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Botulinum Toxin A for Herpes Labialis

Primary Purpose

Herpes Labialis

Status
Terminated
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
onabotulinumtoxinA
Bacteriostatic normal saline
Sponsored by
DeNova Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Herpes Labialis focused on measuring HSV-1, Herpes labialis, Cold sores, Fever blisters

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males or females between the ages of 18 and 64.
  • Have herpes simplex virus 1 (HSV-1) with between 2-6 herpes labialis recurrences per year.
  • Willingness and ability to comply with protocol requirements, including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study.
  • Subjects of childbearing potential must have a negative urine pregnancy test result at Visit 1 and be willing able to use an acceptable method of birth control (e.g., barrier methods used with a spermicidal agent, hormonal methods, IUD, surgical sterilization, abstinence) during the study. Women will not be considered of childbearing potential if one of the following is documented on the medical history:
  • postmenopausal for at least 12 months prior to study drug administration
  • without a uterus and/or both ovaries
  • has had a bilateral tubal ligation for at least 6 months prior to study drug administration.
  • absence of an other physical condition according to the PI's discretion
  • Willingness and ability to provide written photo consent and adherence to photography procedures (i.e., removal of jewelry and makeup).
  • Willingness and ability to provide written informed consent prior to performance of any study related procedure.

Exclusion Criteria:

  • Subjects who are pregnant, nursing, planning to become pregnant, and/or not using a reliable form of birth control.
  • Subjects with a known allergy or sensitivity to any component of the study medications or anesthesia.
  • Active recurrence of herpes labialis.
  • Botulinum toxin to the lower 1/3 of the face with the past 6 months.
  • Significant concurrent illness such as diabetes, epilepsy, lupus, or congestive heart failure.
  • Concurrent skin condition affecting area to be treated.
  • Prior surgery on the area to be treated within 3 months of initial treatment or during the study.
  • History or evidence of keloids or hypertrophic scarring.
  • Current use of antivirals for the treatment of herpes labialis within 2 weeks prior to initiation of treatment (e.g., acyclovir, valaciclovir, famciclovir, and penciclovir).
  • Topical use of over-the-counter medications for the treatment or prevention of HSV-1 (e.g., Abreva).
  • Subjects currently using aminoglycoside antibiotics, curare-like agents or other agents that might interfere with neuromuscular function.
  • Subjects with a diagnosis of Myasthenia Gravis, Eaton-Lambert Syndrome, Amyotrophic Lateral Sclerosis, or any other disease that might interfere with neuromuscular function or current facial palsy.
  • Current history of chronic drug or alcohol abuse.
  • Concurrent therapy that, in the investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study medication.
  • Subjects who, in the Investigator's opinion, have a history of poor cooperation, non-compliance with medical treatment or unreliability.
  • Enrollment in any active study involving the use of investigational devices or drugs.

Sites / Locations

  • DeNova Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

onabotulinumtoxinA/placebo

Bacteriostatic normal saline/ onabotulnimtoxinA

Arm Description

Patients will be injected every 3 months with onabotulinumtoxinA for a period of 12 months. At the 12 month visit, patients will receive injections of saline.

Patients will be injected every 3 months with saline for a period of 12 months. At the 12 month visit, patients will receive injections of onabotulnimtoxinA.

Outcomes

Primary Outcome Measures

Measurement of Recurrence and Duration of Herpes Labialis Lesions
Days between last injection and outbreak onset & Days between onset and recurrence

Secondary Outcome Measures

Measurement of Lesion Size
Lesions will be measured in millimeters across the maximal lesion length in mm
Pain Assessment
Each day of a recurrence of herpes labialis, the subject will document his/her pain level in the diary according to the Visual Analog Scale for pain (VAS) by placing a straight line intersecting the pain line. The scale will be 10 cm long and the distance from start to mark will be measured in millimeters. Score range is 0-10. Scores closer to 0 signify lower pain levels and scores closer to 10 signify high pain levels
Symptom Evaluation
Each day of a recurrence of herpes labialis, the subject will document his/her pain level in the diary according to a 4-point scale ((0) none, (1) mild, (2) moderate, (3) severe). Scores closer to 0 indicate a more favorable outcome.

Full Information

First Posted
October 19, 2010
Last Updated
November 24, 2020
Sponsor
DeNova Research
Collaborators
Allergan
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1. Study Identification

Unique Protocol Identification Number
NCT01225341
Brief Title
Botulinum Toxin A for Herpes Labialis
Official Title
A Double-Blind, Randomized, Placebo Controlled, Crossover Study to Assess the Safety and Efficacy of Botulinum Toxin A Injections as a Preventative Measure for Herpes Labialis.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Terminated
Why Stopped
Too many patients withdrew/lost to follow up
Study Start Date
August 2010 (Actual)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
June 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
DeNova Research
Collaborators
Allergan

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the efficacy and safety of Botulinum Toxin Type A as a preventative measure for Herpes Labialis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Herpes Labialis
Keywords
HSV-1, Herpes labialis, Cold sores, Fever blisters

