Trial Outcomes & Findings for Evaluation of Doxycycline Post-exposure Prophylaxis to Reduce Sexually Transmitted Infections in PrEP Users and HIV-infected Men Who Have Sex With Men (NCT NCT03980223)

NCT ID: NCT03980223

Last Updated: 2024-07-12

Results Overview

Number of quarterly visits with an STI event detected.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

641 participants

Primary outcome timeframe

1 year

Results posted on

2024-07-12

Participant Flow

Participant milestones

Participant milestones
Measure
PrEP Cohort: Doxy PEP
Doxycycline 200mg in addition to standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP)
PrEP Cohort: Control
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment.
PLWH Cohort: Doxy PEP
Doxycycline 200mg in addition to standard of care STI testing and treatment - People living with HIV Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP)
PLWH: Control
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment.
Overall Study
STARTED
292
140
141
68
Overall Study
COMPLETED
217
100
109
47
Overall Study
NOT COMPLETED
75
40
32
21

Reasons for withdrawal

Reasons for withdrawal
Measure
PrEP Cohort: Doxy PEP
Doxycycline 200mg in addition to standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP)
PrEP Cohort: Control
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment.
PLWH Cohort: Doxy PEP
Doxycycline 200mg in addition to standard of care STI testing and treatment - People living with HIV Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP)
PLWH: Control
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment.
Overall Study
Lost to Follow-up
3
7
10
8
Overall Study
Withdrawal by Subject
0
0
1
2
Overall Study
Physician Decision
0
0
1
0
Overall Study
Not included because they had not yet reached month 3 visit at time of analysis
72
33
20
11

