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Clinical Trials/NCT01225341
NCT01225341TerminatedNot Applicable

A Double-Blind, Randomized, Placebo Controlled, Crossover Study to Assess the Safety and Efficacy of Botulinum Toxin A Injections as a Preventative Measure for Herpes Labialis.

DeNova Research1 site in 1 country20 target enrollmentStarted: August 2010Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Terminated
Enrollment
20
Locations
1
Primary Endpoint
Measurement of Recurrence and Duration of Herpes Labialis Lesions

Study Overview

Brief Summary

The purpose of this study is to determine the efficacy and safety of Botulinum Toxin Type A as a preventative measure for Herpes Labialis.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Prevention
Masking
Double (Participant, Investigator)

Eligibility Criteria

Ages
18 Years to 64 Years (Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Males or females between the ages of 18 and
  • Have herpes simplex virus 1 (HSV-1) with between 2-6 herpes labialis recurrences per year.
  • Willingness and ability to comply with protocol requirements, including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study.
  • Subjects of childbearing potential must have a negative urine pregnancy test result at Visit 1 and be willing able to use an acceptable method of birth control (e.g., barrier methods used with a spermicidal agent, hormonal methods, IUD, surgical sterilization, abstinence) during the study. Women will not be considered of childbearing potential if one of the following is documented on the medical history:
  • postmenopausal for at least 12 months prior to study drug administration
  • without a uterus and/or both ovaries
  • has had a bilateral tubal ligation for at least 6 months prior to study drug administration.
  • absence of an other physical condition according to the PI's discretion
  • Willingness and ability to provide written photo consent and adherence to photography procedures (i.e., removal of jewelry and makeup).
  • Willingness and ability to provide written informed consent prior to performance of any study related procedure.

Exclusion Criteria

  • Subjects who are pregnant, nursing, planning to become pregnant, and/or not using a reliable form of birth control.
  • Subjects with a known allergy or sensitivity to any component of the study medications or anesthesia.
  • Active recurrence of herpes labialis.
  • Botulinum toxin to the lower 1/3 of the face with the past 6 months.
  • Significant concurrent illness such as diabetes, epilepsy, lupus, or congestive heart failure.
  • Concurrent skin condition affecting area to be treated.
  • Prior surgery on the area to be treated within 3 months of initial treatment or during the study.
  • History or evidence of keloids or hypertrophic scarring.
  • Current use of antivirals for the treatment of herpes labialis within 2 weeks prior to initiation of treatment (e.g., acyclovir, valaciclovir, famciclovir, and penciclovir).
  • Topical use of over-the-counter medications for the treatment or prevention of HSV-1 (e.g., Abreva).
  • Subjects currently using aminoglycoside antibiotics, curare-like agents or other agents that might interfere with neuromuscular function.
  • Subjects with a diagnosis of Myasthenia Gravis, Eaton-Lambert Syndrome, Amyotrophic Lateral Sclerosis, or any other disease that might interfere with neuromuscular function or current facial palsy.
  • Current history of chronic drug or alcohol abuse.
  • Concurrent therapy that, in the investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study medication.
  • Subjects who, in the Investigator's opinion, have a history of poor cooperation, non-compliance with medical treatment or unreliability.
  • Enrollment in any active study involving the use of investigational devices or drugs.

Arms & Interventions

onabotulinumtoxinA/placebo

Experimental

Patients will be injected every 3 months with onabotulinumtoxinA for a period of 12 months. At the 12 month visit, patients will receive injections of saline.

Intervention: onabotulinumtoxinA (Drug)

onabotulinumtoxinA/placebo

Experimental

Patients will be injected every 3 months with onabotulinumtoxinA for a period of 12 months. At the 12 month visit, patients will receive injections of saline.

Intervention: Bacteriostatic normal saline (Other)

Bacteriostatic normal saline/ onabotulnimtoxinA

Placebo Comparator

Patients will be injected every 3 months with saline for a period of 12 months. At the 12 month visit, patients will receive injections of onabotulnimtoxinA.

Intervention: onabotulinumtoxinA (Drug)

Bacteriostatic normal saline/ onabotulnimtoxinA

Placebo Comparator

Patients will be injected every 3 months with saline for a period of 12 months. At the 12 month visit, patients will receive injections of onabotulnimtoxinA.

Intervention: Bacteriostatic normal saline (Other)

Outcomes

Primary Outcomes

Measurement of Recurrence and Duration of Herpes Labialis Lesions

Time Frame: 12 months

Days between last injection and outbreak onset \& Days between onset and recurrence

Secondary Outcomes

  • Measurement of Lesion Size(12 months)
  • Pain Assessment(During outbreak)
  • Symptom Evaluation(During outbreak)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Steven H. Dayan

Medical Director

DeNova Research

Study Sites (1)

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