A Clinical Study to Assess the Efficacy of Weekly Doxycycline Prophylaxis to Reduce Bacterial Sexually Transmitted Infections (STI) in Young African Women
Weekly Doxycycline Prophylaxis for Prevention of Sexually Transmitted Infections Among Young African Women
National Institute of Allergy and Infectious Diseases (NIAID)
Planned date reported by the registry; this milestone is not confirmed as achieved.
Primary Completion
September 30, 2028
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
July 10, 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Brief Summary
This study is for people who may get sexually transmitted infections (STIs). Approximately 580 African adolescent and young adult women ages 13-34 in Africa will be included in this study. Study participation is approximately 52 weeks (1 year). Participants will be randomized in a 1:1 ratio to receive doxycycline prophylaxis or standard of care.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
not yet recruiting
Estimated enrollment
580 participants
Study completion date
July 10, 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Listed locations
4 countries · 4 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
October 13, 2026
Actual (reported)
First Posted
October 20, 2026
Actual (reported)
Study Start
November 30, 2026
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Primary Completion
September 30, 2028
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
July 10, 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Nucleic acid amplification test (NAAT) from all sites (vaginal, rectal, oropharyngeal) or newly positive or four-fold rise in RPR titers
Testing will occur at each quarterly visit (week 13, 26, 39 and 52).
Secondary Outcomes (15)
The Rate of Incident Chlamydia Trachomatis (CT) Infection
Testing will occur at each quarterly visit (week 13, 26, 39 and 52).
The Rate of Incident Neisseria Gonorrhoeae (NG) Infection
Testing will occur at each quarterly visit (week 13, 26, 39 and 52).
Study Arms (2)
Doxycycline hyclate 200 mg
EXPERIMENTAL
Participants randomized to the intervention arm will receive doxycycline hyclate 200 mg (2 x 100mg) administered orally once weekly, for the duration of 51 weeks.
Drug: Doxycycline hyclate
Standard of Care
ACTIVE COMPARATOR
Participants randomized to the standard-of-care arm alone will not receive doxycycline prophylaxis and will receive local standard of care for STI prevention per local guidelines.
Drug: Standard of Care for STI prevention
Interventions
Doxycycline hyclateDrug
Two 100 mg doxycycline hyclate immediate-release (IR) tablets (total dose: 200 mg) administered orally once weekly. Weekly dosing for approximately 51 weeks.
Doxycycline hyclate 200 mg
Standard of Care for STI preventionDrug
No study product. Participants receive local standard of care for STI prevention
Standard of Care
Eligibility Criteria
Age13 Years - 34 Years
Sexfemale
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)
You may qualify if:
Age 13-34 years, inclusive.
In good health as determined by past medical history, medication use, and targeted physical examination,
Planned date reported by the registry; this milestone is not confirmed as achieved.
Primary Completion
September 30, 2028
Estimated
The Rate of Incident Early Syphilis Infection
Testing will occur at each quarterly visit (week 13, 26, 39 and 52).
The Rate of Incident NG Infection
Testing will occur at each quarterly visit (week 13, 26, 39 and 52).
The Rate of Incident CT Infection
Testing will occur at each quarterly visit (week 13, 26, 39 and 52).
+10 more secondary outcomes
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If not living with HIV, negative HIV test conducted at screening
If living with HIV, on an antiretroviral regimen for ≥3 months
Report at least two of the following:
Treatment for a curable STI (not including HIV) in the past 12 months prior to screening.
Self-report of condomless (oral, vaginal, and/or anal) intercourse at least once in the 30 days prior to screening
Has had two or more partners in the past 6 months
≥ 45 kilograms (99 pounds) in weight
Anticipate living in the study area for 12 months and no plans for travel away from the study site for a time period that would interfere with product resupply and study participation
Willing to undergo all required study procedures that may include Directly/Video observed therapy (D/VOT); and
Provide written informed consent to participate in the study
If of legal age or otherwise able to provide independent informed consent as determined by local law and consistent with Institutional Review Board (IRB)/Ethics Committee (EC) policies: Willing and able to provide written informed consent for study participation.
If not of legal age or otherwise not able to provide independent informed consent as determined by local law and consistent with IRB/EC policies: Parent or legal guardian is willing and able to provide written informed consent for study participation and potential participant is willing and able to provide written assent for study participation.
You may not qualify if:
All adolescent and adult young women who meet any of the following criteria will be excluded from this study:
Is male.
Positive NAAT for CT or NG or with evidence of untreated syphilis infection.
Documented history of tetracycline allergy or self-reports an allergy to tetracyclines.
Current (within 30 days of Enrollment) or anticipated use of a medication with a contraindicated interaction to doxycycline (e.g., iron, barbiturates, phenytoin, lithium, carbamazepine, systemic retinoids, warfarin).
Current or planned use of doxycycline for a prolonged period (\> 2 weeks) in the 30 days prior to enrollment, including current prescription for doxycycline for STI prophylaxis.
Prolonged antibiotic use (\> 2 weeks) within the last 30 days prior to enrollment.
Pregnant, or breastfeeding.
Co-enrollment in any other concurrent interventional research or studies that may interfere with this study, unless approved by the Protocol Team in writing.
Any other medical condition, medical/behavioral intervention, or other conditions that, in the opinion of the clinical site Principal Investigator/Investigator of Record (PI/IoR) or designee, could interfere with adherence to study procedures or compromise interpretation of study results.
TetracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsQuality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
July 10, 2029
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
October 20, 2026
Record last verified: 2026-10
Data Sharing
IPD Sharing
Will not share
Source record
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Source: ClinicalTrials.gov.
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