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RecruitingNCT07710118Updated Jul 17, 2026

500-mg Versus 1000-mg Ceftriaxone for Uncomplicated Gonorrhea Infection

A Phase 3 interventional study of ceftriaxone 500-mg and ceftriaxone 1000-mg in Gonorrhea Infection, sponsored by National Taiwan University Hospital. Recruiting at 1 site in Taiwan. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-17.

Sponsored by National Taiwan University Hospital · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

This is a study to compare the treatment effect of different doses of ceftriaxone for gonorrhea.

Read the detailed description

This is a noninferiority randomized controlled trial to compare the treatment effect of 500-mg to 1000-mg of ceftriaxone for uncomplicated gonorrhea infection in men.

02

Conditions studied

  • Gonorrhea Infection

Keywords

  • gonorrhea
  • sexually transmitted infection
  • PCR
  • ceftriaxone
03

In context

Gonorrhea

167 studies on the registry are indexed under Gonorrhea; 31 are open to participants now.

This study's planned enrollment of 400 is close to the median of 400 across 125 interventional studies indexed under Gonorrhea.

Browse Gonorrhea 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
Male
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

  • 18 years or older man, and
  • having oropharyngeal, anorectal or urogenital N. gonorrhoeae infection confirmed by culture or a positive NAAT

Exclusion criteria

Exclusion Criteria:

  • Suspicion of a complicated N. gonorrhoeae infection. Complicated N. gonorrhoeae infection is defined as the presence of epididymitis, arthritis, bacteremia, conjunctivitis, or disseminated gonococcal infection.
  • Use of systemic cephalosporins, doxycycline, or azithromycin at the screening visit or within 30 days prior to the enrollment visit is prohibited. Participants who require immediate antibiotic treatment at the screening visit, based on clinician judgment or shared decision-making with the participant, without awaiting PCR or culture confirmation, will be excluded from the study. Use of doxycycline for post-exposure prophylaxis (Doxy-PEP) is permitted.
  • A NAAT test positive for C. trachomatis or M. genitalium at the screening visit.
  • A history of allergy or intolerance to ceftriaxone, penicillins, or lidocaine, in alignment with the listed in the Sintrix (ceftriaxone) injection package insert. Allergy or intolerance is defined as the occurrence of adverse symptoms following antibiotic administration, including but not limited to skin rash, pruritus, dyspnea, angioedema, anaphylaxis, dizziness, nausea, vomiting, headache, or diarrhea. Laboratory abnormalities include cytopenias, eosinophilia, and elevated levels of (AST), alanine aminotransferase (ALT), total , or creatinine. Penicillins include natural penicillins (e.g., penicillin G), aminopenicillins (e.g., amoxicillin, ampicillin), penicillinase-resistant penicillins (e.g., oxacillin, dicloxacillin), extended-spectrum penicillins (e.g., piperacillin), and other agents classified within the penicillin class.
Terms in these criteria, in plain language(3)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    500-mg ceftriaxone

    single-dose ceftriaxone 500-mg intramuscular injection, dissolved in 2 mL of 1% lidocaine hydrochloride solution

    Drug: ceftriaxone 500-mg

  • Active comparator
    1000-mg ceftriaxone

    single-dose ceftriaxone 1000-mg intramuscular injection, dissolved in 3.5 mL of 1% lidocaine hydrochloride solution

    Drug: ceftriaxone 1000-mg

Interventions

  • Drugceftriaxone 500-mg

    single-dose ceftriaxone 500-mg intramuscular injection, dissolved in 2 mL of 1% lidocaine hydrochloride solution

  • Drugceftriaxone 1000-mg

    single-dose ceftriaxone 1000-mg intramuscular injection, dissolved in 3.5 mL of 1% lidocaine hydrochloride solution

06

What researchers measure

Primary outcomes

  1. Treatment response of UGI

    The proportion of participants with successful treatment of UGI, defined as a NAAT-negative and, if applicable, a culture-negative result of the primary anatomic sites of infection 7-14 days after treatment; a culture-negative result is required only if N. gonorrhoeae culture was positive at the screening visit.

    Time frame: From enrollment to 14 days after treatment

Secondary outcomes

  1. Symptom duration

    Symptom duration, including dysuria, genital discharge, sore throat, anorectal pain, rectal bleeding, and rectal discharge, in the subgroup of patients who have baseline symptoms attributable to UGIs.

    Time frame: From enrollment to 14 days after treatment

  2. Treatment-related adverse events

    Treatment-related adverse events until 14 days after treatment.

    Time frame: From enrollment to 14 days after treatment

  3. MIC of ceftriaxone of isolates

    MIC of ceftriaxone of isolates at screening and test-of-cure (TOC) visits.

    Time frame: From enrollment to 14 days after treatment

  4. NG-MAST

    NG-MAST at screening and TOC visits.

    Time frame: From enrollment to 14 days after treatment

  5. Gene mutations associated with drug resistance for extended-spectrum cephalosporins

    Gene mutations associated with drug resistance for extended-spectrum cephalosporins at screening and TOC visits.

    Time frame: From enrollment to 14 days after treatment

07

Study locations

1 of 1 sites recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07710118
Collaborators
National Taiwan University Hospital Hsin-Chu Branch, Far Eastern Memorial Hospital, National Taiwan University Hospital, Yun-Lin Branch
Responsible party
Sponsor
First posted
Jul 17, 2026
Start date
Jul 2026 (estimated)
Primary completion
Dec 2028 (estimated)
Completion
Jun 2029 (estimated)
Last update
Jul 17, 2026

Study contacts

Tzong-Yow Wu, M.D.
Contact
retep0102@gmail.com
886+933594074

Oversight

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

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