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Phase III Randomized Study of Oral Acyclovir in Infants With Herpes Simplex Virus Infection Involving the Central Nervous System
This study is currently recruiting participants.
Verified by National Center for Research Resources (NCRR), December 2003
First Received: August 3, 2000   Last Updated: June 23, 2005   History of Changes
Sponsor: National Center for Research Resources (NCRR)
Collaborator: University of Alabama at Birmingham
Information provided by: National Center for Research Resources (NCRR)
ClinicalTrials.gov Identifier: NCT00006132
  Purpose

OBJECTIVES: I. Determine the efficacy of long term suppressive therapy with oral acyclovir in infants with herpes simplex virus infection involving the central nervous system.

II. Determine whether neurologic outcome is improved in these patients when treated with this regimen.

III. Determine whether continuous administration of this drug suppresses recurrent skin lesions in these patients.

IV. Determine the safety of this regimen in these patients.


Condition Intervention Phase
Herpes Simplex
Drug: acyclovir
Phase III

Study Type: Interventional
Study Design: Treatment

Resource links provided by NLM:


Further study details as provided by National Center for Research Resources (NCRR):

Estimated Enrollment: 132
Study Start Date: June 1997
Detailed Description:

PROTOCOL OUTLINE: This is a randomized, double blind, placebo controlled, multicenter study. Patients are stratified according to disease (CNS disease with or without cutaneous involvement vs disseminated disease with CNS involvement).

All patients receive acyclovir IV every 8 hours on days 1-21. On day 19, patients undergo a lumbar puncture and must have a negative CSF PCR to be randomized. If patients have a positive CSF PCR on day 19, they continue to receive acyclovir IV every 8 hours. Treatment continues every 7 days with a repeat CSF PCR on the fifth day until a negative CSF PCR result is achieved. Patients are then randomized to one of two treatment arms.

Arm I: Patients receive oral acyclovir three times a day for 6 months. Arm II: Patients receive placebo. In case of cutaneous recurrence during the first 12 months of the study, patients receive open label oral acyclovir (if CSF PCR is negative) or acyclovir IV (if CSF PCR is positive) for 5 days. Patients may or may not continue on study drug following this treatment.

Patients are followed at 6, 12, 24, 36, 48, and 60 months of age.

  Eligibility

Ages Eligible for Study:   up to 28 Days
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

  • Infants diagnosed with herpes simplex virus infection involving the central nervous system with or without evidence of viral dissemination to other organs (i.e., skin, liver, or lungs) HSV-1 or HSV-2 isolated from cutaneous lesions from any site (skin, oropharynx, cerebrospinal fluid (CSF), urine, etc.) OR Must have positive CSF polymerase chain reaction (PCR) if no cutaneous skin lesions are present and viral cultures are negative No infection limited to skin, eyes, or mouth Evidence of CNS involvement includes one or more of the following: Abnormal CSF indices for term infants (WBC greater than 22/mm3 and protein greater than 115 mg/dL) Abnormal CSF indices for preterm infants (WBC greater than 25/mm3 and protein greater than 220 mg/dL) Abnormal neuroimaging study (CT with contrast, MRI with gadolinium, or head ultrasound) Disseminated disease is defined as one or more of the following: SGPT at least 2.5 times upper limit of normal Pneumonia/pneumonitis Necrotizing enterocolitis Disseminated intravascular coagulopathy
  • Birth weight at least 800 grams

--Prior/Concurrent Therapy--

  • No concurrent nursing from a mother who is receiving acyclovir, valacyclovir, or famciclovir for longer than 120 hours or 5 days

--Patient Characteristics--

  • Renal: Creatinine no greater than 1.5 mg/dL
  • Cardiovascular: No prior grade 3 or 4 intraventricular hemorrhage
  • Other: No infants known to be born to HIV positive women
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00006132

