ConductScience.org, home

Trial ยท NCT04343521

Quantifying the Epidemiological Impact of Targeted Indoor Residual Spraying on Aedes-borne Diseases

NCT04343521, Not applicable, Completed, Emory University; results first posted 2025-09-18

3 sourcestrials-2026-11-12-0.5.0

Download JSON
Cite this record

ConductScience Library. Quantifying the Epidemiological Impact of Targeted Indoor Residual Spraying on Aedes-borne Diseases. Trials, record NCT04343521. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04343521

On this page

Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Quantifying the Epidemiological Impact of Targeted Indoor Residual Spraying on Aedes-borne Diseases
NCT number
NCT04343521
Status
Completed
Phases
Not applicable
Enrollment
4,461 participants, actual
Lead sponsor
Emory University
Conditions
Aedes-borne Diseases, Dengue, Chikungunya, Zika
Interventions
Targeted Indoor Residual Spraying (TIRS)
First posted
2020-04-13
Last updated
2025-09-18
Results first posted
2025-09-18

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or Serologically18 months of active surveillance during high transmission seasons (each 6 months in duration) during 3 years (July through December in 2021, 2022, and 2023)
The number of symptomatic children with laboratory confirmed, by reverse transcription-polymerase chain reaction (RT-PCR) or immunoglobulin M/ immunoglobulin G (IgM/IgG) enzyme-linked immunosorbent assay (ELISA), Aedes-borne Viruses infections. The number of any Aedes-borne virus infection during three seasons of high transmission is described, as well as the number of Dengue virus (DENV), Chikungunya virus (CHIKV), Zika virus (ZIKV) and coinfections.
SecondaryNumber Positive Tests of Laboratory Confirmed Aedes-borne Viruses Infections By SeasonUp to 36 months, during serosurvey seasons 2021-2022, 2022-2023, and 2023-2024Number of laboratory confirmed (IgG ELISA and neutralization testing) Aedes-borne Viruses (DENV, CHIKV and ZIKV) in annual surveillance samples.
SecondaryAe. Aegypti Mosquito Infection Rate With Aedes-borne Viruses (DENV, CHIKV and ZIKV)Up to 6 months (mosquito pools were collected during the 6 months post TIRS spraying samplings in 2021)
Ae. aegypti mosquito infection rate with Aedes-borne Viruses (DENV, CHIKV and ZIKV) assessed by the number of positive RT-PCR tests. Infection is mosquitoes is analyzed by collecting binary data (a mosquito pool is either infected or not) and transforming that into minimum infection rates (MIR) with the calculation: (1/number of mosquitoes in the pool) times 1000. Households were randomly selected for testing; houses were eligible for testing if they were located within the central blocks and had at least one child enrolled in the study.
SecondaryAe. Aegypti Indoor Entomological Index of Adult Mosquito AbundanceUp to 36 months starting at the first TIRS application
The Ae. aegypti indoor entomological index of adult mosquito presence/abundance is calculated as the number of adult mosquitoes per house. Higher values mean that more mosquitoes are found within houses.
SecondaryAe. Aegypti Indoor Entomological Index of Female Mosquito AbundanceUp to 36 months starting at first TIRS application
The Ae. aegypti indoor entomological index of female mosquito presence/abundance is calculated as the number of female mosquitoes per house. Higher values mean that more mosquitoes are found within houses.
SecondaryAe. Aegypti Indoor Entomological Index of Bloodfed Female Mosquito AbundanceUp to 36 months starting at first TIRS application
The Ae. aegypti indoor entomological index of bloodfed female mosquito presence/abundance is calculated as the number of bloodfed female mosquitoes per house. Higher values mean that more mosquitoes are found within houses.
SecondaryNumber of Households Where the Head of Household Would Recommend the InterventionPost-intervention (up to 41 months and 26 days after the start of the intervention)
Acceptability of the intervention is determined through household surveys, for households that received the intervention. Acceptability is assessed as the number of households where the head of that household would recommend the intervention to others.
SecondaryNumber of Households With a Resident That Had a Reaction to the InsecticidePost-intervention (up to 41 months and 26 days after the start of the intervention)
Safety of the intervention is assessed as the number of households receiving the TIRS intervention that had evidence of a household resident having a reaction possibly related to the insecticide, which was assessed and confirmed by study doctors.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or Serologically18 months of active surveillance during high transmission seasons (each 6 months in duration) during 3 years (July through December in 2021, 2022, and 2023)This analysis includes symptomatic children who were tested for Andes-borne viruses during high transmission seasons.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber Positive Tests of Laboratory Confirmed Aedes-borne Viruses Infections By SeasonUp to 36 months, during serosurvey seasons 2021-2022, 2022-2023, and 2023-2024The population analyzed includes children living in study households where annual surveillance sampling for Aedes-borne viruses occurred.Number of TestsCOUNT_OF_UNITS
SECONDARYAe. Aegypti Mosquito Infection Rate With Aedes-borne Viruses (DENV, CHIKV and ZIKV)Up to 6 months (mosquito pools were collected during the 6 months post TIRS spraying samplings in 2021)This analysis includes households where mosquito sampling occurred. Individual participants were not analyzed. Only households contributed data.Households samplesCOUNT_OF_UNITS
SECONDARYAe. Aegypti Indoor Entomological Index of Adult Mosquito AbundanceUp to 36 months starting at the first TIRS applicationmosquitoes/houseMEAN
SECONDARYAe. Aegypti Indoor Entomological Index of Female Mosquito AbundanceUp to 36 months starting at first TIRS applicationmosquitoes/houseMEAN
SECONDARYAe. Aegypti Indoor Entomological Index of Bloodfed Female Mosquito AbundanceUp to 36 months starting at first TIRS applicationmosquitoes/houseMEAN
SECONDARYNumber of Households Where the Head of Household Would Recommend the InterventionPost-intervention (up to 41 months and 26 days after the start of the intervention)This analysis includes households in TIRS clusters where the head of the household completed the household survey.HouseholdsCOUNT_OF_UNITS
SECONDARYNumber of Households With a Resident That Had a Reaction to the InsecticidePost-intervention (up to 41 months and 26 days after the start of the intervention)This analysis includes households in TIRS clusters where the head of the household completed the household survey.HouseholdsCOUNT_OF_UNITS