Baseline Characteristics

Data not available for 19 participants.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PrEP Cohort: Doxy PEP
n=220 Participants
Doxycycline 200mg in addition to standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP)
PrEP Cohort: Control
n=107 Participants
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment.
PLWH Cohort: Doxy PEP
n=119 Participants
Doxycycline 200mg in addition to standard of care STI testing and treatment - People living with HIV Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP).
PLWH Cohort: Control
n=55 Participants
The control arm will consist of standard of care STI testing and treatment - People living with HIV
Total
n=501 Participants
Total of all reporting groups
Age, Customized
Median age
36 Years
n=220 Participants
36 Years
n=107 Participants
43 Years
n=119 Participants
42 Years
n=55 Participants
38 Years
n=501 Participants
Sex/Gender, Customized
Gender identity · Man
212 Participants
n=220 Participants
107 Participants
n=107 Participants
109 Participants
n=119 Participants
54 Participants
n=55 Participants
482 Participants
n=501 Participants
Sex/Gender, Customized
Gender identity · Transgender woman or gender-diverse
8 Participants
n=220 Participants
0 Participants
n=107 Participants
10 Participants
n=119 Participants
1 Participants
n=55 Participants
19 Participants
n=501 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
55 Participants
n=220 Participants
41 Participants
n=107 Participants
41 Participants
n=119 Participants
14 Participants
n=55 Participants
151 Participants
n=501 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
165 Participants
n=220 Participants
66 Participants
n=107 Participants
78 Participants
n=119 Participants
41 Participants
n=55 Participants
350 Participants
n=501 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=220 Participants
0 Participants
n=107 Participants
0 Participants
n=119 Participants
0 Participants
n=55 Participants
0 Participants
n=501 Participants
Race/Ethnicity, Customized
Race · White
144 Participants
n=209 Participants • Data not available for 19 participants.
66 Participants
n=104 Participants • Data not available for 19 participants.
74 Participants
n=116 Participants • Data not available for 19 participants.
37 Participants
n=53 Participants • Data not available for 19 participants.
321 Participants
n=482 Participants • Data not available for 19 participants.
Race/Ethnicity, Customized
Race · Black
9 Participants
n=209 Participants • Data not available for 19 participants.
5 Participants
n=104 Participants • Data not available for 19 participants.
15 Participants
n=116 Participants • Data not available for 19 participants.
7 Participants
n=53 Participants • Data not available for 19 participants.
36 Participants
n=482 Participants • Data not available for 19 participants.
Race/Ethnicity, Customized
Race · Asian or Pacific Islander
33 Participants
n=209 Participants • Data not available for 19 participants.
12 Participants
n=104 Participants • Data not available for 19 participants.
7 Participants
n=116 Participants • Data not available for 19 participants.
1 Participants
n=53 Participants • Data not available for 19 participants.
53 Participants
n=482 Participants • Data not available for 19 participants.
Race/Ethnicity, Customized
Race · Multiple races or other
23 Participants
n=209 Participants • Data not available for 19 participants.
21 Participants
n=104 Participants • Data not available for 19 participants.
20 Participants
n=116 Participants • Data not available for 19 participants.
8 Participants
n=53 Participants • Data not available for 19 participants.
72 Participants
n=482 Participants • Data not available for 19 participants.
Region of Enrollment
United States
220 participants
n=220 Participants
107 participants
n=107 Participants
119 participants
n=119 Participants
55 participants
n=55 Participants
501 participants
n=501 Participants
Gender of sexual partners
Men only
191 Participants
n=220 Participants • Data not available for 1 participant.
90 Participants
n=107 Participants • Data not available for 1 participant.
105 Participants
n=118 Participants • Data not available for 1 participant.
48 Participants
n=55 Participants • Data not available for 1 participant.
434 Participants
n=500 Participants • Data not available for 1 participant.
Gender of sexual partners
Multiple genders
29 Participants
n=220 Participants • Data not available for 1 participant.
17 Participants
n=107 Participants • Data not available for 1 participant.
13 Participants
n=118 Participants • Data not available for 1 participant.
7 Participants
n=55 Participants • Data not available for 1 participant.
66 Participants
n=500 Participants • Data not available for 1 participant.
Annual income
<$20,000
31 Participants
n=219 Participants • Data not available for 2 participants.
13 Participants
n=106 Participants • Data not available for 2 participants.
42 Participants
n=119 Participants • Data not available for 2 participants.
17 Participants
n=55 Participants • Data not available for 2 participants.
103 Participants
n=499 Participants • Data not available for 2 participants.
Annual income
$20,001-$50,000
64 Participants
n=219 Participants • Data not available for 2 participants.
39 Participants
n=106 Participants • Data not available for 2 participants.
40 Participants
n=119 Participants • Data not available for 2 participants.
22 Participants
n=55 Participants • Data not available for 2 participants.
165 Participants
n=499 Participants • Data not available for 2 participants.
Annual income
$50,001-$75,000
45 Participants
n=219 Participants • Data not available for 2 participants.
14 Participants
n=106 Participants • Data not available for 2 participants.
22 Participants
n=119 Participants • Data not available for 2 participants.
5 Participants
n=55 Participants • Data not available for 2 participants.
86 Participants
n=499 Participants • Data not available for 2 participants.
Annual income
>$75,000
79 Participants
n=219 Participants • Data not available for 2 participants.
40 Participants
n=106 Participants • Data not available for 2 participants.
