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RecruitingNCT06666491Updated Oct 1, 2026

An Interventional Study to Compare the Efficacy and Safety of Tafenoquine (TQ) and Primaquine (PQ) When Either Are Taken Together With Chloroquine (CQ) for the Treatment of P. Vivax Malaria in Indian Participants Aged 2 Years and Older

A Phase 3 interventional study of Tafenoquine and Primaquine in Malaria, Vivax, sponsored by GlaxoSmithKline. Recruiting at 5 sites in India. Open to participants aged 2 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-10-01.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2024; still recruiting 1 year 10 months later.
Updated Oct 1, 2026Primary completion movedStudy completion moved+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
324
Allocation
Randomized
Ages
2 Years to 64 Years
Sex
All
01

Study summary

The aim of this study is to collect efficacy and safety data to support the registration of tafenoquine in India.

02

Conditions studied

  • Malaria, Vivax

Browse trials for

03

In context

Malaria, Vivax

103 studies on the registry are indexed under Malaria, Vivax; 17 are open to participants now.

This study's planned enrollment of 324 is above the median of 150 across 87 interventional studies indexed under Malaria, Vivax.

Browse Malaria, Vivax studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
2 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Males and females >=2 years of age and under (\<) 65 years of age, weighing >10 kg.
  2. The participant has a positive malarial smear for P. vivax with a parasite density of >100/microliter and \<100,000/microliter.
  3. The participant has a screening Hb value >8 g/dL.
  4. The participant has an axillary temperature of 37.5°C or history of fever 48 hours before recruitment.
  5. The participant has a G6PD value (measured using the SD Biosensor STANDARDTM G6PD test) 6.1 units/gram (U/g) Hb for G6PD activity (6.1 U/g Hb cut-off is applicable for both males and females).
  6. A female participant is eligible to participate if she is not pregnant or breastfeeding, and if one of the following conditions applies:

    • Is a woman of non-childbearing potential (WONCBP) as defined in
    • Is a Women of Childbearing Potential (WOCBP) and using a contraceptive method that is highly effective (with a failure rate of \<1% per year), with low user dependency, during the study intervention period and for at least 90 days after the last dose of study intervention. The investigator should evaluate the potential for contraceptive method failure (e.g., noncompliance, recently initiated) in relationship to the first dose of study intervention. The investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy.
  7. A WOCBP must test negative on a highly sensitive pregnancy test (urine or serum as required by local regulations) before the first dose of study intervention.
  8. The participant is willing and able to comply with the procedures described in the study protocol. The participant or parent/legal guardian, as applicable, has given written informed, dated consent; and the participant has given written assent, if applicable, to participate in the study.

Exclusion criteria

Exclusion Criteria:

  1. The participant has severe P. vivax malaria as defined by WHO criteria [WHO, 2023].
  2. The participant has a mixed malaria infection (identified by a malarial smear).
  3. The participant has a condition that may affect absorption of study medication, such as severe vomiting (no food or inability to take food during the previous 8 hours).
  4. The participant has a history of porphyria, psoriasis, or epilepsy.
  5. The participant has a history of allergy, intolerance to or a known contraindication to the use of mefloquine (or other aryl amino alcohol drugs), chloroquine, tafenoquine, primaquine, any other 4- or 8-AQ or any of their respective excipients.
  6. The participant has received treatment with any investigational drug within 30 days of study entry, or within 5 half-lives, whichever is longer.
  7. The participant has previously enrolled in this study.
  8. The participant has a recent history of illicit drug abuse or heavy alcohol intake that in the opinion of the investigator could compromise full participation in the study or adherence to study procedures.
  9. Participants with a current or past history of serious psychiatric disorders.
  10. The participant has a clinically significant concurrent illness (e.g., pneumonia, tuberculosis, meningitis, septicemia, dengue, coagulopathy, severe hemorrhage, or febrile convulsions prior to consent) or a pre-existing condition (e.g., renal disease, malignancy, or severe malnutrition according to WHO child growth standards) or systemic disease predisposing patients to suffer from granulocytopenia, such as rheumatoid arthritis and lupus erythematosus or severe ocular disease.
  11. The participant is known to be HIV-infected and/or is currently on antiretroviral therapy.
  12. The participant is regularly using drugs with hemolytic potential.
  13. The participant has a QT corrected by Fridericia's formula (QTcF) >450 msec, evidence of bradycardia (\<50 beats per min) or ventricular arrhythmias on the screening ECG, a history of cardiac disease (e.g., myocardial infarction, congenital heart disease, or arrhythmia), hypokalemia (\<2.9 millimoles per liter [mmol/L]) or hyperkalemia (>=6.0 mmol/L) at Screening.
  14. The participant has taken drugs with antimalarial activity (e.g., artemisinin-based combination therapies, mefloquine, primaquine, chloroquine, tafenoquine or any other 4-AQ) within 30 days prior to study entry.
  15. The participant has taken or will likely require during the study the use of:

