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Study to Compare GS-1179 Versus Valacyclovir in HSV-2 Seropositive Participants With Recurrent Genital Herpes

28 oktober 2026 uppdaterad av: Gilead Sciences

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.

Studieöversikt

Studietyp

Interventionell

Inskrivning (Beräknad)

300

Fas

  • Fas 2

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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

Experimentell: 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

Aktiv komparator: 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

Vad mäter studien?

Primära resultatmått

Resultatmått
Tidsram
Percentage of Participants Experiencing Adverse Events (AEs)
Tidsram: Enrollment up to 92 days
Enrollment up to 92 days
Percentage of Participants Experiencing Premature Study-Dug Discontinuation due to AEs
Tidsram: Enrollment up to 92 days
Enrollment up to 92 days
Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities
Tidsram: 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
Tidsram: Day 8 to Day 38
Day 8 to Day 38

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Proportion of Participants Free of Genital Herpes Recurrences at Day 92
Tidsram: Day 92
Day 92
Proportion of Participants Free of Genital Herpes Recurrences at Day 120
Tidsram: Day 120
Day 120
Genital Herpes Lesion Rate During the Treatment Period
Tidsram: Up to 92 days
Up to 92 days
Genital Herpes Lesion Duration During the Treatment Period
Tidsram: Up to 92 days
Up to 92 days
Virologically Confirmed Genital Herpes Lesion Rate During the Treatment Period
Tidsram: Up to 92 days
Up to 92 days
Virologically Confirmed Genital Herpes Lesion Duration During the Treatment Period
Tidsram: Up to 92 days
Up to 92 days
Time to Suppression of HSV-2 Shedding
Tidsram: Up to 92 days
Up to 92 days
Number of HSV-2 Shedding Episodes During the Swabbing Period
Tidsram: Day 8 to Day 38
Day 8 to Day 38
Duration of HSV-2 Shedding Episodes During the Swabbing Period
Tidsram: Day 8 to Day 38
Day 8 to Day 38
Proportion of Participants With Subclinical HSV-2 Shedding During the Swabbing Period
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: Day 8 to Day 38
Day 8 to Day 38
Plasma Pharmacokinetic (PK) Parameters: Cmax of GS-1179
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Utredare

  • Studierektor: Gilead Study Director, Gilead Sciences

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 november 2026

Primärt slutförande (Beräknad)

1 november 2027

Avslutad studie (Beräknad)

1 november 2027

Studieregistreringsdatum

Först inskickad

28 oktober 2026

Först inskickad som uppfyllde QC-kriterierna

28 oktober 2026

Första postat (Faktisk)

3 november 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

3 november 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

28 oktober 2026

Senast verifierad

1 oktober 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Ja

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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