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Effectiveness Study of New Generation Bednets in the Context of Conventional Insecticide Resistance in the Democratic Republic of the Congo

Phase 4
Conditions
Insecticide Resistance
Interventions
Drug: synergistic combination of insecticides
Drug: Pyrethroids
Registration Number
NCT03289663
Lead Sponsor
Université de Lubumbashi
Brief Summary

Despite the mass distribution of LLINs (long-lasting insecticidal nets) as a Malaria control strategy, populations are still continuously exposed to a high frequency of malarial inoculation in some countries. The situation can be explained by a swift increase in the resistance of Anopheles to common insecticides. To preserve the gains of insecticides and improve their effectiveness, a new generation of bednets treated with piperonyl butoxide combination insectides have emerged.But more evidence is needed to plead for scale up of their usage. The lack of information relating to the additional impact of that combination on the transmission of Malaria, its relative efficacy in real-life setting and its safety in users are the rationale for more investigation.This will be a randomized controlled study on a dynamic cohort of households with 1680, 0-10 years-old subjects in 30 villages will be recruited to compute the effectiveness of this new tool.

The findings will be useful information for decision-making by national malaria control programs, their partners, the international community and the bednet manufacturers with regard to the effectiveness of the new combination of insecticides in real-life context. The results will also enable a better design of the tool in the future and a broader understanding of long-term dynamics for sustainability, as well as identification of some factors with negative impacts on the benefits of the strategy.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1680
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimentalsynergistic combination of insecticidesThe arm will receive bednets treated with new generation of insecticides (synergistic combination of insecticides)
ControlPyrethroidsThe arm will receive bednets treated with conventional insecticide (Pyrethroid)
Primary Outcome Measures
NameTimeMethod
Sporozoite rateAnopheles mosquitoes will be captured every 3 months during 1 year

Sporozoite detection by ELISA to determine infectivity of anopheles

Incidence rate of laboratory confirmed clinical cases of MalariaParticipants will be actively followed up for 12 months. And any suspected case of clinical Malaria will immediately lead to microscopy and RDT for confirmation

Microscopy to confirm the diagnosis of Malaria

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hôpital Général de Référence Saint Luc

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Kisantu, Kongo-Central, Congo, The Democratic Republic of the

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