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Comparison of low-dose vs high dose Primaquine for Plasmodium falciparum malaria

Comparative Study on the Efficacy and Safety of Low-Dose (0.25 mg/kg) vs. Standard-Regimen (0.75 mg/kg) of Primaquine for Plasmodium falciparum: An open label RCT - NIL

Status
Recruiting
Phases
Phase 3Phase 4
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/07/091988
Enrollment
496
Registered
2025-07-30
Start date
Unknown
Completion date
Unknown
Last updated
2025-11-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: B509- Plasmodium falciparum malaria, unspecified

Interventions

Intervention1: Single dose of 0.25 mg/kg primaquine, i.e. 15 mg Tablet: Single dose on day 1, per oral administration Control Intervention1: Single dose of 0.75 mg/kg Primaquine: Single dose on day 2,

Sponsors

ICMR National Institute of Malaria Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients with fever or history of fever in last 24 hours, P. falciparum mono-infection,

Exclusion criteria

Exclusion criteria: Exclusion criteria Patients with G6PD activity,less than 4.0 U per g Hb as assessed by SD Biosensor, a Point of care device for G6PD assessment. Pregnant or breast-feeding females Hemoglobin less than 8 g per dl History of blood transfusion within last 3 months Known allergy to study medication Any sign of severe malaria Any comorbidity requiring inpatient management

Design outcomes

Primary

MeasureTime frame
1.Number of days for gametocyte clearance in both the arms. 2.Proportion of patients with gametocytes on day 3, 7, 14, and 28 in both the arms. 3.Gametocyte density on day 3, day 7, and day 14. 4.Mean difference in Hb between day 1 and day 3, day 1 and day 7 in both the arms. 5.Patients with more than 25 percent drop in Hb in both the arms. Timepoint: Day 1, 3, 7, 10, 14, 21, and 28

Secondary

MeasureTime frame
pharmacokinetics of high-dose primaquine and low-dose primaquine in a subsample.Timepoint: First 24 hours after Primaquine administration

Countries

India

Contacts

Public ContactDr Nitika

ICMR-NIMR

saprapbs@yahoo.co.in01125307122

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: May 9, 2026