ClinicalTrials.gg
Not yet recruitingNCT07430592SJ733-2002Updated Oct 21, 2026

This is a Clinical Study to Assess Whether the Combination of SJ733 and Tafenoquine Will be a Safe and Rapidly Acting Anti-malarial for the Radical Cure of P. Vivax Malaria

A Phase 2 interventional study of SJ733/TQ placebo and CQ/TQ Placebo in Malaria, Malaria Vivax and Radical Cure, sponsored by R. Kiplin Guy. Not yet recruiting at 1 site in Peru. Open to participants aged 18 Years to 76 Years. Per ClinicalTrials.gov, last updated 2026-10-21.

Primary conditionMalaria, VivaxRegistry: MalariaReclassifiedWhy we changed it
Registry
Malaria — the first condition term the registry derived for this study.
ClinicalTrials.gg
Malaria, Vivax
Why
  1. The study's listed conditions name Malaria, Vivax, a narrower term within Malaria.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by R. Kiplin Guy · Phase 2, Interventional, and Treatment

Updated Oct 21, 2026Start date movedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
104
Allocation
Randomized
Ages
18 Years to 76 Years
Sex
All
01

Study summary

The goal of this Phase 2b study is to examine the safety and efficacy of the combination of SJ733, an investigational agent, and tafenoquine for the radical cure of uncomplicated P. vivax malaria monoinfection in adult participants and determine the contributions of SJ733 to the effect. SJ733 will be administered in a 1-, 2-, or 3-day treatment schedule in combination with a single dose of tafenoquine.

Read the detailed description

SJ733-2002 study is a blinded, randomized, placebo- and active comparator-controlled study to examine the safety and efficacy of combining 1, 2, or 3 sequential daily doses of SJ733 with a single dose of TQ given on Day 1 for the radical cure of uncomplicated P. vivax malaria. This study will also establish the role of SJ733 in driving blood stage and liver stage parasite killing and any pharmacological interactions with Tafenoquine (TQ). Hence, this study includes placebo controlled SJ733 and Chloroquine (CQ) monotherapy arms. The six arms in this study will be run simultaneously and participants randomized with a 1:1:1:1:1:1 ratio until all arms are filled. All participants will be monitored for 180 days, with parasitemia endpoints measured on Days 7, 14, 21, 28, 35, 42, 60, 120, and 180 to provide maximum comparability to historical studies. At all times during these studies any participants that develop symptomatic disease or detectable parasitemia will be rescued with local standard-of-care (according to national guidelines). Any participant who does not relapse during the study will be treated following the last day of the study with the same rescue therapy.

02

Conditions studied

  • Malaria
  • Malaria Vivax
  • Radical Cure

Browse trials for

Keywords

  • SJ733
  • SJ733 with Tafenoquine
03

In context

Malaria, Vivax Reclassified

123 studies on the registry are indexed under Malaria, Vivax; 19 are open to participants now.

This study's planned enrollment of 104 is below the median of 150 across 103 interventional studies indexed under Malaria, Vivax.

Browse Malaria, Vivax studies →

Lead sponsor

R. Kiplin Guy is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Compared within Malaria, Vivax, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Malaria. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 76 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Body weight between 45 kg and 90 kg inclusive.
  • Presence of mono-infection of P. vivax confirmed by: Fever, as defined by axillary temperature ≥ 37.5°C or oral/rectal/tympanic temperature ≥ 38°C, or history of fever in the previous 24 hours (history of fever must be documented) and, Microscopically confirmed parasite infection: 1,000 to 40,000 asexual parasite count/µL blood
  • Written provided by participant, in accordance with local practice. If the participant is unable to write, witnessed consent is permitted according to local ethical considerations.
  • Ability to swallow oral medication.
  • Ability and willingness to participate and to comply with the study requirements.
  • Agreement to hospitalization for at least 72 hours and/or until malarial parasites are not detected by microscopy on 2 consecutive occasions.
  • Agreement to come back to the hospital on Days 4, 7, 14, 21, 28, 35, 42, 60, 120, and 180.
  • A female participant meets eligibility in this study if she is non-pregnant, non-lactating and if she is of: non- defined as: (12 months of spontaneous amenorrhea or \<6 months of spontaneous amenorrhea with serum FSH >40 mIU/mL), pre-menopausal and has had a hysterectomy, a bilateral oophorectomy (removal of the ovaries), or a bilateral tubal ligation with medical report verification, negative pregnancy test or, child-bearing potential, with a negative pregnancy test at screening, and agrees to comply with one of the following during the treatment stage of the study and for a period of 75 days after stopping study treatment:

    i. Use of oral, implantable, or injectable hormonal , either combined or progestogen alone, used in conjunction with barrier method (condom or diaphragm).

ii. Use of an intrauterine device with a documented failure rate of \<1% per year.

iii. Double barrier method consisting of condom and diaphragm. iv. Male partner who is sterile prior to the female participant's entry into the study and is the sole sexual partner for that female.

v. Complete abstinence from intercourse throughout the study and for a period of 75 days after stopping study treatment.

