Evidence map›Paper›PMID 42204711›Full record

ArticleMalaria journal2026

Dissemination of EFFORT trial results in Indonesia: a stakeholder meeting report on tafenoquine and primaquine for radical cure of Plasmodium vivax.

Ayodhia Pitaloka Pasaribu, Vincent Jimanto, Framita Ainur, Novita Rohdearni Saragih, Halik Hadi, Dedi Sahat Parningotan Siagian, Budi Junaraman Sinaga, Ari Winasti Satyagraha, Ferdinand J Laihad, Ajib Diptyanusa and 29 more

Abstract read
In one paragraph

Article in Malaria journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

39 authors.

Ayodhia Pitaloka PasaribuMedical Faculty, Universitas Sumatera Utara, Medan, Indonesia.
Vincent JimantoYayasan Penguatan Kesehatan Masyarakat Tridarma, Medan, Indonesia.
Framita AinurYayasan Penguatan Kesehatan Masyarakat Tridarma, Medan, Indonesia.
Novita Rohdearni SaragihProvincial Health Office, Medan, North Sumatra, Indonesia.
Halik HadiProvincial Health Office, Medan, North Sumatra, Indonesia.
Dedi Sahat Parningotan SiagianDistrict Health Office, Batu Bara Regency, Indonesia.
Budi Junaraman SinagaDistrict Health Office, Batu Bara Regency, Indonesia.
Ari Winasti SatyagrahaEijkman Research Center for Molecular Biology, National Research and Innovation Agency, Cibinong, Indonesia.
Ferdinand J LaihadDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Ajib DiptyanusaIndonesia Country Office, World Health Organization, Jakarta, Indonesia.
Reynold Rizal UbraDistrict Health Office, Mimika, Central Papua, Indonesia.
Obet TekegeDistrict Health Office, Mimika, Central Papua, Indonesia.
Lusi DarmayantiProvincial Health Office, Bandar Lampung, Lampung, Indonesia.
Herdiana HerdianaIndonesia Country Office, World Health Organization, Jakarta, Indonesia.
Jacklyn AdellaGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Australia.
Kylie MannionGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Australia.
Ella CurryGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Australia.
Jeanne Rini PoespoprodjoCentre for Child Health-PRO, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Enny KenangalemYayasan Pengembangan Kesehatan dan Masyarakat Papua, Timika, Indonesia.
Faustina Helena BurdamYayasan Pengembangan Kesehatan dan Masyarakat Papua, Timika, Indonesia.
Inge SutantoUniversity of Indonesia, Jakarta, Indonesia.
Erni Juwita NelwanUniversity of Indonesia, Jakarta, Indonesia.
Gabriel Jason GanadhiYayasan Pengembangan Kesehatan dan Masyarakat Papua, Timika, Indonesia.
Bijaya ShresthaGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Australia.
Hellen MnjalaGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Australia.
William A HawleyIndependent Consultant, Jakarta, Indonesia.
Hellen Dewi PrameswariDirectorate of Medical Devices Control, Ministry of Health, Jakarta, Indonesia.
Minerva TheodoraDirectorate of Vulnerable Group Health Services, Jakarta, Indonesia.
Fadjar Surya Mensing SilalahiDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Hermawan SusantoDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Febry ImmanuellaDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Riskha Tiara PuspadewiDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Sri Budi FajariyaniDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Iriani SamadDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Dedy SupriyantoDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Nurul MuhafilahDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Rahmad IsaDirectorate of Communicable Disease, Ministry of Health, Jakarta, Indonesia.
Ric N PriceGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Australia.
Kamala ThriemerGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Australia. Kamala.ley-thriemer@menzies.edu.au.

Funding

Gates Foundation INV-024389National Health and Medical Research Council 1182950
6 · The paper itself

Abstract

The EFFORT clinical trial was conducted in four countries (Cambodia, Ethiopia, Indonesia, and Pakistan) to evaluate the safety and effectiveness of high-dose primaquine (7 mg/kg over 7 days) and single-dose tafenoquine (300 mg) compared with the standard 14-day low-dose primaquine regimen for the radical cure of patients with Plasmodium vivax malaria. In Indonesia, both regimens were co-administered with dihydroartemisinin-piperaquine. This paper reports on a national stakeholder meeting held in May 2025 to disseminate Indonesia-specific findings and discuss their implications for malaria control and elimination policy. Discussions centred on (i) the evidence gaps regarding tafenoquine when combined with artemisinin combination therapies (ACTs), (ii) the feasibility of implementing high-dose primaquine in Indonesia as a near-term option, and (iii) the need for subnational strategies that reflect the country's diverse epidemiological context. Stakeholders highlighted the need for further studies on tafenoquine with ACTs, while recognising high-dose primaquine as an immediately implementable option pending strengthened G6PD testing. The discussion emphasised the importance of tailoring strategies to Indonesia's diverse settings, supported by strong political commitment to elimination.

Indexed as

AminoquinolinesAntimalarialsMalaria, VivaxPlasmodium vivaxPrimaquineArtemisininsHumansIndonesiaAminoquinolinesAntimalarialsArtemisininsPrimaquinetafenoquine

Identifiers

PMID42204711
PMCPMC13214447

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.