A Study of FV-100 Versus Valacyclovir in Patients With Herpes Zoster

September 23, 2015 updated by: Bristol-Myers Squibb

A Phase II, Multicenter, Randomized, Double-Blind, Parallel-Group, Comparative Study of FV-100 vs. Valacyclovir in Patients With Herpes Zoster

The purpose of this study is to compare the safety and efficacy of two doses of FV-100 to valacyclovir in patients with herpes zoster, or shingles. FV-100 has shown to be very potent in cells infected with varicella zoster virus, the virus that causes shingles. The study objectives include:

  • Compare the safety of FV-100 to valacyclovir
  • Compare the effect of FV-100, as compared to valacyclovir, on shingles pain
  • Compare the effect of FV-100, as compared to valacyclovir, on shingles lesions

Study Overview

Study Type

Interventional

Enrollment (Actual)

350

Phase

  • Phase 2

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

50 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Men and women ≥ 50 years of age
  • Patients with a clinical diagnosis of HZ as evidenced by a unilateral dermatomal rash
  • Patients with zoster-related pain (ZBPI worst pain score > 0)
  • Patients able to be enrolled into the study ≤ 72 hours from appearance of rash (i.e., lesions or vesicles)
  • Patients providing written informed consent
  • Patients who are able to complete all study visits per protocol
  • Men and premenopausal women must agree to practice a barrier method of birth control plus the use of a spermicide for one month after the last dose of study drug (oral contraceptives are not permitted)

Exclusion Criteria:

  • Women who are pregnant or lactating
  • Patients with multidermatomal or disseminated HZ (i.e., > 20 vesicles beyond the dermatomes adjacent to the primarily involved dermatome)
  • Patients with HZ ophthalmicus, defined as cutaneous lesions in the dermatome associated with the ophthalmic division of the trigeminal nerve
  • Patients with history of impaired renal function, (e.g., calculated creatinine clearance <50 mL/min/1.73 m2)
  • Patients taking narcotic analgesic routinely for a chronic pain condition
  • Patients taking tricyclic antidepressants
  • Patients who have received systemic antivirals with activity against VZV within the past 30 days, or a topical antiviral to treat their current HZ
  • Patients who are immunosuppressed from:

    • disease (e.g., malignancy [present or remission < 5 years], HIV)
    • corticosteroid use (except intermittent or topical/inhaled beclomethasone dipropionate or equivalent < 800 mcg/day), or
    • other immunosuppressive/cytotoxic therapy (cancer chemotherapy or organ transplantation)
  • Patients with gastrointestinal dysfunction that could interfere with drug absorption
  • Patients with any other condition (e.g., extensive psoriasis, chronic pain syndrome, cognitive impairment) that, in the opinion of the site investigator, might interfere with the evaluations required by the study
  • Patients who are not ambulatory (bed-ridden or homebound); hospitalized patients may be enrolled if they are ambulatory and able to complete the study requirements
  • Patients with history of allergy to valacyclovir hydrochloride
  • Patients unlikely to adhere to protocol follow-up
  • 14. Subjects taking strong CYP3A4-inhibiting protease inhibitors (specifically including atazanavir, indinavir, nelfinavir, saquinavir, and ritonavir), strong CYP3A4 inhibitors (specifically including clarithromycin, itraconazole, ketoconazole, nefazodone, telithromycin) and all strong CYP3A4 inducers (specifically including rifampin, efavirenz, etravirine, phenobarbital, phenytoin, and carbamazepine)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: QUADRUPLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: 2
FV-100, 400 mg once daily AND valacyclovir placebo, three times a day, for seven days
400 mg, once daily, for seven days
200 mg, once daily, for seven days
three times a day, for seven days
ACTIVE_COMPARATOR: 3
Valacyclovir, 1 gram, three times a day AND FV-100 placebo, once daily, for seven days
1 gram, three times a day for seven days
Other Names:
  • Valtrex
once daily, for seven days
EXPERIMENTAL: 1
FV-100, 200 mg once daily AND valacyclovir placebo, three times a day, for seven days
400 mg, once daily, for seven days
200 mg, once daily, for seven days
three times a day, for seven days

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Herpes zoster associated pain, as measured by the Zoster Brief Pain INventory (ZBPI)
Time Frame: 30 days
30 days

Secondary Outcome Measures

Outcome Measure
Time Frame
Herpes zoster associated pain
Time Frame: 90 days
90 days
Herpes zoster lesion healing
Time Frame: Until healed
Until healed
Routine clinical labs
Time Frame: 30 days
30 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2009

Primary Completion (ACTUAL)

November 1, 2010

Study Completion (ACTUAL)

December 1, 2010

Study Registration Dates

First Submitted

May 12, 2009

First Submitted That Met QC Criteria

May 12, 2009

First Posted (ESTIMATE)

May 13, 2009

Study Record Updates

Last Update Posted (ESTIMATE)

October 12, 2015

Last Update Submitted That Met QC Criteria

September 23, 2015

Last Verified

September 1, 2015

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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