Evidence map›Paper›PMID 36289202›Full record

ArticleNature communications2022

Decreased susceptibility of Plasmodium falciparum to both dihydroartemisinin and lumefantrine in northern Uganda.

Patrick K Tumwebaze, Melissa D Conrad, Martin Okitwi, Stephen Orena, Oswald Byaruhanga, Thomas Katairo, Jennifer Legac, Shreeya Garg, David Giesbrecht, Sawyer R Smith and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06347471 (The Transmission of Artemisinin Resistant Parasites Before and After Conventional Artemisinin-combination Therapy), which is not on this map. Cited by 103 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 2 pooled it
24.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06347471 phase4completednot on this mapstarted 2024, after this paper: background citation

The Transmission of Artemisinin Resistant Parasites Before and After Conventional Artemisinin-combination Therapy: a Longitudinal Study

TypeinterventionalSponsorInfectious Diseases Research Collaboration, UgandaRan2024 to 2025Enrolled160ConditionsFalciparum, MalariaArmsArtemether-lumefantrine, Dihydroartemisinin-Piperaquine
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Review
  7. Article
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  12. Unpacking boxes: identification of novel inhibitors of malaria parasite invasion.International journal for parasitology. Drugs and drug resistance · 2026
    Article
  13. Article
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  15. Identification of an Orally Efficacious Imidazo[4,5-Journal of medicinal chemistry · 2026
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  17. AbioRxiv : the preprint server for biology · 2026
    Article
  18. Article
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43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Patrick K Tumwebaze *Infectious Diseases Research Collaboration, Kampala, Uganda.
Melissa D Conrad *University of California, San Francisco, CA, USA. melissa.conrad@ucsf.edu.ORCID 0000-0002-9984-8030
Martin OkitwiInfectious Diseases Research Collaboration, Kampala, Uganda.
Stephen OrenaInfectious Diseases Research Collaboration, Kampala, Uganda.
Oswald ByaruhangaInfectious Diseases Research Collaboration, Kampala, Uganda.
Thomas KatairoInfectious Diseases Research Collaboration, Kampala, Uganda.
Jennifer LegacUniversity of California, San Francisco, CA, USA.
Shreeya GargUniversity of California, San Francisco, CA, USA.
David GiesbrechtBrown University, Providence, RI, USA.ORCID 0000-0003-2498-4705
Sawyer R SmithBrown University, Providence, RI, USA.
Frida G CejaDominican University of California, San Rafael, CA, USA.
Samuel L NsobyaInfectious Diseases Research Collaboration, Kampala, Uganda.
Jeffrey A BaileyBrown University, Providence, RI, USA.ORCID 0000-0002-6899-8204
Roland A CooperDominican University of California, San Rafael, CA, USA.
Philip J RosenthalUniversity of California, San Francisco, CA, USA. philip.rosenthal@ucsf.edu.ORCID 0000-0002-7953-7622
Infectious Diseases Research Collaboration · UGUniversity of California, San Francisco · USBrown University · USDominican University of California · US

Funding

Transmission ProjectU19AI089674 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Joaniter Immaculate Nankabirwa · 2010 to 2026
$29.3M
Resistance of Malaria Parasites to Artemisinin-Based TherapiesR01AI075045 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROSENTHAL, PHILIP JON · 2009 to 2024
$8.4M
Tracking the flow of malaria parasites and drug resistance within the DRC and across its bordersR01AI139520 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BAILEY, JEFFREY A. · 2018 to 2023
$3.6M
Training In Malaria Research in UgandaD43TW007375 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROSENTHAL, PHILIP JON · 2005 to 2019
$2.9M
Resistance of Malaria Parasites to Artemisinin-Based Combination TherapiesR56AI075045 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROSENTHAL, PHILIP JON · 2008 to 2008
$618k
FIC NIH HHS D43 TW007375NIAID NIH HHS R01 AI075045NIAID NIH HHS R01 AI139520NIAID NIH HHS R56 AI075045NIAID NIH HHS U19 AI089674
6 · The paper itself

Abstract

Artemisinin partial resistance may facilitate selection of Plasmodium falciparum resistant to combination therapy partner drugs. We evaluated 99 P. falciparum isolates collected in 2021 from northern Uganda, where resistance-associated PfK13 C469Y and A675V mutations have emerged, and eastern Uganda, where these mutations are uncommon. With the ex vivo ring survival assay, isolates with the 469Y mutation (median survival 7.3% for mutant, 2.5% mixed, and 1.4% wild type) and/or mutations in Pfcoronin or falcipain-2a, had significantly greater survival; all isolates with survival >5% had mutations in at least one of these proteins. With ex vivo growth inhibition assays, susceptibility to lumefantrine (median IC

Indexed as

AntimalarialsArtemisininsMalaria, FalciparumArtemetherArtemether, Lumefantrine Drug CombinationChloroquineDrug CombinationsDrug ResistanceHumansLumefantrinePlasmodium falciparumProtozoan ProteinsUgandaAntimalarialsArtemetherArtemether, Lumefantrine Drug CombinationArtemisininsartenimolChloroquineDrug CombinationsLumefantrineProtozoan Proteins

Identifiers

PMID36289202
PMCPMC9605985
OpenAlexW4307658329

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.