  • A male participant meets eligibility in this study if he meets one of the following conditions:

    1. is sterile prior to participating in the study.
    2. agrees to the use of a contraceptive method (such as a condom) through the administration of study treatment and for a period of 75 days after stopping study treatment.
    3. agrees to complete abstinence from intercourse throughout the study and for a period of 75 days after stopping study treatment.

Exclusion criteria

Exclusion Criteria:

  • Signs and symptoms of severe/complicated malaria according to the World Health Organization Criteria 2010.
  • Mixed Plasmodium infection or Plasmodium mono-infection with any Plasmodium species other than P. vivax.
  • Severe vomiting, defined as more than three times in the 24 hours prior to the planned first dose of drug, or severe diarrhea defined as 3 or more watery stools per day.
  • Severe malnutrition (defined as the weight-for-height being below -3 standard deviation or less than 70% of median of the NCHS/WHO normalized reference values).
  • The presence of a significant medical or psychiatric condition, or any other serious or chronic clinical condition requiring hospitalization, or any other condition that in the opinion of the investigator precludes participation in the study.
  • Female participants must not be lactating or pregnant as demonstrated by a negative serum point-of-care pregnancy test pre-dose (the result of the pre-dose assessment must be confirmed negative prior to dosing).
  • Employment under the direct supervision of the investigators or study staff.
  • alterations to hematologic or clinical chemistry parameters that in the opinion of the investigator precludes participation in the study, including:

    1. /ALT > 3 x (ULN) and total is normal.
    2. AST/ALT > 2 x ULN and total bilirubin is >1 and \<2 x ULN and conjugated bilirubin is > 2x ULN.
    3. Serum creatinine levels > 2 x ULN
    4. Uncorrected electrolyte abnormalities [> 3x ULN or LLN]

    i. Potassium[hypokalemia] ii. Magnesium [hypomagnesemia] e. level \< 9 g/dL f. level \< 50,000/mm3

  • Clinically significant alterations to cardiac function

    1. Unstable angina with elevated serum cardiac biomarkers, changes, etc.; those with NSTE-ACS, NSTEMI, STEMI, or definite acute coronary syndrome.
    2. Congestive heart failure
    3. Recent history of Myocardial Infarction
    4. (>450 milliseconds (ms) in men and 460 ms in women)
  • Participation in a clinical study of another small molecule within 30 days or investigational biologic within 90 days prior to study enrollment or planning to begin such participation during the study.
  • Received any antimalarial treatment (alone or in combination) in the past containing:

    1. Tafenoquine within the previous 4 months
    2. Piperaquine, mefloquine, naphthoquine or sulphadoxine / pyrimethamine within the previous 5 months
    3. Amodiaquine or chloroquine within the previous 5 months
    4. Any artemisinin (artesunate, artemether, arteether or dihydroartemisinin), quinine, halofantrine, lumefantrine and any other anti-malarial treatment or antibiotics with antimalarial activity (including cotrimoxazole, tetracyclines, quinolones and fluoroquinolones, and azithromycin) within the past 3 months.
  • Known history of , allergic, or adverse reactions to SJ733, tafenoquine or other 8-aminoquinolines, or chloroquine or other 4-aminoquinolines.
  • Current use of prohibited concomitant medications (Appendix III)
  • Known neuropsychiatric disorders.
  • G6PD deficiency \<70% normal enzyme activity.
  • Prohibited use of metoclopramide, antibiotics including fluoroquinolones
  • Positive and/or , C test results
Terms in these criteria, in plain language(16)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
104 participants (estimated)

Study arms

  • Experimental
    Arm1 - SJ733 600 mg for 3 days and Tafenoquine Placebo

    SJ733 (600 mg) once a day for 3 consecutive days combined with tafenoquine placebo on the first day

