Can a common antibiotic beat syphilis?
NCT ID NCT05548426
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether the antibiotic linezolid can effectively treat early syphilis in 24 adults. Participants have primary, secondary, or early latent syphilis, and some also have well-controlled HIV. The main goal is to see if linezolid reduces syphilis infection markers in the blood within 6 months.
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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 24 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2023
- Expected to finish
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Aug 2026
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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16 years and older
- Sex
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Anyone
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: To be eligible for this study, participants must be: 1. Diagnosed cases of primary, secondary or early latent syphilis with RPR titer ≥1:8 within 3 weeks prior to enrollment 2. 16 years of age or older 3. Able to provide informed consent/assent. 4. Individuals with HIV infection must be on treatment for HIV-infection and virologically suppressed (viral load \< 200 copies/mL) or have a CD4 count ≥ 350 cells/mm3 as of their most recent test prior to enrollment. Exclusion Criteria include: 1. Pregnancy or a positive pregnancy test on the day of enrollment 2. Patients showing signs and symptoms of neurosyphilis. 3. Participants who receive certain psychotropic medications, e.g., MAO inhibitors, SNRIs, SSRIs 4. Serofast RPR titer, defined as persistently positive RPR titer without more than 4-fold (2-titer level) change for 12 months or greater. 5. Recent (within the past 7 days) or concomitant antimicrobial therapy with activity against syphilis, namely azithromycin, tetracycline, doxycycline, cefixime, ceftriaxone or other beta lactam antibiotics (e.g. amoxicillin) 6. Individuals with HIV infection who report HIV treatment interruption for more than 4 weeks since their most recent viral load or CD4 test. 7. Individuals with known myelosuppressive conditions or receiving myelosuppressive medication 8. Individuals weighing 150kg (330 lbs) or more. 9. Individuals with known end renal stage disease, for example individuals in hemodialysis. 10. Self-reported allergy to linezolid or penicillin. 11. Unwilling or unable to attend follow-up visits.
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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.
Contacts and locations
Locations
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Howard Brown Health
Chicago, Illinois, 60613, United States
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Open Arms HealthCare Center
Jackson, Mississippi, 39216, United States
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Open Door Health
Providence, Rhode Island, 02907, United States
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University of Mississippi Medical Center
Jackson, Mississippi, 39216, United States
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Wake Forest Baptist Health
Greensboro, North Carolina, 27405, United States
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Other studies related to the condition(s) this trial covers.
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