Enhancing Protection Against Vector-borne Diseases in Forcibly Displaced Communities: Evaluating the Efficacy of Spatial Repellents for Cutaneous Leishmaniasis Control in North-East Syria

NCT ID: NCT06917040

Last Updated: 2025-04-08

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

PHASE3

Total Enrollment

18404 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-01

Study Completion Date

2022-04-01

Brief Summary

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The aim of this study is to determine the efficacy of Mosquito Shield (spatial repellent) in reducing cutaneous leishmaniasis case incidence among internally displaced persons and sandfly density in temporary shelters and camp settings in Ar-Raqqa governorate, North-East Syria.

Detailed Description

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Conditions

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Leishmaniasis, Cutaneous Vector Borne Diseases

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Neither the deliverers of the intervention nor the outcome assessors are blinded to the group allocations

Study Groups

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Intervention

2 clusters received: 1.The study intervention was Mosquito ShieldTM. The active ingredient releases on a controlled basis over a 1-month period (1 emanator in rooms up to 18 m 2 / 2 emanator per 9 m). The households in the intervention arm were provided with Mosquito ShieldTM for 9 months (April-December 2021). This was distributed directly to households every month with pictogram instructions in the local language describing the correct intervention usage: how to open Mosquito ShieldTM, the number to be installed per room, how to attach and position Mosquito ShieldTM and the duration of Mosquito ShieldTM usage (30 days) prior to replacement. 2. IECs (brochures and posters) with information on cutaneous leishmaniasis transmission, prevention, clinical symptoms, correct treatment seeking practices and treatment locations. 3. Free of charge access to diagnostic and treatment services

Group Type EXPERIMENTAL

Spatial repellant emanator

Intervention Type DEVICE

Spatial emanator with an active ingredient Transfluthrin (C15H12Cl2F4O2, 110mg, EPA registered number 432-1588).

Control

4 clusters received: 1. IECs (brochures and posters) with information on cutaneous leishmaniasis transmission, prevention, clinical symptoms, correct treatment seeking practices and treatment locations. 2. Free of charge access to diagnostic and treatment services

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Spatial repellant emanator

Spatial emanator with an active ingredient Transfluthrin (C15H12Cl2F4O2, 110mg, EPA registered number 432-1588).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Known history of cutaneous leishmaniasis in camp Sleeping under same shelter type (all UNHCR tents / plastic sheets) Camp easily accessible by road Camps a minimum of 5km apart Adequate security levels

Exclusion Criteria

Camps closer than 5km from a camp included in the study Camps with no previously recorded cases of cutaneous leishmaniasis Displaced communities living outside of defined camp settings
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Nevada, Las Vegas

OTHER

Sponsor Role collaborator

Hacettepe University

OTHER

Sponsor Role collaborator

The Mentor Initiative

OTHER

Sponsor Role lead

Responsible Party

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Richard Allan

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Richard J Allan, PhD

Role: PRINCIPAL_INVESTIGATOR

The Mentor Initiative

Locations

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The MENTOR Initiative, North East Syria

Ar-Raqqa, , Syria

Site Status

Countries

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Syria

References

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Allan R, Scherrer R, Kasap OE, Paris L, Scott T, Sauskojus H, Wetherill O, Estecha-Querol S, Alkhalaf Z, Karakus M, Yilmaz A, Alten B, Messenger LA. Enhancing protection against vector-borne diseases in forcibly displaced communities: evaluating the efficacy of spatial repellents for cutaneous leishmaniasis control in North-East Syria. BMC Med. 2025 Jul 3;23(1):401. doi: 10.1186/s12916-025-04244-2.

Reference Type DERIVED
PMID: 40611204 (View on PubMed)

Other Identifiers

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CGCSR-Syria

Identifier Type: -

Identifier Source: org_study_id

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