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A Double-Blind, Randomized, Placebo-Controlled Study of Topical VDO for the Treatment of Herpes Simplex Labialis

Primary Purpose

Herpes Labialis

Status
Completed
Phase
Phase 2
Locations
Taiwan
Study Type
Interventional
Intervention
VDO gel
placebo
Sponsored by
Yung Shin Pharm. Ind. Co., Ltd.
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 sore

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female in the age group 20 to 75 years old.
  • History of recurrent herpes labialis with at least one recurrence occurred during the past twenty-four months.
  • Onset of prodrome, erythema or vesicle within 72 hours of initiation of treatment with the study drug.
  • Subjects with previous herpes simplex labialis episodes must be healed for at least 14 days before the baseline.
  • Must be willing and able to participate and to provide written informed consent.
  • Female subjects of childbearing potential must have a negative pregnancy test at screening and agree to use a proper contraceptive method during the study.

Exclusion Criteria:

  • Women during pregnancy, lactation or breastfeeding.
  • Subjects using topical steroids on or near the face or systemic (oral, intravenous) steroids within 7 days prior to study drug administration; use of inhaled or nasal spray steroids does not exclude a subject from the study.
  • Subjects have used anti-viral agents or NSAID in the preceding 7 days.
  • Subjects are unwilling to stop for using topical medical, OTC, cosmetic or facial skin care products in or around the oral area during the study period.
  • Subjects with immunodeficiency disorders such as human immunodeficiency virus (HIV) infection or receiving cancer chemotherapy.
  • Subjects who have a history of hypersensitivity to diclofenac, lidocaine or propylene glycol.
  • Subjects who have a known hypersensitivity to local anesthetics of the amide type, diclofenac, aspirin, or other NSAIDs.
  • Subjects who are taking antiarrhythmics drug during screening visit;
  • Subjects who have a history of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs.
  • Subjects who use during the perioperative period in the setting of coronary artery bypass graft (CABG) surgery within 6 months before the study drug using.
  • Subjects have history of substance abuse or psychiatric illness that would preclude compliance with the protocol.
  • Subjects who have serious, unstable, or clinically significant medical or psychological conditions, which, in the opinion of the investigator(s), would compromise the subject's participation in the study (including clinically significant dehydration or unstable vital signs).
  • Subjects taking or having taken any other experimental drugs, drugs not approved in Taiwan, or participating in or having participated in other clinical studies in the 30 days prior to this clinical trial.
  • Subjects who are considered unreliable as to medication compliance or adherence to scheduled appointments, or inappropriate for inclusion determined by the investigators.

Sites / Locations

  • Changhua Christian Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

placebo

VDO gel

Arm Description

placebo gel, 25mg, 3 times up to 10 days

VDO gel 25mg, 3 times a day up to 10 days

Outcomes

Primary Outcome Measures

Adverse event
Incidences of adverse event

Secondary Outcome Measures

the duration and severity of pain
Pain intensity will be measured at baseline and in the Subject's DRC on a daily basis while receiving study drug until end of study. Pain and itching assessments will be using a Visual Analogue Scale (VAS) ranging 0 (no pain/itching) to 10 (the worst pain/itching imaginable). The subject will be asked the following question exactly as follows:「On a scale 1 to 10 where 0 means on pain/itching, and 10 means the worst possible pain/itching, rate the worst pain/itching that you have since last assessment」

Full Information

First Posted
July 31, 2014
Last Updated
April 13, 2016
Sponsor
Yung Shin Pharm. Ind. Co., Ltd.
Collaborators
Changhua Christian Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT02207881
Brief Title
A Double-Blind, Randomized, Placebo-Controlled Study of Topical VDO for the Treatment of Herpes Simplex Labialis
Official Title
A Double-Blind, Randomized, Placebo-Controlled Study of Topical VDO for the Treatment of Herpes Simplex Labialis
Study Type
Interventional

