AzTrials
AzTrials

Malaria, VivaxPhase 3NCT06666491

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 study testing Tafenoquine, Primaquine and Chloroquine in people with Malaria, Vivax, run by GlaxoSmithKline at 5 sites in India.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

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

Who is it for?
Ages 2 to 64 years
Conditions the study is for
Malaria, Vivax
What is being tested?
Tafenoquine, Primaquine and Chloroquine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
324 participants
Where
5 sitesIndia
Study dates
13 Nov 2024to 14 May 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 64 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Males and females >=2 years of age and under (<) 65 years of age, weighing >10 kg.
  • The participant has a positive malarial smear for P. vivax with a parasite density of >100/microliter and <100,000/microliter.
  • The participant has a screening Hb value >8 g/dL.
  • The participant has an axillary temperature of 37.5°C or history of fever 48 hours before recruitment.
  • 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).
  • A female participant is eligible to participate if she is not pregnant or breastfeeding, and if one of the following conditions applies:
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  • 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.
  • 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.
  • 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.

Who cannot join

  • The participant has severe P. vivax malaria as defined by WHO criteria [WHO, 2023].
  • The participant has a mixed malaria infection (identified by a malarial smear).
  • 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).
  • The participant has a history of porphyria, psoriasis, or epilepsy.
  • 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.
  • The participant has received treatment with any investigational drug within 30 days of study entry, or within 5 half-lives, whichever is longer.
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  • The participant has previously enrolled in this study.
  • 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.
  • Participants with a current or past history of serious psychiatric disorders.
  • 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.
  • The participant is known to be HIV-infected and/or is currently on antiretroviral therapy.
  • The participant is regularly using drugs with hemolytic potential.
  • 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.
  • 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.
  • The participant has taken or will likely require during the study the use of:
  • Histamine-2 blockers (restricted to first 3 days whilst receiving CQ)
  • Antacids (restricted to first 3 days whilst receiving CQ)
  • Drugs of the biguanide class (i.e., phenformin, metformin, buformin)
  • Anti-arrhythmic agents (i.e., dofetilide, procainamide, pilsicainide)
  • Medications that prolong the QTc interval
  • The participant has liver transaminases (ALT/AST) >2 times the upper limit of normal (ULN).

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

US GSK Clinical Trials Call Center contact

877-379-3718

GSKClinicalSupportHD@gsk.com

EU GSK Clinical Trials Call Center contact

+44 (0) 20 89904466

GSKClinicalSupportHD@gsk.com

5 sites in 1 country

India5 sites, 5 recruiting
  • GSK Investigational Site

    Ahmedabad, 380008

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting
  • GSK Investigational Site

    Bikaner, 334001

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting
  • GSK Investigational Site

    Kolkata, 700073

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting
  • GSK Investigational Site

    Mumbai, 400012

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting
  • GSK Investigational Site

    Surat, 395004

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting

Other trials in India

About this study

Official title: A Randomized, Open-label, Multi-center, Interventional Phase 3 Study of the Efficacy and. Safety of Tafenoquine Compared to Primaquine (Both Co-administered With Chloroquine) for the Radical Cure (Relapse Prevention) of Plasmodium Vivax (P. Vivax) Malaria in Indian Participants (Pediatric and Adult Population)

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

Conditions
Malaria, Vivax
Being tested
Tafenoquine, Primaquine, Chloroquine
Medical subject headings
Malaria, Vivax

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TafenoquineDrug

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

  • PrimaquineDrug

    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).

  • ChloroquineDrug

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

Study groups in NCT06666491
Study groupRoleWhat they receive
TQ/CQExperimentalParticipants 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.
Receives: Drug: Tafenoquine; Drug: Chloroquine
PQ/CQActive comparatorParticipants 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.
Receives: Drug: Primaquine; Drug: Chloroquine

What is being measured

The primary outcome is the main question the study is designed to answer.

  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.

    Measured: Up to Month 6

Secondary outcomes (26)
  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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: Up to Month 6

  10. Number of deaths

    Measured: 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.

    Measured: Up to Month 6

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

    Measured: Up to Month 6

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

    Measured: 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.

    Measured: 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).

    Measured: 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).

    Measured: 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).

    Measured: 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).

    Measured: 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).

    Measured: 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).

    Measured: 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).

    Measured: 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.

    Measured: 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)

    Measured: 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.

    Measured: 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).

    Measured: 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.

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

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Oct 2024
  2. Study start13 Nov 2024
  3. Primary completion14 May 2027 (estimated)
  4. Study completion14 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
324 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06666491
Sponsor's protocol ID
208550
Status last verified
Sep 2026
First submitted
18 Oct 2024
Last updated
1 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tafenoquine, Primaquine and Chloroquine in people with Malaria, Vivax, run by GlaxoSmithKline at 5 sites in India.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 1 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in India. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact US GSK Clinical Trials Call Center (877-379-3718, GSKClinicalSupportHD@gsk.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

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 (time frame: Up to Month 6). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2026.

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