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Safety, Tolerability and Therapeutic Efficacy of Topical ZEP-3 Ointment (1.0%) for the Treatment of Cold Sores

Primary Purpose

Herpes Labialis

Status
Completed
Phase
Phase 2
Locations
Israel
Study Type
Interventional
Intervention
ZEP-3 ointment 1.0%
Acyclovir cream 5%
Sponsored by
Shulov Innovate for Science Ltd. 2012
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Herpes Labialis focused on measuring Herpes labialis, Cold sores, ZEP-3 ointment

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Prior to enrollment in this study, candidates must meet ALL of the following inclusion criteria:

  1. Patients suffering from recurrent Herpes labialis with history of at least 3 cold sores recurrences during the previous 12 months.
  2. Participants, either male or female are between 18 and 75 years of age.
  3. Patients arrive at the clinic with any symptom of an acute Herpes labialis episode.

    Or, patients arrive at the clinic within 48 hours of treatment initiation for a recurrent Herpes labialis episode.

  4. Patients with previous Herpes labialis episode must be healed for at least 14 days before baseline visit
  5. Patients with no history of reaction to topical products.
  6. Female subjects of childbearing potential must have a negative pregnancy test at screening and agree to use a proper contraceptive method during the study.
  7. Participant understands the nature of the procedure and is willing and able to comply with all requirement of the protocol.
  8. Patient is willing and able to provide written informed consent prior to any study procedure.

Exclusion Criteria:

  1. Subject has abnormal skin conditions or significant facial hair at or near the investigational area
  2. Subject has any body piercing in or around the area ordinarily affected by cold sores.
  3. Subjects with a history of cardiac abnormalities.
  4. Subject has a recent history of renal dysfunction or serious hepatic disease
  5. Subject has an active malignancy or immunodeficient disease
  6. Subject who is unwilling to stop using topical medical, OTC, cosmetics or facial skin care products in or around the oral area during the study period.
  7. Subject requires chronic use of immunomodifying drugs or topical steroids on or near the face.
  8. Subject requires chronic use of anti-viral medication.
  9. Subject requires chronic use of analgesics, pain medication or non-steroidal anti inflammatory agents (NSAIDs).
  10. History of allergic or adverse response to acyclovir, or any related anti-viral drug.
  11. Subject has had an infection with HSV-1 isolates know to be resistant to acyclovir, valacyclovir, famciclovir, or ganciclovir.
  12. Subject has had a herpes vaccine.
  13. Females during pregnancy, lactation or breastfeeding.
  14. Subject has a history of alcoholism or drug abuse within the preceding 12 months.
  15. Subject is currently enrolled in another clinical trial involving the use of a drug and/or a device.
  16. Any history which, in the Investigator's judgment, makes the subject ineligible or places the subject at undue risk.
  17. Subjects with immune deficiency conditions including acquired immune deficiency.

Sites / Locations

  • Dermatology out-patients clinic, Lev Hayasmin MC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

ZEP-3 ointment 1.0%

Acyclovir cream 5%

Arm Description

Topical administration

Topical administration

Outcomes

Primary Outcome Measures

Clinician-assessed "Time to healing"

Secondary Outcome Measures

Time for Herpes labialis recurrences

Full Information

First Posted
June 24, 2015
Last Updated
May 28, 2019
Sponsor
Shulov Innovate for Science Ltd. 2012
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1. Study Identification

Unique Protocol Identification Number
NCT02483182
Brief Title
Safety, Tolerability and Therapeutic Efficacy of Topical ZEP-3 Ointment (1.0%) for the Treatment of Cold Sores
Official Title
A Phase II, Randomized, Double-Blind, Parallel Group, Acyclovir-Controlled Study to Evaluate ZEP-3 Ointment for the Treatment of Cold Sores (Herpes Labialis).
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
September 2015 (undefined)
Primary Completion Date
June 24, 2018 (Actual)
Study Completion Date
June 24, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shulov Innovate for Science Ltd. 2012

