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Treatment of recurrent cold sores caused by Herpes Simplex virus-1 with HDIT101 (an antibody) or placebo

Phase 1
Conditions
Chronic Herpes Simplex Virus-1 Infection
MedDRA version: 21.1Level: LLTClassification code 10073933Term: Herpes simplex oralSystem Organ Class: 100000004862
MedDRA version: 22.0Level: LLTClassification code 10082141Term: Herpes simplex labialisSystem Organ Class: 100000004862
Therapeutic area: Diseases [C] - Virus Diseases [C02]
Registration Number
EUCTR2020-000926-24-DE
Lead Sponsor
Heidelberg ImmunoTherapeutics
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
138
Inclusion Criteria

1. Ability to provide written, personally signed and dated informed consent to participate in the study.
2. Age = 18 years at the time of signing informed consent.
3. Understanding, ability, and willingness to fully comply with study interventions and restrictions.
4. Seropositive for HSV-1 at screening or if documented within 2 years prior enrolment with a history of chronic recurrent orolabial herpes infection for at least 12 months with at least 6 orolabial recurrences in the last year.
5. Three confirmed lesions within 9 months after enrolment.
6. Willingness not to use any HSV-suppressant therapy (both approved drugs and non-approved drugs including over-the-counter [OTC] drugs, e.g. herpes patches or supplemental dietary anti-herpetic treatments) except 5% aciclovir cream as optional standard of care (with the exception of the first two outbreaks in the treatment phase).
7. Willingness to remove beard or lip piercings if lesion boundaries in this region cannot be evaluated and topical treatment of the entire lesion is compromised (according to judgement of investigator).
8. Willingness to self-obtain daily swabs from the orolabial region, to provide photos of the lesions to the study site and to complete questionnaires upon recognition of first symptoms during the study.
9. Medical assessment with no clinically significant morbidities or abnormalities as per judgement of the investigator.
10. Willingness to use contraceptive methods for 30 days after each treatment (as further described in section 4.5).
11. Availability of a mobile phone, tablet or other smart device with a camera, connection to the internet and willingness to use this device for documentation of patient-reported outcomes and photo upload.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 100
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 38

Exclusion Criteria

1. Patients who do not develop at least 3 lesions of stage 3 or higher during the 9 months observation phase or do not develop any lesion within 150 days from enrolment visit.
2. Patients with herpes keratitis.
3. Requirement for immunosuppressive therapy including topical (e.g., rectal, vaginal, cutaneous, etc.) and/or oral and/or parenteral and/or inhaling steroids.
4. Any condition that precludes the sampling of up to 215 mL blood over the duration of the study.
5. Any known clinically relevant allergies to drugs or any history of severe allergic or anaphylactic reactions.
6. Known intolerance to active substance or excipients of the investigational medicinal product or comparator.
7. Positive human immunodeficiency virus (HIV) antibody screen, active hepatitis B virus (HBV) or active hepatitis C virus (HCV) infection.
8. Treatment with an investigational drug in any clinical study within the last 30 days prior to enrolment in this study.
9. Prior treatment with HDIT101, e.g. in this or another clinical study.
10. Prior vaccination with an HSV type 1/2 vaccine (e.g. experimental) within the last 2 years prior screening.
11. Pregnant or breast-feeding women.
12. Prior malignant disease (except basal cell carcinoma in situ) if not successfully cured more than 5 years before enrolment.
13. Patients who have abnormal skin conditions which are considered clinically significant according to the assessment of the investigator (e.g., acne, eczema, rosacea, psoriasis, albinism, chronic vesiculo-bullous disorders, atopic dermatitis, history of eczema herpeticum).
14. Any clinically relevant medical history or current physical or psychiatric illnesses/medical conditions that constitute an unacceptable risk for study participation or make the participant unlikely to fully complete the study in the judgment of the Investigator. This especially applies to currently medicated psychiatric illnesses since this poses an additional risk for pharmacodynamic interaction with IMP.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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