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
onabotulinumtoxinA/placebo
Arm Type
Experimental
Arm Description
Patients will be injected every 3 months with onabotulinumtoxinA for a period of 12 months. At the 12 month visit, patients will receive injections of saline.
Arm Title
Bacteriostatic normal saline/ onabotulnimtoxinA
Arm Type
Placebo Comparator
Arm Description
Patients will be injected every 3 months with saline for a period of 12 months. At the 12 month visit, patients will receive injections of onabotulnimtoxinA.
Intervention Type
Drug
Intervention Name(s)
onabotulinumtoxinA
Other Intervention Name(s)
Botox
Intervention Description
Botox® is supplied in a 100 U vial and will be reconstituted with 3.3 mL of 0.9% Sodium Chloride Injection USP to yield a solution of 3 U per 0.1 mL. Study treatment will consist of an injection of Botox® (onabotulinumtoxinA) (3 U/ 0.1 mL) into the orbicularis oris muscle (8 U, .27 mL in the upper and/or lower lip, depending on the site of recurrence) using a 30G needle.
Intervention Type
Other
Intervention Name(s)
Bacteriostatic normal saline
Other Intervention Name(s)
Saline
Intervention Description
Study treatment will consist of an injection of bacteriostatic normal saline, into the orbicularis oris muscle (8 U, .27 mL in the upper and/or lower lip, depending on the site of recurrence) using a 30G needle.
Primary Outcome Measure Information:
Title
Measurement of Recurrence and Duration of Herpes Labialis Lesions
Description
Days between last injection and outbreak onset & Days between onset and recurrence
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Measurement of Lesion Size
Description
Lesions will be measured in millimeters across the maximal lesion length in mm
Time Frame
12 months
Title
Pain Assessment
Description
Each day of a recurrence of herpes labialis, the subject will document his/her pain level in the diary according to the Visual Analog Scale for pain (VAS) by placing a straight line intersecting the pain line. The scale will be 10 cm long and the distance from start to mark will be measured in millimeters. Score range is 0-10. Scores closer to 0 signify lower pain levels and scores closer to 10 signify high pain levels
Time Frame
During outbreak
Title
Symptom Evaluation
Description
Each day of a recurrence of herpes labialis, the subject will document his/her pain level in the diary according to a 4-point scale ((0) none, (1) mild, (2) moderate, (3) severe). Scores closer to 0 indicate a more favorable outcome.
Time Frame
During outbreak

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males or females between the ages of 18 and 64. Have herpes simplex virus 1 (HSV-1) with between 2-6 herpes labialis recurrences per year. Willingness and ability to comply with protocol requirements, including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study. Subjects of childbearing potential must have a negative urine pregnancy test result at Visit 1 and be willing able to use an acceptable method of birth control (e.g., barrier methods used with a spermicidal agent, hormonal methods, IUD, surgical sterilization, abstinence) during the study. Women will not be considered of childbearing potential if one of the following is documented on the medical history: postmenopausal for at least 12 months prior to study drug administration without a uterus and/or both ovaries has had a bilateral tubal ligation for at least 6 months prior to study drug administration. absence of an other physical condition according to the PI's discretion Willingness and ability to provide written photo consent and adherence to photography procedures (i.e., removal of jewelry and makeup). Willingness and ability to provide written informed consent prior to performance of any study related procedure. Exclusion Criteria: Subjects who are pregnant, nursing, planning to become pregnant, and/or not using a reliable form of birth control. Subjects with a known allergy or sensitivity to any component of the study medications or anesthesia. Active recurrence of herpes labialis. Botulinum toxin to the lower 1/3 of the face with the past 6 months. Significant concurrent illness such as diabetes, epilepsy, lupus, or congestive heart failure. Concurrent skin condition affecting area to be treated. Prior surgery on the area to be treated within 3 months of initial treatment or during the study. History or evidence of keloids or hypertrophic scarring. Current use of antivirals for the treatment of herpes labialis within 2 weeks prior to initiation of treatment (e.g., acyclovir, valaciclovir, famciclovir, and penciclovir). Topical use of over-the-counter medications for the treatment or prevention of HSV-1 (e.g., Abreva). Subjects currently using aminoglycoside antibiotics, curare-like agents or other agents that might interfere with neuromuscular function. Subjects with a diagnosis of Myasthenia Gravis, Eaton-Lambert Syndrome, Amyotrophic Lateral Sclerosis, or any other disease that might interfere with neuromuscular function or current facial palsy. Current history of chronic drug or alcohol abuse. Concurrent therapy that, in the investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study medication. Subjects who, in the Investigator's opinion, have a history of poor cooperation, non-compliance with medical treatment or unreliability. Enrollment in any active study involving the use of investigational devices or drugs.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steven H Dayan, MD
Organizational Affiliation
DeNova Research/ Chicago Center for Facial Plastic Surgery
Official's Role
Principal Investigator
Facility Information:
Facility Name
DeNova Research
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.denovaresearch.com
Description
DeNova Research

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Botulinum Toxin A for Herpes Labialis

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