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase II, prospective, randomized, double-blind, parallel group, acyclovir-controlled clinical study to evaluate the safety, tolerability and preliminary therapeutic efficacy of ZEP-3 ointment 1.0% for the treatment of cold sores (Herpes labialis), following five consecutive treatment days with five times daily topical administration.
Detailed Description
The primary endpoint of this study are: "Time to healing" - Clinician-assessed duration in days of herpes labialis episode. Patient-assessed duration and intensity of pain by Visual Analog Scale (VAS). Safety and tolerability following five consecutive treatment days with five times daily topical administration. The secondary endpoints of this study are: Proportion of subjects with non - ulcerative herpes lesion. Time for herpes labialis recurrences Subject safety will be assessed following treatment by ZEP-3 ointment 1.0% or acyclovir cream 5% treatment, using measurements of the following variables: Physical examination, Vital Signs (HR, BP, Body temperature), Adverse events recording and Concomitant medications

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Herpes Labialis
Keywords
Herpes labialis, Cold sores, ZEP-3 ointment

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
210 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZEP-3 ointment 1.0%
Arm Type
Experimental
Arm Description
Topical administration
Arm Title
Acyclovir cream 5%
Arm Type
Active Comparator
Arm Description
Topical administration
Intervention Type
Drug
Intervention Name(s)
ZEP-3 ointment 1.0%
Intervention Type
Drug
Intervention Name(s)
Acyclovir cream 5%
Other Intervention Name(s)
Zovirax
Primary Outcome Measure Information:
Title
Clinician-assessed "Time to healing"
Time Frame
Up to 14 days
Secondary Outcome Measure Information:
Title
Time for Herpes labialis recurrences
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Prior to enrollment in this study, candidates must meet ALL of the following inclusion criteria: Patients suffering from recurrent Herpes labialis with history of at least 3 cold sores recurrences during the previous 12 months. Participants, either male or female are between 18 and 75 years of age. Patients arrive at the clinic with any symptom of an acute Herpes labialis episode. Or, patients arrive at the clinic within 48 hours of treatment initiation for a recurrent Herpes labialis episode. Patients with previous Herpes labialis episode must be healed for at least 14 days before baseline visit Patients with no history of reaction to topical products. Female subjects of childbearing potential must have a negative pregnancy test at screening and agree to use a proper contraceptive method during the study. Participant understands the nature of the procedure and is willing and able to comply with all requirement of the protocol. Patient is willing and able to provide written informed consent prior to any study procedure. Exclusion Criteria: Subject has abnormal skin conditions or significant facial hair at or near the investigational area Subject has any body piercing in or around the area ordinarily affected by cold sores. Subjects with a history of cardiac abnormalities. Subject has a recent history of renal dysfunction or serious hepatic disease Subject has an active malignancy or immunodeficient disease Subject who is unwilling to stop using topical medical, OTC, cosmetics or facial skin care products in or around the oral area during the study period. Subject requires chronic use of immunomodifying drugs or topical steroids on or near the face. Subject requires chronic use of anti-viral medication. Subject requires chronic use of analgesics, pain medication or non-steroidal anti inflammatory agents (NSAIDs). History of allergic or adverse response to acyclovir, or any related anti-viral drug. Subject has had an infection with HSV-1 isolates know to be resistant to acyclovir, valacyclovir, famciclovir, or ganciclovir. Subject has had a herpes vaccine. Females during pregnancy, lactation or breastfeeding. Subject has a history of alcoholism or drug abuse within the preceding 12 months. Subject is currently enrolled in another clinical trial involving the use of a drug and/or a device. Any history which, in the Investigator's judgment, makes the subject ineligible or places the subject at undue risk. Subjects with immune deficiency conditions including acquired immune deficiency.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shemer Avner, Prof., M.D.
Organizational Affiliation
Dermatology out-patients clinic, Lev Hayasmin - Medical center, Natanya, ISRAEL
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dermatology out-patients clinic, Lev Hayasmin MC
City
Netanya
Country
Israel

12. IPD Sharing Statement

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Safety, Tolerability and Therapeutic Efficacy of Topical ZEP-3 Ointment (1.0%) for the Treatment of Cold Sores

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