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Tafenoquine

Phase 3FDA approved

Babesiosis | Small molecule | Infectious Disease |60 Degrees Pharmaceuticals, Inc.|Trials Updated: Nov 21, 2025

Tafenoquine development status

FDA approval on record Jul 20, 2018
Approval holderGlaxosmithkline
ApplicationNDA210795
Highest phase Phase 3 run by GlaxoSmithKline (NCT02216123)
Phase scored for SXTPPhase 2
Registered trials 10 across 2 sponsors since Mar 2009

Label indication KRINTAFEL is indicated for the radical cure (prevention of relapse) of Plasmodium vivax malaria in patients aged 16 years and older who are receiving chloroquine therapy for acute P. vivax infection [see Dosage and Administration ( 2.2 )] . Limitations of Use • KRINTAFEL is NOT indicated for the treatment of acute P. vivax malaria. FDA label

Tafenoquine target and mechanism

ModalitySmall molecule

Also known as Tafenoquine Oral Tablet

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment159

FDA Designations

ORPHAN_DRUG

Tafenoquine clinical trials

Tafenoquine · 3 trials · 3 indications

Phase 2 3
NCT06656351B-FREE Chronic Babesiosis StudyChronic Babesiosis
RECRUITING40 Analytics
NCT06207370Oral Tafenoquine Plus Standard of Care Versus Placebo Plus Standard of Care for BabesiosisBabesiosis
RECRUITING33 Analytics
NCT04533347Tafenoquine in Patients With Mild to Moderate COVID-19COVID 19 Disease
COMPLETED86 Analytics
PHASE2RECRUITING
B-FREE Chronic Babesiosis Study
Chronic BabesiosisUnlock trial analytics
PHASE2RECRUITING
Oral Tafenoquine Plus Standard of Care Versus Placebo Plus Standard of Care for Babesiosis
BabesiosisUnlock trial analytics
PHASE2COMPLETED
Tafenoquine in Patients With Mild to Moderate COVID-19
COVID 19 DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in General Fatigue
From enrollment until Day 90 of treatment.

The Multidimensional Fatigue Inventory (MFI) is a 20-item, patient-reported scale. designed to evaluate five dimensions of fatigue: general fatigue (items 1, 5, 12, 16), physical fatigue (items (items 2, 8, 14, 20), reduced motivation (items 3, 6, 10, 17), reduced activity (items 4, 9, 15, 18), and mental fatigue (items 7, 11, 13, 19) (Smets-1995). Items are scored 1-5, with 10 positively phrased items reverse scored (items 2, 5, 9, 10, 13, 14, 16, 17, 18, 19). This scale has been used to assess treatment outcomes in patients with chronic fatigue syndrome, women with fibromyalgia, Parkinson's disease, patients undergoing anti-cancer treatment, and the impact of fatigue on the quality of life in rheumatoid arthritis. Total scale score, and each of the 5 subscales scores will be calculated. MFI subscales are scored by summing four items, each has five possible responses giving a range of possible scores from 4 to 20.

Time to sustained clinical resolution
Day 1 to 90

Time to sustained clinical resolution of all the following symptoms of babesiosis: sweats, joint aches, cough, loss of appetite, muscle aches, headache, chills or shivering, feeling hot or feverish, nausea, fatigue (low energy or tiredness), and vomiting. The time to achieve sustained clinical resolution will be the date when patients first self-report a 7-day period without these symptoms relative to the start of tafenoquine or placebo treatment.

Number of Patients With Clinical Recovery of COVID-19 Symptoms on Day 14
Day 14 [± 1 day]

Clinical recovery from COVID-19 symptoms was defined as: temperature \< or equal to 37.7 degrees Celsius (surface by infra-red or oral), respiratory rate \< or equal to 24/minute on room air, shortness of breath is absent on a patient-report scale, and cough is mild or absent on a patient-reported scale.

Secondary Endpoints

Babesia nucleic acid test (NAT)
From baseline until Day 90 of treatment.
Babesia nucleic acid test (NAT) and RT PCR
From baseline, Days 30, 60, 90, 120, and 180
Difference in TTMC between TQ and placebo
Day 1 to 90
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TafenoquineEXPERIMENTALTafenoquine (2 x 100 mg tablets) will be self-administered orally with food on Days 1, 2, 3, 4, then weekly thereafter for a total 12-week treatment period. Weekly treatment will start on Day 11 and end on Day 89.
Group 1ACTIVE_COMPARATORTQ: 2 x 100 mg TQ tablets orally on Days 1, 2, 3, and 4
Group 2PLACEBO_COMPARATORPlacebo: 2 x 100 mg placebo tablets orally on Days 1, 2, 3, and 4
PlaceboPLACEBO_COMPARATORPlacebo two tablets 1x/day on Days 1,2,3 and 10

Interventions

NameTypeDescription
Tafenoquine 100mgDRUGTafenoquine
TafenoquineDRUGOral Tafenoquine
PlaceboOTHERPlacebo
Tafenoquine Oral TabletDRUGPatients will be randomized and will receive and self-administer 200 mg Tafenoquine or matching placebo on Days 1, 2, 3, and 10.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Male or female, aged ≥ 18 years * Severe disabling fatigue * Have at least one common symptom of babesiosis * Have laboratory evidence of exposure to babesia in the last 12 months * Able and willing to give written informed consent * Able and willing to perform all study asses...

Countries:United States
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Frequently asked questions about Tafenoquine

What is tafenoquine used for?

Tafenoquine is an oral small molecule being studied for chronic babesiosis, babesiosis, and COVID-19 disease. It is in Phase 2 clinical development and is not approved for these uses. The babesiosis programs are being run by 60 Degrees Pharmaceuticals, Inc. under the ticker SXTP.

Who makes tafenoquine?

Tafenoquine is being developed by 60 Degrees Pharmaceuticals, Inc., which trades under the ticker SXTP. The company is running the clinical programs evaluating the drug in babesiosis, chronic babesiosis, and COVID-19 disease.

What phase is tafenoquine in?

Tafenoquine is in Phase 2 clinical development for babesiosis, chronic babesiosis, and COVID-19 disease. It is investigational and has not been approved by the FDA for these indications. The FDA has granted it orphan drug designation.

What clinical trials is tafenoquine in?

Tafenoquine is being studied in three Phase 2 trials. NCT06656351 is the B-FREE chronic babesiosis study, and NCT06207370 tests oral tafenoquine plus standard of care versus placebo plus standard of care in babesiosis. Both are recruiting in the United States. NCT04533347, in mild to moderate COVID-19, is completed.

Is tafenoquine the same as tafenoquine oral tablet?

Yes. Tafenoquine oral tablet and tafenoquine 100mg are alternative names for the same drug, tafenoquine. Searches using those terms refer to the oral small molecule developed by 60 Degrees Pharmaceuticals, Inc. for babesiosis, chronic babesiosis, and COVID-19 disease.

How is tafenoquine administered in its clinical trials?

Tafenoquine is given as an oral tablet in its clinical trials. The Phase 2 babesiosis study NCT06207370 evaluates oral tafenoquine plus standard of care against placebo plus standard of care, and the chronic babesiosis study NCT06656351 also uses the oral formulation in adults 18 years and older.