Lyme Disease, the most prevalent tickborne infectious disease in the United States, is caused by the bacterium Borrelia burgdorferi. This bacterial infection is transmitted through infected tick bites. Each year, the Centers for Disease Control and Prevention estimates that around 476,000 individuals in the U.S. are diagnosed with Lyme Disease. Notably, between 10 and 20% of these patients continue to experience symptoms known as post-treatment Lyme disease syndrome.
Patients like you play an important role in advancing the understanding of Lyme disease and other tick-borne illnesses and the discovery of new or improved treatments by participating in a clinical trial. There are many reasons why people volunteer to take part in a clinical trial. All who volunteer contribute valuable information that will help researchers find better treatments and diagnostic tests that may improve lives.
NEW! Treatment Trial. This pilot research study is being conducted by the Johns Hopkins University Lyme Disease Research Center. Now enrolling participants with a history of Lyme disease who continue to have persistent symptoms after treatment. This study is designed to estimate the feasibility, tolerability, and response of fatigue to treatment with tetracycline. Learn More.
“I volunteered because the information researchers learn from me today will help others with Lyme disease in the future.”Sara
“I participated in a clinical trial to gain access to a new treatment for Lyme disease.”George
“Both healthy volunteers and patients with Lyme disease who participate in clinical research help make medical advances for the future.”Dr. Sellati GLA Chief Scientific Officer
Clinical research is the study of health and illness in people. Clinical trials are part of a lengthy, careful process done by researchers to determine whether a new treatment is safe and effective. When you volunteer to participate in a clinical trial, you help doctors and researchers learn more about Lyme disease and/or other tick-borne diseases. Your participation in a clinical trial may help improve your health and the health of others who are living with Lyme and other tick-borne illnesses, now and in the future. With your help, there could one day be a Lyme Disease vaccine!
There are many terms that are used to describe clinical research, including:
Clinical research involves people. Clinical trials are sometimes referred to as a clinical study or clinical research study or simply a study; the terms are often used interchangeably, but there are differences between a clinical trial and a clinical study.
Test treatments or drug combinations to alleviate or reduce symptoms of Lyme disease or other tick-borne illnesses.
Some of these symptoms could include:
Focus on finding better ways to accurately diagnose Lyme disease or other tick-borne illnesses, particularly in the early (acute) stage.
Test approaches to prevent the onset of Lyme disease or other tick-borne illnesses from developing or returning. Prevention trials may study new medicines, investigational vaccines, lifestyle changes, and other interventions.
In a clinical study, also known as an observational study, researchers collect data based on what is seen in groups of participants e.g. researchers “observe” study participants. Participants may receive treatments or procedures as part of their routine medical care, but study participants are not assigned to specific treatments or procedures by the Principal Investigator (as in a clinical trial).
Refers to the practice of looking for better ways to identify a disorder or condition.
Explore ways to improve comfort and the quality of life for individuals living with Lyme disease.
Aim to improve the prediction of disorders by identifying and understanding how genes and illnesses may be related. Research in this area may explore ways in which a person’s genes make him or her more or less likely to develop a disorder. This may lead to the development of tailor-made treatments based on a patient’s genetic makeup.
The overall purpose of clinical research is to find new, improved, and safe methods of treating, preventing, screening for, and diagnosing a disease. Clinical research is vital to the development of new Lyme disease treatments and diagnostics as well as helping doctors and researchers gain a better understanding of the biology and impact of the disease.
For ease of understanding, we refer to clinical trials and observational studies simply as a “clinical trial”.
Before a new treatment is approved for use in the U.S. it must go through a lengthy clinical trial process that includes multiple phases.
A Phase I clinical trial is usually the first time the treatment under investigation is delivered to human beings. The new treatment is delivered to a small group of healthy volunteers, usually 20 – 80 participants. The goal of a Phase I clinical trial is to establish the highest dose of the treatment under investigation that can be safely given without serious side effects. In addition to safety, Phase I clinical trials yield important information on the effectiveness of a chosen delivery method (e.g., by mouth, injection, etc.).
