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Randomized dose-ranging study of the safety and efficacy of WR 238605 (Tafenoquine) in the prevention of relapse of Plasmodium vivax malaria in Thailand

  • Douglas S. Walsh
  • , Sornchai Looareesuwan
  • , Polrat Wilairatana
  • , D. Gray Heppner
  • , Douglas B. Tang
  • , Thomas G. Brewer
  • , Watcharee Chokejindachai
  • , Parnpen Viriyavejakul
  • , Dennis E. Kyle
  • , Wilbur K. Milhous
  • , Brian G. Schuster
  • , John Horton
  • , David J. Braitman
  • , Ralf P. Brueckner
  • Hospital for Tropical Diseases, Bangkok
  • Walter Reed Army Institute of Research
  • GlaxoSmithKline Vaccines
  • U.S. Army Medical Materiel Development Activity

Research output: Contribution to journalArticlepeer-review

102 Citations (Scopus)

Abstract

WR 238605 is an 8-aminoquinoline developed for the radical cure of Plasmodium vivax. Forty-four P. vivax-infected patients were randomly assigned to 1 of 4 treatment regimens: 3 groups received a blood schizonticidal dose of chloroquine followed by WR 238605: group A (n = 15) received 300 mg daily for 7 days; group B (n = 11), 500 mg daily for 3 days, repeated 1 week after the initial dose; group C (n = 9), 1 dose of 500 mg. A fourth group (D; n = 9) received chloroquine only. Among patients who completed 2-6 months of follow-up (n = 23), there was 1 relapse in group B (day 120) and 1 in group C (day 112). Among patients treated with chloroquine only, there were 4 relapses (days 40, 43, 49, and 84). WR 238605 was safe, well tolerated, and effective in preventing P. vivax relapse.

Original languageEnglish
Pages (from-to)1282-1287
Number of pages6
JournalJournal of Infectious Diseases
Volume180
Issue number4
DOIs
Publication statusPublished - 1999
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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