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CTRI Number  CTRI/2010/091/000245 [Registered on: 27/04/2010]
Last Modified On: 31/07/2013
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study
Modification(s)  
A clinical trial to study the effect of primaquine conventional release tablet and primaquine sustained release tablet in prevention of relapse of plasmodium vivax malaria. 
Scientific Title of Study   Comparative Evaluation of Efficacy and Safety of Primaquine SR Tablets Vs Primaquine Conventional Tablets in the Prevention of Relapse of Plasmodium Vivax Malaria. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Ipca/MD/PRSR-07  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Anil Pareek 
Designation  President - Medical Affairs and Clinical Research 
Affiliation   
Address  142-AB Kandivli Inductrial Estate Kandivli West Mumbai

Mumbai
MAHARASHTRA
400067
India 
Phone  022-66474641  
Fax  022-61113150  
Email  anil.pareek@ipca.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Anil Pareek 
Designation  President - Medical Affairs and Clinical Research 
Affiliation  Ipca Laboratories Ltd. Mumbai 
Address  Ipca Laboratories Ltd.
Kandivali Industrial Estate, Kandivali (W)
Mumbai
MAHARASHTRA
400067
India 
Phone  02266474444  
Fax  02266474416  
Email  anil.pareek@ipca.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Nitin Chandurkar 
Designation  General Manager 
Affiliation   
Address  Plot 102, Ipca Laboratories Ltd.
Kandivali Industrial Estate, Kandivali (W)
Mumbai
MAHARASHTRA
400067
India 
Phone  02261113101  
Fax  02261113150  
Email  nitin.chandurkar@ipca.com  
 
Source of Monetary or Material Support  
Ipca Laboratories Ltd. kandivali Industrial Estate Kandivali (w), Mumbai-400067 
 
Primary Sponsor
Modification(s)  
Name  Ipca Laboratories Ltd 
Address  142-AB, Kandivli Industrial Estate, Kandivli (W), Mumbai - 400067 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL   
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 10  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Arvind Kumar Jain  Dr. S.N. Medical College and Hospital  Department of Medicine, Shastri Nagar, Jodhpur- 342008
Jodhpur
RAJASTHAN 
9314743757

drarvindjain@gmail.com 
Dr. Alaka Deshpande  Grant Medical College and J.J. Group of Hospitals  Byculla,-400 008
Mumbai
MAHARASHTRA 
9869168886

alakadeshpande@rediffmail.com 
Dr. P.S. Karmakar  IPGMER and SSKM Hospital  A.J.C. Bose Road,-700 020
Kolkata
WEST BENGAL 
9332002930

parthamed@yahoo.co.in 
Dr. A.R.Chogle  Kasturba Hospital for Infectious Diseases  Sane Guruji Marg,-400 011
Mumbai
MAHARASHTRA 
9821123184
02223092458
 
Dr. D.K. Kochar  Kothari Medical and Research Institute  Kothari hospital Marg,Bangla nagar-334004
Bikaner
RAJASTHAN 
9351203902

drdkkochar@yahoo.com 
Dr. Puneet Rijhwani  Mahatma Gandhi Mission Medical College, Jaipur  Sitapur Industrial Area, Jaipur,-302022
Jaipur
RAJASTHAN 


puneet284@rediffmail.com 
Dr. A.L. Kakrani  Padmashree, Dr. D.Y.patil Medical College and Hospital  Sant Tukaram Nagar,Pimpri-411018
Pune
MAHARASHTRA 
9823972424

kakrani@hotmail.com 
Dr. Nithya Gogtay  Seth. G.S. Medical College and K.E.M. Hospital  Department of Clinical Pharmacology,Parel-400012
Mumbai
MAHARASHTRA 
9820495836

njgogtay@hotmail.com 
Dr. K.R.Lakshmi  Siddhartha Medical College  Siddhartha Medical College,-520008

