Comprehensive Ambulatory Antibiotics for the Treatment of Congenital Syphilis

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age0-7
SponsorLondon School of Hygiene and Tropical Medicine

About this trial

CARES-1 is a randomised, open-label, phase II pharmacokinetic (PK) and safety study of ambulatory antibiotics for the treatment of neonates with "all-risk" asymptomatic congenital syphilis.

Eligibility criteria

Qualifiers

an infant born to a mother who tests positive for syphilis in pregnancy using registered and licensed locally-available diagnostic tests for example but not limited to a Treponemal rapid POCT, an RPR or both.

Infants who are asymptomatic for a diagnosis of congenital syphilis following application of a clinical proforma by the study team (Appendix 1)

Infants who are less than <= 7 days of life AND with a post-menstrual age (PMA) of 34-42 weeks (Appendix 2).

Infants who are tolerating enteral feeds, including if they are being administered by an NG tube.

Disqualifiers

None

Trial design

Treatments tested in this trial

  • Linezolid (LZD)
  • Amoxicillin
  • Benzathine Penicillin G

Treatment groups

90 Participants
are divided into 3 treatment groups

Sponsors and collaborators

London School of Hygiene and Tropical Medicine

Lead sponsor

University College Dublin

Collaborator

University of Stellenbosch

Collaborator

Malawi Liverpool Wellcome Programme

Collaborator

University of Sydney

Collaborator

Murdoch Childrens Research Institute

Collaborator

MRC CTU at UCL

Collaborator

PHPT/AMS Laboratory, Faculty of Associated Medical Sciences, Chiang Mai University

Collaborator