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Multicentre Study Evaluating the Efficacy of a 7-day Course of Doxycycline for the Treatment of Asymptomatic Anal Lymphogranuloma Venereum.
Sponsor: University Hospital, Bordeaux
Summary
Lymphogranuloma venereum (LGV) is a sexually transmitted infection (STI) caused by the L genotypes of C. trachomatis. Proctitis is the main clinical manifestation of infection in the current LGV epidemic. However, recent European studies reported that about 25% of the anal LGV infections are asymptomatic. In France, asymptomatic anal LGV increased from 36.1% (44/124) in 2020 to 52.4% (66/126) in 2022. LGV testing is recommended on all C. trachomatis-positive anorectal specimens because therapy of extended duration is required. Patients with anal C. trachomatis infection should be treated initially with 7-day course of doxycycline (200 mg per day orally) while awaiting the results of LGV testing. Treatment should be extended to 21 days in cases of LGV according to current European and USA guidelines for LGV treatment. This regimen is indicated for symptomatic and asymptomatic anorectal LGV, with a 98.5% treatment efficacy. However, there is no obvious biological basis for prolonged treatment of asymptomatic LGV. Three recent retrospective studies showed that a 7-day course of doxycycline was effective for the treatment of asymptomatic LGV, with microbial cure ranging from 97% (38/39) to 100% (54/54). The objective of this study is to evaluate the efficacy (microbiological cure rate) of a 7-day course of doxycycline 200 mg daily orally for the treatment of asymptomatic anal LGV infection, four weeks after treatment initiation.
Official title: Multicentre Study Evaluating the Efficacy of a 7-day Course of Doxycycline for the Treatment of Asymptomatic Anal Lymphogranuloma Venereum
Key Details
Gender
MALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
120
Start Date
2026-09
Completion Date
2027-11
Last Updated
2026-08-17
Healthy Volunteers
No
Interventions
Doxycline
Doxycycline 200 mg daily orally for seven days
Locations (14)
University Hospital, Bordeaux, Department of Infectious Diseases
Bordeaux, France
Hopital François Mitterrand, Centres Gratuits D'Information, de Depistage Et de Diagnostic (Ceggid)
Dijon, France
Hospices Civils de Lyon, Centres Gratuits D'Information, de Depistage Et de Diagnostic (Ceggid)
Lyon, France
Service de Prevention Aupres Des Jeunes, Ceggid
Marseille, France
Hopital Intercommunal Andre Gregoire - Ght , Centres Gratuits D'Information, de Depistage Et de Diagnostic (Ceggid)
Montreuil, France
Chu de Nantes, Maladies Infectieuses (Cpmit)
Nantes, France
Hotel-Dieu, Service Des Maladies Infectieuses Et Tropicales
Paris, France
Hopital La Pite Salpetriere, Service Des Maladies Infectieuses Et Tropicales
Paris, France
Hopital Bichat - Claude Bernard, Ceggid
Paris, France
Hopital Bichat - Claude Bernard, Service Des Maladies Infectieuses Et Tropicales
Paris, France
Hopital Saint-Louis, Service Des Maladies Infectieuses Et Tropicales
Paris, France
Chu Toulouse Purpan, Service Des Maladies Infectieuses Et Tropicales
Toulouse, France
Centre Hospitalier de Tourcoing, Ceggid
Tourcoing, France
Centre Hospitalier de Tourcoing, Service Des Maladies Infectieuses Et Tropicales
Tourcoing, France