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Trial on Efficacy and Safety of Pritelivir Ointment for Treatment of Labial Herpes (LipP1)

Primary Purpose

Herpes Labialis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Pritelivir 5% w/w ointment
Pritelivir ointment matching placebo
Zovirax® cream
Sponsored by
AiCuris Anti-infective Cures AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Herpes Labialis focused on measuring HSV, pritelivir, herpes, herpes labialis, topical,

Eligibility Criteria

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

Inclusion Criteria:

  • Healthy men and women of any ethnic group aged ≥18 years ;
  • Subjects should have experienced ≥4 recurrences of herpes labialis in the previous 12-months period;
  • Subjects should have experienced prodromal symptoms in at least 50% of recurrent Herpes labialis (rHL) episodes and should have developed ulcerative lesions that have progressed through vesicle, ulcer, and crust stages in at least 50% of the episodes;
  • Willingness not to use any topical application (such as cosmetics, lip balm, sunscreens etc…) other than the trial medication in the area of lesion development from start of prodromal symptoms to complete healing;
  • Willingness not to use any systemic and topical anti-Herpes Simplex Virus (HSV) agent during the trial participation including prescription and over-the-counter (OTC) products;
  • Willingness not to use any systemic, anti-inflammatory or analgesic agents from start of prodromal symptoms to healing;
  • Willingness to refrain from mechanical disruption (ie, scrubbing, lancing, shaving) of the prodromal area or lesion after start of treatment with trial medication until end of the trial participation;
  • Women of child bearing potential and males must use adequate contraception;
  • Subject must give written informed consent.
  • Subjects with current lesion may be enrolled, but they must not treat the lesion present at screening/randomization with the trial medication; they should be instructed to wait for their next subsequent lesion

Exclusion Criteria:

  • Known intolerance to pritelivir or any of the ointment ingredients;
  • Known intolerance to Zovirax® Cream or any of the ingredients (ie, acyclovir, cetostearyl alcohol, mineral oil, poloxamer 407, propylene glycol, sodium lauryl sulfate, and white petrolatum) or valacyclovir;
  • Any skin conditions that could interfere with the assessment of herpes labialis recurrences (eg, eczema, psoriasis, acne etc…)
  • Any other condition which in the opinion of the Investigator would interfere with successful completion of this clinical trial
  • Pregnant and/or breastfeeding women
  • Participation in any investigational drug trial within the last 30 days before randomization for this clinical trial
  • Previous treatment with pritelivir tablets
  • Previous participation in a HSV vaccination Trial unless having received placebo.
  • Clinically relevant ECG abnormalities (eg, QTc according to Fridericia: QTcF > 450 ms for males and QTcF > 470 ms for females; PR > 220 ms) at screening.
  • Clinically relevant abnormalities in laboratory indices at screening which in the opinion of the investigator might have an impact on the safety and evaluability of the subject.
  • Known chronic infections which in the opinion of the investigator might have an impact on the safety and evaluability of the subject.
  • Evidence of active malignancy or immunodeficiency disease, or require chronic use of immunosuppressive drugs (eg, systemic steroids) or topical steroids, or chronically use antiviral medication with activity against HSV.
  • HIV positive based on screening labs.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Active Comparator

Arm Label

Pritelivir 5% w/w ointment

Pritelivir ointment matching placebo

Zovirax® cream

Arm Description

Topical treatment (20 applications), 5 times daily for 4 days

Topical treatment (20 applications), 5 times daily for 4 days

Topical treatment (20 applications), 5 times daily for 4 days

Outcomes

Primary Outcome Measures

Efficacy Measured by Percentage of Subjects With Non-ulcerative Lesions Based on Principal Investigator's Assessment
The Investigator assessed subjects for lesion stage at every visit as long as lesions were present from Visit 1 to the End of Trial Visit (Day 12± 1) as a maximum. Percentage of subjects with non-ulcerative lesions (i.e, scoring below 3) based on the Principal Investigators Assessment. Lesion stages were defined as follows: 1-Prodrome; 2a-Redness; 2b-Erythema-Redness; 3-Small Blister; 4-Ulcer; 5-Crust; 6-Drying up and healing; 0-Resolved

Secondary Outcome Measures

Full Information

First Posted
August 5, 2016
Last Updated
July 12, 2021
Sponsor
AiCuris Anti-infective Cures AG
Collaborators
Novella Clinical
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1. Study Identification

Unique Protocol Identification Number
NCT02871492
Brief Title
Trial on Efficacy and Safety of Pritelivir Ointment for Treatment of Labial Herpes
Acronym
LipP1
Official Title
A Randomized, Double-blind, Multi-center, Three Arm (Pritelivir, Placebo and Zovirax®) Parallel Group, Comparative Trial to Assess the Efficacy and Safety of Pritelivir 5% w/w Ointment for the Treatment of Recurrent Herpes Labialis in Adults - LipP1
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
November 29, 2016 (Actual)
Primary Completion Date
September 29, 2017 (Actual)
Study Completion Date
October 16, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AiCuris Anti-infective Cures AG
Collaborators
Novella Clinical

