About this trial
This study aims to test the effectiveness of using of SpeeDx Resistance Plus assay to guide treatment of Neisseria gonorrhoeae (Ng) in a sexual health clinic setting.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
English speaking
Have access to the internet (via computer or phone) on at least a weekly basis
Asymptomatic (as defined below)
Disqualifiers
Urogenital symptoms consistent with a sexual transmitted infection (other than vaginitis associated with trichomonas vaginalis, bacterial vaginosis or yeast). Symptoms consistent with cervicitis, urethritis, or PID will not be offered enrollment.
Antibiotic use within the last 2 weeks
Contact to syphilis
Contact to an STI and are unwilling to defer empiric treatment until diagnostic test results return
Trial design
Single group
Treatments tested in this trial
Ciprofloxacin 500 mg
DrugCiprofloxacin 500 MG, taken once orally.
Treatment groups
Trial outcomes
Primary outcomes
Determine the number and proportion of Neisseria Gonorrhea (NG) cases that can be cured with ciprofloxacin
Number and proportion of patients who test positive for Neisseria Gonorrhea (NG) and are gyrA wildtype of all patients enrolled/screened for NG
To determine the effectiveness of treating patients with Neisseria Gonorrhea gyrA wildtype with Ciprofloxacin 500 mg orally once
Number and proportion of NG-positive patients with gyrA wildtype who are cured (i.e. have negative test of cure results) with 500mg ciprofloxacin overall and by anatomic site
Secondary outcomes
To confirm the SpeeDx gyrA Cipro-susceptibility prediction accuracy as compared to phenotypic susceptibility result
Percent concordance of gyrA result (molecular diagnostic) and the ciprofloxacin minimal inhibitory concentration (MIC) (aka. phenotypic antimicrobial susceptibility testing)
To determine time from screening to treatment using SpeeDx gyrA assay
Number of days between screening and treatment by treatment group (Ciprofloxacin or Standard of care)
Sponsors and contacts
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