Trial Outcomes & Findings for GonoScreen: Efficacy of Screening STIs in MSM (NCT NCT04269434)

NCT ID: NCT04269434

Last Updated: 2024-10-16

Results Overview

number of diagnoses of Ng plus Ct in 12 months in screening/non-screening arms divided by number of scheduled study visits with available results for the diagnosis of Ng/Ct. The denominator does not include unscheduled visits.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1014 participants

Primary outcome timeframe

12 months

Results posted on

2024-10-16

Participant Flow

Recruitment started on 21st September 2020 and was completed on 4th June 2021. Participants were recruited at 5 sites (Institute of Tropical Medicine Antwerp, University Hospital Ghent, University Hospital Erasme Brussels, University Hospital Saint-Pierre Brussels and University Hospital Liège.

Participant milestones

Participant milestones
Measure
Screening
In the screening arm, Ng/Ct results will be sent by the STI Laboratory to the study physicians and these participants will be treated and partner contact tracing will be done.
No Screening
In the no screening arm, the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study. No Screening: the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study.
Overall Study
STARTED
506
508
Overall Study
COMPLETED
439
440
Overall Study
NOT COMPLETED
67
68

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Screening
n=506 Participants
In the screening arm, Ng/Ct results will be sent by the STI Laboratory to the study physicians and these participants will be treated and partner contact tracing will be done.
No Screening
n=508 Participants
In the no screening arm, the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study. No Screening: the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study.
Total
n=1014 Participants
Total of all reporting groups
Age, Continuous
39 years
n=506 Participants
39 years
n=508 Participants
39 years
n=1014 Participants
Sex/Gender, Customized
Sex · Male
506 Participants
n=506 Participants
505 Participants
n=508 Participants
1011 Participants
n=1014 Participants
Sex/Gender, Customized
Sex · Transwoman
0 Participants
n=506 Participants
3 Participants
n=508 Participants
3 Participants
n=1014 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Number of sex partners (last 3 months)
4 Number of sex partners
n=506 Participants
4 Number of sex partners
n=508 Participants
4 Number of sex partners
n=1014 Participants
Number of sex partners (mean)
6.28 Number of sex partners
n=506 Participants
7.26 Number of sex partners
n=508 Participants
6.77 Number of sex partners
n=1014 Participants
Number of unprotected sex partners in the last 3 months
2 Number of unprotected sex partners
n=506 Participants
2 Number of unprotected sex partners
n=508 Participants
2 Number of unprotected sex partners
n=1014 Participants
Number of unprotected sex partners (mean)
3.80 Number of unprotected sex partners
n=506 Participants
4.28 Number of unprotected sex partners
n=508 Participants
4.04 Number of unprotected sex partners
n=1014 Participants
STI symptoms
Missing
0 Participants
n=506 Participants
1 Participants
n=508 Participants
1 Participants
n=1014 Participants
STI symptoms
No
504 Participants
n=506 Participants
503 Participants
n=508 Participants
1007 Participants
n=1014 Participants
STI symptoms
Yes
2 Participants
n=506 Participants
4 Participants
n=508 Participants
6 Participants
n=1014 Participants
Antibiotics in the last 6 months
Any
192 Participants
n=506 Participants
173 Participants
n=508 Participants
365 Participants
n=1014 Participants
Antibiotics in the last 6 months
Cephalosporins
67 Participants
n=506 Participants
77 Participants
n=508 Participants
144 Participants
n=1014 Participants
Antibiotics in the last 6 months
Macroloides
81 Participants
n=506 Participants
94 Participants
n=508 Participants
175 Participants
n=1014 Participants
Antibiotics in the last 6 months
Penicillins
63 Participants
n=506 Participants
47 Participants
n=508 Participants
110 Participants
n=1014 Participants
Antibiotics in the last 6 months
Quinolones
11 Participants
n=506 Participants
5 Participants
n=508 Participants
16 Participants
n=1014 Participants
Antibiotics in the last 6 months
Tetracyclines
57 Participants
n=506 Participants
54 Participants
n=508 Participants
111 Participants
n=1014 Participants
Antibiotics in the last 6 months
Other
3 Participants
n=506 Participants
3 Participants
n=508 Participants
6 Participants
n=1014 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Per protocol analysis

number of diagnoses of Ng plus Ct in 12 months in screening/non-screening arms divided by number of scheduled study visits with available results for the diagnosis of Ng/Ct. The denominator does not include unscheduled visits.

