Could a single pill after sex stop STIs in women?
NCT ID NCT07704957
First seen Jul 15, 2026 · Last updated Jul 16, 2026 · Updated 1 time
Summary
This trial tests whether taking a single dose of the antibiotic doxycycline within 24 hours of condomless sex can prevent bacterial sexually transmitted infections (STIs) like chlamydia, gonorrhea, and syphilis in women aged 18–35 at increased risk. Participants are randomly assigned to receive doxycycline or standard care, and researchers track how many new STIs occur over time. If it works, this approach could offer a new prevention tool for women.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- doxycycline taken as a single 200 mg dose within 24 hours of condomless sex
- What this could lead to
- If effective, this could give women a simple, on-demand pill to prevent common bacterial STIs, reducing infections and related health problems.
- What could go wrong
- A previous trial in women found no benefit, so results may not be positive. The study is open-label, which can bias outcomes, and long-term antibiotic use raises concerns about resistance and side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 519 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Apr 2032
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 35 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Female * Aged 18-35 * Reporting condomless vaginal sex with men AND least one of the following: 1. diagnosis of CT, gonorrhea, syphilis, or trichomonas in the past year 2. reporting 2 or more sexual partners in the past 6 months * Plan to continue to be sexually active over the next year * Have smartphone and be willing to engage with an app * If HIV+: Viral load\<200 copies/ml and CD4 count \>200 cells/mm3 Exclusion Criteria: * Pregnant, nursing, or intending to become pregnant * Reported allergy to tetracyclines * Liver disease or end-stage renal disease * Non-English Speaking * Taking concomitant medications which may impact doxycycline metabolism (e.g., systemic retinoids, antacids, barbiturates, carbamazepine, phenytoin, iron, warfarin, rifampin) * Not willing to take doxy PEP or comply with study procedures * Unable to provide informed consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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