    Drug: SJ733/TQ placebo

  • Experimental
    Arm 2- Chloroquine and Tafenoquine Placebo

    Chloroquine (600 mg) for 2 consecutive days then Chloroquine (300 mg) for 1 day, combined with tafenoquine placebo on the first day

    Drug: CQ/TQ Placebo

  • Active comparator
    Arm 3 - Chloroquine and Tafenoquine

    Chloroquine (600 mg) for 2 consecutive days then Chloroquine (300 mg) for 1 day, combined with tafenoquine (300 mg) once on the first day

    Drug: CQ/TQ

  • Experimental
    Arm 4a -SJ733 for three days and Tafenoquine

    SJ733 (600 mg) once a day for 3 consecutive days combined with tafenoquine (300 mg) once on the first day

    Drug: SJ733 (3-day)/TQ

  • Experimental
    Arm 4b - SJ733 for 2 days and Tafenoquine

    SJ733 (600 mg) once a day for 2 consecutive days, followed by SJ733 placebo for 1 day, combined with tafenoquine (300 mg) once on the first day

    Drug: SJ733 (2-day ) /TQ

  • Experimental
    Arm 4c - SJ733 for one day and Tafenoquine

    SJ733 (600 mg) once, followed by SJ733 placebo for 2 days, combined with tafenoquine (300 mg) once on the first day

    Drug: SJ733(1-day)/TQ

Interventions

  • DrugSJ733/TQ placebo

    SJ733 combined with Tafenoquine Placebo

    Also known as: SJ733, Tafenoquine Placebo

  • DrugCQ/TQ Placebo

    Chloroquine combined with Tafenoquine Placebo

    Also known as: Chloroquine, Tafenoquine Placebo

  • DrugCQ/TQ

    Drug page: Chloroquine

    Chloroquine combined with Tafenoquine

    Also known as: Chloroquine, Tafenoquine

  • DrugSJ733 (3-day)/TQ

    Drug page: SJ733

    SJ733 (3-day schedule) combined with Tafenoquine

    Also known as: SJ733, Tafenoquine

  • DrugSJ733 (2-day ) /TQ

    Drug page: SJ733

    SJ733 (2-day schedule) combined with Tafenoquine

    Also known as: SJ733, Tafenoquine

  • DrugSJ733(1-day)/TQ

    Drug page: SJ733

    SJ733 (1 day schedule) combined with Tafenoquine

    Also known as: SJ733, Tafenoquine

06

What researchers measure

Primary outcomes

  1. Parasitological Recurrence Free survival (RFS)

    Recurrence free survival (RFS), defined as non-relapses of P. vivax at 180 days given parasitemia clearance at 14 days.

    Time frame: 14 - 180 days for each arm

  2. Clinical Recurrence Free Survival

    Absence of malaria-related clinical signs or symptoms over 180 days following confirmed parasitemia clearance at Day 14.

    Time frame: 14 to 180 days for each arm

  3. Percentage of patients with treatment related adverse events

    Incidence, severity, drug-relatedness, and seriousness of adverse events

    Time frame: 1 to 180 days for each arm

  4. Percent of patients with clinically significant abnormal vital signs

    Number of and seriousness of with clinically significant abnormal vital signs including changes from baseline

    Time frame: 1 to 180 days for each arm

  5. Percent of patients with a decrease in hemoglobin (HB) > 2 g/dL from baseline to an absolute value of <7 g/dL

    Proportion of participants with a decrease in hemoglobin (Hb): \> 2 g/dL from baseline to an absolute value of \< 7 g/dL

    Time frame: 1 to 180 days for each arm

  6. Percent of patients with an Absolute Neutrophil Count < 1000/μL after baseline

    Proportion of participants with an absolute neutrophil count \< 1,000/μL after baseline

    Time frame: 1 to 180 days for each arm

  7. Percent of patients with significant changes in ECG findings

    Proportion of participants with significant changes in ECG findings, including heart rate, ECG intervals (PR, QTcB, QTcF), conduction changes or abnormalities

    Time frame: 1 to 180 days for each arm

  8. Percent of patients with clinically significant increases in venous methemoglobin levels

    Proportion of participants with clinically significant increases in venous methemoglobin levels

    Time frame: 1 to 180 days for each arm

Secondary outcomes

  1. Number of participants with signs and symptoms of uncomplicated P. vivax malaria infection

    Proportion of participants with symptoms or physical examination signs related to uncomplicated P. vivax malaria (e.g., headache, nausea, fatigue, fever auxiliary temperature, \>/= 37.5 C, chills/shivering/rigors, prostration, conjunctival jaundice, and respiratory distress)

