- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00132327
Analysis of Lyme Disease Lesions
Analysis of Erythema Migrans Lesions
This study will analyze cells from erythema migrans lesions, the "bull's eye" rash of Lyme disease. Little is known about what happens in the skin when it is infected with Borrelia burgdorferi, the bacteria that cause Lyme disease. This study will examine and compare laboratory findings in skin biopsies from people with Lyme disease and from healthy normal volunteers to try to better understand the infection.
Healthy volunteers and people with untreated erythema migrans rash who are 18 years of age or older may be eligible for this study.
All participants undergo a clinical examination, blood tests, between two to four skin biopsies (removal of a small piece of tissue for laboratory examination), and complete two health questionnaires. The biopsies are taken from the erythema migrans lesion in patients with Lyme disease and from skin on the legs, forearms, buttocks, or side from healthy volunteers. To collect the tissue, the skin at the biopsy site is numbed with injection of a local anesthetic and a sharp instrument is then used to remove a round plug of skin about the size of a pencil eraser. The wound may be closed with one or two sutures, or allowed to heal without sutures. The sutures are removed after a week to 10 days.
Patients with Lyme disease receive treatment for their condition. In addition, at the time the sutures are removed and at 4 weeks, 6 months, and 12 months after their first visit they fill out a questionnaire and have additional blood tests.
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Maryland
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Bethesda, Maryland, United States, 20892
- National Institutes of Health Clinical Center, 9000 Rockville Pike
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
- INCLUSION CRITERIA:
Patients:
Age greater than or equal to 18 years
Diagnosis of EM - an expanding annular lesion, at least 5 cm in diameter on a person with a history of exposure to the disease.
Exposure is defined as having been (less than or equal to 30 days before onset of EM) in wooded, brushy, or grassy areas (i.e., potential tick habitats) in an area in which Lyme disease is endemic.
A history of tick bite is not required.
The area of the erythema migrans lesion is suitable for biopsy. This excludes biopsies on the face, neck, scalp, and over the tibia.
Not know to be positive for RPR, HIV, HBsAg or HCV
Able to give consent
Healthy Volunteers:
Age greater than or equal to 18 years
Not positive for RPR, HIV, HBsAg or HCV.
Able to give consent
EXCLUSION CRITERIA:
Patients:
Antibiotic therapy for the current episode of Lyme disease
Oral corticosteroids within the past 2 weeks
History of severe skin disease (such as psoriasis, atopic dermatitis) in the last year.
Diagnosis of diabetes, active cancer, or autoimmune diseases.
Investigational drugs in the past month
History of forming large thick scars after skin injuries or surgery
History of excessive bleeding after cuts or procedures or on anticoagulation.
Use of steroid cream/ointment at the rash.
Healthy Volunteers:
History of Lyme disease, or serological evidence for Lyme disease
No oral corticosteroids within the past 2 weeks
History of severe skin disease (such as psoriasis, atopic dermatitis) in the last year.
Diagnosis of diabetes, cancer, autoimmune diseases.
Investigational drugs in the past month
History of forming large thick scars after skin injuries or surgery
No history of excessive bleeding after cuts or procedures or on anticoagulation.
Study Plan
How is the study designed?
Collaborators and Investigators
Publications and helpful links
General Publications
- Centers for Disease Control and Prevention (CDC). Lyme disease--United States, 2001-2002. MMWR Morb Mortal Wkly Rep. 2004 May 7;53(17):365-9.
- Fraser CM, Casjens S, Huang WM, Sutton GG, Clayton R, Lathigra R, White O, Ketchum KA, Dodson R, Hickey EK, Gwinn M, Dougherty B, Tomb JF, Fleischmann RD, Richardson D, Peterson J, Kerlavage AR, Quackenbush J, Salzberg S, Hanson M, van Vugt R, Palmer N, Adams MD, Gocayne J, Weidman J, Utterback T, Watthey L, McDonald L, Artiach P, Bowman C, Garland S, Fuji C, Cotton MD, Horst K, Roberts K, Hatch B, Smith HO, Venter JC. Genomic sequence of a Lyme disease spirochaete, Borrelia burgdorferi. Nature. 1997 Dec 11;390(6660):580-6. doi: 10.1038/37551.
- Casjens S, Palmer N, van Vugt R, Huang WM, Stevenson B, Rosa P, Lathigra R, Sutton G, Peterson J, Dodson RJ, Haft D, Hickey E, Gwinn M, White O, Fraser CM. A bacterial genome in flux: the twelve linear and nine circular extrachromosomal DNAs in an infectious isolate of the Lyme disease spirochete Borrelia burgdorferi. Mol Microbiol. 2000 Feb;35(3):490-516. doi: 10.1046/j.1365-2958.2000.01698.x.
Study record dates
Study Major Dates
Study Start
Study Completion
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Skin Diseases
- Infections
- Stomatognathic Diseases
- Mouth Diseases
- Vector Borne Diseases
- Gram-Negative Bacterial Infections
- Bacterial Infections
- Bacterial Infections and Mycoses
- Skin Diseases, Infectious
- Skin Manifestations
- Skin Diseases, Bacterial
- Tick-Borne Diseases
- Borrelia Infections
- Spirochaetales Infections
- Tongue Diseases
- Glossitis
- Erythema
- Lyme Disease
- Erythema Chronicum Migrans
- Glossitis, Benign Migratory
Other Study ID Numbers
- 050219
- 05-I-0219
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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