Lyme Neuroborreliosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Neurological symptoms suggestive of LNB without other obvious reasons and one or both of a .Cerebrospinal fluid pleocytosis (>5 leukocytes/mm3) b. Intrathecal Bb antibody production 2.Signed informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 200 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 50
Exclusion criteria
Exclusion criteria: -?Age less than 18 years -?Pregnancy, breast-feeding -?Adverse reaction to tetracyclines -?Treatment with cephalosporin, penicillin, or tetracycline the last 14 days -?Serious liver or kidney disease that contraindicates use of doxycyline -?Lactose intolerance - Need to use medications contraindicated according to SmPC of the IMP
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To answer the question “is two weeks of doxycycline treatment (currently suggested treatment) at least as effective as six weeks doxycycline treatment in Lyme Neuroborreliosis?” ;Secondary Objective: 1. To provide a better understanding of the pathogenesis of LNB and long-term complaints 2. To search for new biomarkers in LNB 3. To collect clinical data, blood, and CSF from well-characterized LNB patients in a biobank for future research ;Primary end point(s): Composite clinical score ;Timepoint(s) of evaluation of this end point: Six months after ended treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: Adverse events during and 4 weeks after treatment FSS, PHQ-15, Blood and CSF findings six and 12 months after ended treatment In a subset of patients: MRI during treatment and six months after ended treatment Neuropsychological testing six months after ended treatment;Secondary end point(s): Fatigue Severity Scale (FSS) Patient Health Questionnaire (PHQ-15) Short Form 36 (SF-36) Blood and CSF findings MRI, and neuropsychological assessments in a subset of patients Adverse events | — |
Countries
Norway
Contacts
Sørlandet Sykehus HF