NCT06478641

Brief Summary

The purpose of this expanded access protocol is to offer a potentially effective treatment (tafenoquine) to patients with persistent babesiosis, who have not responded to standard of care treatments, and who are immunocompromised and thus at risk for more serious complications. Tafenoquine will be self-administered orally as 2 x 100 mg dark pink coated tablets once daily (total daily dose 200 mg) with food on Days 1, 2, 3 \& 4 then weekly thereafter (starting on day 11) until the patient has two consecutive negative PCR tests for Babesia parasites and symptoms of babesiosis have resolved. Other standard of care treatments recommended in the 2020 IDSA Guideline on Diagnosis and Management of Babesiosis should also be included in the treatment regimen.

Trial Health

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 22, 2024

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 27, 2024

Completed
Last Updated

November 21, 2025

Status Verified

November 1, 2025

First QC Date

June 22, 2024

Last Update Submit

November 18, 2025

Conditions

Interventions

Tafenoquine will be self-administered orally as 2 x 100 mg dark pink coated tablets once daily (total daily dose 200 mg) with food on Days 1, 2, 3 \& 4 then weekly thereafter (starting on day 11) until the patient has two consecutive negative PCR tests for Babesia parasites and symptoms of babesiosis have resolved.

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female, aged ≥ 18 years
  • Laboratory confirmed infection with B. microti and exhibiting clinical symptoms of babesiosis
  • Able and willing to give written informed consent
  • Able to take ARAKODA according to Prescribing Information
  • If female willing to take birth control for 90 days
  • Have risk factors for relapsing disease
  • Azithromycin, atovaquone, and/or clindamycin administered in the last 12 months to treat babesiosis, and, in the opinion of the investigator, high likelihood that current infection represents a relapse or continuation of disease
  • Willing to initiate or continue a standard of care antimicrobial regimen

You may not qualify if:

  • Have any of the contraindications for ARAKODA
  • Current or planned treatment with quinine while participating in the study
  • Any concomitant significant illness unrelated to babesiosis
  • Taking any excluded concomitant medication
  • The patient is unable to tolerate medication by the oral route

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

tafenoquine

Central Study Contacts

Study Design

Study Type
expanded access
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 22, 2024

First Posted

June 27, 2024

Last Updated

November 21, 2025

Record last verified: 2025-11