Durability of the deltamethrin-treated polypropylene long-lasting net LifeNet® in a pyrethroid resistance area in south western Benin: A phase III trial

Background Long-lasting insecticidal bed nets (LLINs) are a key measure for preventing malaria and their evaluation is coordinated by the World Health Organization Pesticide Evaluation Scheme (WHOPES). LifeNet® was granted WHOPES time-limited interim recommendation in 2011 after successful Phase I a...

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Veröffentlicht in:PloS one 2023-09, Vol.18 (9), p.e0291755-e0291755
Hauptverfasser: Djènontin, Armel, Alfa, Daleb, Bouraima, Aziz, Soares, Christophe, Dahounto, Amal, Cornélie, Sylvie, Egrot, Marc, Damien, Georgia, Remoué, Franck, Sagna, André Barembaye, Moiroux, Nicolas, Pennetier, Cédric
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container_end_page e0291755
container_issue 9
container_start_page e0291755
container_title PloS one
container_volume 18
creator Djènontin, Armel
Alfa, Daleb
Bouraima, Aziz
Soares, Christophe
Dahounto, Amal
Cornélie, Sylvie
Egrot, Marc
Damien, Georgia
Remoué, Franck
Sagna, André Barembaye
Moiroux, Nicolas
Pennetier, Cédric
description Background Long-lasting insecticidal bed nets (LLINs) are a key measure for preventing malaria and their evaluation is coordinated by the World Health Organization Pesticide Evaluation Scheme (WHOPES). LifeNet® was granted WHOPES time-limited interim recommendation in 2011 after successful Phase I and Phase II evaluations. Here, we evaluated the durability and community acceptance of LifeNet® in a Phase III trial from June 2014 to June 2017 in Benin rural area. Methods A prospective longitudinal, cluster-randomized, controlled trial with households as the unit of observation was designed to assess the performance of LifeNet® over a three-year period, using a WHOPES fully recommended LLIN (PermaNet® 2.0) as a positive control. The primary outcomes were the bioassay performance using WHO cone assays and tunnel tests, the insecticide content and physical integrity. Results At baseline, 100% of LLINs were within the tolerance limits of their target deltamethrin concentrations. By 36 months only 17.3% of LifeNet® and 8.5% of PermaNet® LLINs still were within their target deltamethrin concentrations. Despite these low rates, 100% of both LLINs meet WHO efficacy criteria (≥ 80% mortality or ≥ 95% knockdown or tunnel test criteria of ≥ 80% mortality or ≥ 90% blood-feeding inhibition) after 36 months using WHO cone bio-assays and tunnel tests. The proportion of LLINs in good physical condition was 33% for LifeNet® and 29% for PermaNet® after 36 months. After 36 M the survivorship was 21% and 26% for LifeNet® and PermaNet® respectively. Although both LLINs were well accepted by the population, complaints of side effects were significantly higher among LifeNet® users than PermaNet® ones. Conclusion LifeNet® LLINs did meet WHO criteria for bio-efficacy throughout the study period and were well accepted by the population. This is an important step towards getting a full WHO recommendation for use in malaria endemic countries.
