Penicillin shots tested to stop syphilis in pregnancy
NCT ID NCT07189208
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether giving penicillin shots to pregnant women at high risk for syphilis can prevent infection. Researchers in Rio de Janeiro will enroll 500 women and compare the shots to standard care. Participants receive monthly injections and tests during their third trimester.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- benzathine penicillin
- What this could lead to
- If it works, this could provide a simple way to prevent syphilis during pregnancy, reducing the risk of passing the infection to the baby.
- What could go wrong
- This is a Phase 2 trial, so it's still early. The drug may not prevent infection as hoped, and some participants may have allergic reactions or 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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Jul 2030
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 45 years
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: 1. Uncomplicated, viable pregnancy 2. Elevated risk for syphilis acquisition (one or more of the following): 1. Prior history of STIs last 3 years 2. HIV infection 3. Age \< 21 years 4. In a sexual partnership of \< 3 mo., or \> 3 sexual partners in the last 6 mo. 5. Late initiation of prenatal care (\> 14 weeks of pregnancy) 6. Residence in area where syphilis prevalence is 10% or higher. 3. Ability to provide written informed consent 4. No allergy to penicillin 5. Prenatal care at one of the sites participating in the study 6. Ongoing sexual activity during study period. 7. Negative rapid treponemal test at baseline. Exclusion Criteria: 1. Non-viable pregnancy 2. Very high risk pregnancy 3. Inability to provide written informed consent 4. Allergy to penicillin 5. Positive rapid treponemal test at baseline 6. Lack of sexual activity during study period. 7. Any persisting coagulation disorder that would contraindicate IM injections.
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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
4 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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Centro de Referencia e Atenção Especializada a Saúde da Mulher (CRAESM)
NOT_YET_RECRUITINGDuque de Caxias, Rio de Janeiro, Brazil
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Hospital Federal dos Servidores do Estado
RECRUITINGRio de Janeiro, Rio de Janeiro, Brazil
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Policlínica Hospital Municipal Duque de Caxias
RECRUITINGDuque de Caxias, Rio de Janeiro, Brazil
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Unidade Básica de Saúde José de Freitas
NOT_YET_RECRUITINGDuque de Caxias, Rio de Janeiro, Brazil