Chloroquine (CQ) has been the mainstay of malaria treatment for more than 60 years. However, the emergence and spread of CQ resistance now restricts its use to only a few malaria endemic areas. The aim of the present study was to investigate whether a novel combination of a CQ-like moiety and an imipramine-like pharmacophore can reverse CQ resistance ex vivo.Between March-October 2011 and January-September 2013, two RCQ compounds (PL69 and PL106) were tested against multidrug resistant field isolates of P. falciparum (n=41) and P. vivax (n=45) in Papua (Indonesia) using a modified ex vivo schizont maturation assay.The RCQ compounds showed high efficacy against both CQ resistant P. falciparum and P. vivax field isolates. For P. falciparum, the median IC50 values 23.2 nM for PL69 and 26.6 nM for PL106 compared to 79.4 nM for unmodified CQ (p<0.001 and p=0.036, respectively). The corresponding figures for P. vivax were 19.0 nM, 60.0 nM and 60.9 nM (p<0.001 and p=0.018, respectively). There was a significant correlation between IC50s of CQ and PL 69 (rs=0.727, p<0.001) and PL106 (rs=0.830, p<0.001) in P. vivax, but not in P. falciparum. Both RCQs were equally active against ring and trophozoite stages of P. falciparum, but in P. vivax, PL69 and PL 106 showed less potent activity against trophozoite stages (median IC50=130.2 and 172.5 nM) compared to ring stages (median IC50=17.6 and 91.3 nM).RCQ compounds have enhanced ex vivo activity against CQ resistant clinical isolates of P. falciparum and P. vivax, suggesting the potential use of reversal agents in anti-malarial drug development. Inter-species differences in RCQ compound activity may indicate differences in CQ pharmacokinetics between the two Plasmodium species.