15 Participants
n=119 Participants • Data not available for 2 participants.
11 Participants
n=55 Participants • Data not available for 2 participants.
145 Participants
n=499 Participants • Data not available for 2 participants.
STI in the past 12 months
Gonorrhea
155 Participants
n=220 Participants
78 Participants
n=107 Participants
71 Participants
n=119 Participants
39 Participants
n=55 Participants
343 Participants
n=501 Participants
STI in the past 12 months
Chlamydia
144 Participants
n=220 Participants
63 Participants
n=107 Participants
58 Participants
n=119 Participants
27 Participants
n=55 Participants
292 Participants
n=501 Participants
STI in the past 12 months
Syphillis
32 Participants
n=220 Participants
16 Participants
n=107 Participants
35 Participants
n=119 Participants
17 Participants
n=55 Participants
100 Participants
n=501 Participants
Two or more STIs in the past 12 months
106 Participants
n=220 Participants
44 Participants
n=107 Participants
39 Participants
n=119 Participants
26 Participants
n=55 Participants
215 Participants
n=501 Participants
STI at baseline
Gonorrhea
40 Participants
n=218 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
20 Participants
n=107 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
25 Participants
n=117 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
14 Participants
n=54 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
99 Participants
n=496 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
STI at baseline
Chlamydia
31 Participants
n=219 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
11 Participants
n=107 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
11 Participants
n=117 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
8 Participants
n=54 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
61 Participants
n=497 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
STI at baseline
Syphilis
5 Participants
n=219 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
1 Participants
n=107 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
11 Participants
n=117 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
4 Participants
n=55 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
21 Participants
n=498 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
STI at baseline
Any STI at baseline
65 Participants
n=219 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
27 Participants
n=106 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
34 Participants
n=114 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
20 Participants
n=55 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
146 Participants
n=494 Participants • Data was not available for participants as follows: * Gonorrhea: 5 participants * Chlamydia: 4 participants * Syphilis: 3 participants * Any STI: 7 participants
Median number of sexual partners in past 3 months
8 partners
n=220 Participants
10 partners
n=107 Participants
7 partners
n=119 Participants
10.5 partners
n=55 Participants
9 partners
n=501 Participants
Transactional sex during lifetime
47 Participants
n=219 Participants • Data not available for 10 participants
28 Participants
n=107 Participants • Data not available for 10 participants
47 Participants
n=116 Participants • Data not available for 10 participants
21 Participants
n=49 Participants • Data not available for 10 participants
143 Participants
n=491 Participants • Data not available for 10 participants
Substance use in the past 3 months
Stimulants: methamphetamine, cocaine, or crack
51 Participants
n=216 Participants • Data not available for 8 participants.
22 Participants
n=107 Participants • Data not available for 8 participants.
50 Participants
n=117 Participants • Data not available for 8 participants.
23 Participants
n=53 Participants • Data not available for 8 participants.
146 Participants
n=493 Participants • Data not available for 8 participants.
Substance use in the past 3 months
Heroin or other opioids
2 Participants
n=216 Participants • Data not available for 8 participants.
1 Participants
n=107 Participants • Data not available for 8 participants.
9 Participants
n=117 Participants • Data not available for 8 participants.
2 Participants
n=53 Participants • Data not available for 8 participants.
14 Participants
n=493 Participants • Data not available for 8 participants.
Substance use in the past 3 months
Ecstasy, GHB, or ketamine
63 Participants
n=216 Participants • Data not available for 8 participants.
34 Participants
n=107 Participants • Data not available for 8 participants.
39 Participants
n=117 Participants • Data not available for 8 participants.
21 Participants
n=53 Participants • Data not available for 8 participants.
157 Participants
n=493 Participants • Data not available for 8 participants.
Substance use in the past 3 months
Amyl nitrates, also known as poppers
93 Participants
n=216 Participants • Data not available for 8 participants.
47 Participants
n=107 Participants • Data not available for 8 participants.
56 Participants
n=117 Participants • Data not available for 8 participants.
28 Participants
n=53 Participants • Data not available for 8 participants.
224 Participants
n=493 Participants • Data not available for 8 participants.
Substance use in the past 3 months
Marijuana
96 Participants
n=216 Participants • Data not available for 8 participants.
56 Participants
n=107 Participants • Data not available for 8 participants.
60 Participants
n=117 Participants • Data not available for 8 participants.
27 Participants
n=53 Participants • Data not available for 8 participants.
239 Participants
n=493 Participants • Data not available for 8 participants.
Substance use in the past 3 months
Total with any substance use in past 3 months
112 Participants
n=216 Participants • Data not available for 8 participants.
66 Participants
n=107 Participants • Data not available for 8 participants.
77 Participants
n=117 Participants • Data not available for 8 participants.
38 Participants
n=53 Participants • Data not available for 8 participants.
293 Participants
n=493 Participants • Data not available for 8 participants.

