VHC: Incidence of Vivax Along the Thai Burma Border
Study Details
Study Description
Brief Summary
This is a continuous cohort study consisting of 200 participants (one third 6 months old to 5 years, one third 6 to 15 years old, one third ≥ 15 years old) i.e. a new patient will be recruited (from the same age group) for any patient who develops a Pv infection so that the cohort will always have 200 patients for 3 years. Each patient will be actively followed-up every 8 weeks until Plasmodium vivax infection occurs but the duration of follow up and the number of follow up visits for each patient will vary depending on when or if a vivax infection occurs and when the patient is recruited. Therefore, the minimum follow up period for each patient will be 6 months or time to vivax infection and the maximum will be 3 years if a patient does not get vivax infection and is recruited at the beginning of the study.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
N/A |
Detailed Description
This study will evaluate the most likely approach to malaria elimination; the administration of a radical curative dose of primaquine to the entire potentially infected population. In this study we will focus on patients who have had vivax malaria in the past year and so are very likely to harbour liver hypnozoites. Radical treatment is not given on the Thai-Burmese border because risks are considered to outweigh benefits, but it is recommended in Thailand. We believe that this policy could be changed if there was sufficient information.
Patients who have received chloroquine only treatment could be considered as incompletely treated. We plan to conduct a carefully documented evaluation of radical treatment in such patients. Through this we aim to determine the incidence of vivax malaria in patients living in a vivax endemic area following radical treatment. This will provide information on the safety and tolerability of primaquine, used in the context most likely during an elimination programme, and also will provide information on the incidence of vivax malaria. Adults and children > 6 months old with a documented P.vivax infection in the last 12 months will be recruited. In conjunction with a parallel study evaluating epidemiology in treated vivax malaria, we will be able to characterize the relapse history of P vivax. This will provide the foundation for further studies evaluating the efficacy of primaquine regimens.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Primaquine Primaquine 14 days |
Drug: Primaquine
Primaquine x 14 days
Other Names:
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Outcome Measures
Primary Outcome Measures
- Incidence [Up to 3 years]
Incidence of primary infections with vivax malaria
Secondary Outcome Measures
- Adverse events [Up to 3 years]
Adverse event profile of primaquine
Eligibility Criteria
Criteria
Inclusion Criteria:
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Asymptomatic adults and children ≥ 6 months
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Documented P.vivax infection in the last 12 months who have not received radical treatment with primaquine
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Weight≥ 7 kg for children
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Participant (or parent/guardian if <18 years old) is willing and able to give written informed consent
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Ability (in the investigators opinion) and willingness of patient or parent/guardian to comply with all study requirements
Exclusion Criteria:
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History of allergy to primaquine
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Medical conditions such as known chronic diseases (TB, HIV, cardio vascular diseases), allergies, mental illnesses and similar conditions that could make the interpretation of symptoms or the follow up difficult.
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Other conditions such as drug addiction, known poor compliance with treatment or follow up.
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Inability to tolerate oral medication
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Pregnancy
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G6PD deficiency
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Blood transfusion in the last 3 months
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Microscopic evidence of Plasmodium vivax, P.falciparum, P. malariae or ovale
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Fever ≥37.5C
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Shoklo Malaria Research Unit | Mae Sot | Tak | Thailand |
Sponsors and Collaborators
- University of Oxford
- Mahidol University
Investigators
- Principal Investigator: Francois Nosten, MD, Shoklo Malaria Research Unit
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SMRU0909