Why the malaria drug piperaquine can stop working

Elucidating the molecular basis of piperaquine resistance in Plasmodium falciparum

NIH-funded research Columbia University Health Sciences · NIH-11239785

Researchers are looking for genetic changes in malaria parasites that make piperaquine less effective so treatments and prevention better protect people, especially young children in Africa.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionColumbia University Health Sciences NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11239785 on NIH RePORTER

What this research studies

As someone affected by malaria, you should know scientists are studying parasites from Africa to find mutations and gene changes that cause piperaquine resistance. They will use laboratory methods such as gene editing and overexpression to test whether specific mutations and extra copies of plasmepsin genes let parasites survive the drug. The team will compare African parasite lines to parasites from Southeast Asia where piperaquine resistance has already caused treatment failures. Findings will help guide which drug combinations and prevention approaches are safest for children and pregnant women.

Who could benefit from this research

Good fit: People in malaria-endemic African communities who recently had Plasmodium falciparum infections could be asked to provide parasite samples for this research.

Not a fit: People without P. falciparum infection, those outside endemic regions, or anyone needing immediate medical treatment are unlikely to get direct benefit from this research.

Why it matters

Potential benefit: If successful, this work could help preserve piperaquine's effectiveness and guide safer treatment and prevention choices that reduce child deaths.

How similar studies have performed: Similar studies in Southeast Asia have linked PfCRT mutations and plasmepsin amplifications to piperaquine resistance, so this work builds on prior findings.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.