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Randomized, double-blind, multi-center, three arm parallel group, comparative trial to assess pritelivir ointment safety and efficacy, ie, proportion of subjects with non-ulcerative lesions, in adult subjects with recurrent herpes labialis (RHL) in comparison with placebo or Zovirax® Cream. The start of treatment with trial medication will be initiated by the subject within one hour of noticing the first sign or symptom (eg, prodrome) of a recurrence of herpes labialis. Trial medication will be applied to the affected area 5 times daily for 4 days. After self-initiation of treatment with trial medication subjects will be assessed daily by the Investigator until complete healing for a maximum of 13 days. Subjects will document application of trial medication and the status of their lesion in a diary. There will also be blood sampling, ECG measurement and physical examination performed at the investigational site.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Herpes Labialis
Keywords
HSV, pritelivir, herpes, herpes labialis, topical,

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
362 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pritelivir 5% w/w ointment
Arm Type
Experimental
Arm Description
Topical treatment (20 applications), 5 times daily for 4 days
Arm Title
Pritelivir ointment matching placebo
Arm Type
Placebo Comparator
Arm Description
Topical treatment (20 applications), 5 times daily for 4 days
Arm Title
Zovirax® cream
Arm Type
Active Comparator
Arm Description
Topical treatment (20 applications), 5 times daily for 4 days
Intervention Type
Drug
Intervention Name(s)
Pritelivir 5% w/w ointment
Intervention Type
Drug
Intervention Name(s)
Pritelivir ointment matching placebo
Intervention Type
Drug
Intervention Name(s)
Zovirax® cream
Primary Outcome Measure Information:
Title
Efficacy Measured by Percentage of Subjects With Non-ulcerative Lesions Based on Principal Investigator's Assessment
Description
The Investigator assessed subjects for lesion stage at every visit as long as lesions were present from Visit 1 to the End of Trial Visit (Day 12± 1) as a maximum. Percentage of subjects with non-ulcerative lesions (i.e, scoring below 3) based on the Principal Investigators Assessment. Lesion stages were defined as follows: 1-Prodrome; 2a-Redness; 2b-Erythema-Redness; 3-Small Blister; 4-Ulcer; 5-Crust; 6-Drying up and healing; 0-Resolved
Time Frame
13 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy men and women of any ethnic group aged ≥18 years ; Subjects should have experienced ≥4 recurrences of herpes labialis in the previous 12-months period; Subjects should have experienced prodromal symptoms in at least 50% of recurrent Herpes labialis (rHL) episodes and should have developed ulcerative lesions that have progressed through vesicle, ulcer, and crust stages in at least 50% of the episodes; Willingness not to use any topical application (such as cosmetics, lip balm, sunscreens etc…) other than the trial medication in the area of lesion development from start of prodromal symptoms to complete healing; Willingness not to use any systemic and topical anti-Herpes Simplex Virus (HSV) agent during the trial participation including prescription and over-the-counter (OTC) products; Willingness not to use any systemic, anti-inflammatory or analgesic agents from start of prodromal symptoms to healing; Willingness to refrain from mechanical disruption (ie, scrubbing, lancing, shaving) of the prodromal area or lesion after start of treatment with trial medication until end of the trial participation; Women of child bearing potential and males must use adequate contraception; Subject must give written informed consent. Subjects with current lesion may be enrolled, but they must not treat the lesion present at screening/randomization with the trial medication; they should be instructed to wait for their next subsequent lesion Exclusion Criteria: Known intolerance to pritelivir or any of the ointment ingredients; Known intolerance to Zovirax® Cream or any of the ingredients (ie, acyclovir, cetostearyl alcohol, mineral oil, poloxamer 407, propylene glycol, sodium lauryl sulfate, and white petrolatum) or valacyclovir; Any skin conditions that could interfere with the assessment of herpes labialis recurrences (eg, eczema, psoriasis, acne etc…) Any other condition which in the opinion of the Investigator would interfere with successful completion of this clinical trial Pregnant and/or breastfeeding women Participation in any investigational drug trial within the last 30 days before randomization for this clinical trial Previous treatment with pritelivir tablets Previous participation in a HSV vaccination Trial unless having received placebo. Clinically relevant ECG abnormalities (eg, QTc according to Fridericia: QTcF > 450 ms for males and QTcF > 470 ms for females; PR > 220 ms) at screening. Clinically relevant abnormalities in laboratory indices at screening which in the opinion of the investigator might have an impact on the safety and evaluability of the subject. Known chronic infections which in the opinion of the investigator might have an impact on the safety and evaluability of the subject. Evidence of active malignancy or immunodeficiency disease, or require chronic use of immunosuppressive drugs (eg, systemic steroids) or topical steroids, or chronically use antiviral medication with activity against HSV. HIV positive based on screening labs.
Facility Information:
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85251
Country
United States
City
Santa Rosa
State/Province
California
ZIP/Postal Code
95405
Country
United States
City
Pinellas Park
State/Province
Florida
ZIP/Postal Code
33781
Country
United States
City
Edina
State/Province
Minnesota
ZIP/Postal Code
55435
Country
United States
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
City
Akron
State/Province
Ohio
ZIP/Postal Code
44311
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45236
Country
United States
City
Anderson
State/Province
South Carolina
ZIP/Postal Code
29621
Country
United States
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29650
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Trial on Efficacy and Safety of Pritelivir Ointment for Treatment of Labial Herpes

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