Malaria Clinical Trial
Official title:
Spatial Repellent Products for Control of Vector Borne Diseases - Malaria - Zambia
The primary objective of the study is to demonstrate and quantify the protective efficacy (PE) of spatial repellent products in reducing the incidence of malaria infection in human cohorts. The null hypothesis (H0) is that there is no difference in malaria incidence between intervention and control arms.
The primary epidemiological endpoint will be the incidence density of first time malaria
infections among human cohorts during the follow-up period as detected by polymerase chain
reaction assay (PCR). This measure will inform PE (the reduction of incidence) between
intervention and control study arms using the formula: PE =[(Ip - Ia)/Ip]* 100%; based on an
expected minimum effect size of 30%. First time infections in these subjects will offer
relatively unambiguous evidence of the extent of exposure to infectious mosquito bites. The
primary entomological endpoint will be adult densities of vector species via human-landing
catch (HLC) from sentinel households from intervention and control arms over the follow-up
period.
Secondary epidemiological endpoints will be the incidence density of first time malaria
infections among human cohorts during the follow-up period as detected by microscopy and the
total number of cases averted (i.e., all Plasmodium spp. infections in cohort subjects).
Secondary entomological endpoints include number of sporozoite infected mosquitoes, parity
and species-specific effects of the spatial repellent product.
Both epidemiological and entomological endpoints will be utilized to look at the
relationship between SR and PE based on product coverage (to include diversion and community
effects) and insect behavior. The prospect of SR associated temporal cumulative effects on
study endpoints (epidemiological and entomological) over transmission seasons will also be
investigated by using the cumulative incidence of infection over the season and applying a
survival curve analysis of the cohort data.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention
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