Study to Compare Efficacy of Topical ARYS-01 (Sorivudine) Cream 3%, Oral Valaciclovir and Combination ARYS-01 Cream 3%/Oral Valaciclovir for Treatment of Herpes Zoster (Shingles)

NCT ID: NCT00652184

Last Updated: 2008-10-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2009-09-30

Brief Summary

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A multi-center, randomized, 4-arm, placebo-controlled, double-blind efficacy study of ARYS-01 (sorivudine) cream 3%.

Detailed Description

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More than 95% of people are infected with varicella Zoster virus (VZV) at one time of life or another. Primary VZV infection manifests as varicella (chicken pox). The virus then establishes a latent infection of the sensory ganglia from which it may reactivate years later to produce the clinical syndrome of Herpes Zoster (shingles). The initial cutaneous VZV lesions are pruritic, erythematous macules; and the lesions progress through maculopapular stage to vesicular, ulceration and crusting phases. The crusting phase signals the beginning of the healing process, and begins with clouding of the vesicular fluid, within about 24 to 48 h after the appearance of each lesion. This is a Phase 2 study to assess: 1) the overall benefit of ARYS-01 (sorivudine) cream 3% vs. Placebo cream (with immediate or delayed use of Valaciclovir therapy) on Herpes Zoster rash healing rates and postherpetic neuralgia (PHN), 2) the efficacy of ARYS-01 cream 3% vs. Placebo cream, prior to initiation of Valaciclovir, to build evidence for monotherapy treatment benefit of ARYS-01 cream on the initial onset of Herpes Zoster symptoms, 3) the efficacy of ARYS-01 cream 3% vs. Placebo cream, with immediate or delayed initiation of Valaciclovir, for synergetic effects on the initial onset of Herpes Zoster symptoms.

The primary efficacy endpoint is the effect of ARYS-01 cream (with or without Valaciclovir) on the reduction of the crusting stage of VZV rash present at Day 8. Secondary endpoints include time to cessation of new lesion formation, and time to cessation of Zoster-associated pains, pain intensity, rash healing and size reduction, and lesion dissemination.

Conditions

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Herpes Zoster Postherpetic Neuralgia

Keywords

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antiviral herpes zoster postherpetic neuralgia varicella zoster virus shingles

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Placebo cream BID for 10 days and placebo valaciclovir caplets TID from days 1-3 and active valaciclovir caplets 1 gram TID from days 4-10

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

placebo cream and placebo valaciclovir

valaciclovir

Intervention Type DRUG

active valaciclovir

2

Placebo cream BID for 10 days and active valaciclovir caplets TID from days 1-10

Group Type ACTIVE_COMPARATOR

ARYS-01 (sorivudine) cream 3% or placebo cream

Intervention Type DRUG

sorivudine cream 3% or placebo cream twice daily for 10 days

placebo

Intervention Type DRUG

placebo cream and placebo valaciclovir

valaciclovir

Intervention Type DRUG

active valaciclovir

3

Active cream BID for 10 days and placebo valaciclovir caplets TID from days 1-3 and active valaciclovir caplets 1 gram TID from days 4-10

Group Type EXPERIMENTAL

ARYS-01 (sorivudine) cream 3% or placebo cream

Intervention Type DRUG

sorivudine cream 3% or placebo cream twice daily for 10 days

placebo

Intervention Type DRUG

placebo cream and placebo valaciclovir

valaciclovir

Intervention Type DRUG

active valaciclovir

4

Active cream BID for 10 days and active valaciclovir caplets TID from days 1-10

Group Type OTHER

ARYS-01 (sorivudine) cream 3% or placebo cream

Intervention Type DRUG

sorivudine cream 3% or placebo cream twice daily for 10 days

valaciclovir

Intervention Type DRUG

active valaciclovir

Interventions

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ARYS-01 (sorivudine) cream 3% or placebo cream

sorivudine cream 3% or placebo cream twice daily for 10 days

Intervention Type DRUG

placebo

placebo cream and placebo valaciclovir

Intervention Type DRUG

valaciclovir

active valaciclovir

Intervention Type DRUG

Other Intervention Names

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ARYS-01 cream 3% sorivudine cream 3% topical sorivudine 3%

Eligibility Criteria

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Inclusion Criteria

* at least 18 years of age
* diagnosed with herpes zoster
* confirmed for VZV with lesion swab at screening and subsequent PCR test.
* contraception for women of child-bearing potential
* be able to communicate with investigator and compliant

Exclusion Criteria

* cytotoxic or immunosuppressive drugs within 3 mos, 5-FU or its pro-drugs, tricyclic antidepressants, probenecid, topical or systemic antiviral drugs or immunomodulatory agents for viral infection
* herpes zoster ophthalmicus
* female patients who are pregnant and/or nursing or planning a pregnancy
* congenital, acquired or corticosteroid-induced immunodeficiency, including malignancy
* renal insufficiency or creatinine level \>2mg/dL
* clinical significant liver enzyme abnormalities and any other laboratory abnormalities determined by the screening lab
* history of intolerance or hypersensitivity to the cream components
* current significant skin disease within affected dermatome
* history of positive result for hepatitis B surface antigen, hepatitis C virus, or HIV
* current participation in another clinical drug research study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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aRigen Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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aRigen Pharmaceuticals, Inc.

Locations

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ARYS-0701 Site 3

Beverly Hills, California, United States

Site Status

ARYS-0701 Site 6

Encino, California, United States

Site Status

ARYS-0701 Site 7

Vista, California, United States

Site Status

ARYS-0701 Site 8

Henderson, Nevada, United States

Site Status

ARYS-0701 Site 9

Las Vegas, Nevada, United States

Site Status

ARYS-0701 Site 10

New York, New York, United States

Site Status

ARYS-0701 Site 11

New York, New York, United States

Site Status

ARYS-0701 Site 4

New York, New York, United States

Site Status

ARYS-0701 Site 12

Raleigh, North Carolina, United States

Site Status

ARYS-0701 Site 1

Houston, Texas, United States

Site Status

Countries

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United States

References

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Satyaprakash AK, Tremaine AM, Stelter AA, Creed R, Ravanfar P, Mendoza N, Mehta SK, Rady PL, Pierson DL, Tyring SK. Viremia in acute herpes zoster. J Infect Dis. 2009 Jul 1;200(1):26-32. doi: 10.1086/599381.

Reference Type DERIVED
PMID: 19469706 (View on PubMed)

Other Identifiers

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ARYS-0701

Identifier Type: -

Identifier Source: org_study_id