Evidence map›Paper›PMID 41484434›Full record

ArticleScientific reports2026

Chlorfenapyr bednets effectively overcome pyrethroid resistance escalation in highly resistant Anopheles malaria vectors in Uganda.

Ambrose Oruni, Benjamin D Menze, Yvan G Fotso-Toguem, Vanessa B Ngannang-Fezeu, Riccado F Thiomela, Magellan Tchouakui, Jack Hearn, Jonathan Kayondo, Charles S Wondji

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Estimating mosquito bionomics parameters with a hierarchical Bayesian model.Current research in parasitology & vector-borne diseases · 2026
    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

9 authors.

Ambrose OruniEntomology Department, Uganda Virus Research Institute, P.O. BOX 49, Entebbe, Uganda. orambrose@yahoo.com.
Benjamin D MenzeCentre for Research in Infectious Diseases, LSTM-Research Unit, P.O BOX 3591, Yaoundé, Cameroon.
Yvan G Fotso-ToguemCentre for Research in Infectious Diseases, LSTM-Research Unit, P.O BOX 3591, Yaoundé, Cameroon.
Vanessa B Ngannang-FezeuCentre for Research in Infectious Diseases, LSTM-Research Unit, P.O BOX 3591, Yaoundé, Cameroon.
Riccado F ThiomelaCentre for Research in Infectious Diseases, LSTM-Research Unit, P.O BOX 3591, Yaoundé, Cameroon.
Magellan TchouakuiCentre for Research in Infectious Diseases, LSTM-Research Unit, P.O BOX 3591, Yaoundé, Cameroon.
Jack HearnLiverpool School of Tropical Medicine, Vector Biology Department, Liverpool, L3 5QA, UK.
Jonathan KayondoEntomology Department, Uganda Virus Research Institute, P.O. BOX 49, Entebbe, Uganda.
Charles S WondjiCentre for Research in Infectious Diseases, LSTM-Research Unit, P.O BOX 3591, Yaoundé, Cameroon. charles.wondji@lstmed.ac.uk.

Funding

Gates Foundation INV-006003Wellcome TrustWellcome Trust 217188/Z/19/Z
6 · The paper itself

Abstract

Escalating insecticide resistance threatens the efficacy of LLINs, undermining malaria control in Africa. We conducted the first experimental hut trials in Uganda using highly resistant free-flying wild Anopheles mosquitoes and F2 hybrids of FANG and Uganda An. funestus to evaluate the performance of bednets. The interceptor G2 (chlorfenapyr) bednet demonstrated superior efficacy compared to Interceptor (pyrethroid-only) net [mortality odds ratio (OR): 18.7 (8.05-48.6) P < 0.0001], achieving an overall mortality rate of 70.6% and 63.2% against An. funestus and An. gambiae respectively. In contrast, PermaNet 3.0 and Olyset Plus (piperonyl butoxide (PBO)) and Royal Guard (pyriproxyfen (PPF)-treated) bednets exhibited significantly lower mortality against An. funestus [Olyset Plus: 36.1%, PermaNet 3.0: 31.0% and Royal Guard (37.6%], though performance against An. gambiae was moderate [PermaNet 3.0: 61.4%, Olyset Plus: 50.0%, Royal Guard: 51.6%]. Interceptor net produced the lowest mortality (~ 25%) against both species. Regarding blood-feeding inhibition (BFI), PBO nets, particularly Olyset Plus, outperformed Interceptor G2 and Royal Guard, while Interceptor produced minimal BFI (< 36%). Further evaluation of Royal Guard's PPF effect on oviposition revealed no significant reduction in oviposition rates compared to controls with An. funestus (63.9% vs. 63.3%, P > 0.05). Genetic analysis using the hybrid crosses revealed that pyrethroid resistance markers (4.3 Kb-SV and G454A-Cyp9K1) were significantly associated with mosquito survival and blood-feeding success against PermaNet 2.0 (pyrethroid-only) and PermaNet 3.0 but showed no significant association with Interceptor G2 net. These findings support Interceptor G2 as a promising intervention for regions dominated by both highly resistant An. funestus s.l. and An. gambiae s.l. Piperonyl butoxide and PPF nets emerge as a good alternative for areas mostly dominated by resistant An. gambiae s.l. populations. Critically, the demonstrated variable impact of insecticide resistance on bednet efficacy underscores the imperative need for a comprehensive vector distribution mapping, continuous field efficacy assessments, and systematic resistance monitoring. This evidence-based triad should guide strategic LLIN distribution and rotations to sustain malaria control efficacy in resistance-prone settings.

Indexed as

AnophelesInsecticide ResistanceInsecticidesInsecticide-Treated BednetsMalariaMosquito VectorsPyrethrinsAnimalsFemaleMosquito ControlUgandachlorfenapyrInsecticidesPyrethrinsAnopheles funestusAnopheles gambiaeExperimental hutsInterceptor G2Malaria vectorsNew generation-LLINsResistance escalationUganda

Identifiers

PMID41484434
PMCPMC12858971

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.