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Safety and Efficacy of Merlin (Ethanol and Glycolic Acid Mixture) for Episodic Treatment of Cold Sores

Primary Purpose

Recurrent Herpes Labialis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Merlin
Ethanol
Sponsored by
Topical Remedy
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Recurrent Herpes Labialis focused on measuring Herpes Labialis, Cold Sore

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female subject 18-75 years of age
  • Female subjects must be using a medically acceptable form of birth control during the study. Acceptable birth control measures include, but are not limited to: abstinence, oral contraceptive pills or patch, injectable contraception, barrier contraceptives (condom, diaphragm with spermicide), IUD, vaginal contraceptive ring, surgical (hysterectomy, tubal ligation), vasectomized partner, and natural post-menopausal inability to conceive. Menopause is defined for this protocol as starting one year after the time of the last menstrual period.
  • Subject must have a history of recurrent herpes labialis and report at least 3 separate recurrences (i.e. multiple herpetic lesions in one outbreak count as only one episode) during the preceding 12 months.
  • Subject must have a history of experiencing prodromal symptoms of cold sores (e.g. itching, tingling, or burning) during at least half of their previous cold sore episodes.
  • Subject must have a history of at least half of their cold sore episodes producing classical lesions (i.e., episodes that progressed through macule, papule, vesicle, crust, and healed).
  • Subject must provide voluntary written informed consent to participate in this study.
  • Subject is able to appear for a clinic visit within 24 hours from the time of treating cold sore and is able to return to the clinic for the full 14 day duration of the study if necessary.

Exclusion Criteria:

  • Subjects with evidence of active malignancy or immunodeficiency disease within the last 30 days. Subjects who have completed therapy and are considered unlikely to relapse or who have had surgery and do not have any evidence of disease, are eligible for the study.
  • Subject requires chronic use of immunomodifying drugs (e.g. systemic steroids) or topical steroids on or near the face; use of inhaled steroids does not exclude a subject from the study. If a subject is unlikely to get through the Treatment Phase of the protocol without requiring the use of an immunomodifying drug for a chronic condition the subject should be excluded.
  • Subject requires chronic use of anti-viral medication. In females of childbearing potential, a positive urine pregnancy test at time of screening.

Nursing mothers.

  • Subject has abnormal skin conditions (e.g. acne, eczema, rosacea, psoriasis, albinism, or chronic vesiculobullous disorders) that occur in the area ordinarily affected by cold sores or has significant facial hair in the area of the cold sore that might affect the normal course of the cold sore or might impair accurate evaluation of the cold sore lesion.
  • Subject has had a vaccine for herpes simplex virus type 1 (typically oral herpes) or 2 (typically genital herpes).
  • Subject is currently enrolled in another clinical trial involving the use of a drug and/or a device.
  • Subject requires chronic use of analgesics or non-steroidal anti-inflammatory agents (NSAIDs) except for low doses of aspirin (less than 325 mg/day) used for cardiovascular purposes. If a subject is unlikely to get through the Treatment Phase of the protocol without requiring the use of analgesia for a chronic condition, e.g. back pain, recurrent daily headaches, the subject should be excluded.

Sites / Locations

  • Optimal Research
  • Optimal Research
  • Optimal Research
  • Optimal Research
  • Optimal Research
  • Optimal Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Merlin

Ethanol

Arm Description

glycolic acid and ethanol mixture

Outcomes

Primary Outcome Measures

Clinician Assessed Duration of the Classical Herpetic Lesion
The time in hours from beginning of treatment to onset of Stage 6 (residual swelling) or Stage 7 (complete healing) if Stage 6 never observed

Secondary Outcome Measures

Clinician Assessed Duration of the Herpetic Episode
For classical lesions: the time in hours from the beginning of the treatment until loss of hard crust (Stage 6); for non-classical lesions the time from the beginning of treatment until complete resolution of all local signs and symptoms (Stage 7)
Clinician Assessed Duration Until Complete Healing of the Herpetic Episode
The time, in hours, from the beginning of treatment to onset of Stage 7
Clinician Assessed Prevention of Progression to Classical Lesion
Proportion of subjects in each treatment group who do not display classical lesions
Clinician Assessed Lesion Size
Maximum lesion area for ulcerative lesions during Stages 3-5
Clinician Assessed Duration of the Herpetic Lesion Hard Scab
Duration of the hard crust (Stage 5)
Subject Assessed Duration of Pain
Time of first occurrence of at least mild pain to consistent scoring of no pain

