenoquine DOsing REvised

Run by Menzies School of Health Research · NCT06148792 · Data updated 2026-11-12

This study is testing a new weight-based dose of tafenoquine to see if it works as well or better than current treatments for people with vivax malaria.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1090 (estimated)
SponsorMenzies School of Health Research
Academic / other
Locations4 sites (Manaus and 3 other locations)
StatusRecruiting
StartedMay 10, 2024
Main results expectedMarch 1, 2027
Study endsMarch 1, 2027
Registry record updatedJuly 18, 2025
Trial IDNCT06148792 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are individuals diagnosed with P. vivax malaria who have normal G6PD status and are experiencing fever.

Probably not a fit

Patients with severe malaria symptoms, anemia, or those who are pregnant or lactating may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial aims to evaluate the efficacy and safety of a revised weight-based tafenoquine dosing regimen in patients with vivax malaria. Participants will receive a target dose of 7.5 mg/kg tafenoquine, which will be compared to a high dose of primaquine and a fixed dose of tafenoquine (300 mg). The study will assess whether the revised dosing is non-inferior to primaquine and superior to the fixed dose, while also evaluating the tolerability and safety of the new regimen. The trial will involve monitoring participants for six months to gather comprehensive data on outcomes.

Why it matters

Potential benefit: If successful, this study could provide a more effective and safer treatment option for patients with vivax malaria.

How similar studies have gone: Other studies have shown promise with tafenoquine, but this specific revised dosing approach is novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
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 informed consent
* Living in the study area and willing to be followed for six months

Exclusion Criteria:

* Danger signs or symptoms of severe malaria
* Anaemia (defined as Hb \<8g/dl)
* Pregnant or lactating females
* Regular use of drugs with haemolytic potential
* Known hypersensitivity to any of the study drugs.

Where it's running

  • Dr Marcus Lacerda
    Manaus, Brazil
    Recruiting
  • Arba Minch General Hospital
    Arba Minch, Ethiopia
    Recruiting
  • Dr Moses Laman and Dr Brioni Moore
    Alexishafen, Papua New Guinea
    Recruiting
  • Puskesmas Hanura
    Hanura, Indonesia
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • High-dose daily and weekly primaquine for vivax malaria in people with reduced G6PD activity

    This will test whether 1 mg/kg daily primaquine for 7 days is safe and works for adults with P. vivax and intermediate G6PD, and whether 0.75 mg/kg weekly primaquine is safe and works for adults with G6PD deficiency.

    Recruiting at 3 sites Phase 4 Menzies School of Health Research · Manaus and 3 other locations · NCT07468513

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    Recruiting Phase 4 Menzies School of Health Research · Darwin, Northern Territory · NCT07578298

  • Pneumococcal Vaccine Test for severely malnourished kids in hospital

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    Recruiting Phase 4 Menzies School of Health Research · Dili · NCT06817421

  • Improving culturally safe healthcare for Aboriginal patients

    This study is trying to see if training healthcare workers in cultural safety and using more Aboriginal interpreters can improve the hospital experience and health outcomes for Aboriginal patients in Northern Territory.

    Recruiting Phase 2 Menzies School of Health Research · Darwin, Northern Territory and 3 other locations · NCT05629416

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.