Numerous clinical trials spanning Phase 1 through Phase 4 evaluate Mefloquine HCl for diverse infectious and neurological indications. Key areas of investigation include Plasmodium falciparum and Plasmodium vivax malaria—focusing on drug resistance, transmission dynamics, and prophylaxis in pregnant or HIV-positive cohorts—as well as schistosomiasis, progressive multifocal leukoencephalopathy, and central nervous system malignancies such as glioblastoma and gliosarcoma. Sponsored by academic centers, government agencies like the CDC, and industry entities including Biogen, these evaluations encompass completed combination therapy studies as well as terminated and withdrawn trials.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT01430351 | TERMINATED | Glioblastoma; Gliosarcoma; Supratentorial Glioblastoma |
M.D. Anderson Cancer Center |
2011-09-14 | PHASE1 |
| NCT03923725 | COMPLETED | Plasmodium Falciparum Malaria (Uncomplicated) |
University of Oxford |
2020-09-01 | PHASE3 |
| NCT03939104 | COMPLETED | Plasmodium Falciparum Malaria (Uncomplicated) |
University of Oxford |
2021-06-30 | PHASE3 |
| NCT03726593 | UNKNOWN | Plasmodium Falciparum Malaria (Drug Resistant) |
Armed Forces Research Institute of Medical Sciences, Thailand |
2018-10-04 | PHASE4 |
| NCT04847661 | COMPLETED | Covid19 |
Helwan University |
2021-03-28 | PHASE2; PHASE3 |
| NCT03893097 | COMPLETED | Schistosoma Haematobium; Schistosoma Mansoni |
Institute of Tropical Medicine, Belgium |
2019-10-14 | PHASE3 |
| NCT04347031 | COMPLETED | Pneumonia, Viral; Respiratory Failure |
Burnasyan Federal Medical Biophysical Center |
2020-04-08 | PHASE2; PHASE3 |
| NCT03893097 | Completed | Schistosoma Haematobium|Schistosoma Mansoni |
Institute of Tropical Medicine Belgium|Institut de Recherche en Santé de Surveillance Épidémiologique et de Formation (IRESSEF) |
2019-10-14 | Phase 3 |
| NCT03452475 | COMPLETED | Plasmodium Falciparum |
University of Oxford |
2018-03-07 | PHASE3 |
| NCT02612545 | COMPLETED | Acute Falciparum Malaria |
National Institute of Allergy and Infectious Diseases (NIAID) |
2015-11-20 | PHASE1 |
| NCT01640587 | TERMINATED | P. Falciparum Malaria |
University of Oxford |
2013-11 | |
| NCT02895568 | Completed | Plasmodium Falciparum |
University of Oxford|Worldwide Antimalarial Resistance Network|Mahidol University |
2016-09-16 | -- |
| NCT01054248 | COMPLETED | Malaria |
University of Oxford |
2010-02-16 | PHASE3 |
| NCT02653898 | UNKNOWN | Malaria; Parasitic Diseases |
Armed Forces Research Institute of Medical Sciences, Thailand |
2016-01 | PHASE4 |
| NCT02524444 | COMPLETED | Malaria in Pregnant HIV + Patients |
ORIYOMI OMOTOYOSI AKINYOTU |
2015-09 | PHASE1 |
| NCT02084602 | COMPLETED | Malaria, Falciparum |
Instituto Nacional de Salud. Peru |
2014-06-18 | PHASE4 |
| NCT02052323 | COMPLETED | Malaria |
Armed Forces Research Institute of Medical Sciences, Thailand |
2013-10 | PHASE4 |
| NCT02524444 | Completed | Malaria in Pregnant HIV + Patients |
ORIYOMI OMOTOYOSI AKINYOTU|University of Ibadan |
2015-09 | Phase 1 |
| NCT02324738 | COMPLETED | Healthy |
University of Oxford |
2015-01 | PHASE4 |
| NCT01708876 | COMPLETED | Uncomplicated Plasmodium Knowlesi Malaria |
Menzies School of Health Research |
2012-10 | PHASE3 |
| NCT01976780 | COMPLETED | Malaria |
Global Emerging Infections Surveillance and Response System |
2013-06 | PHASE4 |
| NCT01939886 | COMPLETED | Malaria |
London School of Hygiene and Tropical Medicine |
2013-04 | PHASE3 |
| NCT00852423 | COMPLETED | Malaria in Pregnancy |
Institute of Tropical Medicine, Belgium |
2010-06 | PHASE3 |
| NCT02974348 | COMPLETED | Drug Resistant Malaria Due to Plasmodium Falciparum |
University of Bamenda |
2013-01 | PHASE3 |
