Melatonin Effects on Genital Herpes in Brazilian Women

NCT ID: NCT03831165

Last Updated: 2022-01-11

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

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-02

Study Completion Date

2021-12-28

Brief Summary

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Genital herpes is a common and increasingly-common infection worldwide. The annual incidence in the United States is 1.75 per 1000 inhabitants. The etiologic agent is the herpes type 1 and 2 strains simplex virus. Classical Treatment is with acyclovir which decreases the duration of the disease and prevents rashes but has no curative effect. Also, studies show herpes resistance to acyclovir which has stimulating research into new drugs to treat this condition. Authors suggest melatonin way be a therapeutic agent in herpetic disease due to its modulatory action in immune and inflammatory responses when administered in adequate doses. Therefore, the aim of this study is to evaluate the effects of melatonin in the treatment of genital herpes as well as compare it to acyclovir in a double-blind, prospective and randomized, investigation. Outcome measures will include clinical evaluation of patients and laboratory endpoints.

Detailed Description

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The authors have investigate the relationship of estrogen-dependent malignant tumors with reduced levels of melatonin. It is speculated that the indoleamine can be classified as anti-estrogenic drug, both by its action on estrogen synthesis with aromatase inhibition and by its interference with estrogen receptors. Experimentally melatonin prevents promotion and growth of mammary tumors in rodents, probably by interacting with epithelial cell receptor; increasing local immunity by acting as an antioxidant agent and by inhibiting telomerase activity in tumor cells .

Conditions

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Genital Herpes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The patients will be divided into three groups. One group (group A) will receive a bottle with 360 pills of acyclovir 200 mg. These individuals will be instructed to take 2 tablets of 200mg acyclovir (400 mg) twice daily for 90 days. Group B will receive 90 tablets of 30 mg of melatonin, the tablet will be used as 01 tablet daily for 90 days. Group C will receive 90 tablets of melatonin 3mg, and 360 tablets of acyclovir dose is 1 tablet per day for 90 days.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
The patients will be treated at the Clinic of Gynecology, University of Sao Paulo during a total of 04 visits. In the first and fourth visits, patients will be sent to the laboratory of the University Hospital for collecting the cluster of differentiation 4 cells, interleukin-2 and serology for herpes.

Study Groups

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melatonin 3mg + Acyclovir 400mg

Group I - melatonin 3mg + Acyclovir 400mg

Group Type EXPERIMENTAL

Melatonin 3 mg

Intervention Type COMBINATION_PRODUCT

melatonin and placebo

Acyclovir

Intervention Type DRUG

Only acyclovir 200 mg twice a day

Acyclovir 400mg

Group II - Acyclovir 400mg twice a day

Group Type ACTIVE_COMPARATOR

Melatonin 3 mg

Intervention Type COMBINATION_PRODUCT

melatonin and placebo

Acyclovir

Intervention Type DRUG

Only acyclovir 200 mg twice a day

placebo + melatonin 3mg

Group III - placebo + melatonin 3mg

Group Type PLACEBO_COMPARATOR

Melatonin 3 mg

Intervention Type COMBINATION_PRODUCT

melatonin and placebo

Acyclovir

Intervention Type DRUG

Only acyclovir 200 mg twice a day

Interventions

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Melatonin 3 mg

melatonin and placebo

Intervention Type COMBINATION_PRODUCT

Acyclovir

Only acyclovir 200 mg twice a day

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* clinical and laboratory diagnosis of genital herpes
* real time polymerase chain reaction for herpes type 2
* serology

Exclusion Criteria

* immunodeficiencies
* pregnant women
Minimum Eligible Age

15 Years

Maximum Eligible Age

49 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Sao Paulo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Edmund C Baracat, PhD

Role: STUDY_DIRECTOR

Universidade de Sao Paulo General Hospital

Locations

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Avenida Doutor Eneas Carvalho de Aguiar 255 10 andar

São Paulo, São Paulo, Brazil

Site Status

Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo

São Paulo, , Brazil

Site Status

Countries

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Brazil

Other Identifiers

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1215208

Identifier Type: -

Identifier Source: org_study_id

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