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CompletedNCT06917040Updated Apr 8, 2025

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

A Phase 3 interventional study of Spatial repellant emanator in Leishmaniasis, Cutaneous and Vector Borne Diseases, sponsored by The Mentor Initiative. Completed at 1 site in Syria. Per ClinicalTrials.gov, last updated 2025-04-08.

Sponsored by The Mentor Initiative · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Registered 4 years 2 months after the study started (first participant enrolled Feb 2021, registered Apr 2025).
Phase
Phase 3
Study type
Interventional
Enrollment
18,404
Allocation
Non-randomized
Sex
All
01

Study summary

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.

02

Conditions studied

  • Leishmaniasis, Cutaneous
  • Vector Borne Diseases

Keywords

  • Conflict
  • Internally displaced people
  • temporary shelter
  • spatial repellants
03

In context

Leishmaniasis, Cutaneous

110 studies on the registry are indexed under Leishmaniasis, Cutaneous; 17 are open to participants now.

This study's enrollment of 18,404 is above the median of 63 across 83 interventional studies indexed under Leishmaniasis, Cutaneous.

Browse Leishmaniasis, Cutaneous studies →

Lead sponsor

The Mentor Initiative is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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

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

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
18,404 participants (actual)

Study arms

  • Experimental
    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

    Device: Spatial repellant emanator

  • No intervention
    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

Interventions

  • DeviceSpatial repellant emanator

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

06

What researchers measure

Primary outcomes

  1. Epidemiological outcome: cutaneous leishmaniasis incidence

    Cutaneous leishmaniasis incidence per 1,000 will be estimated as the total number of cutaneous leishmaniasis episodes per 1,000 persons over the course of the trial. Two different incubation times or diagnostic cut-offs will be used: at 2 months post-intervention (from August 2021 to April 2022) and at 4 months post-intervention (from August 2021 to April 2022).

    Time frame: 11 or 9 months

  2. Entomological outcome: phlebotomine sandfly density

    Phlebotomine sandfly density will be estimated monthly using Centers for Disease Control and Prevention light traps inside shelters.

    Time frame: 9 months

Secondary outcomes

  1. Intervention feasibility, acceptability and uptake

    To measure community and household intervention acceptability and uptake, a questionnaire will be conducted post-intervention.

    Time frame: 11 months

07

Study locations

1 site
  • The MENTOR Initiative, North East Syria
    Ar-Raqqa, Syria
08

References and documents

Publications

  • 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. PubMed 40611204 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06917040
Lead sponsor
The Mentor Initiative
Collaborators
University of Nevada, Las Vegas, Hacettepe University
Responsible party
Richard Allan (Principal Investigator, The Mentor Initiative) — Principal investigator
First posted
Apr 8, 2025
Start date
Feb 1, 2021
Primary completion
Apr 1, 2022
Completion
Apr 1, 2022
Last update
Apr 8, 2025

Study contacts

Richard J Allan, PhD
principal investigator · The Mentor Initiative

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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