Clinical Trials

Numerous clinical trials evaluate the therapeutic and pharmacokinetic profiles of proguanil, primarily focusing on Plasmodium falciparum malaria, chemoprophylaxis, drug metabolism, membrane transport, and CYP2C19 genotypes. Spanning Phase 1 through Phase 4, these studies encompass completed, withdrawn, and terminated protocols evaluating drug safety, tolerability, and combination regimens. Major industry and institutional sponsors supporting this research include GlaxoSmithKline, Medicines for Malaria Venture, Radboud University Medical Center, and Seoul National University Hospital.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06294912 COMPLETED
Malaria
Merck Sharp & Dohme LLC
2024-04-18 PHASE1
NCT05974267 COMPLETED
Malaria Infection
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
2023-11-28 PHASE2
NCT03726593 UNKNOWN
Plasmodium Falciparum Malaria (Drug Resistant)
Armed Forces Research Institute of Medical Sciences, Thailand
2018-10-04 PHASE4
NCT04568772 COMPLETED
Gastroesophageal Reflux Disease
Seoul National University Hospital
2020-11-25 PHASE1
NCT04203186 WITHDRAWN
Plasmodium Falciparum
U.S. Army Medical Research and Development Command
2020-03
NCT03813108 TERMINATED
Malaria,Falciparum; Controlled Human Malaria Infection; Immunization; Infection
Radboud University Medical Center
2019-04-01
NCT03178643 COMPLETED
Malaria,Falciparum
Duke University
2018-01-23 PHASE4
NCT03278808 WITHDRAWN
Malaria
U.S. Army Medical Research and Development Command
2018-09-17 PHASE2
NCT04002687 COMPLETED
Malaria
Medicines for Malaria Venture
2019-04-04 PHASE1
NCT04002687 Completed
Malaria
Medicines for Malaria Venture|Richmond Pharmacology Limited
2019-04-04 Phase 1
NCT03454048 COMPLETED
Malaria,Falciparum; Gametocytes; Controlled Human Malaria Infection; Transmission
Radboud University Medical Center
2018-05-07
NCT02564471 COMPLETED
Rabies
State University of New York - Upstate Medical University
2016-11-11 PHASE4
NCT02858817 COMPLETED
Malaria
University Hospital Tuebingen
2016-11-28 PHASE1
NCT02836002 COMPLETED
Malaria
Radboud University Medical Center
2016-06 PHASE1; PHASE2
NCT02054299 COMPLETED
Drug Metabolism; Membrane Transport
University Medical Center Goettingen
2013-04 PHASE1
NCT02297477 UNKNOWN
Malaria
Armed Forces Research Institute of Medical Sciences, Thailand
2014-12 PHASE4
NCT02098590 COMPLETED
Malaria
Radboud University Medical Center
2014-10
NCT02080026 COMPLETED
Malaria
Radboud University Medical Center
2014-06
NCT01150344 COMPLETED
Malaria
Assistance Publique - Hôpitaux de Paris
2010-07 PHASE4
NCT01456546 COMPLETED
CYP2C19 Genotypes
University of Southern Denmark
2011-10 PHASE1
NCT01319448 COMPLETED
Malaria; Sickle Cell Crisis
London School of Hygiene and Tropical Medicine
2011-09 PHASE1; PHASE2
NCT01858831 COMPLETED
Malaria
GlaxoSmithKline
2012-04 PHASE1
NCT01858831 Completed
Malaria
GlaxoSmithKline
2012-04 Phase 1
NCT01456546 Completed
CYP2C19 Genotypes
University of Southern Denmark
2011-10 Phase 1
NCT00984256 COMPLETED
Malaria
U.S. Army Medical Research and Development Command
2009-09 PHASE2
NCT00379821 COMPLETED
Plasmodium Falciparum Infection
National Institute of Allergy and Infectious Diseases (NIAID)
2007-02 PHASE3
NCT00421473 COMPLETED
HIV Infections; Malaria
Radboud University Medical Center
2007-03 PHASE4
NCT00444106 COMPLETED
Malaria; Falciparum
Novartis
2007-05 PHASE4
NCT00386750 TERMINATED
Malaria; Falciparum
Novartis Pharmaceuticals
2005-06 PHASE4
NCT00451139 COMPLETED
Malaria
Jimma University
PHASE4
NCT00084227 COMPLETED
Malaria, Falciparum
Pfizer
2004-07 PHASE2; PHASE3

(data from https://clinicaltrials.gov, updated on 2025-01-13)

Check the Proguanil product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Proguanil target-selectively inhibits plasmodial dihydrofolate reductase, thereby blocking downstream purine and pyrimidine biosynthesis necessary for parasite DNA synthesis. This inhibition suppresses essential cell multiplication in Plasmodium parasites, establishing its clinical efficacy as a prophylactic and treatment regimen for Plasmodium falciparum malaria.

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>).

Note: Technical data last updated: Sep 1, 2026.