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Phase 4 Completed N=156 Randomized Treatment

Rigorous Assessment of P. Vivax Relapses and Primaquine Efficacy for Radical Cure

Vivax Malaria
Source: ClinicalTrials.gov NCT04706130 ↗
Enrolled (actual)
156
Serious AEs
0.0%
Results posted
Jun 2026
Primary outcomePrimary: Number of Patients Experiencing P. Vivax Recurrence — 48; 11; 2 Participants
◆ Published Evidence
Emerging
10citations · ~10 / year
14 days of high-dose versus low-dose primaquine treatment in patients with Plasmodium vivax infection in Cambodia: a randomised, single-centre, open-label efficacy study.
The Lancet. Infectious diseases · 2025 · Open access · Likely link

Summary

The study will be an open-labelled randomized clinical trial to determine therapeutic efficacy. Note that this will not be an Investigational New Drug application, as only World Health Organization (WHO)-approved drugs will be used at dosage and for conditions approved.

Linked Publications (2)

  • 14 days of high-dose versus low-dose primaquine treatment in patients with Plasmodium vivax infection in Cambodia: a randomised, single-centre, open-label efficacy study.
    The Lancet. Infectious diseases · 2025 · 10 citations · Open access · Likely link
  • High versus low dose of 14 days treatment of primaquine in <i>Plasmodium vivax</i> infected patients in Cambodia: a randomised open-label efficacy study.
    medRxiv : the preprint server for health sciences · 2025 · 3 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Patients Experiencing P. Vivax Recurrence
48; 11; 2

Eligibility Criteria

Inclusion Criteria

  • Age 15 and older
  • Acute (within 10 days), symptomatic (i.e., history of fever), uncomplicated malaria caused solely by Plasmodium vivax (verified by PCR)
  • G6PD normal (as determined by quantitative spectrophotometric assay)

Exclusion Criteria

  • Pregnant, planning to become pregnant or lactating women,
  • Received antimalarial drugs in the past month,
  • Hb < 8g/dL, < 1,500 neutrophils/μl, or signs of complicated malaria (e.g., vomiting, convulsions,…),
  • History of primaquine, artesunate or artesunate-mefloquine allergy or intolerance,
  • PCR-positivity for severe acute respiratory syndrome coronavirus 2.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04706130) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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