36% of registered interventional malaria studies from 2010 to 2020 were not published, highlighting a significant gap in medical knowledge dissemination. Despite this, the publication rate for malaria research (64%) is slightly higher than the average across various fields. Industry-funded trials were less likely to publish within the WHO's 24-month timeframe, often due to suppressed unfavorable outcomes. Malaria trials, predominantly conducted in resource-limited regions, face unique logistical challenges that contribute to delays in reporting results. The study emphasizes the need for improved registry practices, timely publication, and ethical considerations to mitigate biases and enhance the integrity of malaria research.