ClinicalTrials.gg
Not yet recruitingNCT07373743Updated Mar 20, 2026

Pharmacokinetic (PK) Study of Tafenoquine in Healthy Adults

An Early Phase 1 interventional study of Tafenoquine Oral Tablet in Pharmacokinetic in Normal Population, sponsored by State University of New York - Upstate Medical University. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-20.

Sponsored by State University of New York - Upstate Medical University · Early Phase 1, Interventional, and Basic science

Phase
Early Phase 1
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn how people's different genetic makeups affects how their bodies convert the FDA approved drug ARAKODA (tafenoquine) to its active form. Tafenoquine is a drug that is taken to prevent malaria for people traveling to areas where there is malaria. This trial will be in healthy participants age 18-65.

Read the detailed description

This trial will explore the how different CYP450 2D6 phenotypes metabolize a single 300mg dose of tafenoquine. Pharmacokinetic (PK) blood and urine samples, and research samples will be obtained at specific timepoints during the 2-month study.

02

Conditions studied

  • Pharmacokinetic in Normal Population

Keywords

  • Tafenoquine
  • CYP2D6
  • Pharmacokinetic
03

In context

Lead sponsor

State University of New York - Upstate Medical University is the lead sponsor of 157 studies on the registry; 18 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 4 (36%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age 18-65 at the time of consent, weighing between 132 and 250 pounds
  2. Ability and willingness to sign
  3. Available for the study period
  4. Willing to use for the duration of the study
  5. Agree not to take over the counter antioxidants, vitamin C or vitamin E, 2 weeks prior to dosing and 7 days post dosing

Exclusion criteria

Exclusion Criteria:

  1. Women: positive urine pregnancy test at screening or day of dosing
  2. Women who are lactating or intend to become pregnant during the study period.
  3. Acute or chronic hematologic, pulmonary, cardiovascular, hepatic, or renal functional abnormality as determined by medical history, physical examination or laboratory screening.
  4. History of allergic reaction to tafenoquine or primaquine.
  5. Scheduled receipt of any vaccine 1 week prior to or after 4 weeks tafenoquine dosing. Routine COVID and influenza vaccination will be allowed outside of this timeframe.
  6. Currently taking metformin, dofeltilide or other medication with known multidrug and toxin extrusion enzyme (MATE) metabolism.
  7. Known or suspected congenital or acquired immunodeficiency; or receipt of immunomodulation therapy such as anti-cancer chemotherapy or radiation therapy.
  8. Diagnosis with Bipolar Disorder or Schizophrenia, hospitalization in the past year for a mental health disorder, or any other psychiatric condition, which in the opinion of the investigator prevents the participant from participating in the study.
  9. Participants with , Creatinine, BUN, and Albumin of grade 2 or greater. Participants with \<90mL/min/1.73m2; >1.5x , or AST >1.5x ULN. Any exclusionary lab abnormality may be repeated once. If a repeat screening blood test is performed, only the result of the second test will be reviewed and used to determine eligibility.
  10. Positive , surface antigen or .
  11. G6PD result not normal or \< 70% activity
  12. Significant screening physical examination abnormalities or chronic medical condition that in the opinion of the investigator may impact participant safety, including > 35kg/m2
  13. Participation (active or follow-up phase) or planned participation in another vaccine, or drug, in the 4 weeks prior to or during the trial
  14. Beliefs that bar the administration of blood products or transfusions
  15. Clinician discretion
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Normal Metabolizers (NM)

    Participants with normal CYP2D6 enzyme activity receiving a single 300 milligram (mg) dose of tafenoquine.

    Drug: Tafenoquine Oral Tablet

  • Experimental
    Intermediate Metabolizers (IM)

    Participants with decreased activity of the enzyme leading to variable effects i.e., either no effect, increased adverse effects from TQ or reduced efficacy of the drug in endemic areas due to inadequate metabolism receiving a single 300mg dose of tafenoquine.

    Drug: Tafenoquine Oral Tablet

  • Experimental
    Poor Metabolizers (PM)

    Participants with no enzyme activity at all, leading to a null phenotype and no drug metabolism, receiving a single 300mg dose of tafenoquine.

    Drug: Tafenoquine Oral Tablet

  • Experimental
    Ultra Metabolizers (UM)

    Participants with increased enzyme activity, leading to accelerated metabolism, receiving 300mg dose of tafenoquine

    Drug: Tafenoquine Oral Tablet

Interventions

06

What researchers measure

Primary outcomes

  1. Tafenoquine levels in blood over time

    Time frame: Pre-dose, 4, 8, 12, and 24 hours (Day 2) and Days, 3, 4, 5, 6, 7, 8, 15, 22, 29, and 57.

  2. Tafenoquine levels in urine over time

    Time frame: Pre-dose, total volume collected between 0-4, 4-8, 8-12, 12-24 hours and then single void collections on Days 3, 4, 5, 6, 7, 8, 15, 22, 29, 57.

Secondary outcomes

  1. Methemoglobin Levels

    Methemoglobin Levels at defined PK timepoints

    Time frame: Pre-dose, 4, 8, 12, and 24 hours (Day 2) and Days, 3, 4, 5, 6, 7, 8, 15, 22, 29, and 57

  2. Laboratory abnormalities

    Complete Blood Count and reticulocyte count

    Time frame: Pre-dose, Day 4 and 15

  3. Adverse Events

    Time frame: From Day 1 to Day 29

  4. Serious Adverse Events

    Time frame: Day 1 to Day 57

07

Study locations

1 site
  • SUNY Upstate Medical University, Upstate Global Health Institute
    East Syracuse, New York 13057, United States
    • Keely Terrillion · Contacttrials@upstate.edu · 315-464-9869
    • Michele Spring, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: Yes — All IPD that underlies the primary results in a publication.

Time frame: IPD will be shared with the primary publication

Access criteria: Primary IPD will be published with the primary manuscript describing the study. Requests for additional information can be requested by emailing warel@upstate.edu.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for May 2026; primary completion for Mar 2027, 10 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 16, 2026
First posted
Jan 28, 2026
StartEst.
May 2026
Primary completionEst.
Mar 2027
CompletionEst.
Mar 2027
Last update
Mar 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07373743
Responsible party
Sponsor
First posted
Jan 28, 2026
Start date
May 2026 (estimated)
Primary completion
Mar 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Mar 20, 2026

Study contacts

Keely Terrillion
Contact
trials@upstate.edu
315-464-9869
Michele Spring, MD
principal investigator · State University of New York - Upstate Medical University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Tafenoquine

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