Evidence map›Paper›PMID 30400893›Full record

ReviewMalaria journal2018

Tafenoquine and primaquine do not exhibit clinical neurologic signs associated with central nervous system lesions in the same manner as earlier 8-aminoquinolines.

Jonathan Berman, Tracey Brown, Geoffrey Dow, Stephen Toovey

Open access · goldAbstract readReview
In one paragraph

Review in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Safety and Efficacy of Tafenoquine forTherapeutics and clinical risk management · 2021
    Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Jonathan BermanFast-Track Drugs & Biologics, North Potomac, MD, 20878, USA.
Tracey BrownClinical Network Services Pty Ltd, 88/4 Jephson Road, Toowong, 4066, Queensland, Australia.
Geoffrey Dow60°Pharmaceuticals LLC, 1025 Connecticut Ave NW, Suite 1000, Washington, DC, 20036, USA. geoffdow@60degreespharma.com.
Stephen TooveyPegasus Research, 4103, Bottmingen, Switzerland.
Fast Track Drugs and Biologics · USscPharmaceuticals (United States) · USServices Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTafenoquine was recently approved for Plasmodium vivax radical cure (KRINTAFEL™) and malaria prevention (ARAKODA™).

methodsA review of the non-clinical and clinical literature was conducted to assess whether tafenoquine (and primaquine) exhibit the same neurologic lesions and associated clinical signs as earlier 8-aminoquinolines, as has been alleged in recent opinion pieces.

resultsPlasmocid, pamaquine and pentaquine damage specific neuro-anatomical structures in Rhesus monkeys and humans leading to corresponding deficits in neurologic function. Neurologic therapeutic indices for these 3 drugs calculated based on monkey data were well correlated with human data. Despite 60 years of use, there is no evidence that primaquine exhibits similar neurotoxicity in humans. DISCUSSION/

conclusionsExtrapolation of data from Rhesus monkeys to humans, and the available clinical data, suggest that tafenoquine also does not exhibit pamaquine, pentaquine or plasmocid-like clinical neurologic signs in humans.

Indexed as

AminoquinolinesAnimalsAntimalarialsHumansMacaca mulattaMalaria, VivaxPrimaquineAminoquinolinesAntimalarialsPrimaquinetafenoquine8-aminoquinolineBrain-stemMalariaMonkeysNeurohistopathologyNeurotoxicityPamaquinePentaquinePlasmocidPrimaquineTafenoquine

Identifiers

PMID30400893
PMCPMC6219089
OpenAlexW2899957197

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.