Full Information

First Posted
June 13, 2017
Last Updated
August 15, 2018
Sponsor
Topical Remedy
Collaborators
Benu BioPharma, LLC, Accelovance, Optimal Research
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1. Study Identification

Unique Protocol Identification Number
NCT03192306
Brief Title
Safety and Efficacy of Merlin (Ethanol and Glycolic Acid Mixture) for Episodic Treatment of Cold Sores
Official Title
A Multicenter, Placebo-Controlled, Randomized, Double-Blind Study of the Safety and Efficacy of Merlin (Ethanol and Glycolic Acid Mixture) for the Episodic Treatment of Recurrent Herpes Labialis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
July 5, 2017 (Actual)
Primary Completion Date
December 11, 2017 (Actual)
Study Completion Date
April 2, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Topical Remedy
Collaborators
Benu BioPharma, LLC, Accelovance, Optimal Research

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine if Merlin, a mixture of ethanol and glycolic acid, is safe and effective in the treatment of cold sores. Subjects who meet the requirements to participate in the study will be put randomly, and equally, into one of two groups: 1) a group receiving Merlin to treat their cold sore; or 2)a group receiving a placebo of just ethanol to treat their cold sore. Neither the subject nor the site will know which treatment they will be getting. Once the subject has been assigned to a treatment group, they will be given a kit containing a bottle of the treatment and special swabs to apply the liquid. The subject will be told to take the kit home and wait until they think they are starting to get a cold sore. Once a subject begins to see something that they think is the start of a cold sore, they are to immediately call the clinic. Once the clinic confirms that the subject is in fact starting to get a cold sore, the subject will be told to open the kit and begin treatment. From the start of treatment, there will be twelve (12) treatments, with either Merlin or placebo, applied six (6) hours apart, up to 3 per day, over the next 96 hours (4 days). Each treatment of Merlin or placebo is made up of three (3) applications given twenty (20) minutes apart, for a total of thirty-six (36) applications. For each application, the subject will use the special swab to put the Merlin or placebo solution on their cold sore. Subjects will need to report daily to the clinic for a minimum of 3 consecutive days, until either the cold sore is completely healed or 14 days from the start of treatment, whichever comes first. At each clinic visit the cold sore will be observed to determine at what stage it is at or if it has healed. The subject will also be asked how they are feeling. Subjects will also be told to record in a diary the time of each application of Merlin or placebo. They will also be asked to record the stage of their lesion and how much pain, if any, related to the cold sore, that they are feeling.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent Herpes Labialis
Keywords
Herpes Labialis, Cold Sore

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Merlin
Arm Type
Active Comparator
Arm Description
glycolic acid and ethanol mixture
Arm Title
Ethanol
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Merlin
Intervention Description
glycolic acid/ethanol solution
Intervention Type
Drug
Intervention Name(s)
Ethanol
Intervention Description
Ethanol solution
Primary Outcome Measure Information:
Title
Clinician Assessed Duration of the Classical Herpetic Lesion
Description
The time in hours from beginning of treatment to onset of Stage 6 (residual swelling) or Stage 7 (complete healing) if Stage 6 never observed
Time Frame
From time of beginning of treatment until onset of Lesion Stage 6 or Stage 7, if Stage 6 never observed, with a maximum of 14 days.
Secondary Outcome Measure Information:
Title
Clinician Assessed Duration of the Herpetic Episode
Description
For classical lesions: the time in hours from the beginning of the treatment until loss of hard crust (Stage 6); for non-classical lesions the time from the beginning of treatment until complete resolution of all local signs and symptoms (Stage 7)
Time Frame
For classical lesions: from the beginning of the treatment until loss of hard crust (Stage 6); for non-classical lesions the time from the beginning of treatment until complete resolution of all local signs and symptoms (Stage 7) - maximum of 14 days
Title
Clinician Assessed Duration Until Complete Healing of the Herpetic Episode
Description
The time, in hours, from the beginning of treatment to onset of Stage 7
Time Frame
From the beginning of treatment to onset of Stage 7 - maximum of 14 days
Title
Clinician Assessed Prevention of Progression to Classical Lesion
Description
Proportion of subjects in each treatment group who do not display classical lesions
Time Frame
14 days maximum
Title
Clinician Assessed Lesion Size
Description
Maximum lesion area for ulcerative lesions during Stages 3-5
Time Frame
14 days maximum
Title
Clinician Assessed Duration of the Herpetic Lesion Hard Scab
Description
Duration of the hard crust (Stage 5)
Time Frame
From start of Stage 5 to loss of hard crust - maximum of 14 days
Title
Subject Assessed Duration of Pain
Description
Time of first occurrence of at least mild pain to consistent scoring of no pain
Time Frame
From time of first occurrence of at least mild pain to time of consistent scoring of no pain - maximum 14 days

