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Iontophoretic Application of Acyclovir Gel to Treat Cold Sores

Primary Purpose

Herpes Labialis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Iontophoretic delivery of acyclovir
Sponsored by
Transport Pharmaceuticals
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Herpes Labialis focused on measuring herpes labialis, cold sore, acyclovir, iontophoresis, topical

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female subject 18-75 years of age
  2. Female subjects must be using a medically acceptable form of birth control during the study.
  3. Subject must have a history of recurrent herpes labialis and report at least 3 recurrences during the preceding 12 months.
  4. Subject must provide voluntary written informed consent to participate in this study.

Exclusion Criteria:

  1. Subjects with a pacemaker, a history of cardiac arrhythmias or conduction abnormalities.
  2. Any evidence of active malignancy or immunodeficient 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.
  3. 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.
  4. Subject requires chronic use of anti-viral medication.
  5. History of allergic or adverse response to acyclovir, or any related anti-viral drug, or the gel base.
  6. In females of childbearing potential, a positive urine pregnancy test at time of screening.
  7. Nursing mothers.
  8. Subjects with an implantable electronic device.
  9. Subject has any body piercing in or around the area ordinarily affected by cold sores.
  10. Subject is considered unreliable or unable to understand or follow the protocol directions or is unable to comprehend or satisfactorily assess a herpetic lesion as determined by Investigator or designee at screening.
  11. Subject has abnormal skin conditions (e.g. acne, eczema, 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.
  12. Subject has had an infection with HSV-1 isolates know to be resistant to acyclovir, valacyclovir, famciclovir, or ganciclovir.
  13. Subject has had a herpes vaccine.
  14. Subject is currently enrolled in another clinical trial involving the use of a drug and/or a device.
  15. Subject has previously participated in the current study (TPI-H-221).
  16. Subject requires chronic use of analgesics, pain medication or non-steroidal anti-inflammatory agents (NSAIDs).
  17. Subject has a recent history of renal dysfunction or serious hepatic disease.
  18. Subject has a history of alcoholism or drug abuse within the preceding 12 months.
  19. Subject shares a household with another subject already enrolled in the study (TPI-H-221). If the other household member has already completed the study, then the currently enrolling subject is not excluded.
  20. Subject is institutionalized.
  21. Any history which, in the Investigator's judgment, makes the subject ineligible or places the subject at undue risk.

Sites / Locations

  • Radiant Research Birmingham
  • Radiant Research Santa Rosa
  • Radiant Research St. Petersburg
  • Radiant Research Chicago
  • Radiant Research Minneapolis
  • Radiant Research St. Louis
  • Rochester Clinical Research, Inc.
  • Radiant Research Cincinnati
  • Radiant Research Akron
  • OMEGA Medical Research
  • Radiant Research Greer
  • Radiant Research Dallas North
  • Radiant Research San Antonio

Outcomes

Primary Outcome Measures

Clinician assessed duration of the herpetic episode measured from the time of treatment until the lesion is healed.

Secondary Outcome Measures

Clinician assessed: Prevention of progression to a classical lesion;Duration of classical herpetic lesions; Duration of herpetic lesions; Duration of the herpetic lesion hard scab; Duration until complete healing of the herpetic episode;

Full Information

First Posted
May 2, 2007
Last Updated
January 31, 2008
Sponsor
Transport Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00469300
Brief Title
Iontophoretic Application of Acyclovir Gel to Treat Cold Sores
Official Title
A Multicenter, Placebo Controlled, Randomized, Double Blind, Subject Initiated Study of the Safety and Efficacy of the Electrokinetic Transdermal System (ETS) With Acyclovir Gel for the Episodic Treatment of Herpes Labialis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2008
Overall Recruitment Status
Completed
Study Start Date
April 2007 (undefined)
Primary Completion Date
September 2007 (Actual)
Study Completion Date
October 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Transport Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Currently approved drugs for the treatment of herpes labialis (cold sores) exhibit low levels of efficacy due to the limited ability of the drugs to penetrate the skin to the sites where the herpes virus is replicating. Iontophoresis uses electric current to enhance delivery of drugs through the skin. This trial is testing a new iontophoretic device with a new acyclovir gel to treat cold sores.
Detailed Description
This is a multicenter, placebo controlled, randomized, double blind, subject initiated study of the safety and efficacy of a single, 10-minute, topical iontophoretic application of a novel acyclovir 5% gel for the episodic treatment of recurrent herpes labialis. The design of the trial will also allow the comparison of the efficacy of a single iontophoretic treatment with acyclovir gel within 1 hour of first signs and/or symptoms of a herpetic episode to the efficacy of a single iontophoretic treatment with acyclovir gel 6 to18 hours after first signs and/or symptoms. Approximately 810 subjects will be enrolled to treat about 80 subjects in each of three treatment arms. Depending upon how the subject has been randomized into the trial, the subject will receive either: 1) an iontophoretic treatment with active gel within 1 hour of first signs/and or symptoms, followed 6-18 hours later by a second treatment with placebo gel; 2) an iontophoretic treatment with placebo gel within 1 hour of first signs/and or symptoms, followed 6-18 hours later by a second treatment with active gel; or 3) an iontophoretic treatment with placebo gel within 1 hour of first signs/and or symptoms, followed 6-18 hours later by a second treatment with placebo gel. After being enrolled and randomized into the study, subjects will be sent home with a locked kit containing the iontophoretic device with either active or placebo gel. At first signs and/or symptoms of a recurrent herpetic episode (prodromal or erythema), the lesion will be confirmed by telephone interview with the subject and, upon confirmation of the lesion, the subject will be given the combination to the locked kit and instructed to begin treatment immediately. The subject will then be instructed to return to the clinic within 6 to 18 hours of first signs and/or symptoms for a second iontophoretic treatment, appropriate to the treatment arm into which they have been randomized, and an evaluation. The subject will visit the clinic for daily follow-up evaluations for 3 to 14 days following the first treatment and will be called 2 weeks after their last clinic visit for a final safety evaluation.

