Could a 7-Day antibiotic course replace 3 weeks for silent STI?
NCT ID NCT07767422
First seen Aug 17, 2026 · Last updated Aug 18, 2026 · Updated 1 time
Summary
This trial tests whether a 7-day course of doxycycline can effectively cure asymptomatic anal lymphogranuloma venereum (LGV), a sexually transmitted infection caused by Chlamydia trachomatis. Currently, treatment lasts 21 days, but recent studies suggest a shorter course may work. The study will enroll 120 men with asymptomatic anal LGV, give them doxycycline 200 mg daily for 7 days, and check for microbiological cure four weeks later.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- doxycycline
- What this could lead to
- If successful, this could shorten treatment for asymptomatic anal LGV from 21 days to 7 days, simplifying care and reducing antibiotic use.
- What could go wrong
- The trial is small and early-stage, and the shorter course may not fully clear the infection in all cases, potentially leading to treatment failure or reinfection.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2027
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 years and older
- Sex
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Male 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: * Age ≥ 18 years * Male sex at birth * LGV-positive result on anal specimen using Nucleic Acid Amplification Test at screening * Having taken at least doxycycline for two days (i.e 400 mg of doxycycline) * Not having taken more than 7 days of doxycycline 200 mg per day * No more than 12 days between the date of sampling and date of inclusion * No anorectal symptoms * Individual available for participation and follow-up during the four weeks required for the study * Affiliate or beneficiary of a social security scheme * Free written informed consent signed by the participant or by a legal representative (in the event of the participant's inability to consent) and the investigator (no later than the day of inclusion and before any examination required by the research). Exclusion Criteria: * Individual with anorectal symptoms * Antibiotic treatment with antichlamydial activity (fluoroquinolones, macrolides-lincosamides-streptogramins, tetracyclines and rifampicin) within 28 days before the screening visit * Use of doxycycline post-exposure prophylaxis (Doxy-PEP) * Participation in another study * Individual under a measure of legal protection measure (safeguard of justice, guardianship or curatorship) or unable to consent * Refusal to participate in the study * Mental state rendering the person giving consent incapable of understanding the entirety of the trial * Participant detained by judicial or administrative decision. * Individual receiving an anticoagulant therapy * Individual with a history of known hypersensitivity to doxycycline or any other antibiotic of the tetracycline family or allergy to any of the excipients (Hydrogenated castor oil, povidone, anhydrous colloidal silica, magnesium stearate, microcrystalline cellulose, sodium carboxymethyl starch (type A)). * Individual treated with retinoids by general route. * Individual receiving 10,000 IU of vitamin A per day or more * Individual being a relative of the investigator or a relative of someone from the team directly involved in the trial, including assistant doctors, pharmacists, nurses, and trial coordinators
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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 places running it
14 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Locations
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Centre Hospitalier de Tourcoing, Ceggid
Tourcoing, 59208, France
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Centre Hospitalier de Tourcoing, Service Des Maladies Infectieuses Et Tropicales
Tourcoing, 59208, France
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Chu Toulouse Purpan, Service Des Maladies Infectieuses Et Tropicales
Toulouse, 31059, France
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Chu de Nantes, Maladies Infectieuses (Cpmit)
Nantes, 44093, France
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Hopital Bichat - Claude Bernard, Ceggid
Paris, 75018, France
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Hopital Bichat - Claude Bernard, Service Des Maladies Infectieuses Et Tropicales
Paris, 75018, France
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Hopital François Mitterrand, Centres Gratuits D'Information, de Depistage Et de Diagnostic (Ceggid)
Dijon, 21079, France
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Hopital Intercommunal Andre Gregoire - Ght , Centres Gratuits D'Information, de Depistage Et de Diagnostic (Ceggid)
Montreuil, 93100, France
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Hopital La Pite Salpetriere, Service Des Maladies Infectieuses Et Tropicales
Paris, 75013, France
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Hopital Saint-Louis, Service Des Maladies Infectieuses Et Tropicales
Paris, France
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Hospices Civils de Lyon, Centres Gratuits D'Information, de Depistage Et de Diagnostic (Ceggid)
Lyon, 69004, France
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Hotel-Dieu, Service Des Maladies Infectieuses Et Tropicales
Paris, 75004, France
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Service de Prevention Aupres Des Jeunes, Ceggid
Marseille, 13331, France
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University Hospital, Bordeaux, Department of Infectious Diseases
Bordeaux, 33000, France