Tafenoquine in Patients With Mild to Moderate COVID-19
A Double-blind Placebo-controlled Study to Assess the Efficacy and Safety of Oral Tafenoquine Versus Placebo in Patients With Mild to Moderate COVID-19 Disease
1 other identifier
interventional
86
1 country
10
Brief Summary
A clinical study to assess the efficacy and safety of oral tafenoquine compared to placebo in patients with mild to moderate COVID 19 disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Feb 2021
Shorter than P25 for phase_2
10 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 28, 2020
CompletedFirst Posted
Study publicly available on registry
August 31, 2020
CompletedStudy Start
First participant enrolled
February 19, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2022
CompletedResults Posted
Study results publicly available
January 7, 2025
CompletedJanuary 7, 2025
December 1, 2024
1.4 years
August 28, 2020
December 13, 2024
December 13, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Patients With Clinical Recovery of COVID-19 Symptoms on Day 14
Clinical recovery from COVID-19 symptoms was defined as: temperature \< or equal to 37.7 degrees Celsius (surface by infra-red or oral), respiratory rate \< or equal to 24/minute on room air, shortness of breath is absent on a patient-report scale, and cough is mild or absent on a patient-reported scale.
Day 14 [± 1 day]
Secondary Outcomes (3)
Increases the Proportion of Patients With Absence of Clinical Symptoms by Individual Symptom at Day 14
Day 14 [± 1 day]
Decreases the Hospitalization Rate Due to COVID-19 by Day 14
Day 14 [± 1 day]
Decreases the Number of Medical Follow-up Visits by Day 14.
Day 14 [± 1 day]
Other Outcomes (1)
Planned Interim Analysis and Data Monitoring
100 patients randomized
Study Arms (2)
Tafenoquine
ACTIVE COMPARATORTafenoquine two 100 mg oral tablets 1x/day on Days 1,2,3 and 10
Placebo
PLACEBO COMPARATORPlacebo two tablets 1x/day on Days 1,2,3 and 10
Interventions
Patients will be randomized and will receive and self-administer 200 mg Tafenoquine or matching placebo on Days 1, 2, 3, and 10.
Patients will be randomized and will receive and self-administer 200 mg Tafenoquine or matching placebo on Days 1, 2, 3, and 10.
Eligibility Criteria
You may qualify if:
- Male or female, aged ≥18 years of age;
- Laboratory confirmed infection with COVID-19 virus by an FDA-authorized SARS-Cov-2 RT-PCR;
- Able and willing to give written informed consent.
- Willing to keep an electronic diary from Study Day 1 to Study Day 13 (± 1 day) and Study Day 15 (± 1 day) to Study Day 28 (± 1 day)
- Willing to have daily phone or videoconferences with study team personnel from Study Day 1 to Day 13 (± 1 day) and Day 28
- At least one of the following clinical symptoms of COVID-19 infection within the 4 days prior to and inclusive of the day of screening:
- Respiratory rate ≥ 24/min
- New cough or shortness of breath that has presented within the last 4 days
- Fever - temperature 37.7°C \[oral or skin surface\]
- Must agree not to enroll in another study of an investigational agent prior to completion of Day 28 of the study.
- Able to take ARAKODA or KODATEF according to Prescribing Information
- Have been symptomatic no longer than 7 days when the first dose of study medication is administered.
- If female, agree to use an acceptable method of birth control from the time of consent through 56 days after the last dose of study drug.