  Hide Study Locations
Locations
United States, Alabama
Children's Hospital of Alabama Recruiting
Birmingham, Alabama, United States, 35233
Contact: Richard J. Whitley     205-934-5316        
University of Alabama Comprehensive Cancer Center Recruiting
Birmingham, Alabama, United States, 35294
Contact: David W. Kimberlin     205-939-6097        
United States, Arkansas
University of Arkansas Recruiting
Little Rock, Arkansas, United States, 72202
Contact: Richard Jacobs     501-320-1416        
University of Arkansas for Medical Sciences Recruiting
Little Rock, Arkansas, United States, 72205
Contact: Elias J. Anaissie     501-686-8274        
United States, California
Cedars-Sinai Medical Center Completed
Los Angeles, California, United States, 90048
Children's Hospital and Health Center Recruiting
San Diego, California, United States, 92123-4282
Contact: John Bradley     619-576-5823        
Stanford University Recruiting
Stanford, California, United States, 94305
Contact: Ann Arvin     650-723-5682        
United States, Connecticut
Connecticut Children's Medical Center Recruiting
Hartford, Connecticut, United States, 06106
Contact: Alberto Cohen-Abbo     860-545-9330        
United States, Florida
University of Florida Health Science Center - Jacksonville Active, not recruiting
Jacksonville, Florida, United States, 32209
United States, Louisiana
Tulane University Medical Center Recruiting
New Orleans, Louisiana, United States, 70112
Contact: Rusell Van Dyke     504-588-5422        
United States, Maine
Maine Medical Center Recruiting
Portland, Maine, United States, 04102
Contact: Carol McCarthy     207-828-8226        
United States, Mississippi
University of Mississippi Medical Center Recruiting
Jackson, Mississippi, United States, 39216-4505
Contact: April Palmer     601-984-5206        
United States, Missouri
St. Louis Children's Hospital Recruiting
Saint Louis, Missouri, United States, 63110
Contact: Gregory Storch     314-454-6079        
United States, New York
State University of New York - Upstate Medical University Recruiting
Syracuse, New York, United States, 13210
Contact: Leonard Weiner     315-464-6331        
United States, North Carolina
Carolinas Medical Center Recruiting
Charlotte, North Carolina, United States, 28232-2861
Contact: Amina Ahmed     704-355-1301        
United States, Ohio
Children's Hospital Medical Center - Cincinnati Recruiting
Cincinnati, Ohio, United States, 45229-3039
Contact: Lawrence Stanberry     513-559-6773        
MetroHealth Medical Center Recruiting
Cleveland, Ohio, United States, 44109
Contact: Mary Lou Kumar     216-778-4284        
Ohio State University Children's Hospital Recruiting
Columbus, Ohio, United States, 43205-2696
Contact: Dwight Powell     614-722-4450        
United States, Rhode Island
Rhode Island Hospital Recruiting
Providence, Rhode Island, United States, 02903
Contact: Penelope H. Dennehy     401-444-4298        
United States, South Carolina
Medical University of South Carolina Recruiting
Charleston, South Carolina, United States, 29425-0721
Contact: Sandra Fowler     843-792-2385        
United States, Tennessee
University of Tennessee Medical Center at Knoxville Recruiting
Knoxville, Tennessee, United States, 37920
Contact: Thomas Smith     423-544-9356        
Vanderbilt University Recruiting
Nashville, Tennessee, United States, 37232-6305
Contact: Kathy Edwards     615-322-2250        
United States, Texas
Baylor College of Medicine Recruiting
Houston, Texas, United States, 77030
Contact: Gail Demmler     713-770-4330        
Cook Children's Medical Center - Fort Worth Recruiting
Fort Worth, Texas, United States, 76104
Contact: Mark Shelton     817-885-4000        
University of Texas Health Science Center at San Antonio Recruiting
San Antonio, Texas, United States, 78284-7811
Contact: Charles Leach     210-567-5246        
University of Texas Southwestern Medical School Recruiting
Dallas, Texas, United States, 75235-9032
Contact: Pablo J. Sanchez     214-648-3753        
Canada, Alberta
University of Alberta Recruiting
Edmonton, Alberta, Canada, T6G 2R7
Contact: Joan Robinson     780-492-1680        
Canada, Manitoba
University of Manitoba-Winnipeg Recruiting
Winnipeg, Manitoba, Canada, R3A 1R9
Contact: Amin Kabani     204-787-1928        
Sponsors and Collaborators
University of Alabama at Birmingham
Investigators
Study Chair: David W. Kimberlin University of Alabama at Birmingham
  More Information

No publications provided

Study ID Numbers: 199/15325, UAB-CASG-103
Study First Received: August 3, 2000
Last Updated: June 23, 2005
ClinicalTrials.gov Identifier: NCT00006132     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Center for Research Resources (NCRR):
herpes simplex virus infection
herpes virus infection
immunologic disorders and infectious disorders
rare disease
viral infection

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

ClinicalTrials.gov processed this record on November 27, 2009