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CompletedNCT07838701Updated Sep 24, 2026

Efficacy and Safety of Indoor Residual Spray for Dengue Vector Control

An interventional study of Indoor residual spray with Deltamethrin 2.5% WP in Dengue, sponsored by Pak Emirates Military Hospital. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Pak Emirates Military Hospital · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 2 years 4 months after the study started (first participant enrolled May 2024, registered Sep 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This quasi-experimental interventional study was conducted over 1 year, from May 2024-May 2025 at Station Health Organization, Combined Military Hospital, Peshawar Cantonment. Two comparable localities in Peshawar Cantonment were selected based on previous dengue incidence reports. Non-Probability consecutive sampling technique was used. Prior approval was sought from Station Commander, Station Headquarters Peshawar to conduct the study in Peshawar Cantonment. Hospital ethical review certificate was obtained (vide CMH Peshawar Letter No: 00254/25). Written informed consent was taken from the participants for inclusion in the study. One locality was designated as the intervention area (Indoor Residual Spray applied), and the other as the control area (Indoor Residual Spray not applied). Households were selected using a non-probability consecutive sampling technique.

In the intervention area, indoor residual spraying was conducted using Deltamethrin 2.5% WP, following WHO guidelines. Spray teams were trained and monitored to ensure proper application on interior walls, dark corners, and mosquito resting sites. Spraying was repeated every three months.

Entomological surveys were conducted at baseline and monthly thereafter in both areas, using larval/pupal indices (House Index and Breteau Index). Adult mosquito density was measured using backpack aspirators and resting catches. Dengue case data was collected by the Station Health Organization from CMH Peshawar and cross-checked with the Pathology department of the same hospital. The study was conducted as pilot study of the organization.

Data was analyzed using Statistical Pacakage for Social Sceinces version 27. Mean mosquito density, larval indices, and dengue incidence were compared between intervention and control areas using paired t-test. A p-value \< 0.05 was considered statistically significant.

02

Conditions studied

  • Dengue

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Keywords

  • Dengue
  • Vector Control
  • Mosquito
03

In context

Dengue

283 studies on the registry are indexed under Dengue; 44 are open to participants now.

This study's enrollment of 200 is above the median of 132 across 197 interventional studies indexed under Dengue.

Browse Dengue studies →

Lead sponsor

Pak Emirates Military Hospital is the lead sponsor of 24 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
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

  • Households consenting to participate and allow entomological inspections.
  • Permanent residents with no history of shifting during the study period.

Exclusion criteria

Exclusion Criteria:

  • Houses under construction or vacant.
  • If any resident of the household had prior history of allergic reaction to the sprayed chemicals.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (actual)

Study arms

  • Experimental
    IRS Area

    100 households were inducted in the IRS Arms

    Drug: Indoor residual spray with Deltamethrin 2.5% WP

  • No intervention
    Control Area

    100 households were inducted in the Control Arm

Interventions

  • DrugIndoor residual spray with Deltamethrin 2.5% WP

    In the intervention area, indoor residual spraying was conducted using Deltamethrin 2.5% WP, following WHO guidelines. Spray teams were trained and monitored to ensure proper application on interior walls, dark corners, and mosquito resting sites. Spraying was repeated every three months.

06

What researchers measure

Primary outcomes

  1. To assess the safety of indoor residual spray in terms of participants reported adverse side effects after the use of spray ; both immediate and up to 3 months folllow up

    To assess the safety of indoor residual spray in terms of participants reported adverse side effects after the use of spray ; both immediate and up to 3 months folllow up. Patients will report any adverse effects to the investigator, including rhinitis, skin rash, urticaria or any other newer finding noticed by the participant.

    Time frame: 3 months follow up to asses the safety of indoor residual spray

  2. To assess the efficacy of indoor residual spray using House Index

    The Efficacy of indoor residual spray was assessed using House Index. House Index was compared for interventional area where the indoor residual spray was performed and the control area which was intervention naive. The baseline and 3 months follow up indices were compared to ascertain the efficacy of intervention. The House Index (HI) is the percentage of inspected houses that have mosquito larvae or pupae in or around them

    Time frame: 3 months follow-up to assess the efficacy of indoor residual spray to kill the mosquitoes using changes in House Index.

  3. The Efficacy of indoor residual spray was assessed using Bretau Index.

    The Efficacy of indoor residual spray was assessed using Bretau Index. Bretau Index was compared for interventional area where the indoor residual spray was performed and the control area which was intervention naive. Bretau Index measures mosquito vector density by tracking the number of positive water-holding containers per 100 houses inspected

    Time frame: The baseline and 3-month follow-up indices were compared to ascertain the efficacy of intervention.

07

Study locations

1 site
  • Station Health Organization C/O Combined Military Hospital Peshawar
    Peshawar, Khyber Pakhtunkhwa 25000, Pakistan
08

References and documents

Publications

  • Bowman LR, Donegan S, McCall PJ. Is Dengue Vector Control Deficient in Effectiveness or Evidence?: Systematic Review and Meta-analysis. PLoS Negl Trop Dis. 2016 Mar 17;10(3):e0004551. doi: 10.1371/journal.pntd.0004551. eCollection 2016 Mar. PubMed 26986468 ↗
  • Gubler DJ. The global emergence/resurgence of arboviral diseases as public health problems. Arch Med Res. 2002 Jul-Aug;33(4):330-42. doi: 10.1016/s0188-4409(02)00378-8. PubMed 12234522 ↗

Individual participant data

Plan to share: Yes — Study protocol and statistical data analysis sheet/ methods will be shraed upon request

Supporting information: Study protocol, Statistical analysis plan

Time frame: 15 Sep 2026 to 15 Jun 2027

Access criteria: Upon request, any one associated with heathcare system may be able to accesss the study protocol and any statistical data analysis format

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2024 to primary completion in May 2025, 12 months.

Of 25 non-industry interventional studies with no phase under Dengue, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 27. This study's 12 months is close to that.

Counting every sponsor, half of 30 studies reached it within 12 months; a quarter within 6 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 6, 2026
First posted
Sep 24, 2026
StartActual
May 1, 2024
Primary completionActual
May 1, 2025
CompletionActual
May 1, 2025
Last update
Sep 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07838701
Lead sponsor
Pak Emirates Military Hospital
Responsible party
Taimoor Ashraf Khan (Senior Registrar, Pak Emirates Military Hospital) — Principal investigator
First posted
Sep 24, 2026
Start date
May 1, 2024
Primary completion
May 1, 2025
Completion
May 1, 2025
Last update
Sep 24, 2026

Oversight

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

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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