2. Study Status

Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
July 2014 (undefined)
Primary Completion Date
December 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yung Shin Pharm. Ind. Co., Ltd.
Collaborators
Changhua Christian Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Recurrent herpes labialis are usually a minor malady of limited duration, although they are often painful and are uniformly discomforting for patients. Oral antivirals represent an advance in the treatment of recurrent herpes labialis, but the clinical implications are modest. Randomized, controlled clinical trials have shown that oral antivirals decrease the duration of lesion episodes and pain by approximately one day. In recurrent HSV infections including herpes labialis, many instances of viral re-activation occur without symptoms, and can only be identified by detection of virus on the lips of infected individuals. In these cases, the virus is cleared from the local site without the development of a classical ulcerative herpes lesion. In the other cases, the triggered specific immune response rapidly stops viral replication in the skin and also causes the development of the herpes lesion prodrome and a considerable part of the symptoms associated with a classical ulcerative herpes lesion. One could therefore predict that treatment with an antiviral drug alone would help the immune system in shortening the virus replication, but may not substantially reduce the disfiguring symptoms caused by the immune reaction. In dermatology, the principle of using an anti-inflammatory drug improve clinical outcomes by reducing inflammation-related symptoms associated with the infection has been well established. We have found that a topical formulation of VDO is useful for alleviating pain and inflammation associated with infection caused by herpes virus.
Detailed Description
In the treatment of oral herpes labialis, it is desirable to have local absorption of the drug to provide pain relief directly at the lesion sites while minimizing overall exposure. The present study is designed to elucidate the effects of VDO ( on recurrent herpes simplex labialis.

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 sore

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
placebo gel, 25mg, 3 times up to 10 days
Arm Title
VDO gel
Arm Type
Experimental
Arm Description
VDO gel 25mg, 3 times a day up to 10 days
Intervention Type
Drug
Intervention Name(s)
VDO gel
Other Intervention Name(s)
RMN3001
Intervention Description
VDO gel
Intervention Type
Drug
Intervention Name(s)
placebo
Other Intervention Name(s)
RMN3001 placebo
Intervention Description
matching placebo gel
Primary Outcome Measure Information:
Title
Adverse event
Description
Incidences of adverse event
Time Frame
at the end of treatment (up to 10 days)
Secondary Outcome Measure Information:
Title
the duration and severity of pain
Description
Pain intensity will be measured at baseline and in the Subject's DRC on a daily basis while receiving study drug until end of study. Pain and itching assessments will be using a Visual Analogue Scale (VAS) ranging 0 (no pain/itching) to 10 (the worst pain/itching imaginable). The subject will be asked the following question exactly as follows:「On a scale 1 to 10 where 0 means on pain/itching, and 10 means the worst possible pain/itching, rate the worst pain/itching that you have since last assessment」
Time Frame
At the end of treatment (up to 10 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female in the age group 20 to 75 years old. History of recurrent herpes labialis with at least one recurrence occurred during the past twenty-four months. Onset of prodrome, erythema or vesicle within 72 hours of initiation of treatment with the study drug. Subjects with previous herpes simplex labialis episodes must be healed for at least 14 days before the baseline. Must be willing and able to participate and to provide written informed consent. Female subjects of childbearing potential must have a negative pregnancy test at screening and agree to use a proper contraceptive method during the study. Exclusion Criteria: Women during pregnancy, lactation or breastfeeding. Subjects using topical steroids on or near the face or systemic (oral, intravenous) steroids within 7 days prior to study drug administration; use of inhaled or nasal spray steroids does not exclude a subject from the study. Subjects have used anti-viral agents or NSAID in the preceding 7 days. Subjects are unwilling to stop for using topical medical, OTC, cosmetic or facial skin care products in or around the oral area during the study period. Subjects with immunodeficiency disorders such as human immunodeficiency virus (HIV) infection or receiving cancer chemotherapy. Subjects who have a history of hypersensitivity to diclofenac, lidocaine or propylene glycol. Subjects who have a known hypersensitivity to local anesthetics of the amide type, diclofenac, aspirin, or other NSAIDs. Subjects who are taking antiarrhythmics drug during screening visit; Subjects who have a history of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs. Subjects who use during the perioperative period in the setting of coronary artery bypass graft (CABG) surgery within 6 months before the study drug using. Subjects have history of substance abuse or psychiatric illness that would preclude compliance with the protocol. Subjects who have serious, unstable, or clinically significant medical or psychological conditions, which, in the opinion of the investigator(s), would compromise the subject's participation in the study (including clinically significant dehydration or unstable vital signs). Subjects taking or having taken any other experimental drugs, drugs not approved in Taiwan, or participating in or having participated in other clinical studies in the 30 days prior to this clinical trial. Subjects who are considered unreliable as to medication compliance or adherence to scheduled appointments, or inappropriate for inclusion determined by the investigators.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
HUNG-MING WU, MD, PhD
Organizational Affiliation
Changhua Christian Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Changhua Christian Hospital
City
Changhua
Country
Taiwan

12. IPD Sharing Statement

Learn more about this trial

A Double-Blind, Randomized, Placebo-Controlled Study of Topical VDO for the Treatment of Herpes Simplex Labialis

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