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Implementing Primaquine Single Low Dose in Africa

Project description

Roll-out of child-friendly malaria transmission-blocking treatment

Malaria is a major global health issue, with 249 million clinical cases 608 000 deaths reported in 2022. To combat this, the WHO recommends adding single low-dose primaquine (SLDPQ) to artemisinin-based treatments, particularly in low transmission areas and where resistance is emerging. However, challenges like the lack of child-friendly formulations and safety concerns have hindered adoption. In this context, the IMPRIMA project will implement a real-life study using a flavoured primaquine for children, involving clinical, community, and policy activities. Conducted in three African countries, the project will demonstrate the benefits of SLDPQ, while building capacity for clinical trials and encouraging positive changes in drug policy to aid malaria elimination.

Objective

The 2021 World Malaria Report estimates that the number of clinical cases in 2020 was 241 million and the number of deaths was 627,000, an increase of 69,000 compared to 2019, a timely reminder to maintain good malaria control and introduce novel elimination strategies. In 2012, to further reduce malaria transmission and possibly reach elimination, the WHO recommended adding single low dose primaquine (SLDPQ) to artemisinin based treatments (ACTs) in low transmission settings and more recently in areas where artemisinin resistance is emerging. SLDPQ kills mature gametocytes, blocking the transmission between humans and mosquitoes and should see a reduction in the malaria burden with widespread deployment. Compounding the poor uptake of SLDPQ is the lack of child-friendly formulations of primaquine and lingering anxieties regarding primaquine-related acute haemolysis in patients with glucose-6-phosphate dehydrogenase deficiency.

Building on the good progress of the ‘Developing Paediatric Primaquine’ EDCTP2-funded project, aiming at prequalifying paediatric formulations, we have conceived the IMPRIMA project to support the adoption of SLDPQ by conducting a real-life implementation study using our flavoured primaquine for children. Key to our success is the unique triangle of interconnecting activities - clinical, community/sociological, and policy - all within a matrix of capacity building and strong coordination by all seven partners.

Our ambitious proposal aims to demonstrate the safety, acceptability, and community benefit of SLDPQ in 3 African countries with different malaria epidemiologies. Engagement with the communities and policy makers are fundamental to effect a positive change in drug policy and contribute to malaria elimination. In parallel, capacity will be enhanced for conducting clinical trials and monitoring the evolution of antimalarial drugs resistance. We believe the IMPRIMA project fits extremely well with the priorities of this call.

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Keywords

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Programme(s)

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Topic(s)

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Funding Scheme

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HORIZON-JU-RIA - HORIZON JU Research and Innovation Actions

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Call for proposal

Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.

(opens in new window) HORIZON-JU-GH-EDCTP3-2022-01

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Coordinator

UNIVERSITE DE STRASBOURG
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 794 127,50
Address
RUE BLAISE PASCAL 4
67081 Strasbourg
France

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Region
Grand Est Alsace Bas-Rhin
Activity type
Higher or Secondary Education Establishments
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Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 794 127,50

Participants (6)

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