In some disease states, patients will be given the treatment under investigation instead of healthy volunteers.
The treatment under investigation is given to a larger group (100-300) of patient volunteers (individuals with the disease the treatment is intended to treat) to determine its efficacy (ability to work in the intended disease). Phase II clinical trials continue to evaluate safety and identify the more common side effects of the new treatment.
The new treatment is given to large groups of patient volunteers (individuals with the disease the treatment is intended to treat) to confirm its effectiveness compared to other FDA-approved treatments and to continue to monitor side effects.
Usually, hundreds to thousands of patient volunteers participate in Phase III clinical trials.
Once the drug completes Phases I-III the trial results are submitted to the U.S. Food and Drug Administration (FDA) for approval. If the FDA agrees the results are positive, it will grant approval and the treatment will become commercially available.
Only after FDA approval can the medicine be prescribed by an M.D. for use by their patients.
After the new treatment is approved by the FDA, real-world studies continue for an extended time usually years. The new treatment is studied in large, diverse groups of patients to monitor the long-term outcomes and side effects.
Everything that happens in each phase of a clinical trial follows a plan detailed in a study plan, also referred to as a protocol, which describes the following:
The study plan (protocol) is reviewed and approved by an independent ethics committee, known as an Institutional Review Board (IRB), before the study can begin. The purpose of the Institutional Review Board (IRB) is to protect the rights and welfare of people that participate in a clinical trial. The ethics committee carefully reviews the clinical trial to ensure a balance between the potential benefits of the research with the risks to participants.
Throughout the entire clinical trial experience, there are many other people who provide oversight to safeguard study participants. A Principal Investigator – the person that conducts the clinical trial at a healthcare center. The sponsoring organization that develops the study plan and funds the research, the study doctor(s) and nurses who provide care to study participants.
The agency responsible for ensuring drugs, medical devices, and equipment are safe and effective.
An IRB is an independent ethics committee that oversees clinical trials. They review and approve the clinical trial before it is presented to potential study participants. An IRB’s primary role is to ensure the safety of study participants. The research team regularly updates the IRB on the progress of the clinical trial including safety information.
A Sponsor is an individual, institution, company, government agency, or other organization that is responsible for initiating, managing, and/or financing the clinical trial but does not conduct the clinical trial.
Describes a clinical trial. It includes the purpose, objectives, design, methods, inclusion and exclusion criteria, and details the activities required of study participants.
As a study participant, you will work closely with the research team that is led by a Principal Investigator (PI). The PI implements the study plan and may analyze the data and report the results of the clinical trial. Members of the research team regularly monitor the participant’s health and well-being to determine the safety and effectiveness of the research. A clinical trial may take place at a hospital, doctor’s office, or clinical research center.
All clinical trials have guidelines about who can participate, called inclusion criteria. The plan will also have factors that disqualify a person from taking part, called exclusion criteria. These standards include parameters such as age, gender, type and stage of disease, previous treatment history, and other medical conditions. Only those people who meet all of the inclusion criteria and none of the exclusion criteria can participate in a clinical trial.
The selection criteria ensure that researchers are studying the right people to help find answers to important medical questions.
If you are interested in volunteering, first find out if you are right for that clinical trial and if the clinical trial is right for you.
The safety and well-being of study participants are top priorities for the entire research team. If you choose to participate in a clinical trial, your health will be closely monitored, and your care will be adjusted if the research team thinks it’s in your best interest. If you decide at any point to end your study participation, you may do so in consultation with the PI and research team.
It’s important to learn all you can about a clinical trial before you participate. Understanding the purpose of the clinical trial and what you can expect will help you have a conversation with your treating doctor and family to decide if participating is right for you.
Informed consent is the process that helps you learn key facts about the clinical trial before deciding if you want to participate. The information will include details about the clinical trial, such as its purpose, risks, and potential benefits, the length of time you will be in the clinical trial, required procedures, and other important information. If you decide to participate in the clinical trial, you will be asked to sign the informed consent form.