Several clinical trials evaluate the therapeutic efficacy, safety, and pharmacokinetic profiles of lumefantrine-containing antimalarial regimens targeting uncomplicated Plasmodium falciparum and broader malaria indications. Incorporating late-phase clinical evaluations and observational pharmacokinetic studies, these research efforts are sponsored by academic institutions and government public health agencies, including Makerere University, the Centers for Disease Control and Prevention, the Ministry of Public Health of the Democratic Republic of the Congo, and the United States Agency for International Development. Active protocols encompass both actively recruiting and active non-recruiting statuses across participating patient cohorts.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06076213 | Active not recruiting | Uncomplicated Plasmodium Falciparum Malaria |
Ministry of Public Health Democratic Republic of the Congo|Centers for Disease Control and Prevention|Global Fund |
2023-05-01 | Phase 4 |
| NCT05676645 | Recruiting | MalariaFalciparum |
University of Liverpool|Infectious Diseases Institute Makerere University College of Health Sciences|Malawi-Liverpool-Wellcome Clinical Research Programme |
2023-03-20 | -- |
| NCT05605925 | Recruiting | Malaria |
Makerere University |
2022-08-04 | Phase 4 |
| NCT05343312 | Active not recruiting | Malaria |
Centro de Investigacao em Saude de Manhica|United States Agency for International Development (USAID) |
2022-03-16 | Phase 4 |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).