UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000046856
Receipt number R000053445
Scientific Title Efficacy of amoxicillin therapy versus benzathine penicillin G for early syphilis, a multicenter, open-Label,randomized, controlled clinical trial
Date of disclosure of the study information 2022/02/10
Last modified on 2025/02/09 09:58:38

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Basic information

Public title

Efficacy of amoxicillin therapy versus benzathine penicillin G for early syphilis, a multicenter, open-Label,randomized, controlled clinical trial

Acronym

Amoxicillin study for early syphilis

Scientific Title

Efficacy of amoxicillin therapy versus benzathine penicillin G for early syphilis, a multicenter, open-Label,randomized, controlled clinical trial

Scientific Title:Acronym

Amoxicillin study for early syphilis

Region

Japan


Condition

Condition

Early syphilis

Classification by specialty

Medicine in general Infectious disease Obstetrics and Gynecology
Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Investigate the efficacy and safety of amoxycillin and probenecid compared with penicillin G benzathine

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Serological cure rate at 6 months after treatment a four-fold decrease in titer in the non-treponemal assay (RPR) at month 6 or a subsequent negative result in the non-treponemal test

Key secondary outcomes

1. Serological cure rate at 3, 9, and 12 months after treatment
2. Jarisch-Herxheimer reactions (systemic symptoms such as fever, skin rash extension, and myalgia within 2 days of treatment)
3. Allergic reactions (new systemic symptoms such as fever and skin rash that appeared after 4 days)
4. Medication adherence rate
5. Serological cure rate summerized by HIV status (at 6 months and 12 months)
6. Time to serological cure summerized by RPR methods
7. Composite endpoint (endpoint serological cure,incidence of adverse drug reaction) evaluated by DOOR methods


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Drug A:BPG intramuscular injection of 2.4 million units

Interventions/Control_2

Drug B: Amoxycillin and probenecid
Oral: Amoxycillin at a dose of 1,500 mg twice a day for 14 days plus probenecid at a dose of 250 mg twice a day for 14 days

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients aged 20 years or older.
2. Patients provided an informed consent in writing.
3. Patients diagnosed with early syphilis based on the following criteria (i) positive RPR conversion or (ii) four-fold increase in RPR titer compared to previous RPR titer
4. Patients has a positive non-treponemal assay result.

Key exclusion criteria

1. Individuals with pregnancy
2. Individuals with a history of known hypersensitivity to BPG, amoxicillin or probenecid.
3. Individuals with neurosyphilis including ocular syphilis and otosyphilis.
4. Individuals with late syphilis.
5. Patients required antibiotics that effective for syphilis within the preceding three weeks
6. Person who are judged by their physicians in charge to be ineligible for any reason

Target sample size

208


Research contact person

Name of lead principal investigator

1st name Naokatsu
Middle name
Last name Ando

Organization

National Center for Global Health and Medicine

Division name

AIDS Clinical Center

Zip code

1628655

Address

1-21-1 Toyama

TEL

0332027181

Email

nandou@hosp.ncgm.go.jp


Public contact

Name of contact person

1st name Naokatsu
Middle name
Last name Ando

Organization

National Center for Global Health and Medicine

Division name

AIDS Clinical Center

Zip code

1628655

Address

1-21-1 Toyama, Shinjuku-ku, Tokyo

TEL

0332027181

Homepage URL

http://www.acc.ncgm.go.jp/general/ResearchAnnounce.html

Email

nandou@hosp.ncgm.go.jp


Sponsor or person

Institute

National Center for Global Health and Medicine

Institute

Department

Personal name



Funding Source

Organization

National Center for Global Health and Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Division of Medical Research Management, Management and Planning Bureau National Center for Global Health and Medicine

Address

1-21-1 Toyama Shinjuku-ku, Tokyo, Japan

Tel

03-3202-7181

Email

rinrijm@hosp.ncgm.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立研究開発法人国立国際医療研究センター、パーソナルヘルスクリニック


Other administrative information

Date of disclosure of the study information

2022 Year 02 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2021 Year 09 Month 28 Day

Date of IRB

2021 Year 11 Month 15 Day

Anticipated trial start date

2022 Year 02 Month 10 Day

Last follow-up date

2028 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 02 Month 07 Day

Last modified on

2025 Year 02 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053445