Valaciclovir Hydrochloride Phase III for Hematopoietic Stem Cell Transplantation Patients

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01602562
First received: May 17, 2012
Last updated: April 25, 2013
Last verified: April 2013
  Purpose

The purpose of this study is to evaluate the preventive efficacy for HSV infection and safety of valaciclovir (VACV) in the adult and pediatric HSCT patients.


Condition Intervention Phase
Herpes Simplex
Drug: VACV tablets (Adults or pediatrics) or granules (pediatrics)
Phase 3

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: A Multicenter, Open-label Study to Evaluate Preventive Efficacy for Herpes Simplex Virus Infection and Safety of 256U87 (Valaciclovir Hydrochloride) in Adult and Pediatric Hematopoietic Stem Cell Transplantation Patients

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Incidence of HSV infection [ Time Frame: administration period of 43 days (plus 7 days) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Adverse events [ Time Frame: from at screening to 35 days after HSCT ] [ Designated as safety issue: Yes ]
  • Laboratory results (hematology, clinical chemistry, urinalysis) [ Time Frame: at screening, Day 14, 35 ] [ Designated as safety issue: Yes ]
  • Vital signs (body temperature, blood pressure, pulse rate) [ Time Frame: at screening, Day -7, 0, 7, 14, 21, 35 ] [ Designated as safety issue: Yes ]
  • 12-lead ECG [ Time Frame: at screening, Day 35 ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 40
Study Start Date: May 2012
Estimated Study Completion Date: May 2013
Estimated Primary Completion Date: May 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: VACV (256U87; valaciclovir hydrochloride)
Adult patients (16-65 years): A VACV tablet (containing 500mg of valaciclovir) is orally given twice daily. Pediatric patients (1-16 years): VACV granules are orally given at a dose of 25 mg/kg b.w. twice daily. The maximum dose per treatment is limited to 500 mg. Pediatric patients weighing 40 kg or over may be orally given a VACV tablet (containing 500 mg of valaciclovir) twice daily.
Drug: VACV tablets (Adults or pediatrics) or granules (pediatrics)
A white to slightly yellowish white film coated tablet contains 556 mg of valaciclovir hydrochloride (500 mg of valaciclovir)). VACV granules have no or slightly specific odor.
Other Name: 256U87 tablet or granule

Detailed Description:

This clinical study is a multicenter open-label study on the adult and pediatric hematopoietic stem cell transplantation (HSCT) patients. The primary objective is to confirm the preventive efficacy for herpes simplex virus (HSV) infection of 256U87 (VACV: valaciclovir) due to the treatment before or immediately after hematopoietic stem cell transplantation. The secondary objective is to confirm the safety of VACV in the case of its use for such a purpose.

This clinical study consists of the following two periods: the screening period lasting 7 days at the longest and the administration period from 7 days before HSCT to 35 days after HSCT (43 days in total). During the administration period, adult patients are orally given a VACV tablet twice daily, while pediatric patients are orally given VACV granules twice daily at a dose of 25 mg/kg b.w. (maximum dose per treatment: 500 mg). Pediatric patients weighing 40 kg or over may be orally given a VACV tablet twice daily.

  Eligibility

Ages Eligible for Study:   1 Year to 64 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients who are planning to undergo hematopoietic stem cell transplantation, except cord blood transplantation.
  • Patients aged from 1 and above to under 65 at the time of informed consent.
  • Patients who can submit their voluntary written informed consent if they are 12 years old and over.
  • Patient is male or female. Male patients must be willing to use adequate contraception during the study. Female patients of childbearing potential must agree to consistently perform any of the contraceptive methods.
  • QTc <450 msec, or QTc <480 msec in patients with bundle branch block. (values based on either single ECG values or triplicate ECG averaged QTc values)
  • Liver test (aspartate aminotransferase (AST) and alanine aminotransferase (ALT) <2x upper limit of normal (ULN); alkaline phosphatase (Al-P)and total bilirubin <=1.5xULN (total bilirubin >1.5xULN is acceptable if direct bilirubin <35%).

Exclusion Criteria:

  • Patients with a history of HSCT.
  • Patients who are judged to be in the following condition by the investigator (or subinvestigator): the clinical severity of malabsorption syndrome, vomiting, mucositis or other gastrointestinal dysfunction is so serious that orally administered VACV can not be absorbed.
  • Patients who have known nucleoside analogs hypersensitivity.
  • Patients who have a concurrent or past history of renal function disorder (serum creatinine >=1.5x ULN).
  • Patients who have serious complication (eg, other malignant tumours, cardiac disorder, juvenile diabetes).
  • Patients who are currently treated with the prohibited concomitant drugs.
  • Patients with evidence of chronic hepatitis B or C.
  • Patients with AIDS or patients infected with HIV.
  • Patients who were given other trial products within 30 days before initiation of administration of this trial product or those who intend to participate in other clinical trials.
  • Patients who are pregnant or probably pregnant.
  • Patients who can not follow the protocol because of psychological, family, social or geological reasons.
  • Patients are not allowed to participate in this clinical trial if the investigator (or subinvestigator) judges that their participation is inappropriate.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01602562

Locations
Japan
GSK Investigational Site
Aichi, Japan, 466-8560
GSK Investigational Site
Aichi, Japan, 453-8511
GSK Investigational Site
Aichi, Japan, 446-8602
GSK Investigational Site
Hiroshima, Japan, 734-8551
GSK Investigational Site
Hyogo, Japan, 650-0047
GSK Investigational Site
Hyogo, Japan, 654-0081
GSK Investigational Site
Kagoshima, Japan, 890-8520
GSK Investigational Site
Kanagawa, Japan, 259-1143
GSK Investigational Site
Osaka, Japan, 594-1101
GSK Investigational Site
Saitama, Japan, 339-8551
GSK Investigational Site
Tokyo, Japan, 162-8655
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT01602562     History of Changes
Other Study ID Numbers: 116100
Study First Received: May 17, 2012
Last Updated: April 25, 2013
Health Authority: Japan: Ministry of Health, Labor and Welfare

Keywords provided by GlaxoSmithKline:
Herpes simplex infection
valaciclovir
herpes simplex virus
hematopoietic stem cell transplantation

Additional relevant MeSH terms:
Herpes Simplex
Herpesviridae Infections
DNA Virus Infections
Virus Diseases
Skin Diseases, Viral
Skin Diseases, Infectious
Skin Diseases
Valacyclovir
Acyclovir
Antiviral Agents
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on May 16, 2013