Reduction of Postherpetic Neuralgia in Herpes Zoster

NCT ID: NCT01250561

Last Updated: 2010-12-01

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

COMPLETED

Clinical Phase

NA

Total Enrollment

133 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-02-28

Study Completion Date

2007-10-31

Brief Summary

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The addition of gabapentin therapy to standard antiviral treatment with valacyclovir in acute herpes zoster patients will decrease the incidence of post-herpetic neuralgia.

Detailed Description

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Conditions

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Herpes Zoster Post-herpetic Neuralgia

Keywords

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gabapentin valacyclovir phn shingles

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Gabapentin

gabapentin 300mg/day, titrated up weekly to max tolerated dose or 3600mg/day (whichever is lower), for 4-9 weeks

Intervention Type DRUG

Valacyclovir

valacyclovir 1000mg three-times daily x 7 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients of 50 years of age and older.
* Patients with a clinical diagnosis of uncomplicated herpes zoster presenting within the first 72 hours of vesicles.
* Patients who are willing and able to comply with the requirements of the study.
* Patients who are willing and able to give written informed consent.
* Average pain score pre-therapy greater or equal than 4 on 10-point Likert scale.

Exclusion Criteria

* Sexually-active women of childbearing potential, including postmenopausal women less than 1 year since last menses, not employing adequate contraception (approved oral contraceptive, intrauterine device, barrier methods or total abstinence).
* Pregnant females and nursing mothers.
* Patients with immune dysfunction including congenital immune deficiency, active malignancy of any type, collagen vascular diseases, organ or bone marrow transplantations, known infection with HIV or severe atopic dermatitis.
* Patients who have received cytotoxic drugs or immunosuppressive therapy (e.g., chronic systemic corticosteroids) within the previous 3 months.
* Patients with evidence of cutaneous or visceral dissemination of herpes zoster infection (cutaneous dissemination is defined as \> 20 discrete lesions outside adjacent dermatomes).
* Patients who have received systemic anti-VZV medications or immunomodulatory medications (including interferon) within the previous 4 weeks.
* Patients currently receiving probenecid.
* Patients with impaired renal function: calculated creatinine clearance of \<30 mL/min using Cockcroft and Gault formula.
* Patients with abnormal liver function (alanine transaminase (ALT) or aspartate;transaminase (AST) levels greater than five times the upper limit of the normal range).
* Patients with a history of intolerance or hypersensitivity to acyclovir, penciclovir, valacyclovir, famciclovir or gabapentin.
* Patients currently receiving therapy with gabapentin or tricyclic antidepressants.
* Patients with clinical evidence of ocular involvement of herpes zoster. Patients with herpes zoster of the ophthalmic branch of the trigeminal nerve without evidence of ocular involvement will be included.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Center for Clinical Studies, Texas

OTHER

Sponsor Role lead

Responsible Party

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Center for Clinical Studies

Principal Investigators

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Stephen Tyring, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Center for Clinical Studies

Locations

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Center for Clinical Studies

Houston, Texas, United States

Site Status

Countries

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United States

References

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Lapolla W, Digiorgio C, Haitz K, Magel G, Mendoza N, Grady J, Lu W, Tyring S. Incidence of postherpetic neuralgia after combination treatment with gabapentin and valacyclovir in patients with acute herpes zoster: open-label study. Arch Dermatol. 2011 Aug;147(8):901-7. doi: 10.1001/archdermatol.2011.81. Epub 2011 Apr 11.

Reference Type DERIVED
PMID: 21482862 (View on PubMed)

Other Identifiers

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CCS-06-001

Identifier Type: -

Identifier Source: org_study_id