You may not qualify if:
- Have one of the contraindications for ARAKODA or KODATEF in the prescribing information (section 16.1) including:
- G6PD deficiency
- Breastfeeding
- Psychotic disorder or current psychotic symptoms
- Known hypersensitivity reaction to TQ
- Evidence of severe or critical illness, defined by at least one of the following:
- Clinical signs indicative of severe systemic illness with COVID-19, such as respiratory rate ≥30 breaths per minute, heart rate ≥ 125 beats per minute, SpO2 ≤93% on room air
- Respiratory failure defined based on resource utilization requiring at least one of the following:
- i. Endotracheal intubation and mechanical ventilation, oxygen delivered by high flow nasal cannula (heated, humidified, oxygen delivered via reinforced nasal cannula at flow rates \> 20 L/min with fraction of delivered oxygen ≥ 0.5), noninvasive positive pressure ventilation, extracorporeal membrane oxygenation (ECMO), or clinical diagnosis of respiratory failure (i.e., clinical need for one of the preceding therapies, but preceding therapies not able to be administered in setting of resource limitation) ii. Shock (defined by systolic blood pressure \< 90 mmHg, or diastolic blood pressure \<60 mmHg or requiring vasopressors) iii. Multi-organ dysfunction/failure
- Any other clinically significant acute illness unrelated to COVID-19 within seven days prior to first study drug administration
- Receipt of any experimental treatment for COVID-19 (off-label, compassionate use, or study-related) within the 30 days prior to the time of the screening evaluation
- Any COVID-19 symptoms which, in the opinion of the investigator, is suggestive of possible requirement to hospitalize within 48 hours of enrollment
- Positive pregnancy test
- Have been symptomatic for more than seven days when the first dose would be administered
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (10)
Deluxe Health Center LLC
Miami, Florida, 33014, United States
Hope Clinical Trials
Miami, Florida, 33165, United States
F&T Medical Research, Inc.
Miami, Florida, 33184, United States
Kendall South Medical Center, Inc.
Miami, Florida, 33185, United States
Skyline Medical Center
Elkhorn, Nebraska, 68022, United States
Burke Primary Care
Morgantown, North Carolina, 28655, United States
AFC Urgent Care
Easley, South Carolina, 29640, United States
Centex Studies
Brownsville, Texas, 78526, United States
Care United
Forney, Texas, 75126, United States
Clinical Trial Network
Houston, Texas, 77074, United States
Related Publications (13)
Geleris J, Sun Y, Platt J, Zucker J, Baldwin M, Hripcsak G, Labella A, Manson DK, Kubin C, Barr RG, Sobieszczyk ME, Schluger NW. Observational Study of Hydroxychloroquine in Hospitalized Patients with Covid-19. N Engl J Med. 2020 Jun 18;382(25):2411-2418. doi: 10.1056/NEJMoa2012410. Epub 2020 May 7.
PMID: 32379955BACKGROUNDXiao F, Tang M, Zheng X, Liu Y, Li X, Shan H. Evidence for Gastrointestinal Infection of SARS-CoV-2. Gastroenterology. 2020 May;158(6):1831-1833.e3. doi: 10.1053/j.gastro.2020.02.055. Epub 2020 Mar 3. No abstract available.
PMID: 32142773BACKGROUNDCenter for Disease Control. CDC Covid-19 data tracker. https://www.cdc.gov/covid-data-tracker/index.html#cases. Accessed March 7, 2020.
BACKGROUNDBeigel JH, Tomashek KM, Dodd LE, Mehta AK, Zingman BS, Kalil AC, Hohmann E, Chu HY, Luetkemeyer A, Kline S, Lopez de Castilla D, Finberg RW, Dierberg K, Tapson V, Hsieh L, Patterson TF, Paredes R, Sweeney DA, Short WR, Touloumi G, Lye DC, Ohmagari N, Oh MD, Ruiz-Palacios GM, Benfield T, Fatkenheuer G, Kortepeter MG, Atmar RL, Creech CB, Lundgren J, Babiker AG, Pett S, Neaton JD, Burgess TH, Bonnett T, Green M, Makowski M, Osinusi A, Nayak S, Lane HC; ACTT-1 Study Group Members. Remdesivir for the Treatment of Covid-19 - Final Report. N Engl J Med. 2020 Nov 5;383(19):1813-1826. doi: 10.1056/NEJMoa2007764. Epub 2020 Oct 8.
PMID: 32445440RESULTBrueckner RP, Lasseter KC, Lin ET, Schuster BG. First-time-in-humans safety and pharmacokinetics of WR 238605, a new antimalarial. Am J Trop Med Hyg. 1998 May;58(5):645-9. doi: 10.4269/ajtmh.1998.58.645.
