Trial Outcomes & Findings for Tick-borne Illness and Clothing Study (NCT NCT01454414)

NCT ID: NCT01454414

Last Updated: 2021-03-30

Results Overview

Tick bites are defined as ticks attached to or embedded in the skin

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

159 participants

Primary outcome timeframe

Weekly for two years

Results posted on

2021-03-30

Participant Flow

Participant milestones

Participant milestones
Measure
Permethrin Impregnated Uniforms
Uniforms (including pants, shorts, shirts, socks, and hats) treated with long-lasting permethrin. Permethrin Impregnated Uniforms: Uniforms treated with permethrin according to proprietary process used by Insect Shield, Inc.
Placebo
Uniforms sent to Insect Shield, washed and refolded (no permethrin applied).
Overall Study
STARTED
79
80
Overall Study
Baseline: Subjects That Sent Uniforms
67
66
Overall Study
COMPLETED
66
64
Overall Study
NOT COMPLETED
13
16

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Tick-borne Illness and Clothing Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Permethrin Impregnated Uniforms
n=67 Participants
Uniforms (including pants, shorts, shirts, socks, and hats) treated with long-lasting permethrin. Permethrin Impregnated Uniforms: Uniforms treated with permethrin according to proprietary process used by Insect Shield, Inc.
Placebo
n=66 Participants
Uniforms sent to Insect Shield, washed and refolded (no permethrin applied).
Total
n=133 Participants
Total of all reporting groups
Age, Continuous
39.1 years
STANDARD_DEVIATION 9.2 • n=99 Participants
38.8 years
STANDARD_DEVIATION 9.3 • n=107 Participants
39.0 years
STANDARD_DEVIATION 9.2 • n=206 Participants
Sex/Gender, Customized
Female
14 participants
n=99 Participants
11 participants
n=107 Participants
25 participants
n=206 Participants
Sex/Gender, Customized
Male
52 participants
n=99 Participants
55 participants
n=107 Participants
107 participants
n=206 Participants
Race/Ethnicity, Customized
White
56 participants
n=99 Participants
58 participants
n=107 Participants
114 participants
n=206 Participants
Race/Ethnicity, Customized
Black
2 participants
n=99 Participants
0 participants
n=107 Participants
2 participants
n=206 Participants
Race/Ethnicity, Customized
Other
0 participants
n=99 Participants
1 participants
n=107 Participants
1 participants
n=206 Participants
Education, categorical
High school or less
5 participants
n=99 Participants
10 participants
n=107 Participants
15 participants
n=206 Participants
Education, categorical
Some college
20 participants
n=99 Participants
14 participants
n=107 Participants
34 participants
n=206 Participants
Education, categorical
Bachelor or graduate degree
40 participants
n=99 Participants
42 participants
n=107 Participants
82 participants
n=206 Participants
Work division, categorical
NC Forest service
21 participants
n=99 Participants
27 participants
n=107 Participants
48 participants
n=206 Participants
Work division, categorical
NC Division of Parks and Recreation
31 participants
n=99 Participants
25 participants
n=107 Participants
56 participants
n=206 Participants
Work division, categorical
NC Wildlife Resources Commission
9 participants
n=99 Participants
10 participants
n=107 Participants
19 participants
n=206 Participants
Work division, categorical
NC Local or County Parks and Recreation
5 participants
n=99 Participants
4 participants
n=107 Participants
9 participants
n=206 Participants
Years in current position, continuous
7.9 years
STANDARD_DEVIATION 6.7 • n=99 Participants
8.2 years
STANDARD_DEVIATION 6.8 • n=107 Participants
8.0 years
STANDARD_DEVIATION 6.7 • n=206 Participants
Tick bites in previous year, continuous
19.3 tick bites
STANDARD_DEVIATION 32.0 • n=99 Participants
19.6 tick bites
STANDARD_DEVIATION 39.3 • n=107 Participants
19.4 tick bites
STANDARD_DEVIATION 35.8 • n=206 Participants
Previous diagnosis with tick-borne illness
Lyme disease
4 participants
n=99 Participants
4 participants
n=107 Participants
8 participants
n=206 Participants
Previous diagnosis with tick-borne illness
Rocky Mountain spotted fever
6 participants
n=99 Participants
7 participants
n=107 Participants
13 participants
n=206 Participants
Previous diagnosis with tick-borne illness
Ehrlichiosis
2 participants
n=99 Participants
3 participants
n=107 Participants
5 participants
n=206 Participants
Previous diagnosis with tick-borne illness
Anaplasmosis
0 participants
n=99 Participants
0 participants
n=107 Participants
0 participants
n=206 Participants
Previous diagnosis with tick-borne illness
Babesiosis
0 participants
n=99 Participants
0 participants
n=107 Participants
0 participants
n=206 Participants
Use of tick bite prevention measures
Long pants
62 participants
n=99 Participants
62 participants
n=107 Participants
124 participants
n=206 Participants
Use of tick bite prevention measures
Long sleeves
48 participants
n=99 Participants
52 participants
n=107 Participants
100 participants
n=206 Participants
Use of tick bite prevention measures
Hat
43 participants
n=99 Participants
38 participants
n=107 Participants
81 participants
n=206 Participants
Use of tick bite prevention measures
Tucked or taped pant legs
5 participants
n=99 Participants
7 participants
n=107 Participants
12 participants
n=206 Participants
Use of tick bite prevention measures
Repellent on skin
22 participants
n=99 Participants
22 participants
n=107 Participants
44 participants
n=206 Participants
Use of tick bite prevention measures
Repellent on clothing
38 participants
n=99 Participants
35 participants
n=107 Participants
73 participants
n=206 Participants
Use of tick bite prevention measures
Tick checks after working outdoors
58 participants
n=99 Participants
60 participants
n=107 Participants
118 participants
n=206 Participants
Use of self-applied permethrin on clothing
30 participants
n=99 Participants
34 participants
n=107 Participants
64 participants
n=206 Participants

