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Duration of Doxycycline Treatment in EM Patients

Primary Purpose

Erythema Chronicum Migrans

Status
Completed
Phase
Not Applicable
Locations
Slovenia
Study Type
Interventional
Intervention
Doxycycline 100 MG Oral Tablet bid, 7 days
Doxycycline 100 MG Oral Tablet bid, 14 days
Controls without a history of lyme disease.
Sponsored by
University Medical Centre Ljubljana
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Erythema Chronicum Migrans

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • solitary erythema migrans

Exclusion Criteria:

  • pregnancy or lactation
  • immunocompromised
  • serious adverse event to doxycycline
  • taking antibiotic with antiborrelial activity within 10 days
  • multiple erythema migrans or extracutaneous manifestations of lyme borreliosis

Sites / Locations

  • University Medical centzer Ljubljana

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

EM-7 days doxycycline

EM-14 days doxycycline

Controls

Arm Description

Outcomes

Primary Outcome Measures

Treatment outcome in patients treated for erythema migrans with doxycycline for 7 or 14 days
Objective sequelae and post-treatment subjective new or increased symptoms (NOIS) in patients treated for erythema migrans with doxycycline for 7 or 14 days.

Secondary Outcome Measures

Comparison of nonspecific symptoms in patients with erythema migrans and control subjects
Number of patients after treatment with doxycycline for 7 or 14 days for erythema migrans and number of control subjects (without a history o Lyme borreliosis) with nonspecific symptoms.

Full Information

First Posted
March 16, 2017
Last Updated
March 24, 2020
Sponsor
University Medical Centre Ljubljana
Collaborators
University of Ljubljana School of Medicine, Slovenia
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1. Study Identification

Unique Protocol Identification Number
NCT03153267
Brief Title
Duration of Doxycycline Treatment in EM Patients
Official Title
Duration of Doxycycline Treatment in Patients With Erythema Migrans (EM). A Randomized Clinical Trial.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Completed
Study Start Date
June 1, 2017 (Actual)
Primary Completion Date
December 31, 2019 (Actual)
Study Completion Date
December 31, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University Medical Centre Ljubljana
Collaborators
University of Ljubljana School of Medicine, Slovenia

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the efficacy of 7-day versus 14-day doxycycline treatment in patients with erythema migrans.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Erythema Chronicum Migrans

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
300 (Actual)

8. Arms, Groups, and Interventions

Arm Title
EM-7 days doxycycline
Arm Type
Active Comparator
Arm Title
EM-14 days doxycycline
Arm Type
Active Comparator
Arm Title
Controls
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Doxycycline 100 MG Oral Tablet bid, 7 days
Intervention Description
Patients will receive doxycycline for 7 days.
Intervention Type
Drug
Intervention Name(s)
Doxycycline 100 MG Oral Tablet bid, 14 days
Intervention Description
Patients will receive doxycycline for 14 days.
Intervention Type
Drug
Intervention Name(s)
Controls without a history of lyme disease.
Intervention Description
No intervention.
Primary Outcome Measure Information:
Title
Treatment outcome in patients treated for erythema migrans with doxycycline for 7 or 14 days
Description
Objective sequelae and post-treatment subjective new or increased symptoms (NOIS) in patients treated for erythema migrans with doxycycline for 7 or 14 days.
Time Frame
At 12 months after enrollment.
Secondary Outcome Measure Information:
Title
Comparison of nonspecific symptoms in patients with erythema migrans and control subjects
Description
Number of patients after treatment with doxycycline for 7 or 14 days for erythema migrans and number of control subjects (without a history o Lyme borreliosis) with nonspecific symptoms.
Time Frame
At 12 months after enrollment.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: solitary erythema migrans Exclusion Criteria: pregnancy or lactation immunocompromised serious adverse event to doxycycline taking antibiotic with antiborrelial activity within 10 days multiple erythema migrans or extracutaneous manifestations of lyme borreliosis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daša Stupica, MD PhD
Organizational Affiliation
University Mecical Centre Ljubljana
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Medical centzer Ljubljana
City
Ljubljana
Country
Slovenia

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
36209759
Citation
Stupica D, Collinet-Adler S, Blagus R, Gomiscek A, Cerar Kisek T, Ruzic-Sabljic E, Veluscek M. Treatment of erythema migrans with doxycycline for 7 days versus 14 days in Slovenia: a randomised open-label non-inferiority trial. Lancet Infect Dis. 2023 Mar;23(3):371-379. doi: 10.1016/S1473-3099(22)00528-X. Epub 2022 Oct 6.
Results Reference
derived

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Duration of Doxycycline Treatment in EM Patients

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