Clinical trial

Impact of the Daily Doxycycline Pre-exposure Prophylaxis (PrEP) on the Incidence of Syphilis, Gonorrhoea and Chlamydia

Name
PHIRG1901
Description
1. This study is a non-randomized observational cohort trial using before and after comparison to evaluate intervention 2. It would mimic the conditions that would occur outside a clinical trial. 2. After consent and enrolment, all procedures will be guided by the Australian STI Management Guidelines. 3. All enrolling participants will be offered daily doxycycline 100mg 4. All participants will be invited to complete a survey in every 3 months time for 12 months dated from participation. 5. All follow-up information will be collected through electronic data capture to allow accurate and timely analyses. 6. Data collection will be from (i) medical records (ii) online self-completed questionnaire
Trial arms
Trial start
2019-12-17
Estimated PCD
2024-07-17
Trial end
2024-12-17
Status
Active (not recruiting)
Treatment
Doxycycline
Participants will be asked to take Doxycycline 100mg/day for 12months duration
Size
100
Primary endpoint
Incidence of STI (gonorrhoea, chlamydia and infectious syphilis) per 100 person years among study participants
1 year after the last participant complete their last follow-up visit
Patterns of daily doxycycline use and adherence to the medication schedule
1 year after the last participant complete their last follow-up visit
Eligibility criteria
Inclusion Criteria: * Male or transgender * Aged 18 years or over * Reports sex with men in last 3 months * At least two screenings for syphilis, gonorrhoea and chlamydia in the past 12 months * A diagnosis of syphilis within the last 12 months, OR a diagnosis of any 2 STIs within the last 12 months and syphilis within the last 24 months. * HIV +ve, OR HIV -ve and on PrEP for at least 6 months. Exclusion Criteria: * Documented or self-reported hypersensitivity to doxycycline or antimicrobial agents from tetracycline family * A known diagnosis of myasthenia gravis * Factors or conditions that may compromise a participant's access to health services for follow-up (incarceration or planned relocation that would impact upon proximity to a trial site).
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': True, 'targetDuration': '12 Months', 'designInfo': {'observationalModel': 'COHORT', 'timePerspective': 'PROSPECTIVE'}, 'bioSpec': {'retention': 'SAMPLES_WITH_DNA', 'description': 'oropharynx and rectum swab'}, 'enrollmentInfo': {'count': 100, 'type': 'ACTUAL'}}
Updated at
2023-10-05

1 organization

1 product

1 indication

Organization
Kirby Institute
Indication
STI Prevention