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: Male or female subject 18-75 years of age Female subjects must be using a medically acceptable form of birth control during the study. Acceptable birth control measures include, but are not limited to: abstinence, oral contraceptive pills or patch, injectable contraception, barrier contraceptives (condom, diaphragm with spermicide), IUD, vaginal contraceptive ring, surgical (hysterectomy, tubal ligation), vasectomized partner, and natural post-menopausal inability to conceive. Menopause is defined for this protocol as starting one year after the time of the last menstrual period. Subject must have a history of recurrent herpes labialis and report at least 3 separate recurrences (i.e. multiple herpetic lesions in one outbreak count as only one episode) during the preceding 12 months. Subject must have a history of experiencing prodromal symptoms of cold sores (e.g. itching, tingling, or burning) during at least half of their previous cold sore episodes. Subject must have a history of at least half of their cold sore episodes producing classical lesions (i.e., episodes that progressed through macule, papule, vesicle, crust, and healed). Subject must provide voluntary written informed consent to participate in this study. Subject is able to appear for a clinic visit within 24 hours from the time of treating cold sore and is able to return to the clinic for the full 14 day duration of the study if necessary. Exclusion Criteria: Subjects with evidence of active malignancy or immunodeficiency disease within the last 30 days. Subjects who have completed therapy and are considered unlikely to relapse or who have had surgery and do not have any evidence of disease, are eligible for the study. Subject requires chronic use of immunomodifying drugs (e.g. systemic steroids) or topical steroids on or near the face; use of inhaled steroids does not exclude a subject from the study. If a subject is unlikely to get through the Treatment Phase of the protocol without requiring the use of an immunomodifying drug for a chronic condition the subject should be excluded. Subject requires chronic use of anti-viral medication. In females of childbearing potential, a positive urine pregnancy test at time of screening. Nursing mothers. Subject has abnormal skin conditions (e.g. acne, eczema, rosacea, psoriasis, albinism, or chronic vesiculobullous disorders) that occur in the area ordinarily affected by cold sores or has significant facial hair in the area of the cold sore that might affect the normal course of the cold sore or might impair accurate evaluation of the cold sore lesion. Subject has had a vaccine for herpes simplex virus type 1 (typically oral herpes) or 2 (typically genital herpes). Subject is currently enrolled in another clinical trial involving the use of a drug and/or a device. Subject requires chronic use of analgesics or non-steroidal anti-inflammatory agents (NSAIDs) except for low doses of aspirin (less than 325 mg/day) used for cardiovascular purposes. If a subject is unlikely to get through the Treatment Phase of the protocol without requiring the use of analgesia for a chronic condition, e.g. back pain, recurrent daily headaches, the subject should be excluded.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephen A Bart, Sr., M.D.
Organizational Affiliation
Optimal Research Rockville MD
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Murray A Kimmel, DO
Organizational Affiliation
Optimal Research Melbourne FL
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Daniel H Brune, MD
Organizational Affiliation
Optimal Research Peoria IL
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Stephen Daniels, DO
Organizational Affiliation
Optimal Research Austin TX
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Randle T Middleton, MD
Organizational Affiliation
Optimal Research Huntsville AL
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Patrick Yassini, MD
Organizational Affiliation
Optimal Research San Diego CA
Official's Role
Principal Investigator
Facility Information:
Facility Name
Optimal Research
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35802
Country
United States
Facility Name
Optimal Research
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Optimal Research
City
Melbourne
State/Province
Florida
ZIP/Postal Code
32934
Country
United States
Facility Name
Optimal Research
City
Peoria
State/Province
Illinois
ZIP/Postal Code
61614
Country
United States
Facility Name
Optimal Research
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20850
Country
United States
Facility Name
Optimal Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety and Efficacy of Merlin (Ethanol and Glycolic Acid Mixture) for Episodic Treatment of Cold Sores

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