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CompletedNCT02414789DIABOLYCUpdated Jul 13, 2026Results posted

Lyme Borreliosis and Early Cutaneous Diagnostic

An interventional study of Skin biopsies in Erythema Migrans, sponsored by University Hospital, Strasbourg, France. Completed at 7 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-13.

Sponsored by University Hospital, Strasbourg, France · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
84
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Test and evaluate a new diagnostic method (SRM-MS/MS: Selected Reaction Monitoring- Mass spectrometry) for Lyme Borreliosis on human skin biopsies. Patients included are those with the early skin manifestation (erythema migrans).

This new proteomic method will be compared to the two existing method: culture of Borrelia and PCR detection of Borrelia (DNA detection of the bacteria).

02

Conditions studied

  • Erythema Migrans

Keywords

  • erythema migrans
  • Lyme
  • early diagnosis
  • skin biomarkers
  • proteomics diagnostic
  • mass spectrometry
03

In context

Glossitis, Benign Migratory

25 studies on the registry are indexed under Glossitis, Benign Migratory; 4 are open to participants now.

This study's enrollment of 84 is below the median of 200 across 13 interventional studies indexed under Glossitis, Benign Migratory.

Browse Glossitis, Benign Migratory studies →

Lead sponsor

University Hospital, Strasbourg, France is the lead sponsor of 999 studies on the registry; 358 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Erythema migrant as criteria EUCALB or atypical form associated to tick's sting
  • Patient having signed a consent
  • Patient affiliated to a social security scheme

Exclusion criteria

Exclusion Criteria:

  • Prior treatment with antibiotics
  • Erythema migrans on the face
  • Bleeding disorders
  • Anticoagulant treatment
  • Inability to give clear information (subject in an emergency situation, understanding of the topic difficulty, ...)
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
84 participants (actual)

Study arms

  • Experimental
    SRM / MS-MS

    Procedure: Skin biopsies

Interventions

  • ProcedureSkin biopsies

    Skin biopsies of patients with Lyme disease (erythema migrans) infected with Borrelia burgdorferi sensu lato will be analyzed by three diagnostic techniques : molecular technique (PCR), biological technique (culture of the bacteria) and proteomics technique (SRM/ MS-MS)

06

What researchers measure

Primary outcomes

  1. Compare the Sensitivity (Percentage of Positive Tests) of the SRM / MS-MS to Techniques of PCR and Culture Borrelia

    Percentage of positive tests with all three techniques (SRM/MS-MS ; PCR ; culture)

    Time frame: At inclusion (Day 0), immediately after skin biopsy sampling, with laboratory analysis performed subsequently (culture up to 8 weeks for Borrelia growth, PCR and targeted proteomics after sample processing).

07

Results

Posted Jul 13, 2026

Participant flow

74 participants with erythema migrans planned for inclusion, plus 20 control participants.

Participant flow — Overall Study
MilestoneLyme Borreliosis PatientsNegative Control Patients
Started7411
Completed4610
Not completed281

Outcome measures

PrimaryCompare the Sensitivity (Percentage of Positive Tests) of the SRM / MS-MS to Techniques of PCR and Culture Borrelia

Percentage of positive tests with all three techniques (SRM/MS-MS ; PCR ; culture)

Time frame:
At inclusion (Day 0), immediately after skin biopsy sampling, with laboratory analysis performed subsequently (culture up to 8 weeks for Borrelia growth, PCR and targeted proteomics after sample processing).
Reported as:
Number · Percentage of positive tests (%)
Compare the Sensitivity (Percentage of Positive Tests) of the SRM / MS-MS to Techniques of PCR and Culture Borrelia
Percentage of positive tests (%)Lyme Borreliosis PatientsNegative Control Patients
Compare the Sensitivity (Percentage of Positive Tests) of the SRM / MS-MS to Techniques of PCR and Culture Borrelia0.61 (0.45 to 0.75)0.00 (0.00 to 0.31)

Adverse events

Collected over All-Cause Mortality, Serious and Other (Not Including Serious) Adverse Events were not monitored / assessed. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Lyme Borreliosis Patients———
Negative Control Patients———

Baseline characteristics

1 control excluded from analysis (absence of egative Lyme serology at the time of biopsy), 7 patients Lyme excluded from analysis (5 biopsies lost due to incubator problem, data lost from 2 patients)

Age, Continuous
Age, Continuous(years)Lyme BorreliosisNegative Control PatientsTotal
Mean58 (20 to 82)64 (53 to 75)59 (20 to 82)
Sex: Female, Male
Sex: Female, Male(Participants)Lyme BorreliosisNegative Control PatientsTotal
Female43548
Male31637
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Lyme BorreliosisNegative Control PatientsTotal
Count of participants——0
08

Study locations

7 sites
  • Centre Hospitalo-Universitaire Jean Minjoz
    Besançon, France
  • Centre Hospitalier William Morey
    Chalon-sur-Saône, France
  • Hôpital Pasteur
    Colmar, France
  • Hôpital E. Muller
    Mulhouse, France
  • Hôpital Robert Debré
    Reims, France
  • Hôpitaux Universitaires de Strasbourg
    Strasbourg, 67091, France
  • Hôpital Bel Air
    Thionville, France
09

References and documents

Publications

  • Cantero P, Ehret-Sabatier L, Lenormand C, Hansmann Y, Sauleau E, Zilliox L, Westermann B, Jaulhac B, Mutter D, Barthel C, Perdu-Alloy P, Martinot M, Lipsker D, Boulanger N. Detection of Borrelia burgdorferi sensu lato by proteomics: a complementary diagnosis tool on erythema migrans biopsies. Clin Microbiol Infect. 2025 Jan;31(1):78-86. doi: 10.1016/j.cmi.2024.10.014. Epub 2024 Oct 23. PubMed 39454756 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02414789
Responsible party
Sponsor
First posted
Apr 13, 2015
Start date
Aug 6, 2015
Primary completion
Feb 1, 2024
Completion
Feb 1, 2024
Results posted
Jul 13, 2026
Last update
Jul 13, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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