- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07912996
Study to Compare GS-1179 Versus Valacyclovir in HSV-2 Seropositive Participants With Recurrent Genital Herpes
A Phase 2b, Randomized, Double-Blind, Active-Control, Parallel-Group Study to Evaluate the Safety and Efficacy of GS-1179 Versus Valacyclovir in HSV-2 Seropositive Participants With Recurrent Genital Herpes
The goal of this clinical study is to compare the study drug GS-1179, versus valacyclovir (VACV) in herpes simplex virus type 2 (HSV-2) seropositive participants with recurrent genital herpes.
The primary objective of this study are to evaluate the safety and tolerability of GS-1179 versus VACV and to evaluate the antiviral effect of GS-1179 versus VACV.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Estimé)
Phase
- Phase 2
Contacts et emplacements
Coordonnées de l'étude
- Nom: Gilead Clinical Study Information Center
- Numéro de téléphone: 1-833-445-3230 (GILEAD-0)
- E-mail: GileadClinicalTrials@gilead.com
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Key Inclusion Criteria:
- Individuals assigned male or female at birth, 18 years of age or older at screening, able to understand and give written informed consent and comply with treatment and follow up. Individuals assigned male or female at birth who are of childbearing potential and engage in heterosexual intercourse must be nonpregnant, nonlactating, and agree to use protocol-specified method(s) of contraception.
- Individual is HSV-2 seropositive (or HSV-1 seropositive AND HSV-2 seropositive)
- Individual has a history of recurrent genital herpes for at least 1 year, with 4 to 9 clinical occurrences in the last year or, if currently on suppressive therapy, 4 to 9 occurrences a year prior to initiating suppressive therapy.
- Other than HSV infection, individual is in good health (as determined by the investigator). Medical history and physical examination should be without clinically significant abnormalities.
Key Exclusion Criteria:
- Individual has an acute episode of genital herpes during screening or on Day 1 prior to dosing.
- Individual has any other clinically significant medical, behavioral, mental condition, substance use disorder, or pharmacologic or surgical treatment that, in the opinion of the investigator or the sponsor, may interfere with efficacy or safety assessments, or the absorption, distribution, and/or elimination of the study drug, or make the individual unsuitable for study participation.
- Individual has a history of refractory or resistant HSV infection to any HSV-specific nucleoside analog including valacyclovir, acyclovir, famciclovir, penciclovir, ganciclovir, or valganciclovir.
- Individual has had treatment with any investigational or approved helicase-primase inhibitor (HPI) (including ABI-5366, ABI-1179, pritelivir, adibelivir [IM-250], amenamavir) or received an investigational HSV vaccine. However, individuals may be eligible if they participated in an investigational HPI study or an investigational HSV vaccine study but have sponsor documentation that they did not receive active product (eg, placebo recipients).
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: GS-1179 High Dose + VACV Placebo to Match (PTM)
Participants will be randomized to receive a high-dose of GS-1179 once weekly up to 85 days and VACV PTM once daily up to 92 days. |
Administered orally Administered orally |
|
Expérimental: GS-1179 Low Dose + VACV Placebo to Match (PTM)
Participants will be randomized to receive a low-dose of GS-1179 once weekly up to 85 days and VACV PTM once daily up to 92 days. |
Administered orally Administered orally |
|
Comparateur actif: VACV + GS-1179 PTM
Participants will be randomized to receive VACV once daily up to 92 days and GS-1179 PTM once weekly up to 85 days. |
Administered orally Administered orally |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
|
Percentage of Participants Experiencing Adverse Events (AEs)
Délai: Enrollment up to 92 days
|
Enrollment up to 92 days
|
|
Percentage of Participants Experiencing Premature Study-Dug Discontinuation due to AEs
Délai: Enrollment up to 92 days
|
Enrollment up to 92 days
|
|
Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities
Délai: First dose date up to 92 days
|
First dose date up to 92 days
|
|
Herpes Simplex Virus Type 2 (HSV-2) Shedding Rate During the Swabbing Period
Délai: Day 8 to Day 38
|
Day 8 to Day 38
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Proportion of Participants Free of Genital Herpes Recurrences at Day 92
Délai: Day 92
|
Day 92
|
|
|
Proportion of Participants Free of Genital Herpes Recurrences at Day 120
Délai: Day 120
|
Day 120
|
|
|
Genital Herpes Lesion Rate During the Treatment Period
Délai: Up to 92 days
|
Up to 92 days
|
|
|
Genital Herpes Lesion Duration During the Treatment Period
Délai: Up to 92 days
|
Up to 92 days
|
|
|
Virologically Confirmed Genital Herpes Lesion Rate During the Treatment Period
Délai: Up to 92 days
|
Up to 92 days
|
|
|
Virologically Confirmed Genital Herpes Lesion Duration During the Treatment Period
Délai: Up to 92 days
|
Up to 92 days
|
|
|
Time to Suppression of HSV-2 Shedding
Délai: Up to 92 days
|
Up to 92 days
|
|
|
Number of HSV-2 Shedding Episodes During the Swabbing Period
Délai: Day 8 to Day 38
|
Day 8 to Day 38
|
|
|
Duration of HSV-2 Shedding Episodes During the Swabbing Period
Délai: Day 8 to Day 38
|
Day 8 to Day 38
|
|
|
Proportion of Participants With Subclinical HSV-2 Shedding During the Swabbing Period
Délai: Day 8 to Day 38
|
Subclinical HSV-2 shedding is defined as swabs testing positive for HSV-2 DNA during the Swabbing Period that are not accompanied by lesions. |
Day 8 to Day 38
|
|
HSV-2 DNA (Copies/mL) for Swab Samples that are Positive for HSV-2 DNA During the Swabbing Period
Délai: Day 8 to Day 38
|
Day 8 to Day 38
|
|
|
HSV-2 DNA (Copies/mL) for Positive Swab Samples in the Absence of Lesions (Subclinical Shedding) During the Swabbing Period
Délai: Day 8 to Day 38
|
Day 8 to Day 38
|
|
|
Proportion of Swab Samples With HSV-2 DNA > 4 log10 Copies/mL for Positive Swab Samples During the Swabbing Period
Délai: Day 8 to Day 38
|
Day 8 to Day 38
|
|
|
Proportion of Swab Samples With HSV-2 DNA > 4 log10 Copies/mL for Positive Swab Samples in the Absence of Lesions (Subclinical Shedding) During the Swabbing Period
Délai: Day 8 to Day 38
|
Day 8 to Day 38
|
|
|
Plasma Pharmacokinetic (PK) Parameters: Cmax of GS-1179
Délai: Day 1 up to 92 days
|
Cmax is defined as the maximum observed concentration of drug at steady state. |
Day 1 up to 92 days
|
|
Plasma PK Parameters: AUCtau of GS-1179
Délai: Day 1 up to 92 days
|
AUCtau is defined as the area under the concentration versus time curve over the dosing interval at steady state. |
Day 1 up to 92 days
|
|
Plasma PK Parameters: Ctrough of GS-1179
Délai: Day 1 up to 92 days
|
Ctrough is defined as the observed drug concentration at the end of the dosing interval at steady state. |
Day 1 up to 92 days
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Directeur d'études: Gilead Study Director, Gilead Sciences
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- GS-US-578-8029
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
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