Evidence map›Paper›PMID 31652261›Full record

Trial reportPLoS neglected tropical diseases2019

Sand fly synthetic sex-aggregation pheromone co-located with insecticide reduces the incidence of infection in the canine reservoir of visceral leishmaniasis: A stratified cluster randomised trial.

Orin Courtenay, Erin Dilger, Leo A Calvo-Bado, Lidija Kravar-Garde, Vicky Carter, Melissa J Bell, Graziella B Alves, Raquel Goncalves, Muhammad M Makhdoomi, Mikel A González and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PLoS neglected tropical diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. An oviposition pheromone, hexadecanoic acid, found on the eggs ofbioRxiv : the preprint server for biology · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Modelling Sand FlyMicroorganisms · 2021
    Article
  9. Article
  10. Article
  11. Insecticide-impregnated netting: A surface treatment for killingCurrent research in parasitology & vector-borne diseases · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Orin CourtenayZeeman Institute and School of Life Sciences, University of Warwick, Coventry, United Kingdom.ORCID 0000-0002-0188-6929
Erin DilgerZeeman Institute and School of Life Sciences, University of Warwick, Coventry, United Kingdom.
Leo A Calvo-BadoZeeman Institute and School of Life Sciences, University of Warwick, Coventry, United Kingdom.
Lidija Kravar-GardeZeeman Institute and School of Life Sciences, University of Warwick, Coventry, United Kingdom.ORCID 0000-0002-8909-1580
Vicky CarterSchool of Life Sciences, Institute of Science & Technology in Medicine, Keele University, Keele, Staffordshire, United Kingdom.
Melissa J BellZeeman Institute and School of Life Sciences, University of Warwick, Coventry, United Kingdom.
Graziella B AlvesSchool of Life Sciences, Institute of Science & Technology in Medicine, Keele University, Keele, Staffordshire, United Kingdom.ORCID 0000-0003-1868-4888
Raquel GoncalvesZeeman Institute and School of Life Sciences, University of Warwick, Coventry, United Kingdom.
Muhammad M MakhdoomiZeeman Institute and School of Life Sciences, University of Warwick, Coventry, United Kingdom.
Mikel A GonzálezDivision of Biomedical and Life Sciences, Faculty of Health and Medicine, Lancaster University, Bailrigg, Lancaster, Lancashire, United Kingdom.
Caris M NunesFaculdade de Medicina Veterinária, Universidade Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil.
Daniel P BraySchool of Life Sciences, Institute of Science & Technology in Medicine, Keele University, Keele, Staffordshire, United Kingdom.ORCID 0000-0001-9914-2356
Reginaldo P BrazilLaboratório de Doenças Parasitárias, Instituto Oswaldo Cruz, Rio de Janeiro, Brazil.
James G C HamiltonDivision of Biomedical and Life Sciences, Faculty of Health and Medicine, Lancaster University, Bailrigg, Lancaster, Lancashire, United Kingdom.ORCID 0000-0001-9196-8516
University of Warwick · GBKeele University · GBLancaster University · GBFundação Oswaldo Cruz · BRUniversidade Estadual Paulista (Unesp) · BR

Funding

Wellcome TrustWellcome Trust WT091689MF
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of a synthetic sex-aggregation pheromone of the sand fly vector Lu. longipalpis, co-located with residual insecticide, to reduce the infection incidence of Leishmania infantum in the canine reservoir.

methodsA stratified cluster randomised trial was designed to detect a 50% reduction in canine incident infection after 24 months in 42 recruited clusters, randomly assigned to one of three intervention arms (14 cluster each): synthetic pheromone + insecticide, insecticide-impregnated dog collars, or placebo control. Infection incidence was measured by seroconversion to anti-Leishmania serum antibody, Leishmania parasite detection and canine tissue parasite loads. Changes in relative Lu. longipalpis abundance within households were measured by setting three CDC light traps per household.

resultsA total 1,454 seronegative dogs were followed-up for a median 15.2 (95% C.I.s: 14.6, 16.2) months per cluster. The pheromone + insecticide intervention provided 13% (95% C.I. 0%, 44.0%) protection against anti-Leishmania antibody seroconversion, 52% (95% C.I. 6.2%, 74·9%) against parasite infection, reduced tissue parasite loads by 53% (95% C.I. 5.4%, 76.7%), and reduced household female sand fly abundance by 49% (95% C.I. 8.2%, 71.3%). Variation in the efficacy against seroconversion varied between trial strata. Equivalent protection attributed to the impregnated-collars were 36% (95% C.I. 14.4%, 51.8%), 23% (95% C.I. 0%, 57·5%), 48% (95% C.I. 0%, 73.4%) and 43% (95% C.I. 0%, 67.9%), respectively. Comparison of the two interventions showed no statistically consistent differences in their efficacies; however, the errors were broad for all outcomes. Reductions in sand fly numbers were predominant where insecticide was located (chicken and dog sleeping sites), with no evidence of insecticide-induced repellence onto humans or dogs.

conclusionThe synthetic pheromone co-located with insecticide provides protection particularly against canine L. infantum parasite transmission and sand fly vector abundance. The effect estimates are not dissimilar to those of the insecticide-impregnated collars, which are documented to reduce canine infection incidence, human infection and clinical VL disease incidence, in different global regions. The trialled novel lure-and-kill approach is a low-cost potential vector control tool against ZVL in the Americas.

Indexed as

AnimalsBrazilCommunicable Disease ControlDisease ReservoirsDog DiseasesDogsFemaleHumansIncidenceInsecticidesLeishmania infantumLeishmaniasis, VisceralMaleParasite LoadPest ControlPsychodidaeInsecticidesSex Attractants

Identifiers

PMID31652261
PMCPMC6834291
OpenAlexW2981329970

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.