    1. Histamine-2 blockers (restricted to first 3 days whilst receiving CQ)
    2. Antacids (restricted to first 3 days whilst receiving CQ)
    3. Drugs of the biguanide class (i.e., phenformin, metformin, buformin)
    4. Anti-arrhythmic agents (i.e., dofetilide, procainamide, pilsicainide)
    5. Medications that prolong the QTc interval
  16. The participant has liver transaminases (ALT/AST) >2 times the upper limit of normal (ULN).
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
324 participants (estimated)

Study arms

  • Experimental
    TQ/CQ

    Participants in this group receive a single dose of TQ on Day 1 or Day 2 and a single dose of CQ daily, on Days 1 to 3.

    Drug: Tafenoquine · Drug: Chloroquine

  • Active comparator
    PQ/CQ

    Participants in this group receive a single dose of PQ daily from Day 1 or 2, up to Day 14 (or Day 15 if PQ started on Day 2) and a single dose of CQ daily, on Days 1 to 3.

    Drug: Primaquine · Drug: Chloroquine

Interventions

  • DrugTafenoquine

    A single dose of TQ will be administered orally on Day 1 or Day 2.

  • DrugPrimaquine

    A single dose of PQ will be administered orally, daily, on Day 1 or 2 to Day 14 (or Day 15 if PQ started on Day 2).

  • DrugChloroquine

    A single dose of CQ will be administered orally, daily, on Days 1 to 3.

06

What researchers measure

Primary outcomes

  1. Number of participants remaining recurrence-free during the 6 months post-treatment and have a negative blood smear at the Month 6 (end of study [EOS]) visit

    Two consecutive negative blood smears between Day 2 and Day 8, no positive blood smear for P. vivax parasites at any point during the 6-month follow-up period, and a negative P. vivax smear at the 6-month assessment.

    Time frame: Up to Month 6

Secondary outcomes

  1. Number of participants with clinically relevant hemolysis change from baseline

    A decrease in hemoglobin of greater than or equal to (\>=) 30% or greater than (\>) 3g/deciliter (dL) from baseline; or an overall drop in hemoglobin below 6.0 g/dL or complications thereof (e.g., required transfusions, acute renal failure) are considered clinically relevant hemolysis changes.

    Time frame: Up to Day 14

  2. Time to recurrence of P. vivax malaria

    Recurrence is defined as a positive blood smear for P. vivax parasites within the 6-month follow-up period, after clearance of blood-stage parasitemia.

    Time frame: Up to Month 6

  3. Number of participants with treatment emergent adverse events (TEAEs) up to Month 6

    An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Up to Month 6

  4. Number of participants with TEAEs meeting >= Division of Acquired Immunodeficiency Syndrome (DAIDS) Grade 3 criteria

    Severity was graded according to DAIDS grading criteria, where Grade 1-mild, Grade 2-moderate, Grade 3-severe, Grade 4-potentially life-threatening, Grade 5-Death.

    Time frame: Up to Month 6

  5. Number of participants with drug related TEAEs

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Up to Month 6

  6. Number of participants with serious AEs (SAEs)

    A SAE is any untoward medical occurrence that results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization or result in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant.

    Time frame: Up to Month 6

  7. Number of participants with AEs resulting in treatment discontinuation

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Up to Month 6

  8. Number of participants with AEs leading to study withdrawal

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Up to Month 6

  9. Number of participants with AEs considered to be hematologically related

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Up to Month 6

  10. Number of deaths

    Time frame: Up to Month 6

  11. Liver chemistry changes meeting Hy's criteria

    Hy's criteria cases were defined as any elevated alanine aminotransferase (ALT) \>=3 times upper limit of normal (ULN) and total bilirubin \>=2 times ULN or ALT \>=3 times ULN and international normalized ratio (INR) \>1.5.