PRIMARY outcome

Timeframe: 1 year

Population: Primary efficacy analysis population excludes participants who did not attend any follow-up visits after baseline.

Number of quarterly visits with an STI event detected.

Outcome measures

Outcome measures
Measure
PrEP Cohort: Doxy PEP
n=570 Total number of quarterly visits
Doxycycline 200mg in addition to standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP)
PrEP Cohort: Control
n=257 Total number of quarterly visits
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment.
PLWH Cohort: Doxy PEP
n=305 Total number of quarterly visits
Doxycycline 200mg in addition to standard of care STI testing and treatment - People living with HIV Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP)
PLWH: Control
n=128 Total number of quarterly visits
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment.
Number of Quarterly Visits In Which an STI Was Detected
61 No. quarterly visits with STI event
82 No. quarterly visits with STI event
36 No. quarterly visits with STI event
39 No. quarterly visits with STI event

Adverse Events

PrEP Cohort: Doxy PEP

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

PrEP Cohort: Control

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

PLWH Cohort: Doxy PEP

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

PLWH: Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PrEP Cohort: Doxy PEP
n=217 participants at risk
Doxycycline 200mg in addition to standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP). The number of participants assessed for serious and non-serious adverse events excludes those who did not attend any follow-up visits after baseline.
PrEP Cohort: Control
n=100 participants at risk
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. The number of participants assessed for serious adverse events excludes those who did not attend any follow-up visits after baseline.
PLWH Cohort: Doxy PEP
n=109 participants at risk
Doxycycline 200mg in addition to standard of care STI testing and treatment - People living with HIV Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP). The number of participants assessed for serious and non-serious adverse events excludes those who did not attend any follow-up visits after baseline.
PLWH: Control
n=47 participants at risk
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. The number of participants assessed for serious adverse events excludes those who did not attend any follow-up visits after baseline.
Skin and subcutaneous tissue disorders
Cat bite
0.00%
0/217 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/100 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.92%
1/109 • Number of events 1 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/47 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
Reproductive system and breast disorders
Testicular torsion
0.46%
1/217 • Number of events 1 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/100 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/109 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/47 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
Cardiac disorders
Hypotension
0.00%
0/217 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/100 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.92%
1/109 • Number of events 1 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/47 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
Gastrointestinal disorders
Gastroenteritis
0.00%
0/217 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
1.0%
1/100 • Number of events 1 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/109 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/47 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.

Other adverse events

Other adverse events
Measure
PrEP Cohort: Doxy PEP
n=217 participants at risk
Doxycycline 200mg in addition to standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP). The number of participants assessed for serious and non-serious adverse events excludes those who did not attend any follow-up visits after baseline.
PrEP Cohort: Control
n=100 participants at risk
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. The number of participants assessed for serious adverse events excludes those who did not attend any follow-up visits after baseline.
PLWH Cohort: Doxy PEP
n=109 participants at risk
Doxycycline 200mg in addition to standard of care STI testing and treatment - People living with HIV Doxycycline Hyclate Delayed-Release 200 mg: 200 mg of doxycycline taken by mouth after condomless sexual contact as post exposure prophylaxis (PEP). The number of participants assessed for serious and non-serious adverse events excludes those who did not attend any follow-up visits after baseline.
PLWH: Control
n=47 participants at risk
The control arm will consist of standard of care STI testing and treatment - HIV-negative participants on PrEP at time of enrollment or starting PrEP within 30 days of enrollment. The number of participants assessed for serious adverse events excludes those who did not attend any follow-up visits after baseline.
Gastrointestinal disorders
Diarrhea
1.4%
3/217 • Number of events 3 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0/0 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/109 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0/0 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
Hepatobiliary disorders
Elevated ALT
0.46%
1/217 • Number of events 1 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0/0 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/109 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0/0 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
Nervous system disorders
Headache/migraine
0.92%
2/217 • Number of events 2 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0/0 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0.00%
0/109 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.
0/0 • Duration of participants participation, up to 1 year.
The following AEs were recorded at each study visit: * All grade 2 and higher hematologic and hepatic laboratory abnormalities that are attributed to doxycycline in the opinion of the site investigator * All AEs meeting SAE definition * All grade 3 and 4 adverse events judged to be associated with doxycycline (possibly, probably, or definitely related) * NOTE: Non-serious adverse events were not collected or reported in participants assigned to a control arm, per protocol.

Additional Information

Anne Luetkemeyer

University of California, San Francisco

Phone: 415-502-5753

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place