Index: clang/lib/Lex/TokenLexer.cpp
===================================================================
--- clang/lib/Lex/TokenLexer.cpp
+++ clang/lib/Lex/TokenLexer.cpp
@@ -501,7 +501,7 @@
           assert(VCtx.isInVAOpt() && "should only happen inside a __VA_OPT__");
           VCtx.hasPlaceholderAfterHashhashAtStart();
         }
-        if (RParenAfter)
+        else if (RParenAfter)
           VCtx.hasPlaceholderBeforeRParen();
       }
       continue;
@@ -567,7 +567,7 @@
       continue;
     }
 
-    if (RParenAfter)
+    if (RParenAfter && !NonEmptyPasteBefore)
       VCtx.hasPlaceholderBeforeRParen();
 
     // If this is on the RHS of a paste operator, we've already copied the
Index: clang/test/Preprocessor/macro_vaopt_p1042r1.cpp
===================================================================
--- clang/test/Preprocessor/macro_vaopt_p1042r1.cpp
+++ clang/test/Preprocessor/macro_vaopt_p1042r1.cpp
@@ -1,30 +1,36 @@
- RUN: %clang_cc1 -E %s -pedantic -std=c++2a | FileCheck -strict-whitespace %s
-
-#define LPAREN() (
-#define G(Q) 42
-#define F1(R, X, ...)  __VA_OPT__(G R X) )
-1: int x = F1(LPAREN(), 0, <:-);
-// CHECK: 1: int x = 42;
-
-#define F2(...) f(0 __VA_OPT__(,) __VA_ARGS__)
-#define EMP
-2: F2(EMP)
-// CHECK: 2: f(0 )
-
-#define H3(X, ...) #__VA_OPT__(X##X X##X)
-3: H3(, 0)
-// CHECK: 3: ""
-
-#define H4(X, ...) __VA_OPT__(a X ## X) ## b
-4: H4(, 1)
-// CHECK: 4: a b
-
-#define H4B(X, ...) a ## __VA_OPT__(X ## X b)
-4B: H4B(, 1)
-// CHECK: 4B: a b
-
-#define H5A(...) __VA_OPT__()/**/__VA_OPT__()
-#define H5B(X) a ## X ## b
-#define H5C(X) H5B(X)
-5: H5C(H5A())
-// CHECK: 5: ab
+ RUN: %clang_cc1 -E %s -pedantic -std=c++2a | FileCheck -strict-whitespace %s
+
+#define LPAREN() (
+#define G(Q) 42
+#define F1(R, X, ...)  __VA_OPT__(G R X) )
+1: int x = F1(LPAREN(), 0, <:-);
+// CHECK: 1: int x = 42;
+
+#define F2(...) f(0 __VA_OPT__(,) __VA_ARGS__)
+#define EMP
+2: F2(EMP)
+// CHECK: 2: f(0 )
+
+#define H3(X, ...) #__VA_OPT__(X##X X##X)
+3: H3(, 0)
+// CHECK: 3: ""
+
+#define H4(X, ...) __VA_OPT__(a X ## X) ## b
+4: H4(, 1)
+// CHECK: 4: a b
+
+#define H4B(X, ...) a ## __VA_OPT__(X ## X b)
+4B: H4B(, 1)
+// CHECK: 4B: a b
+
+#define H5A(...) __VA_OPT__()/**/__VA_OPT__()
+#define H5B(X) a ## X ## b
+#define H5C(X) H5B(X)
+5: H5C(H5A())
+// CHECK: 5: ab
+
+namespace GH60268 {
+#define H6(X, ...) __VA_OPT__(a ## X) ## b
+6: H6(, 1);
+// CHECK: 6: ab
+}