    Time frame: 180 days for each arm

  2. Parasite clearance Time

    Parasite Clearance Kinetics in participants with P. vivax malaria infection as measured by Microscopy

    Time frame: 72 hours for each arm

  3. Area Under the Plasma Concentration Time Curve (AUC)

    AUC of SJ733, its primary metabolite, SJ506, and tafenoquine

    Time frame: 180 days

  4. Maximum Plasma Concentration (Cmax)

    Cmax of SJ733, its primary metabolite, SJ506, and tafenoquine

    Time frame: 180 days

Other outcomes

  1. Correlation between microscopy and PCR measures of parasite clearance kinetics / efficacy

    Effect of the proposed three-day therapy on PCR adjusted parasitological outcomes, complementing microscopy-based assessments, in participants with P. vivax malaria

    Time frame: 180 days for each arm

07

Study locations

1 site
08

References and documents

Publications

  • uy, R. K. 2023. "NCT04709692: Efficacy of SJ733 in Adults With Uncomplicated Plasmodium Falciparum or Vivax Malaria." In. https://clinicaltrials.gov/ct2/show/NCT04709692?term=SJ733&draw=2&rank=2.
  • Gaur AH, Panetta JC, Smith AM, Dallas RH, Freeman BB 3rd, Stewart TB, Tang L, John E, Branum KC, Patel ND, Ost S, Heine RN, Richardson JL, Hammill JT, Bebrevska L, Gusovsky F, Maki N, Yanagi T, Flynn PM, McCarthy JS, Chalon S, Guy RK. Combining SJ733, an oral ATP4 inhibitor of Plasmodium falciparum, with the pharmacokinetic enhancer cobicistat: An innovative approach in antimalarial drug development. EBioMedicine. 2022 Jun;80:104065. doi: 10.1016/j.ebiom.2022.104065. Epub 2022 May 19. PubMed 35598441 ↗
  • Gaur AH, McCarthy JS, Panetta JC, Dallas RH, Woodford J, Tang L, Smith AM, Stewart TB, Branum KC, Freeman BB 3rd, Patel ND, John E, Chalon S, Ost S, Heine RN, Richardson JL, Christensen R, Flynn PM, Van Gessel Y, Mitasev B, Mohrle JJ, Gusovsky F, Bebrevska L, Guy RK. Safety, tolerability, pharmacokinetics, and antimalarial efficacy of a novel Plasmodium falciparum ATP4 inhibitor SJ733: a first-in-human and induced blood-stage malaria phase 1a/b trial. Lancet Infect Dis. 2020 Aug;20(8):964-975. doi: 10.1016/S1473-3099(19)30611-5. Epub 2020 Apr 8. PubMed 32275867 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Start is estimated for Dec 2026; primary completion for Nov 2028, 23 months later.

Start moved once since we started tracking on Sep 25, 2026: Oct 2026 → Dec 2026, on Oct 21, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Feb 18, 2026
First posted
Feb 24, 2026
StartEst.
Dec 2026was Oct 2026
Primary completionEst.
Nov 20, 2028
CompletionEst.
Nov 20, 2028
Last update
Oct 21, 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.
Start date
Oct 1, 2026→Dec 2026
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    Start date Oct 1, 2026→Dec 2026
    + 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
NCT07430592
Lead sponsor
R. Kiplin Guy
Collaborators
Global Health Innovative Technology Fund, Congressionally Directed Medical Research Programs, University of Minnesota
Responsible party
R. Kiplin Guy (Principal Investigator, University of Kentucky) — Sponsor-investigator
First posted
Feb 24, 2026
Start date
Dec 2026 (estimated)
Primary completion
Nov 20, 2028 (estimated)
Completion
Nov 20, 2028 (estimated)
Last update
Oct 21, 2026

Study contacts

Rodney K Guy, PhD
Contact
rguy@umn.edu
901- 481-7251
Gaurav Shoeran, PhD
Contact
gshoeran@umn.edu
Alejandro L Cuentas,, MD, PhD
principal investigator · Asociación Civil Selva Amazónica (ACSA), Iquitos, Loreto - Perú
Rodney K Guy, PhD
study director · University of Minnesota

Oversight

Data monitoring committee
Yes
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 Oct 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: SJ733

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