Alternative Antibiotics for Syphilis
Oral and Neuro-Penetrative Alternative Antibiotics for Patients With Syphilis
Oral and Neuro-Penetrative Alternative Antibiotics for Patients With Syphilis
Sponsor study identifier
Secondary identifiers
EUDRACT_NUMBER
interventional
165
2 countries
11
Study Start
October 14, 2021
Actual (reported)Primary Completion
April 15, 2026
Actual (reported)Study Completion
April 15, 2026
Actual (reported)The Trep-AB clinical trial will test the efficacy of an investigational neuropenetrative drug, Linezolid (LZD), compared to standard treatment, Benzathine penicillin G (BPG), for early syphilis in humans. The overarching idea of the work proposed herein is to investigate the use of LZD to treat syphilis, conducting a randomized controlled clinical trial to evaluate this new indication of a known antibacterial agent.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
April 15, 2026
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
September 16, 2021
Actual (reported)October 6, 2021
Actual (reported)October 14, 2021
Actual (reported)April 15, 2026
Actual (reported)April 15, 2026
Actual (reported)Proportion of participants achieving overall treatment success
Overall treatment success was defined as achievement of all outcome components applicable to the participant: clinical cure, serological cure, and absence of molecularly confirmed relapse.
at week 48
Proportion of patients with clinical resolution of primary syphilis lesions (clinical cure, primary).
at week 2
Proportion of patients with clinical resolution of secondary syphilis lesions (clinical cure, secondary).
at week 6
After randomized to the experimental arm, the patient will take 1 tablet of Linezolid every 12hours during 10 days.
After randomized to the control arm, the patient will receive a single dose of 2.4MUI intramuscular BPG.
Linezolid 600mg every 12hours during 10 days
Single dose of intramuscular BPG 2.4 MUI
CAP Drassanes-Hospital Universitari Vall d'Hebron
Barcelona, Barcelona, 08001, Spain
Barcelona Checkpoint
Barcelona, Barcelona, 08015, Spain
Hospital Clínic de Barcelona
Barcelona, Barcelona, 08036, Spain
Hospital Germans Trias Pujol
Barcelona, Barcelona, 08916, Spain
Hospital 12 de Octubre
Madrid, Madrid, Spain
Leeds Sexual Health
Leeds, United Kingdom
Trafalgar Clinic and Waldron Centre Lewisham
Lewisham, United Kingdom
Ubals M, Nadal-Baron P, Arando M, Rivero A, Mendoza A, Descalzo Jorro V, Ouchi D, Perez-Mana C, Alvarez M, Alemany A, Hoyos-Mallecot Y, Nunley E, Lieberman NAP, Greninger AL, Galvan-Casas C, Suner C, G-Beiras C, Paredes R, Rodriguez-Gascon A, Canut A, Garcia-Patos V, Farre M, Marks M, Giacani L, Vall-Mayans M, Mitja O. Oral linezolid compared with benzathine penicillin G for treatment of early syphilis in adults (Trep-AB Study) in Spain: a prospective, open-label, non-inferiority, randomised controlled trial. Lancet Infect Dis. 2024 Apr;24(4):404-416. doi: 10.1016/S1473-3099(23)00683-7. Epub 2024 Jan 8.
Oriol Mitjà Villar, PhD
Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia
165 participants (actual enrollment reported by the registry).
First Submitted
September 16, 2021
First Posted
October 6, 2021
Study Start
(Men Who Have Sex With Men) MSM Community Intervention Trial
Proportion of patients with adequate serological response (serological cure, week 48).
at week 48
Proportion of patients with allelic variation in T. pallidum strain(s) DNA in recurrent syphilis or suspected treatment failure (absence of relapse).
From date of randomization until date of first documented recurrence or treatment failure, assesed up to 48 weeks
Proportion of patients with adequate serological response (serological cure, week 12).
at week 12
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
56 Dean Street
London, United Kingdom
Mortimer Market Centre
London, United Kingdom
Saint Mary's Hospital
London, United Kingdom
North Manchester General Hospital and Central Manchester Foundation Trust
Manchester, United Kingdom
October 14, 2021
Actual (reported)Primary Completion
April 15, 2026
Actual (reported)Study Completion
April 15, 2026
Actual (reported)Last Updated
July 29, 2026
Record last verified: 2026-07
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Source: ClinicalTrials.gov.
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