doi_str_mv 10.1371/journal.pone.0291755
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LifeNet® was granted WHOPES time-limited interim recommendation in 2011 after successful Phase I and Phase II evaluations. Here, we evaluated the durability and community acceptance of LifeNet® in a Phase III trial from June 2014 to June 2017 in Benin rural area. Methods A prospective longitudinal, cluster-randomized, controlled trial with households as the unit of observation was designed to assess the performance of LifeNet® over a three-year period, using a WHOPES fully recommended LLIN (PermaNet® 2.0) as a positive control. The primary outcomes were the bioassay performance using WHO cone assays and tunnel tests, the insecticide content and physical integrity. Results At baseline, 100% of LLINs were within the tolerance limits of their target deltamethrin concentrations. By 36 months only 17.3% of LifeNet® and 8.5% of PermaNet® LLINs still were within their target deltamethrin concentrations. Despite these low rates, 100% of both LLINs meet WHO efficacy criteria (≥ 80% mortality or ≥ 95% knockdown or tunnel test criteria of ≥ 80% mortality or ≥ 90% blood-feeding inhibition) after 36 months using WHO cone bio-assays and tunnel tests. The proportion of LLINs in good physical condition was 33% for LifeNet® and 29% for PermaNet® after 36 months. After 36 M the survivorship was 21% and 26% for LifeNet® and PermaNet® respectively. Although both LLINs were well accepted by the population, complaints of side effects were significantly higher among LifeNet® users than PermaNet® ones. Conclusion LifeNet® LLINs did meet WHO criteria for bio-efficacy throughout the study period and were well accepted by the population. This is an important step towards getting a full WHO recommendation for use in malaria endemic countries.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0291755</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Bioassays ; Biology and Life Sciences ; Censuses ; Clinical trials ; Collaboration ; Communication ; Community ; Criteria ; Deltamethrin ; Durability ; Effectiveness ; Global positioning systems ; GPS ; Households ; Human health and pathology ; Infectious diseases ; Insecticide resistance ; Insecticides ; Life Sciences ; Longitudinal studies ; Malaria ; Medicine and Health Sciences ; Mortality ; Performance assessment ; Pesticides ; Physical Sciences ; Polyethylene ; Polypropylene ; Pyrethroids ; Questionnaires ; Rural areas ; Santé publique et épidémiologie ; Seasons ; Side effects ; Sociodemographics ; Survival ; Tunnels ; Vector-borne diseases</subject><ispartof>PloS one, 2023-09, Vol.18 (9), p.e0291755-e0291755</ispartof><rights>2023 Djènontin et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>2023 Djènontin et al 2023 Djènontin et al</rights><rights>2023 Djènontin et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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LifeNet® was granted WHOPES time-limited interim recommendation in 2011 after successful Phase I and Phase II evaluations. Here, we evaluated the durability and community acceptance of LifeNet® in a Phase III trial from June 2014 to June 2017 in Benin rural area. Methods A prospective longitudinal, cluster-randomized, controlled trial with households as the unit of observation was designed to assess the performance of LifeNet® over a three-year period, using a WHOPES fully recommended LLIN (PermaNet® 2.0) as a positive control. The primary outcomes were the bioassay performance using WHO cone assays and tunnel tests, the insecticide content and physical integrity. Results At baseline, 100% of LLINs were within the tolerance limits of their target deltamethrin concentrations. By 36 months only 17.3% of LifeNet® and 8.5% of PermaNet® LLINs still were within their target deltamethrin concentrations. Despite these low rates, 100% of both LLINs meet WHO efficacy criteria (≥ 80% mortality or ≥ 95% knockdown or tunnel test criteria of ≥ 80% mortality or ≥ 90% blood-feeding inhibition) after 36 months using WHO cone bio-assays and tunnel tests. The proportion of LLINs in good physical condition was 33% for LifeNet® and 29% for PermaNet® after 36 months. After 36 M the survivorship was 21% and 26% for LifeNet® and PermaNet® respectively. Although both LLINs were well accepted by the population, complaints of side effects were significantly higher among LifeNet® users than PermaNet® ones. Conclusion LifeNet® LLINs did meet WHO criteria for bio-efficacy throughout the study period and were well accepted by the population. This is an important step towards getting a full WHO recommendation for use in malaria endemic countries.