Expanded Use in Persistent (B. Microti) Babesiosis
Expanded Access Protocol: Use of Tafenoquine for Treatment of Babesiosis in Immunocompromised Patients With Persistent Babesia Microti Despite Prior Treatment
1 other identifier
expanded_access
N/A
0 countries
N/A
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
CompletedFirst Posted
Study publicly available on registry
June 27, 2024
CompletedNovember 21, 2025
November 1, 2025
June 22, 2024
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
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
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