PMID: 9598455RESULTCrisafulli E, Clini EM. Measures of dyspnea in pulmonary rehabilitation. Multidiscip Respir Med. 2010 Jun 30;5(3):202-10. doi: 10.1186/2049-6958-5-3-202.
PMID: 22958431RESULTDow GS, Luttick A, Fenner J, Wesche D, Yeo KR, Rayner C. Tafenoquine inhibits replication of SARS-Cov-2 at pharmacologically relevant concentrations in vitro. bioRxiv. January 2020:2020.07.12.199059. doi:10.1101/2020.07.12.199059
RESULTJia HP, Look DC, Shi L, Hickey M, Pewe L, Netland J, Farzan M, Wohlford-Lenane C, Perlman S, McCray PB Jr. ACE2 receptor expression and severe acute respiratory syndrome coronavirus infection depend on differentiation of human airway epithelia. J Virol. 2005 Dec;79(23):14614-21. doi: 10.1128/JVI.79.23.14614-14621.2005.
PMID: 16282461RESULTSkipper CP, Pastick KA, Engen NW, Bangdiwala AS, Abassi M, Lofgren SM, Williams DA, Okafor EC, Pullen MF, Nicol MR, Nascene AA, Hullsiek KH, Cheng MP, Luke D, Lother SA, MacKenzie LJ, Drobot G, Kelly LE, Schwartz IS, Zarychanski R, McDonald EG, Lee TC, Rajasingham R, Boulware DR. Hydroxychloroquine in Nonhospitalized Adults With Early COVID-19 : A Randomized Trial. Ann Intern Med. 2020 Oct 20;173(8):623-631. doi: 10.7326/M20-4207. Epub 2020 Jul 16.
PMID: 32673060RESULTVelavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Health. 2020 Mar;25(3):278-280. doi: 10.1111/tmi.13383. Epub 2020 Feb 16. No abstract available.
PMID: 32052514RESULTWang Y, Zhang D, Du G, Du R, Zhao J, Jin Y, Fu S, Gao L, Cheng Z, Lu Q, Hu Y, Luo G, Wang K, Lu Y, Li H, Wang S, Ruan S, Yang C, Mei C, Wang Y, Ding D, Wu F, Tang X, Ye X, Ye Y, Liu B, Yang J, Yin W, Wang A, Fan G, Zhou F, Liu Z, Gu X, Xu J, Shang L, Zhang Y, Cao L, Guo T, Wan Y, Qin H, Jiang Y, Jaki T, Hayden FG, Horby PW, Cao B, Wang C. Remdesivir in adults with severe COVID-19: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet. 2020 May 16;395(10236):1569-1578. doi: 10.1016/S0140-6736(20)31022-9. Epub 2020 Apr 29.
PMID: 32423584RESULTWorldometer. Coronavirus Update (Live). https://www.worldometers.info/coronavirus/. Accessed March 7, 2020.
RESULTZhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, Si HR, Zhu Y, Li B, Huang CL, Chen HD, Chen J, Luo Y, Guo H, Jiang RD, Liu MQ, Chen Y, Shen XR, Wang X, Zheng XS, Zhao K, Chen QJ, Deng F, Liu LL, Yan B, Zhan FX, Wang YY, Xiao GF, Shi ZL. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020 Mar;579(7798):270-273. doi: 10.1038/s41586-020-2012-7. Epub 2020 Feb 3.
PMID: 32015507RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Bernadette Tock
- Organization
- Fast-Track Drugs and Biologics, LLC
Study Officials
- STUDY DIRECTOR
Akila Chandrasekar, MD
Peachtree BioResearch Solutions Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 28, 2020
First Posted
August 31, 2020
Study Start
February 19, 2021
Primary Completion
June 30, 2022
Study Completion
June 30, 2022
Last Updated
January 7, 2025
Results First Posted
January 7, 2025
Record last verified: 2024-12
Data Sharing
- IPD Sharing
- Will not share