Comparative insect repellency study of combined lemongrass and peppermint oil lotion versus 25% DEET lotion against mosquitoes

ISRCTN ISRCTN23577135
DOI https://doi.org/10.1186/ISRCTN23577135
Secondary identifying numbers 2021-17
Submission date
17/01/2024
Registration date
09/02/2024
Last edited
17/01/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Dengue is a mosquito-borne viral infection endemic in the Philippines. One of the strategies advocated by the WHO to obtain protection from mosquitoes is the use of repellents. DEET-based repellents have been widely used but are known to cause adverse effects. This study tests an alternative and effective plant-based repellent. This study aims to compare the repellency action of lemongrass and peppermint oil lotion against DEET lotion against female Aedes aegypti mosquitoes.

Who can participate?
Healthy volunteers aged 18-40 years old

What does the study involve?
Participants were randomly allocated to one of two groups to have 5.0 grams of combined lemongrass and peppermint oil lotion or 5.0 grams of 25% DEET lotion applied from wrist to elbow. The repellent was dried before the arm was inserted into the cage containing 100 female mosquitoes, exposed for 3 minutes and observed for landing or probing. The procedure was repeated every hour for up to 6 hours. The occurrence of one landing and/or probing within 3 minutes indicates the end of complete protection time. Protection over time was determined using the same procedure from the treated versus untreated control arm.

What are the possible benefits and risks of participating?
This study involves moderate risks. Classification of combined lemongrass oil and peppermint oil lotion as non-irritant and safe will prompt the continuation of the study to the next phase. Possible adverse events range from mild symptoms, such as erythema (redness), itching, dryness, scaling or stinging; moderate symptoms such as burning, tenderness or pain; to severe symptoms such as formation of vesicles, erosions and/or crusting. However, no adverse events were noted throughout the study.

Where is the study run from?
Entomology Laboratory Standards and Testing Division, Industrial Technology Development Institute, Department of Science and Technology (Philippines)

When is the study starting and how long is it expected to run for?
January 2021 to October 2022

Who is funding the study?
1. League of Asean Dermatological Societies (LADS) (Philippines)
2. Philippine Dermatology Society (PDS) (Philippines)

Who is the main contact?
Dr Aira Monica R. Abella, aika2122001@gmail.com

Contact information

Dr Aira Monica Abella
Public, Scientific, Principal Investigator

Unit 2529-2530 Rio Tower - The Capital Towers E. Rodriguez Sr. Avenue
Quezon City
1112
Philippines

ORCiD logoORCID ID 0009-0006-5169-7866
Phone +63 (0)9175714806
Email aika2122001@gmail.com

Study information

Study designRandomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Laboratory
Study typePrevention
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleComparative study of the insect repellency action of combined lemongrass oil and peppermint oil lotion versus 25% DEET (N,N-diethyl-meta-toluamide) lotion against female Aedes aegypti mosquitoes
Study hypothesisThere is a statistically significant difference in repellency between 25% DEET lotion and combined lemongrass oil and peppermint oil lotion based on the percentage protection against female Aedes aegypti mosquitoes.
Ethics approval(s)

Approved 25/08/2021, Institutional Review Board, Research Institute for Tropical Medicine (9002 Research Drive, Filinvest Corporate City, Alabang, Muntinlupa City, 1781, Philippines; +63 (0)632 88097599; irb@ritm.gov.ph), ref: 2021-17

ConditionDengue
InterventionParticipants were randomized by simple randomization to one of two treatment groups. 5 grams of Repellent A - Combined Lemongrass and Peppermint oil lotion and 5 grams of Positive Control Repellent B - 25% DEET lotion were applied from wrist to elbow per treatment group. Repellent was dried before inserting into the cage containing 100 female mosquitoes, exposed for 3 minutes and observed for landing or probing. The procedure was repeated every hour up to 6 hours.
Intervention typeDrug
Pharmaceutical study type(s)Not Applicable
PhasePhase 0
Drug / device / biological / vaccine name(s)25% DEET (N,N-diethyl-meta-toluamide) lotion, combined lemongrass oil and peppermint oil lotion
Primary outcome measureThe % protection over time was determined by counting the number of mosquitoes landing/probing on the treated arm (T) in relation to the number of landings on the control untreated arm (C) of the same individual (% p = ((C-T)/C)) x 100) for a 3-minute exposure every hour (1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours).
Secondary outcome measuresComplete protection time was calculated as the number of minutes elapsed between the time of repellent application and the first mosquito landing or probing for a 3-minute exposure every hour (1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours).
Overall study start date02/01/2021
Overall study end date10/10/2022

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit40 Years
SexBoth
Target number of participants46
Total final enrolment46
Participant inclusion criteria1. Healthy male or female aged 18–40 years
2. Must know how to read and write
3. Must be willing to comply with the study protocol requirements
4. Must be willing to sign an informed consent after having clearly understood its content
5. Must be willing to have photos taken for documentation purposes during the experiment
Participant exclusion criteria1. Pregnant or lactating women
2. Those with a history of allergy or hypersensitivity reactions to insect repellents and its components
3. Those with a history of adverse reactions to insect bite
4. Those who have active skin lesions or other dermatological disorders (like atopic dermatitis, psoriasis)
5. Those with a history of other comorbid conditions (diabetes, hypertension, malignancy)
6. Current or ex-smoker (≥10 pack years)
Recruitment start date21/04/2022
Recruitment end date27/06/2022

Locations

Countries of recruitment

  • Philippines

Study participating centre

Entomology Section, Biological Laboratory, Standards and Testing Division, Department of Science and Technology - Industrial Technology Development Institute
DOST Compound, General Santos Avenue, Bicutan
Taguig City
1631
Philippines

Sponsor information

Research Institute for Tropical Medicine
Government

Filinvest Marketing & Exhibit Office
9002 Research Drive
Alabang City
Muntinlupa
1781
Philippines

Phone N/A
Email rio@ritm.gov.ph
Website http://www.ritm.gov.ph/
ROR logo "ROR" https://ror.org/01g79at26

Funders

Funder type

Other

Investigator initiated and funded

No information available

Philippine Dermatological Society

No information available

League of Asean Dermatological Societies

No information available

Results and Publications

Intention to publish date22/07/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal. Afterwards patent application and commercialization of product.
IPD sharing planAll raw data will be available including the participants' consent forms. Kindly contact the main author via email, Dr Aira Monica R. Abella (aika2122001@gmail.com). Other files can also be made available:
1. Raw data of results
2. Photographs of methods (ex: laboratory set-up, arm-in-cage procedure, plant materials, etc)
3. List of subject volunteer participants
4. Informed consent forms
All data can be shared immediately upon request. Consent from participants was obtained prior to the procedure.

Editorial Notes

17/01/2024: Study's existence confirmed by the Institutional Review Board, Research Institute for Tropical Medicine.