Study of Lyme Neuroborreliosis

NCT ID: NCT01635530

Last Updated: 2019-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2018-12-31

Brief Summary

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The main purpose of this study is to determine whether four weeks treatment with oral doxycycline is as equally effective as three weeks treatment with intravenous ceftriaxone in patients with Lyme neuroborreliosis. The other purpose is to improve laboratory diagnostics of Lyme neuroborreliosis and further define the manifestations and epidemiology of the disease in Finland.

Detailed Description

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Conditions

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Lyme Neuroborreliosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ceftriaxone

Treatment of intravenous ceftriaxone (2 g/day), three weeks

Group Type ACTIVE_COMPARATOR

Ceftriaxone

Intervention Type DRUG

2 g intravenous once a day, three weeks

Doxycycline

Treatment with oral doxycycline (200mg / day), four weeks

Group Type EXPERIMENTAL

Doxycycline

Intervention Type DRUG

Doxycycline: 100mg tablet two times per day, four weeks

Interventions

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Doxycycline

Doxycycline: 100mg tablet two times per day, four weeks

Intervention Type DRUG

Ceftriaxone

2 g intravenous once a day, three weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Neurological symptoms suggestive of LNB without other obvious reasons
2. CSF pleocytosis (\>4 leukocytes per mikrol)
3. Intrathecal production of B. burgdorferi specific antibodies
4. Detection of B. burgdorferi DNA in central spinal fluid

Inclusion Cirteria for possible LNB (criteria 1 and 2 or 3 fullfilled):

1. Neurological symptoms suggestive of LNB wihtout other obvious reasons
2. Production of B. burgdorferi spesific antibodies in serum
3. Erythema migrans during the previous three months

Exclusion Criteria

* pregnancy and breastfeeding
* women planning to get pregnant in two months
* age under 18
* handicapped persons
* prisoners
* use of any antibiotics two weeks before study treatments begins
* allergy for tetracyclines or cephalosporins
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Turku University Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Jarmo Oksi

vs.prof

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jukka Hytönen

Role: PRINCIPAL_INVESTIGATOR

University of Turku

Elisa Kortela

Role: PRINCIPAL_INVESTIGATOR

HYKS

Mari Kanerva

Role: PRINCIPAL_INVESTIGATOR

HYKS

Laura Airas

Role: PRINCIPAL_INVESTIGATOR

TYKS

Locations

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Helsinki University Hospital

Helsinki, , Finland

Site Status

Turku University Hospital

Turku, , Finland

Site Status

Countries

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Finland

References

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Kortela E, Kanerva MJ, Puustinen J, Hurme S, Airas L, Lauhio A, Hohenthal U, Jalava-Karvinen P, Nieminen T, Finnila T, Haggblom T, Pietikainen A, Koivisto M, Vilhonen J, Marttila-Vaara M, Hytonen J, Oksi J. Oral Doxycycline Compared to Intravenous Ceftriaxone in the Treatment of Lyme Neuroborreliosis: A Multicenter, Equivalence, Randomized, Open-label Trial. Clin Infect Dis. 2021 Apr 26;72(8):1323-1331. doi: 10.1093/cid/ciaa217.

Reference Type DERIVED
PMID: 32133487 (View on PubMed)

Other Identifiers

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T1/2012

Identifier Type: -

Identifier Source: org_study_id

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