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.
研究概览
研究类型
注册 (估计的)
阶段
- 阶段2
联系人和位置
学习联系方式
- 姓名:Gilead Clinical Study Information Center
- 电话号码:1-833-445-3230 (GILEAD-0)
- 邮箱:GileadClinicalTrials@gilead.com
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的: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 |
|
实验性的: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 |
|
有源比较器: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 |
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Percentage of Participants Experiencing Adverse Events (AEs)
大体时间:Enrollment up to 92 days
|
Enrollment up to 92 days
|
|
Percentage of Participants Experiencing Premature Study-Dug Discontinuation due to AEs
大体时间:Enrollment up to 92 days
|
Enrollment up to 92 days
|
|
Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities
大体时间: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
大体时间:Day 8 to Day 38
|
Day 8 to Day 38
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Proportion of Participants Free of Genital Herpes Recurrences at Day 92
大体时间:Day 92
|
Day 92
|
|
|
Proportion of Participants Free of Genital Herpes Recurrences at Day 120
大体时间:Day 120
|
Day 120
|
|
|
Genital Herpes Lesion Rate During the Treatment Period
大体时间:Up to 92 days
|
Up to 92 days
|
|
|
Genital Herpes Lesion Duration During the Treatment Period
大体时间:Up to 92 days
|
Up to 92 days
|
|
|
Virologically Confirmed Genital Herpes Lesion Rate During the Treatment Period
大体时间:Up to 92 days
|
Up to 92 days
|
|
|
Virologically Confirmed Genital Herpes Lesion Duration During the Treatment Period
大体时间:Up to 92 days
|
Up to 92 days
|
|
|
Time to Suppression of HSV-2 Shedding
大体时间:Up to 92 days
|
Up to 92 days
|
|
|
Number of HSV-2 Shedding Episodes During the Swabbing Period
大体时间:Day 8 to Day 38
|
Day 8 to Day 38
|
|
|
Duration of HSV-2 Shedding Episodes During the Swabbing Period
大体时间:Day 8 to Day 38
|
Day 8 to Day 38
|
|
|
Proportion of Participants With Subclinical HSV-2 Shedding During the Swabbing Period
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间:Day 8 to Day 38
|
Day 8 to Day 38
|
|
|
Plasma Pharmacokinetic (PK) Parameters: Cmax of GS-1179
大体时间: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
大体时间: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
大体时间: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
|
合作者和调查者
调查人员
- 研究主任:Gilead Study Director、Gilead Sciences
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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