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RecruitingNCT06645106Updated May 6, 2026

Offering Routine and Rapid Point of Care (POC) Syphilis Testing in Pregnant Patients Presenting to the Emergency Department

An interventional study of Rapid Point of Care (POC) Syphilis testing in Syphilis, sponsored by The University of Texas Health Science Center, Houston. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-05-06.

Sponsored by The University of Texas Health Science Center, Houston · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
1,500
Allocation
Not applicable
Ages
18 Years to 50 Years
Sex
Female
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Study summary

The purpose of this study is to offer routine lab-based and rapid point of care (POC) syphilis diagnostic testing in the emergency department (ED) and obstetrical (OB) triage , thereby increasing screening and treatment initiation for pregnant patients without prenatal care or with no documented syphilis results during the index pregnancy in other to increase rates of full treatment to determine if the implementation of a robust linkage to care program for pregnant patients with positive rapid POC results will more likely result in complete treatment for all stages of syphilis and adherence to recommended maternal and newborn longitudinal follow up and to assess factors that contribute to treatment completion after implementation of the intervention will also be analyzed to tailor efforts targeting social and healthcare navigation factors that affect health equity; including poverty, insurance, health literacy and others.

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Conditions studied

  • Syphilis

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Keywords

  • syphilis diagnostic testing
  • pregnancy
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 1,500 is above the median of 354 across 85 interventional studies indexed under Syphilis.

Browse Syphilis studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 897 studies on the registry; 214 are open to participants now.

Of its 173 completed or terminated interventional studies of FDA-regulated products, 142 (82%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
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

  • Pregnant individuals that are seeking care at University of Texas, Memorial Herman and Lyndon B Johnson sites ED or obstetrical triage units.
  • No Prenatal care during index pregnancy
  • No documented syphilis result during the index pregnancy

Exclusion criteria

Exclusion Criteria:

  • Pregnant individuals with documented care and syphilis results in the index pregnancy for specific trimester as mandated by Texas law
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1,500 participants (estimated)

Study arms

  • Experimental
    Rapid Point of Care (POC) Syphilis testing

    Device: Rapid Point of Care (POC) Syphilis testing

Interventions

  • DeviceRapid Point of Care (POC) Syphilis testing

    Participants will undergo the point of care (POC) FDA cleared syphilis health check (SHC) POC test by a research staff using 50 microliters or 1-3 drops of whole blood via finger stick. The analyzer is handheld, and all testing equipment is temperature stable and does not need refrigeration. The SHC-Syphilis results will be available within 10 minutes of receipt given the published turnaround time to results of 15 minutes per package insert and will be recorded as a research note in the electronic medical record (EMR) while the provider assigned to the patient and the Houston Health Department will be notified of results and further treatment will be done if results are positive.

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What researchers measure

Primary outcomes

  1. Percentage of patients without prenatal care during the index pregnancy who received full treatment for all stages of syphilis

    Time frame: within 1 week of presentation until the time of delivery

  2. Percentage of patients with no documented syphilis test during the index pregnancy who received full treatment for all stages of syphilis

    Time frame: within 1 week of presentation until the time of delivery

Secondary outcomes

  1. The percentage of patients who adhere to recommended maternal and newborn longitudinal follow up

    Time frame: within 1 week of presentation until the time of delivery

  2. The percentage of patients who adhere to recommended maternal and newborn longitudinal follow up

    Time frame: at time of postpartum (upto 15 months after delivery)

  3. Percentage of participants that are married on completion of syphilis treatment

    Time frame: from presentation to delivery

  4. Percentage of participants that have health insurance on completion of syphilis treatment

    Time frame: from presentation to delivery

  5. Percentage of participants that have psychiatric problems on completion of syphilis treatment

    Time frame: from presentation to delivery

  6. Percentage of participants that show substance abuse including alcohol on completion of syphilis treatment

    Time frame: from presentation to delivery

  7. Percentage of participants that have unstable housing on completion of syphilis treatment

    Time frame: from presentation to delivery

  8. Percentage of participants that have transportation on completion of syphilis treatment

    Time frame: from presentation to delivery

  9. Percentage of participants that experience intimate partner violence on completion of syphilis treatment

    Time frame: from presentation to delivery

  10. number of prenatal care visits on completion of syphilis treatment

    Time frame: from presentation to delivery

  11. Percentage of participants that are married on completion of syphilis treatment

    Time frame: at time of postpartum (upto 15 months after delivery)

  12. Percentage of participants that have health insurance on completion of syphilis treatment

    Time frame: at time of postpartum (upto 15 months after delivery)

  13. Percentage of participants that have psychiatric problems on completion of syphilis treatment

    Time frame: at time of postpartum (upto 15 months after delivery)

  14. Percentage of participants that show substance abuse including alcohol on completion of syphilis treatment

    Time frame: at time of postpartum (upto 15 months after delivery)

  15. Percentage of participants that have unstable housing on completion of syphilis treatment

    Time frame: at time of postpartum (upto 15 months after delivery)

  16. Percentage of participants that have transportation on completion of syphilis treatment

    Time frame: at time of postpartum (upto 15 months after delivery)

  17. Percentage of participants that experience intimate partner violence on completion of syphilis treatment

    Time frame: at time of postpartum (upto 15 months after delivery)

  18. number of prenatal care visits on completion of syphilis treatment

    Time frame: at time of postpartum (upto 15 months after delivery)

  19. Number of birth parents that have reinfection

    Time frame: from presentation to delivery

  20. Number of birth parents that have reinfection

    Time frame: at time of postpartum (upto 15 months after delivery)

  21. Number of neonates that have congenital syphilis

    Time frame: from presentation to delivery

  22. Number of neonates that have congenital syphilis

    Time frame: at time of postpartum (upto 15 months after delivery)

07

Study locations

1 of 1 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

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2025 (actual). Primary completion is estimated for Feb 2028, 35 months after the start.

Of 25 interventional studies with no phase under Syphilis, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 42. This study's planned 35 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 7, 2024
First posted
Oct 16, 2024
StartActual
Feb 4, 2025
Primary completionEst.
Feb 1, 2028
CompletionEst.
Feb 1, 2028
Last update
May 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06645106
Responsible party
Irene Stafford (Assistant Professor, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Oct 16, 2024
Start date
Feb 4, 2025
Primary completion
Feb 1, 2028 (estimated)
Completion
Feb 1, 2028 (estimated)
Last update
May 6, 2026

Study contacts

Irene Stafford, MD
Contact
Irene.Stafford@uth.tmc.edu
(713) 500-6412
Carrie Bakunas, MD
Contact
Carrie.A.Bakunas@uth.tmc.edu
(713) 500-7878
Irene Stafford, MD
principal investigator · The University of Texas Health Science Center, Houston

Oversight

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

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