Tick-borne Illness and Clothing Study of Rhode Island

NCT ID: NCT02613585

Last Updated: 2021-03-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

135 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2020-12-31

Brief Summary

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Lyme and other tick-borne diseases pose a significant health threat to outdoor workers. This study is a double-blind randomized controlled trial of outdoor workers in Rhode Island and the surrounding area that will address the following study aims: 1) Evaluate the effectiveness of LLPI clothing in preventing tick bites among outdoor workers in Lyme endemic areas; 2) Measure the urine levels of permethrin metabolites in study subjects; and 3) Measure the loss over time of knockdown activity against ticks and of permethrin in LLPI clothing.

Detailed Description

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Lyme and other tick-borne diseases pose a significant health threat to outdoor workers. In a double-blind randomized controlled trial (RCT) in North Carolina outdoor workers, the investigators previously showed that long-lasting permethrin-impregnated (LLPI) clothing provided \>80% protection for one year against Lone Star tick bites among outdoor workers in North Carolina. But there are three issues that need to be addressed before this finding can be translated into policy: 1) Do LLPI clothing protect against black legged ticks, the vector for Lyme disease, babesiosis and anaplasmosis? 2) What levels of permethrin and its metabolites are absorbed, and are they potentially toxic? 3) Why did the LLPI clothing in our previous study lose efficacy after a year?

Participants: The investigators will recruit 250 outdoor workers. The investigators anticipate recruiting 80, 80, 40,30, and 20 participants from NationalGrid, the RI Department of Environmental Management, the Massachusetts Department of Conservation \& Recreation, the National Park Service, and the US Fish \& Wildlife Service.

Procedures (methods): This will be a randomized controlled trial. All study subjects will fill out weekly tick logs, collect attached ticks for later speciation and pathogen detection, and submit annual serum samples to test for exposure to tick-borne pathogens. A randomly selected subset of 60 subjects also will be asked to submit urine samples for permethrin metabolite analysis at several time points during follow-up. An additional randomly selected subset (n=30) will be asked to submit worn items of clothing for tick knockdown testing and permethrin content analysis at the end of the first and second years of field testing.

The results of this study could help protect hundreds of thousands of outdoor workers with exposure to ticks and tick-borne pathogens.

Conditions

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Tick Bites Tick-borne Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Permethrin Impregnated Clothing

Uniforms and work clothing (including pants, shorts, shirts, socks, and hats) treated with long-lasting permethrin by Insect Shield.

Group Type EXPERIMENTAL

Permethrin Impregnated Clothing

Intervention Type OTHER

Uniforms and work clothing treated with permethrin according to proprietary process used by Insect Shield, Inc.

Untreated Clothing

Uniforms and work clothing sent to Insect Shield, washed and refolded (no permethrin applied).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Permethrin Impregnated Clothing

Uniforms and work clothing treated with permethrin according to proprietary process used by Insect Shield, Inc.

Intervention Type OTHER

Other Intervention Names

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Insect Shield

Eligibility Criteria

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Inclusion Criteria

* over 18 years of age,
* spending an average of 10 or more hours of outdoor work per week during peak tick season, and
* completion of written informed consent.

Exclusion Criteria

* pregnancy or a planned pregnancy during the follow-up period (since exposure to an insecticide is involved),
* non-English speakers, or
* having a known allergy or sensitivity to insecticides
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Rhode Island

OTHER

Sponsor Role collaborator

East Carolina University

OTHER

Sponsor Role collaborator

National Institute for Occupational Safety and Health (NIOSH/CDC)

FED

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Steven R Meshnick, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of North Carolina, Chapel Hill

Locations

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University of Rhode Island

Kingston, Rhode Island, United States

Site Status

Countries

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United States

Related Links

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https://clinicaltrials.gov/ct2/show/NCT01454414

A prior study, Tick-borne Illness and Clothing Study (TICS), was conducted in North Carolina by UNC. The current study uses similar methodology as described in the NC study, as it applies to outdoor workers and ticks in the Rhode Island area.

Other Identifiers

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R01OH010791

Identifier Type: NIH

Identifier Source: secondary_id

View Link

15-1770

Identifier Type: -

Identifier Source: org_study_id

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