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Re: Tafenoquine

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Its the same analogue as the dog study which was 1997 and then they

were in phase I and II trials.

> Tafenoquine being the WR238605 of the " hamster study " ie the

most effective at clearing babesia in hamsters (see table 3 of

the " hamster study " ), do we know why it isn't being discussed by

LLMDs as a potential agent against Babesia?

>

> I still can't find it in my French pharmaceuticals data base.

I can find primaquine which it is related to it (an earlier version?)

but not tafenoquine.

>

> Nelly

>

> PS: Barb, as you know, I am well aware that combos of abx and

other agents like HCQ are the way to go, well aware that what info we

get from the studies have to be adapted by educated guesswork to help

in our own specific situation.

>

>

> http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?

cmd=retrieve & db=pubmed & list_uids=10885356 & dopt=Abstract

>

>

> Lancet. 2000 Jun 10;355(9220):2041-5. Related Articles,

Links

>

>

> Malaria chemoprophylaxis with tafenoquine: a randomised study.

>

> Lell B, Faucher JF, Missinou MA, Borrmann S, Dangelmaier O, Horton

J, Kremsner PG.

>

> Research Unit, Albert Schweitzer Hospital, Lambarene, Gabon.

>

> BACKGROUND: Tafenoquine is an analogue of primaquine with an

improved therapeutic and safety profile. It has a long half-life and

activity against liver-stage malaria parasites, so may be useful for

chemoprophylaxis. In this randomised, double-blind study we assessed

the efficacy and safety of tafenoquine in different doses. METHODS:

2144 individuals aged 12-20 years living in Lambarene, Gabon, an

endemic area for Plasmodium falciparum malaria, were invited to take

part. 535 attended, and 426 eligible participants were randomly

assigned tafenoquine (250 mg, 125 mg, 62.5 mg, or 31.25 mg) or

placebo daily for 3 days. 417 received initial curative treatment

with halofantrine, and 410 completed the assigned prophylaxis

regimen. During follow-up of 70 days, adverse events were recorded

and thick blood smears were examined weekly. The primary and

secondary endpoints were the number of individuals with positive

blood smears by day 56 and day 77, respectively. Analyses were per-

protocol. FINDINGS: Eight positive blood smears were recorded by day

56 (four/82 participants in the placebo group; four/79 tafenoquine

31.25 mg group). By day 77, 34 positive blood smears had been

recorded (14/82 placebo; 16/79 tafenoquine 31.25 mg; three/86

tafenoquine 62.5 mg; one/79 tafenoquine 125 mg; none/84 tafenoquine

250 mg). Numbers of adverse events did not differ significantly

between the treatment groups. INTERPRETATION: Tafenoquine is

effective and well tolerated. It has the potential to replace

currently used drugs for malaria chemoprophylaxis.

>

> Publication Types:

> a.. Clinical Trial

> b.. Randomized Controlled Trial

>

> PMID: 10885356 [PubMed - indexed for MEDLINE]

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