</description><subject>Bioassays</subject><subject>Biology and Life Sciences</subject><subject>Censuses</subject><subject>Clinical trials</subject><subject>Collaboration</subject><subject>Communication</subject><subject>Community</subject><subject>Criteria</subject><subject>Deltamethrin</subject><subject>Durability</subject><subject>Effectiveness</subject><subject>Global positioning systems</subject><subject>GPS</subject><subject>Households</subject><subject>Human health and pathology</subject><subject>Infectious diseases</subject><subject>Insecticide resistance</subject><subject>Insecticides</subject><subject>Life Sciences</subject><subject>Longitudinal studies</subject><subject>Malaria</subject><subject>Medicine and Health Sciences</subject><subject>Mortality</subject><subject>Performance assessment</subject><subject>Pesticides</subject><subject>Physical Sciences</subject><subject>Polyethylene</subject><subject>Polypropylene</subject><subject>Pyrethroids</subject><subject>Questionnaires</subject><subject>Rural areas</subject><subject>Santé publique et épidémiologie</subject><subject>Seasons</subject><subject>Side effects</subject><subject>Sociodemographics</subject><subject>Survival</subject><subject>Tunnels</subject><subject>Vector-borne diseases</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptks9u1DAQxiMEEqXwBkhY4gKHLP4TxwkXtLRAI63gAmfLcSYbr7x2sJ2ifRReog_Bk5F0F0QrTrZmvvnNzKfJsucErwgT5M3OT8Epuxq9gxWmNRGcP8jOSM1oXlLMHv7zf5w9iXGHMWdVWZ5lPy-noFpjTTog36M0AOrAJrWHNATj8hRAJejQ6O1hDH48WHCArHfb3KqYjNsiBwltTA-fIf26QcYhhcZDWOq96VCAaGJSTgNSM2vJRz-lAf2AmCA49B6ccW_RGo2DioCapkEpGGWfZo96ZSM8O73n2bePH75eXOWbL5-ai_Um1_MKKaek67HAnWYFYWVJi0K0VBHghDLelrqou17zsmg7XYuq6rko2hLKtq56ylvG2Xn24sgdrY_yZGWUdLZHcEwYmxXNUdF5tZNjMHsVDtIrI28DPmylCsloC5IL1gGhBRCCCw244rolWLCeVsC4EDPr3anb1O6h0-BSUPYO9G7GmUFu_bUkmM_MciG8PhKGe3VX641cYrighOGquiaz9tWpW_Dfp9lwuTdRg7XKgZ9ulxSEU14t0pf3pP-3ojiqdPAxBuj_TkCwXG7xT5VcblGebpH9Bm_I1kE</recordid><startdate>20230920</startdate><enddate>20230920</enddate><creator>Djènontin, Armel</creator><creator>Alfa, Daleb</creator><creator>Bouraima, Aziz</creator><creator>Soares, Christophe</creator><creator>Dahounto, Amal</creator><creator>Cornélie, Sylvie</creator><creator>Egrot, Marc</creator><creator>Damien, Georgia</creator><creator>Remoué, Franck</creator><creator>Sagna, André Barembaye</creator><creator>Moiroux, Nicolas</creator><creator>Pennetier, Cédric</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0009-0003-4355-2796</orcidid><orcidid>https://orcid.org/0000-0002-3871-280X</orcidid><orcidid>https://orcid.org/0000-0001-8586-792X</orcidid><orcidid>https://orcid.org/0000-0002-3362-6371</orcidid><orcidid>https://orcid.org/0000-0003-3662-1450</orcidid><orcidid>https://orcid.org/0000-0001-6755-6167</orcidid><orcidid>https://orcid.org/0000-0003-3220-5660</orcidid></search><sort><creationdate>20230920</creationdate><title>Durability of the deltamethrin-treated polypropylene long-lasting net LifeNet® in a pyrethroid resistance area in south western Benin: A phase III trial</title><author>Djènontin, Armel ; Alfa, Daleb ; Bouraima, Aziz ; Soares, Christophe ; Dahounto, Amal ; Cornélie, Sylvie ; Egrot, Marc ; Damien, Georgia ; Remoué, Franck ; Sagna, André Barembaye ; Moiroux, Nicolas ; Pennetier, Cédric</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-21df070dc3413662447b2a1e51235b6c49dfc564bdc9788f574b6e6b98f25b353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bioassays</topic><topic>Biology and Life Sciences</topic><topic>Censuses</topic><topic>Clinical trials</topic><topic>Collaboration</topic><topic>Communication</topic><topic>Community</topic><topic>Criteria</topic><topic>Deltamethrin</topic><topic>Durability</topic><topic>Effectiveness</topic><topic>Global positioning systems</topic><topic>GPS</topic><topic>Households</topic><topic>Human health and pathology</topic><topic>Infectious diseases</topic><topic>Insecticide resistance</topic><topic>Insecticides</topic><topic>Life Sciences</topic><topic>Longitudinal studies</topic><topic>Malaria</topic><topic>Medicine