Outcome measures

Outcome measures
Measure
Screening
n=357 Participants
In the screening arm, Ng/Ct results will be sent by the STI Laboratory to the study physicians and these participants will be treated and partner contact tracing will be done.
No Screening
n=344 Participants
In the no screening arm, the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study. No Screening: the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study.
Incidence Rate of Ng Plus Ct Detected at Any Site Whilst Individuals Are Screened vs. Not Screened
0.155 Ng or CT cases per study visit
Interval 0.128 to 0.186
0.205 Ng or CT cases per study visit
Interval 0.171 to 0.246

SECONDARY outcome

Timeframe: 12 months

Number of standard doses per 1000 person-years for azithromycin, ceftriaxone and doxycycline

Outcome measures

Outcome measures
Measure
Screening
n=357 Participants
In the screening arm, Ng/Ct results will be sent by the STI Laboratory to the study physicians and these participants will be treated and partner contact tracing will be done.
No Screening
n=344 Participants
In the no screening arm, the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study. No Screening: the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study.
Cumulative Antimicrobial Exposure (Ceftriaxone/Azithromycin/Doxycycline)
Azithromycin
0.0059 doses per 1000 person-years
Interval 0.0055 to 0.0063
0.0046 doses per 1000 person-years
Interval 0.0043 to 0.005
Cumulative Antimicrobial Exposure (Ceftriaxone/Azithromycin/Doxycycline)
Ceftriaxone
0.0008 doses per 1000 person-years
Interval 0.0007 to 0.0009
0.0004 doses per 1000 person-years
Interval 0.0004 to 0.0006
Cumulative Antimicrobial Exposure (Ceftriaxone/Azithromycin/Doxycycline)
Doxycycline
0.0081 doses per 1000 person-years
Interval 0.0075 to 0.0086
0.0044 doses per 1000 person-years
Interval 0.0041 to 0.0048

SECONDARY outcome

Timeframe: 12 months

Number of diagnoses of symptomatic Ng and Ct infections over 12 months divided by number of visits

Outcome measures

Outcome measures
Measure
Screening
n=357 Participants
In the screening arm, Ng/Ct results will be sent by the STI Laboratory to the study physicians and these participants will be treated and partner contact tracing will be done.
No Screening
n=344 Participants
In the no screening arm, the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study. No Screening: the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study.
Incidence Rate of Symptomatic Ng Plus Ct
0.034 Symptomatic infections per study visit
Interval 0.023 to 0.049
0.046 Symptomatic infections per study visit
Interval 0.032 to 0.067

SECONDARY outcome

Timeframe: 12 months

Number of diagnoses of syphilis over 12 months divided by number of visits

Outcome measures

Outcome measures
Measure
Screening
n=357 Participants
In the screening arm, Ng/Ct results will be sent by the STI Laboratory to the study physicians and these participants will be treated and partner contact tracing will be done.
No Screening
n=344 Participants
In the no screening arm, the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study. No Screening: the STI Laboratory will only process the samples/report the results from the non-screening arm at the end of the study.
Incidence Rate of Syphilis
0.018 Syphilis cases per study visit
Interval 0.011 to 0.029
0.026 Syphilis cases per study visit
Interval 0.016 to 0.042

Adverse Events

Screening

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

No Screening

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Chris Kenyon

Instituut van Tropische Geneeskunde Antwerpen

Phone: +3232470786

Results disclosure agreements

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

Restriction type: OTHER