    Time frame: Up to Month 6

  12. Laboratory parameters meeting >= Division of AIDS (DAIDs) Grade 3 criteria

    Time frame: Up to Month 6

  13. Vital sign parameters meeting >=DAIDs Grade 3 criteria

    Time frame: Up to Month 6

  14. Number of participants with TEAEs up to Week 4

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Up to Week 4

  15. Change from baseline at each study visit for clinical chemistry parameters (ALT, AST, ALP)

    Data for alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) is measured in international units/liter (IU/L).

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  16. Change from baseline at each study visit for clinical chemistry parameters (CPK)

    Data for creatine phosphokinase (CPK) is measured in units per liter (U/L).

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  17. Change from baseline at each study visit for clinical chemistry parameters (total bilirubin, indirect bilirubin, blood urea nitrogen [BUN]/Urea, and serum creatinine)

    Clinical chemistry parameters are measured in milligrams per decilitre (mg/dL).

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  18. Change from baseline at each study visit for clinical chemistry parameters (serum electrolytes)

    Data for serum electrolytes is measured in millimoles per liter (mmol/L).

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  19. Change from baseline at each study visit for haematology parameters (platelet count)

    Platelets are measured in number of platelets per microliter (µL).

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  20. Change from baseline at each study visit for haematology parameters (red blood cell [RBC] count)

    Data for RBC is measured in millions of cells per microliter (number of RBCs x10\^6/µL).

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  21. Change from baseline at each study visit for haematology parameters (mean corpuscular volume [MCV])

    Data for MVC is measured in femtoliters (fL).

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  22. Change from baseline at each study visit for haematology parameters (mean corpuscular hemoglobin [MCH])

    Data for MCH is measured in picograms (pg) per cell.

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  23. Change from baseline at each study visit for haematology parameters (percentage of reticulocytes)

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  24. Change from baseline at each study visit for haematology parameters (white blood cell count [WBC] with differential)

    Data for neutrophils, lymphocytes, monocytes, eosinophils and basophils is presented as a count, which measures a percentage (%) of the WBC.

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  25. Change from baseline at each study visit for haematology parameters (hemoglobin)

    Hemoglobin is measured in grams per deciliter (g/dL).

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

  26. Change from baseline at each study visit for haematology parameters (hematocrit)

    Hematocrit is measured in volume percentage (%) of RBC in blood.

    Time frame: At Days 5, 8, 15, 29, 60, 90, 120, 150 and 180

07

Study locations

5 of 5 sites recruiting
  • GSK Investigational Site
    Ahmedabad, 380008, India
    Recruiting
  • GSK Investigational Site
    Bikaner, 334001, India
    Recruiting
  • GSK Investigational Site
    Kolkata, 700073, India
    Recruiting
  • GSK Investigational Site
    Mumbai, 400012, India
    Recruiting
  • GSK Investigational Site
    Surat, 395004, India
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — GSK will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About\_GSK\_Patient\_Level\_Data\_Sharing\_Final\_13July2023.pdf

Supporting information: Study protocol, Sap, Icf, Csr

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
1 site added
Show site
  • GSK Investigational Site · Bikaner, India
Oct 1, 2026
Primary completion
May 25, 2026→May 14, 2027
Oct 1, 2026
Study completion
May 25, 2026→May 14, 2027
Oct 1, 2026
Enrollment
300→324
Oct 1, 2026
Show all 1 update
  1. Oct 1, 2026
    1 site added
    Show site
    • GSK Investigational Site · Bikaner, India
    Primary completion May 25, 2026→May 14, 2027
    Study completion May 25, 2026→May 14, 2027
    Enrollment 300→324
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06666491
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Oct 30, 2024
Start date
Nov 13, 2024
Primary completion
May 14, 2027 (estimated)
Completion
May 14, 2027 (estimated)
Last update
Oct 1, 2026

Study contacts

US GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
877-379-3718
EU GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
+44 (0) 20 89904466

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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