Results by group26

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyTargeted Indoor Residual Spraying (TIRS)Number of Children Testing Positive for All Aedes-borne Viruses213Participants
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyRoutine Aedes-borne Virus (ABV) Prevention and ControlNumber of Children Testing Positive for All Aedes-borne Viruses209Participants
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyTargeted Indoor Residual Spraying (TIRS)Number of Children Testing Positive for DENV151Participants
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyRoutine Aedes-borne Virus (ABV) Prevention and ControlNumber of Children Testing Positive for DENV146Participants
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyTargeted Indoor Residual Spraying (TIRS)Number of Children Testing Positive for CHIKV1Participants
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyRoutine Aedes-borne Virus (ABV) Prevention and ControlNumber of Children Testing Positive for CHIKV0Participants
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyTargeted Indoor Residual Spraying (TIRS)Number of Children Testing Positive for ZIKV39Participants
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyRoutine Aedes-borne Virus (ABV) Prevention and ControlNumber of Children Testing Positive for ZIKV55Participants
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyTargeted Indoor Residual Spraying (TIRS)Number of Children Testing Positive for Coinfection22Participants
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or SerologicallyRoutine Aedes-borne Virus (ABV) Prevention and ControlNumber of Children Testing Positive for Coinfection8Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTargeted Indoor Residual Spraying (TIRS)2,23913487
Overall StudySTARTEDRoutine Aedes-borne Virus (ABV) Prevention and Control2,22213486
Overall StudyCOMPLETEDTargeted Indoor Residual Spraying (TIRS)1,83510472
Overall StudyCOMPLETEDRoutine Aedes-borne Virus (ABV) Prevention and Control1,71813486
Overall StudyNOT COMPLETEDTargeted Indoor Residual Spraying (TIRS)4043015
Overall StudyNOT COMPLETEDRoutine Aedes-borne Virus (ABV) Prevention and Control5040

Adverse events12

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAdmission to emergency room due to dengue with warning signsInfections and infestationsTargeted Indoor Residual Spraying (TIRS)32,239
otherAdmission to emergency room due to dengue with warning signsInfections and infestationsRoutine Aedes-borne Virus (ABV) Prevention and Control22,222
otherAdmission to emergency room due to suspected dengue with warning signsInfections and infestationsTargeted Indoor Residual Spraying (TIRS)12,239
otherAdmission to emergency room due to suspected dengue with warning signsInfections and infestationsRoutine Aedes-borne Virus (ABV) Prevention and Control22,222
otherMild allergic reactionGeneral disordersTargeted Indoor Residual Spraying (TIRS)12,239
otherMild allergic reactionGeneral disordersRoutine Aedes-borne Virus (ABV) Prevention and Control02,222
otherGastroenteritisGastrointestinal disordersTargeted Indoor Residual Spraying (TIRS)12,239
otherGastroenteritisGastrointestinal disordersRoutine Aedes-borne Virus (ABV) Prevention and Control02,222
seriousLeukemiaNeoplasms benign, malignant and unspecified (incl cysts and polyps)Targeted Indoor Residual Spraying (TIRS)02,239
seriousLeukemiaNeoplasms benign, malignant and unspecified (incl cysts and polyps)Routine Aedes-borne Virus (ABV) Prevention and Control12,222

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTargeted Indoor Residual Spraying (TIRS)12,239
Total, all-cause mortalityRoutine Aedes-borne Virus (ABV) Prevention and Control22,222
Total, other adverse eventsTargeted Indoor Residual Spraying (TIRS)62,239
Total, other adverse eventsRoutine Aedes-borne Virus (ABV) Prevention and Control42,222
Total, serious adverse eventsTargeted Indoor Residual Spraying (TIRS)02,239
Total, serious adverse eventsRoutine Aedes-borne Virus (ABV) Prevention and Control22,222

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
32748782BACKGROUNDPubMed
33032661BACKGROUNDPubMed
33395435BACKGROUNDPubMed
33964237BACKGROUNDPubMed
34606519BACKGROUNDPubMed
41061233DERIVEDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
U01AI148069Quanitifying the Epidemiological Impact of Targeted Indoor Residual Spraying on Aedes-borne DiseasesVAZQUEZ PROKOPEC, GONZALO MARTINEMORY UNIVERSITYNATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES2020 to 2024

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Targeted Indoor Residual Spraying (TIRS) vs Routine Aedes-borne Virus (ABV) Prevention and Control: deaths from any causeTrial comparisons
Targeted Indoor Residual Spraying (TIRS) vs Routine Aedes-borne Virus (ABV) Prevention and Control: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04343521

GET https://conductscience.org/api/trials/v1/NCT04343521/results?page=2