PRIMARY outcome

Timeframe: Weekly for two years

Tick bites are defined as ticks attached to or embedded in the skin

Outcome measures

Outcome measures
Measure
Permethrin Impregnated Uniforms
n=66 Participants
Uniforms (including pants, shorts, shirts, socks, and hats) treated with long-lasting permethrin. Permethrin Impregnated Uniforms: Uniforms treated with permethrin according to proprietary process used by Insect Shield, Inc.
Placebo
n=64 Participants
Uniforms sent to Insect Shield, washed and refolded (no permethrin applied).
Work Related Tick Bites
265 tick bites
780 tick bites

SECONDARY outcome

Timeframe: Upon enrollment, after the first year, and after the second year

We will define seroconversion as one in which there is a 4-fold change in Immunoglobulin G class antibody titer between sera at enrollment, sera obtained after one year and/or sera obtained at study's end or between acute and convalescent sera for participants developing an acute illness. The antigens that will be used in the serologic assays include Ehrlichia chaffeensis (which would also detect antibodies to E. ewingii and Anaplasma phagocytophilum) and Rickettsia rickettsii (which would also detect antibodies to other spotted fever group rickettsiae).

Outcome measures

Outcome data not reported

Adverse Events

Permethrin Impregnated Uniforms

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Permethrin Impregnated Uniforms
n=67 participants at risk
Uniforms (including pants, shorts, shirts, socks, and hats) treated with long-lasting permethrin. Permethrin Impregnated Uniforms: Uniforms treated with permethrin according to proprietary process used by Insect Shield, Inc.
Placebo
n=66 participants at risk
Uniforms sent to Insect Shield, washed and refolded (no permethrin applied).
Infections and infestations
Tick-borne illness (serologically confirmed)
0.00%
0/67
3.0%
2/66 • Number of events 2

Additional Information

Dr. Meagan Vaughn

University of North Carolina at Chapel Hill

Phone: 9196986208

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place