| NCT01319448 | COMPLETED | Malaria; Sickle Cell Crisis |
London School of Hygiene and Tropical Medicine |
2011-09 | PHASE1; PHASE2 |
| NCT01144702 | COMPLETED | Falciparum Malaria |
Oswaldo Cruz Foundation |
2010-11 | PHASE2; PHASE3 |
| NCT01615822 | TERMINATED | Malaria |
Medicines for Malaria Venture |
2012-08 | PHASE1 |
| NCT00811421 | COMPLETED | Pregnancy; Malaria; HIV Infections |
Hospital Clinic of Barcelona |
2009-09 | |
| NCT01422954 | COMPLETED | Malaria; Plasmodium Falciparum |
Radboud University Medical Center |
2012-01 | |
| NCT01132248 | COMPLETED | Urinary Schistosomiasis |
Albert Schweitzer Hospital |
2010-05 | PHASE2 |
| NCT00970879 | COMPLETED | Malaria in Pregnancy; HIV Infections |
Institut de Recherche pour le Developpement |
2009-12 | PHASE3 |
| NCT01107145 | TERMINATED | Plasmodium Vivax Malaria |
Centers for Disease Control and Prevention |
2011-02 | PHASE4 |
| NCT01082731 | TERMINATED | Malaria |
Centers for Disease Control and Prevention |
2010-11 | PHASE4 |
| NCT00746941 | TERMINATED | Progressive Multifocal Leukoencephalopathy |
Biogen |
2009-01 | PHASE1; PHASE2 |
| NCT00936767 | WITHDRAWN | Uncomplicated Falciparum Malaria |
University of Oxford |
2010-10 | PHASE2; PHASE3 |
| NCT01082718 | WITHDRAWN | Malaria; Pregnancy |
Centers for Disease Control and Prevention |
2010-03 | PHASE2; PHASE3 |
| NCT01082718 | Withdrawn | Malaria|Pregnancy |
Centers for Disease Control and Prevention |
2010-03 | Phase 2|Phase 3 |
| NCT00493363 | COMPLETED | Falciparum Malaria |
University of Oxford |
2007-06 | |
| NCT00931697 | COMPLETED | Healthy Subjects |
Treague Ltd |
2009-06 | PHASE1 |
| NCT00701961 | COMPLETED | Plasmodium Falciparum Malaria |
Institute of Tropical Medicine, Belgium |
2008-10 | PHASE2; PHASE3 |
| NCT00761020 | COMPLETED | Malaria |
U.S. Army Medical Research and Development Command |
2008-09 | |
| NCT00444106 | COMPLETED | Malaria; Falciparum |
Novartis |
2007-05 | PHASE4 |
| NCT00403260 | COMPLETED | Falciparum Malaria |
Medicines for Malaria Venture |
2007-01 | PHASE3 |
| NCT00499876 | COMPLETED | HIV Infections; Malaria |
London School of Hygiene and Tropical Medicine |
2007-10 | |
| NCT01659281 | COMPLETED | Plasmodium Falciparum Malaria |
Armed Forces Research Institute of Medical Sciences, Thailand |
2007-09 | |
| NCT00158574 | COMPLETED | Malaria |
London School of Hygiene and Tropical Medicine |
2005-01 | PHASE2; PHASE3 |
| NCT00274235 | COMPLETED | Malaria |
Institut de Recherche pour le Developpement |
2005-07 | PHASE3 |
| NCT00373048 | COMPLETED | HIV Infections |
Institute of Tropical Medicine, Belgium |
2005-10 | |
| NCT00367653 | COMPLETED | Malaria |
Pfizer |
2006-11 | PHASE3 |
| NCT00386750 | TERMINATED | Malaria; Falciparum |
Novartis Pharmaceuticals |
2005-06 | PHASE4 |
| NCT00373607 | COMPLETED | Malaria |
Institute of Tropical Medicine, Belgium |
2003-07 | PHASE3 |
| NCT02488980 | COMPLETED | Falciparum Parasitaemia |
U.S. Army Medical Research and Development Command |
2000-05 | PHASE2 |
| NCT02488902 | COMPLETED | Malaria |
U.S. Army Medical Research and Development Command |
1998-08 | PHASE2 |
| NCT00322907 | TERMINATED | Clinical Malaria |
Center for Primary Care and Public Health (Unisante), University of Lausanne, Switzerland |
2000-04 | PHASE2 |
| NCT00978172 | COMPLETED | Malaria |
Mepha Ltd. |
2007-12 | PHASE4 |
| NCT00243737 | COMPLETED | Malaria |
Albert Schweitzer Hospital |
2005-10 | PHASE2 |
| NCT00127998 | COMPLETED | Malaria |
Centers for Disease Control and Prevention |
2005-07 | |
| NCT00082576 | COMPLETED | Malaria, Falciparum |
Pfizer |
2004-06 | PHASE2; PHASE3 |
(data from https://clinicaltrials.gov, updated on 2025-05-07)
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>).