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RecruitingNCT06069141Updated Aug 6, 2026

Comparisons of Treatment Responses of Early Syphilis to Benzathine Penicillin G With or Without Doxycycline

An interventional study of Benzathine Penicillin G and Doxycycline Capsule in Early Syphilis, Latent, Serological Relapse After Treatment, sponsored by National Taiwan University Hospital. Recruiting at 9 sites in Taiwan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-06.

Sponsored by National Taiwan University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2024; still recruiting 2 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
688
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This randomized controlled superiority study will be conducted during 2023-2025. The eligible participants are adult people living with HIV (PLWH) who are newly diagnosed with early syphilis. Participants will be randomized in a 1:1 ratio to receive single-dose benzathine penicillin G (BPG) (2.4 MU intramuscularly once) plus doxycycline (100 mg orally twice daily for 7 days) or single-dose BPG. The primary outcome is serologic response, defined as a decline of rapid plasma reagin (RPR) titer by 4-fold or greater, at week 24 and week 48; and the secondary outcomes include microbiologic response of syphilis and bacterial sexually transmitted infections (STIs) assessed by nucleic-acid amplification test (NAAT) at week 4.

02

Conditions studied

  • Early Syphilis, Latent, Serological Relapse After Treatment

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Keywords

  • syphilis
  • rapid plasma reagin
03

In context

Syphilis

126 studies on the registry are indexed under Syphilis; 34 are open to participants now.

This study's planned enrollment of 688 is above the median of 354 across 85 interventional studies indexed under Syphilis.

Browse Syphilis studies →

Lead sponsor

National Taiwan University Hospital is the lead sponsor of 2,615 studies on the registry; 576 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 2 (18%) have results posted.

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

04

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

  • People living with (PLWH) aged ≥18 years with early syphilis
  • Confirmed by a positive RPR titer with a reactive TPPA assay

Exclusion criteria

Exclusion Criteria:

  • PWH with RPR titers of \<4
  • Subject has latent syphilis of unknown duration, late latent syphilis, or evidence of neurosyphilis, including ocular involvement.
  • Exposure to antibiotics with activity against T. pallidum within the preceding 4 weeks (penicillin, 3rd cephalosporin, doxycycline, macrolides)
  • A known or suspected infection requiring additional treatment with an antimicrobial active against T. pallidum at baseline (penicillin, 3rd cephalosporin, doxycycline, macrolides)
  • A history of intolerance to penicillin or doxycycline
  • PLWH have already participated in this study
  • Pregnancy
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
688 participants (estimated)

Study arms

  • Active comparator
    single-dose BPG plus doxycycline

    single-dose benzathine penicillin G (2.4 MU intramuscularly once) plus doxycycline (100 mg orally twice daily for 7 days)

    Drug: Benzathine Penicillin G · Drug: Doxycycline Capsule

  • Placebo comparator
    single-dose BPG

    single-dose benzathine penicillin G (2.4 MU intramuscularly once)

    Drug: Benzathine Penicillin G

Interventions

06

What researchers measure

Primary outcomes

  1. Serologic response

    Either a 4-fold or greater decline in RPR titer compared to baseline or being RPR-nonreactive

    Time frame: Weeks 24 and week 48

Secondary outcomes

  1. Microbiologic response of syphilis

    T. pallidum PCR Ct value \>38

    Time frame: Week 4

  2. Microbiologic response of bacterial STIs

    negative STI PCR results

    Time frame: Week 4

  3. Safety of study treatment

    Time frame: Week 4

  4. Adherence evaluation of tablet intake

    Time frame: Week 4

07

Study locations

9 of 9 sites recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06069141
Responsible party
Sponsor
First posted
Oct 5, 2023
Start date
Jan 1, 2024
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Aug 6, 2026

Study contacts

Kuan-Yin Lin, MD
Contact
kuanyin0828@gmail.com
+886-975607715

Oversight

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

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Studies of the drug tested here: Doxycycline

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