Could a single pill stop lyme disease before it starts?
NCT ID NCT07562087
First seen Jun 27, 2026 · Last updated Jul 10, 2026 · Updated 2 times
Summary
This study tests a new pill called TP-05 (lotilaner) to see if it can prevent Lyme disease in healthy adults who are often around ticks. The pill is already used in pets to kill ticks. Researchers will give either a low dose, high dose, or placebo to 700 volunteers and watch for side effects and how well it works. The goal is to find a safe, easy way to stop Lyme disease before it takes hold.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- TP-05 (lotilaner) pills
- What this could lead to
- If it works, this could lead to a pill that prevents Lyme disease after a tick bite, reducing the need for antibiotics and worry.
- What could go wrong
- This is an early phase 2b trial, so it may not prove effective. The drug is already used in animals, but safety and dosing in humans are still being tested.
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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722 people
The number who actually took part.
- Started
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Mar 2026
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 70 years
- Sex
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Anyone
- 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: * Overtly healthy adult participants aged 18 to 70 years * Able to provide written informed consent * Willing and able to comply with study procedures * At high risk of exposure to ticks * Contraceptive use by men and women consistent with local regulations Exclusion Criteria: * Prior exposure to TP05 or any isooxazoline in the last 12 months * Known hypersensitivity to TP05 or related compounds * Clinically significant medical conditions that may interfere with study participation * Use of investigational products within 30 days prior to screening. * Received previous vaccination against Lyme borreliosis, including investigational vaccines intended to prevent Lyme borreliosis * Receiving long-term antibiotic therapy * Received active or passive immunization within 4 weeks prior to Day * Pregnant or breastfeeding individuals
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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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Study Site
Pikesville, Maryland, 21208, United States
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Study Site
Brookline, Massachusetts, 02445, United States
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Study Site
Fall River, Massachusetts, 02723, United States
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Study Site
Minneapolis, Minnesota, 55402, United States
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Study Site
Marlboro, New Jersey, 07746, United States
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Study Site
Albany, New York, 12205, United States
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Study Site
Binghamton, New York, 13905, United States
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Study Site
Buffalo, New York, 14217, United States
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Study Site
East Syracuse, New York, 13057, United States
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Study Site
Middletown, New York, 10941, United States
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Study Site
New York, New York, 10036, United States
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Study Site
Rochester, New York, 14609, United States
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Study Site
Erie, Pennsylvania, 16508, United States
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Study Site
Hatboro, Pennsylvania, 19040, United States
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Study Site
Philadelphia, Pennsylvania, 19107, United States
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Study Site
Pittsburgh, Pennsylvania, 15236, United States
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Study Site
Pottstown, Pennsylvania, 19464, United States
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Study Site
West Chester, Pennsylvania, 19380, United States
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Study Site
Warwick, Rhode Island, 02886, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Immune cell tracking could sharpen lyme disease diagnosis
- Lyme disease and parenthood: a hidden struggle revealed
- Lyme disease in pregnancy: new study tracks baby brain development
- New blood test aims to spot lyme disease in kids faster and more accurately
- New mRNA vaccine could stop lyme disease in its tracks
- Scientists expose volunteers to tick bites to unlock vaccine secrets