 
9963186612

 
Dr. Mala Kaneria  T.N. Medical College and B.Y.L. Nair Hospital  A.L. Nair Road,Mumbai Central-400 008
Mumbai
MAHARASHTRA 
9820210926

kaneriamala@rediffmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 10  
Name of Committee  Approval Status 
Ethics Committee for Research on Human Subjects, KEM Hospital  Approved 
Ethics Committee Sidhartha Medical College  Not Applicable 
Ethics Committee, Nair Hospital  Approved 
Institutional Ethics Committee, IPGMER  Approved 
Institutional Ethics Committee, JJ Hospital, Mumbai  Approved 
Institutional Ethics Committee, MGM Medical College, Jaipur  Not Applicable 
Institutional Ethics Committee,D.Y.Patil Medical College  Approved 
Kasturba Hospital Research Society, Ethics Committee for Research on Human Subjects  Approved 
Office of Department of Medicine, Dr. S. N. Medical College, Jodhpur  Approved 
Office of Ethics Committee, Kotahri Medical and Research Institute  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Plasmodium vivax malaria.,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Primaquine conventional tablets  15 mg, o.d. for 14 days 
Intervention  Primaquine Sustained Release Tablets  15 mg and 30 mg tablet, o.d. for 14 and 7 days respectively 
 
Inclusion Criteria
Modification(s)  
Age From   
Age To   
Gender   
Details  1.Male and female patients aged 18 -65 years.2.Patients with confirmed cases of P. vivax malaria (asexual forms) by microscopy on a thin and thick blood smear with parasite count of >/=1,000/µL of blood.3.Patients with axillary temperature >/= 37.5 °C and with clinical signs and symptoms of malaria.4. Patients giving written informed consent to participate in this study.5.patients willing to undergo folloe-up for 2-6 months.  
 
ExclusionCriteria 
Details  1. Patients with Mixed malarial infection.
2.Patients with body weight 40 kg.
3.Patients with severe or complicated malaria.
4.Patients with glucose 6-phosphate dehydrogenase deficiency.
5.Patients with a history of dark urine or significant hemoglobinuria related to Primaquine treatment during the course of a pervious episode of malaria.
6.Patient with known history of methomoglobinemia.
7.Patients taking cardioactive drug or potentially hemolytic drugs.
8.Patients with concomitant illness (cardiac, hepatic or renal diseases-blood urea nitrogen (BUN) 20mg/dl or blood urea 40mg/dl, hepatic SGPT or SGOT 2.5 x ULN, serum bilirubin 2mg/dl and serum creatinine 1.5mg/dl)).
9. Patients previously treated with any other antimalarial therapy except chloroquine.
10.Patients showing any significant abnormality (clinical or laboratory) on pre-trial screening in the opinion of the investigator.
11. Patients with protracted vomiting and oliguria.
12.Patients with systolic BP 160 mm Hg and/or diastolic BP 110 mm Hg.
13.Patients with acute exacerbations of systemic diseases, having a tendency to granulocytopenia e.g. rheumatoid arthritis and lupus erythematosus.
14.Patients with underlying condition compromising bone marrow function or on medication which might compromise the bone marrow.
15.Patients with history of hypersensitivity to chloroquine, primaquine or aminoquinoline derivatives, or other similar drugs.
16. Patient having any concomitant medication which may interact with study drugs.
17.Patients on another investigational drug.
18. Patients unable to tolerate oral medication and known history of alcoholism.
19.Pregnant or lactating women.
20. Women of child bearing potential.
21.Patient with methomoglobinemia. 
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking
Modification(s)  
Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
No occurrence of microscopically proven P. vivax malaria (asexual forms) after treatment with primaquine.   Parasite count will be measured every 12 hours during 3 days of chloroquine therapy untill negative and then on day 7, 14, 21, 28 and then monthly up to 6 months. After day 14 parasite count will be measured only if the clinical signs and syptoms of malaria are present. 
 
Secondary Outcome  
Outcome  TimePoints 
Comparative safety  At the end of therapy on day 14 
 
Target Sample Size
Modification(s)  
Total Sample Size="360"
Sample Size from India="360" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)
Modification(s)  
16/08/2008 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Yet to be Published 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
This study is a randomized, double blind, parallel group, multicentre trial comparing the efficacy and safety of primaquine-Sr tablet and primaquine conventional release tablets in the preventiona of relapse P.vivax malaria in 360 patients that will be conducted at 7 centres in India. The primary efficacy outcome will be no occurenece of asexual forms of parasites in the blood 6 months after primaquine therapy. Secondary outcome will be occurence of parasites with syptoms of malaria after six months of primaquine therapy. 
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