Evidence map›Paper›PMID 36534705›Full record

Trial reportPLoS neglected tropical diseases2022

Population heterogeneity in Plasmodium vivax relapse risk.

Eva Stadler, Deborah Cromer, Somya Mehra, Adeshina I Adekunle, Jennifer A Flegg, Nicholas M Anstey, James A Watson, Cindy S Chu, Ivo Mueller, Leanne J Robinson and 3 more

3 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PLoS neglected tropical diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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.

NCT01074905 phase3completednot on this map

A Randomised Open Label Study Comparing the Efficacy of Chloroquine/Primaquine, Chloroquine and Artesunate in the Treatment of Vivax Malaria Along the Thai-Burmese Border

TypeinterventionalSponsorUniversity of OxfordRan2010 to 2012Enrolled655ConditionsVivax MalariaArmsArtesunate, Chloroquine, Chloroquine/Primaquine
NCT01640574 phase3completednot on this map

Randomised Parallel Open Label Comparison Between 7 and 14 Day Primaquine Combined With 3-day Dihydroartemisinin-piperaquine or 3-day Chloroquine Regimens for Radical Cure of Plasmodium Vivax

TypeinterventionalSponsorUniversity of OxfordRan2012 to 2015Enrolled680ConditionsVivax MalariaArmsDihydroartemisinin-Piperaquine, Chloroquine
NCT02143934 phase4completednot on this map

Host and Parasites Factors Contributing to Risk of Plasmodium Re-infection and Morbidity in Elementary School Children in Maprik, East Sepik Province

TypeinterventionalSponsorPapua New Guinea Institute of Medical ResearchRan2009 to 2014Enrolled524ConditionsPlasmodium Vivax Infection, Plasmodium Vivax Clinical Episode, Plasmodium Falciparum Infection, Plasmodium Falciparum Clinical EpisodeArmsPrimaquine, Placebo, Chloroquine, Artemether Lumefantrine
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Recurrent Malaria withTropical medicine and infectious disease · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Malaria.The New England journal of medicine · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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

13 authors at 7 institutions in 4 countries.

Eva StadlerThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Deborah CromerThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Somya MehraSchool of Mathematics and Statistics, University of Melbourne, Melbourne, Australia.
Adeshina I AdekunleAustralian Institute of Tropical Health and Medicine, James Cook University, Townsville, Australia.
Jennifer A FleggSchool of Mathematics and Statistics, University of Melbourne, Melbourne, Australia.
Nicholas M AnsteyMenzies School of Health Research, Darwin University, Darwin, Australia.
James A WatsonCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Headington, Oxford, United Kingdom.
Cindy S ChuCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Headington, Oxford, United Kingdom.
Ivo MuellerPopulation Health & Immunity Division, Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.
Leanne J RobinsonPopulation Health & Immunity Division, Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.
Timothy E SchlubThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Miles P DavenportThe Kirby Institute, UNSW Sydney, Sydney, Australia.
David S KhouryThe Kirby Institute, UNSW Sydney, Sydney, Australia.ORCID 0000-0002-2663-1551
UNSW Sydney · AUThe University of Melbourne · AUMahidol University · THAustralian Institute of Tropical Health and Medicine · AUBurnet Institute · AUCharles Darwin University · AUThe University of Sydney · AU

Funding

Understanding, tracking and eliminating malaria transmission in the Asia - Pacific RegionU19AI129392 · NIAID · WALTER AND ELIZA HALL INST MEDICAL RES · PI Ivo J Mueller · 2017 to 2026
$7.1M
NIAID NIH HHS U19 AI129392
6 · The paper itself

Abstract

A key characteristic of Plasmodium vivax parasites is their ability to adopt a latent liver-stage form called hypnozoites, able to cause relapse of infection months or years after a primary infection. Relapses of infection through hypnozoite activation are a major contributor to blood-stage infections in P vivax endemic regions and are thought to be influenced by factors such as febrile infections which may cause temporary changes in hypnozoite activation leading to 'temporal heterogeneity' in reactivation risk. In addition, immunity and variation in exposure to infection may be longer-term characteristics of individuals that lead to 'population heterogeneity' in hypnozoite activation. We analyze data on risk of P vivax in two previously published data sets from Papua New Guinea and the Thailand-Myanmar border region. Modeling different mechanisms of reactivation risk, we find strong evidence for population heterogeneity, with 30% of patients having almost 70% of all P vivax infections. Model fitting and data analysis indicates that individual variation in relapse risk is a primary source of heterogeneity of P vivax risk of recurrences. Trial Registration: ClinicalTrials.gov NCT01640574, NCT01074905, NCT02143934.

Indexed as

Malaria, VivaxParasitesAnimalsChronic DiseaseHumansLiverPlasmodium vivaxRecurrence

Identifiers

PMID36534705
PMCPMC9810152
OpenAlexW4311911758

What OpenQuestion holds

Textmetadata
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.