Double-Blind Placebo-Controlled Study Comparing the Combination of 15% SP-303 Gel With Acyclovir Versus Acyclovir Alone for the Treatment of Recurrent Herpes Simplex Virus (HSV) Infections in Subjects With Acquired Immunodeficiency Syndrome (AIDS)
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Purpose
To evaluate the safety of topically applied SP-303 gel and to compare the efficacy of SP-303 gel in combination with acyclovir, relative to acyclovir alone, for the treatment of recurrent Herpes Simplex Virus (HSV) 1 and 2 infections, affecting the genital, perianal and neighboring areas, in patients with AIDS.
| Condition | Intervention |
|---|---|
|
Herpes Simplex HIV Infections |
Drug: Crofelemer Drug: Acyclovir |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Double-Blind Placebo-Controlled Study Comparing the Combination of 15% SP-303 Gel With Acyclovir Versus Acyclovir Alone for the Treatment of Recurrent Herpes Simplex Virus (HSV) Infections in Subjects With Acquired Immunodeficiency Syndrome (AIDS) |
| Estimated Enrollment: | 400 |
This trial is a double-blind, multicenter, placebo-controlled clinical trial. Participants are randomized to topical 15% SP-303 gel and oral acyclovir or to matching topical placebo gel and oral acyclovir. At presentation, patients are stratified by total lesion area within each treatment group. SP-303 or matching placebo is topically applied three times a day until all lesions are reepithelialized or for 14 days, whichever occurs earlier. Acyclovir is administered by mouth each day, three times a day, until all lesions are reepithelialized or for 14 days, whichever occurs earlier. Patients are evaluated for lesion healing and adverse events 3 times per week during the treatment period. The primary efficacy endpoint will be complete lesion healing and the primary analysis will be time to complete healing.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria
Patients must have:
- AIDS, according to the CDC criteria.
- Documented recurrent (at least 1 prior episode) perineal (genital, perianal and neighboring areas) mucocutaneous herpes simplex virus (HSV) types 1 or 2 infection in the active phase.
- Duration of current episode of recurrent HSV lesions of 3 days or less.
- Ability to read and write, must be intellectually competent, and able to understand the purposes and risks of the study.
Exclusion Criteria
Co-existing Condition:
Patients with the following symptoms and conditions are excluded:
- Active internal anal or rectal herpes.
- Inability to comply with protocol.
- Impaired renal function.
Patients with the following prior conditions are excluded:
- Prior episode of recurrent genital herpes infection with documented clinical failure of acyclovir as a treatment regimen.
- Uncompensated hepatic, cardiac, or renal failure within 1 month of the study.
- History of hypersensitivity to acyclovir.
Previous enrollment in this study.
1. Treatment with another medication (topical, oral, or intravenous) with known anti-HSV activity within the past 5 days.
- Systemic immunomodulatory therapy within 30 days prior to study.
- Previous treatment with SP-303.
Required:
Unchanged antiretroviral therapy for the 2 weeks prior to study.
Contacts and Locations
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More Information
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| ClinicalTrials.gov Identifier: | NCT00002186 History of Changes |
| Other Study ID Numbers: | 270A, 96-867-DE |
| Study First Received: | November 2, 1999 |
| Last Updated: | June 23, 2005 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by NIH AIDS Clinical Trials Information Service:
|
AIDS-Related Opportunistic Infections Herpes Simplex Drug Therapy, Combination Acyclovir |
Antiviral Agents Gels SP 303 |
Additional relevant MeSH terms:
|
Acquired Immunodeficiency Syndrome HIV Infections Herpes Simplex Immunologic Deficiency Syndromes Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Slow Virus Diseases |
Immune System Diseases Herpesviridae Infections DNA Virus Infections Skin Diseases, Viral Skin Diseases, Infectious Skin Diseases Acyclovir Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013