and Health Sciences</topic><topic>Mortality</topic><topic>Performance assessment</topic><topic>Pesticides</topic><topic>Physical Sciences</topic><topic>Polyethylene</topic><topic>Polypropylene</topic><topic>Pyrethroids</topic><topic>Questionnaires</topic><topic>Rural areas</topic><topic>Santé publique et épidémiologie</topic><topic>Seasons</topic><topic>Side effects</topic><topic>Sociodemographics</topic><topic>Survival</topic><topic>Tunnels</topic><topic>Vector-borne diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Djènontin, Armel</creatorcontrib><creatorcontrib>Alfa, Daleb</creatorcontrib><creatorcontrib>Bouraima, Aziz</creatorcontrib><creatorcontrib>Soares, Christophe</creatorcontrib><creatorcontrib>Dahounto, Amal</creatorcontrib><creatorcontrib>Cornélie, Sylvie</creatorcontrib><creatorcontrib>Egrot, Marc</creatorcontrib><creatorcontrib>Damien, Georgia</creatorcontrib><creatorcontrib>Remoué, Franck</creatorcontrib><creatorcontrib>Sagna, André Barembaye</creatorcontrib><creatorcontrib>Moiroux, Nicolas</creatorcontrib><creatorcontrib>Pennetier, Cédric</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; 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LifeNet® was granted WHOPES time-limited interim recommendation in 2011 after successful Phase I and Phase II evaluations. Here, we evaluated the durability and community acceptance of LifeNet® in a Phase III trial from June 2014 to June 2017 in Benin rural area. Methods A prospective longitudinal, cluster-randomized, controlled trial with households as the unit of observation was designed to assess the performance of LifeNet® over a three-year period, using a WHOPES fully recommended LLIN (PermaNet® 2.0) as a positive control. The primary outcomes were the bioassay performance using WHO cone assays and tunnel tests, the insecticide content and physical integrity. Results At baseline, 100% of LLINs were within the tolerance limits of their target deltamethrin concentrations. By 36 months only 17.3% of LifeNet® and 8.5% of PermaNet® LLINs still were within their target deltamethrin concentrations. Despite these low rates, 100% of both LLINs meet WHO efficacy criteria (≥ 80% mortality or ≥ 95% knockdown or tunnel test criteria of ≥ 80% mortality or ≥ 90% blood-feeding inhibition) after 36 months using WHO cone bio-assays and tunnel tests. The proportion of LLINs in good physical condition was 33% for LifeNet® and 29% for PermaNet® after 36 months. After 36 M the survivorship was 21% and 26% for LifeNet® and PermaNet® respectively. Although both LLINs were well accepted by the population, complaints of side effects were significantly higher among LifeNet® users than PermaNet® ones. Conclusion LifeNet® LLINs did meet WHO criteria for bio-efficacy throughout the study period and were well accepted by the population. This is an important step towards getting a full WHO recommendation for use in malaria endemic countries.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><doi>10.1371/journal.pone.0291755</doi><orcidid>https://orcid.org/0009-0003-4355-2796</orcidid><orcidid>https://orcid.org/0000-0002-3871-280X</orcidid><orcidid>https://orcid.org/0000-0001-8586-792X</orcidid><orcidid>https://orcid.org/0000-0002-3362-6371</orcidid><orcidid>https://orcid.org/0000-0003-3662-1450</orcidid><orcidid>https://orcid.org/0000-0001-6755-6167</orcidid><orcidid>https://orcid.org/0000-0003-3220-5660</orcidid><oa>free_for_read</oa></addata></record>
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1932-6203
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subjects Bioassays
Biology and Life Sciences
Censuses
Clinical trials
Collaboration
Communication
Community
Criteria
Deltamethrin
Durability
Effectiveness
Global positioning systems
GPS
Households
Human health and pathology
Infectious diseases
Insecticide resistance
Insecticides
Life Sciences
Longitudinal studies
Malaria
Medicine and Health Sciences
Mortality
Performance assessment
Pesticides
Physical Sciences
Polyethylene
Polypropylene
Pyrethroids
Questionnaires
Rural areas
Santé publique et épidémiologie
Seasons
Side effects
Sociodemographics
Survival
Tunnels
Vector-borne diseases
title Durability of the deltamethrin-treated polypropylene long-lasting net LifeNet® in a pyrethroid resistance area in south western Benin: A phase III trial
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