Study of a Cold Sore Patch for the Treatment of Herpes Labialis

A Randomized, Clinician-Blind, Clinical Study to Examine the Safety and Performance of Compeed© Total Care™ Cold Sore Patch With Zinc Sulfate for the Treatment of Herpes Labialis

If a person qualifies to participate in this study, they will have an equal chance of being assigned to either of two groups. One group will receive a patch that they will need to carry with them, because as soon as a cold sore starts (within 1 hour) they will need to put the patch over the sore. The other group will not get a patch, but will need to follow the other instructions anyway.

When a subject's outbreak begins, they will need to return to the study center within 24 hours. Then they will return according to the appointments given within 10 days. If the study staff sees that their sore has healed enough before 10 days, subjects will be told that they don't need to return again.

As long as subjects are in the study, they will need to answer a few simple questions every day on a card or booklet called a diary, starting the first day of their outbreak. If a subject is assigned to the patch group, they must wear the patch all the time, taking it off only to replace it (if it gets loose, dirty, or unsightly) and at the study center, when they are asked to remove the patch so the sore can be checked.

During the study subjects will be allowed to use paracetamol for pain, but no other treatments or medicine. If they use paracetamol, subjects must record it in their diary. The study will be stopped, and there will be no subject visits or treatments during the end of year holiday break. If a subject experiences an outbreak during the holiday, they may follow their usual treatment routine.

Study Overview

• Status: Completed
• Conditions: Herpes Labialis
• Intervention / Treatment: Device: Patch ( Compeed© Total CareTM Cold Sore Patch)

Detailed Description

This is a two-arm, randomized, clinician-blind study. No severe adverse effects are expected to be experienced in the control group. All subjects are allowed to treat cold sore related pain with an oral analgesic - paracetamol (APAP). The use of APAP for pain will be recorded as a concomitant medication. However, subjects will be required to refrain from using any additional treatment (topical or systemic) during study participation.

Subjects randomized to treatment will be instructed to initiate the therapy within 1 hour onset of their first sign or symptom and record their assessment in the diary card (for no treatment subjects, they will only record assessments upon onset of first sign or symptom). All subjects will return to the study center for clinical assessments within 24 hours and 48 hours after onset of first sign or symptom/initiation of treatment and every other day thereafter, with a final visit at Day 10 or at the time of completion/discontinuation if before Day 10. Diaries will be completed each day, beginning upon initiation of therapy (Day 0) and continuing until study completion/discontinuation, and will include information on study product applications.

Subjects assigned to a patch treatment will wear a patch continuously on their lesion and will apply a new patch on occasions where the patch becomes loose, falls off or becomes unsightly, including at study visits to the facility where subjects will be asked to remove their patch for clinical assessments. Treatment will continue until the lesion is healed, for a maximum of 10 days. As the test period will possibly extend through the end of year holiday break, subject visits and treatments will be halted during this break. All subjects who have not initiated therapy including subjects assigned no treatment group, will be allowed to use their regular therapy for a cold sore outbreak during the holiday break.

• Study Type: Interventional
• Enrollment (Actual): 472
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United Kingdom
  • Manchester, United Kingdom, M15 6SE
    • Intertek CRS

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Female or male 18-70 years old in good general health
• Has a history of Herpes Labialis in the areas and with the frequency defined in the protocol.
• Based on history, likely to experience a cold sore outbreak within next 2 to 3 months
• Willing to provide informed consent
• Willing to stop all other treatment of this condition and any topical products (lip balm, cosmetics, sunscreen) during test period
• Women of child bearing potential must agree to use an adequate method of birth control (systemic birth control/intrauterine device)

Exclusion Criteria:

• Self-reported to be pregnant, planning to become pregnant or nursing
• Has any medical history or condition that might, per protocol or in the opinion of the investigator, compromise the subject's safety or the analysis of results.
• Is taking or has taken within the 28 days before commencing treatment, protocol-specified medications or herbal supplements.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Patch; At onset of signs/symptoms, subjects will apply assigned patch, and return to study center within 24 hours. Patch will be worn continuously, being replaced as needed.	Device: Patch ( Compeed© Total CareTM Cold Sore Patch); A cold sore patch containing zinc sulfate; Other Names: Compeed© Total CareTM Cold Sore Patch
No Intervention: No Patch; No treatment will be initiated at onset of signs and symptoms although subject is still required to return to study center with 24 hours of onset of signs/symptoms.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Overall Condition of Cold Sore	Taking into account the size, physical impression of the lesion and overall quality of healing, clinician will score the overall condition of the cold sore on a scale of 0-10, where 0=Best and 10=Worst.	Within 10 Days
Erythema	Clinician's score on a scale of 0-10 for erythema, where 0=none and 10=most severe	Within 10 Days
Edema	Clinician's score on a scale of 0-10 for edema, where 0=none and 10=most severe	Within 10 Days
Vesicles	Clinician's score on a scale of 0-10 for vesicles, where 0=none and 10=most severe	Within 10 Days
Scab/Crust	Clinician's score on a scale of 0-10 for scab/crust, where 0=none and 10=most severe	Within 10 Days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Lesion Size	Measurement of lesion diameter	Within 10 Days
Lesion Stage	Lesion Stage on a categorical scale of 1-8, as described below: = prodrome (symptoms including itching, pain, tingling, but no physical evidence of disease by inspection or by palpation); = maculae (erythema); = papule (any elevation of skin without fluid; solid raised lesion); = vesicle (blister, fluid filled or collapsed); = ulcer/eroson (moist sore/wound); = soft crust/scab; = hard crust/scab; = healed (normal skin with no signs or symptoms; residual postlesion skin changes such as erythema, flaking, or slight asymmetry may be present)	Within 10 Days
Pain	Subject's score for unprovoked pain on a scale of 0-10, where 0=none and 10=most severe	Within 10 Days
Discomfort	Subject's score for discomfort on a scale of 0-10, where 0=none and 10=most severe	Within 10 Days
Itching	Subject's score for itching on a scale of 0-10, where 0=none and 10=most severe	Within 10 days
Burning	Subject's score for burning on a scale of 0-10, where 0=none and 10=most severe	Within 10 Days
Tingling	Subject's score for tingling on a scale of 0-10, where 0=none and 10=most severe	Within 10 Days
Swelling	Subject's score for swelling on a scale of 0-10, where 0=none and 10=most severe	Within 10 Days
Soreness/Tenderness	Subject's score for soreness/tenderness [upon touching] on a scale of 0-10, where 0=none and 10=most severe	Within 10 Days
Redness	Subject's score for redness on a scale of 0-10, where 0=none and 10=most severe	Within 10 Days
Blisters	Subject's score for blisters on a scale of 0-10, where 0=none and 10=most severe	Within 10 Days
Scab or Crust	Subject's score for scab or crust on a scale of 0-10, where 0=none and 10=most severe	Within 10 Days

Collaborators and Investigators

• Sponsor: Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc.
• Investigators: Study Director: Clare Kendall, Johnson & Johsnon Consumer and Personal Products Worldwide

Study record dates

Study Major Dates

• Study Start: November 1, 2011
• Primary Completion (Actual): March 1, 2012
• Study Completion (Actual): March 1, 2012

Study Registration Dates

• First Submitted: November 30, 2011
• First Submitted That Met QC Criteria: December 1, 2011
• First Posted (Estimate): December 2, 2011

Study Record Updates

• Last Update Posted (Estimate): October 1, 2012
• Last Update Submitted That Met QC Criteria: September 27, 2012
• Last Verified: September 1, 2012

More Information

Terms related to this study

• Keywords: Herpes Simplex Virus
• Additional Relevant MeSH Terms: Skin Diseases; Virus Diseases; Infections; Stomatognathic Diseases; Mouth Diseases; DNA Virus Infections; Skin Diseases, Infectious; Skin Diseases, Viral; Herpesviridae Infections; Lip Diseases; Herpes Simplex; Herpes Labialis
• Other Study ID Numbers: HCOWDH0003; 44-DRM-HLS-11-002 (Other Identifier: CRO)