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, acyclovir, iontophoresis, topical

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
810 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Iontophoretic delivery of acyclovir
Primary Outcome Measure Information:
Title
Clinician assessed duration of the herpetic episode measured from the time of treatment until the lesion is healed.
Time Frame
Lesion assessments for a minimum of 3 consecutive days and a maximum of 14 days.
Secondary Outcome Measure Information:
Title
Clinician assessed: Prevention of progression to a classical lesion;Duration of classical herpetic lesions; Duration of herpetic lesions; Duration of the herpetic lesion hard scab; Duration until complete healing of the herpetic episode;
Time Frame
Lesion assessment for a minimum of 3 consecutive days and a maximum of 14 consecutive 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. Subject must have a history of recurrent herpes labialis and report at least 3 recurrences during the preceding 12 months. Subject must provide voluntary written informed consent to participate in this study. Exclusion Criteria: Subjects with a pacemaker, a history of cardiac arrhythmias or conduction abnormalities. Any evidence of active malignancy or immunodeficient 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. Subject requires chronic use of anti-viral medication. History of allergic or adverse response to acyclovir, or any related anti-viral drug, or the gel base. In females of childbearing potential, a positive urine pregnancy test at time of screening. Nursing mothers. Subjects with an implantable electronic device. Subject has any body piercing in or around the area ordinarily affected by cold sores. Subject is considered unreliable or unable to understand or follow the protocol directions or is unable to comprehend or satisfactorily assess a herpetic lesion as determined by Investigator or designee at screening. Subject has abnormal skin conditions (e.g. acne, eczema, 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 an infection with HSV-1 isolates know to be resistant to acyclovir, valacyclovir, famciclovir, or ganciclovir. Subject has had a herpes vaccine. Subject is currently enrolled in another clinical trial involving the use of a drug and/or a device. Subject has previously participated in the current study (TPI-H-221). Subject requires chronic use of analgesics, pain medication or non-steroidal anti-inflammatory agents (NSAIDs). Subject has a recent history of renal dysfunction or serious hepatic disease. Subject has a history of alcoholism or drug abuse within the preceding 12 months. Subject shares a household with another subject already enrolled in the study (TPI-H-221). If the other household member has already completed the study, then the currently enrolling subject is not excluded. Subject is institutionalized. Any history which, in the Investigator's judgment, makes the subject ineligible or places the subject at undue risk.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eric M Morrel, PhD
Organizational Affiliation
Transport Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Radiant Research Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Facility Name
Radiant Research Santa Rosa
City
Santa Rosa
State/Province
California
ZIP/Postal Code
95405
Country
United States
Facility Name
Radiant Research St. Petersburg
City
Pinellas Park
State/Province
Florida
ZIP/Postal Code
33781
Country
United States
Facility Name
Radiant Research Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60610
Country
United States
Facility Name
Radiant Research Minneapolis
City
Edina
State/Province
Minnesota
ZIP/Postal Code
55435
Country
United States
Facility Name
Radiant Research St. Louis
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Rochester Clinical Research, Inc.
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
Facility Name
Radiant Research Cincinnati
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45236
Country
United States
Facility Name
Radiant Research Akron
City
Mogadore
State/Province
Ohio
ZIP/Postal Code
44260
Country
United States
Facility Name
OMEGA Medical Research
City
Warwick
State/Province
Rhode Island
ZIP/Postal Code
02886
Country
United States
Facility Name
Radiant Research Greer
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29651
Country
United States
Facility Name
Radiant Research Dallas North
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Radiant Research San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
16838235
Citation
Morrel EM, Spruance SL, Goldberg DI; Iontophoretic Acyclovir Cold Sore Study Group. Topical iontophoretic administration of acyclovir for the episodic treatment of herpes labialis: a randomized, double-blind, placebo-controlled, clinic-initiated trial. Clin Infect Dis. 2006 Aug 15;43(4):460-7. doi: 10.1086/505872. Epub 2006 Jul 3.
Results Reference
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Iontophoretic Application of Acyclovir Gel to Treat Cold Sores

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