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Phase 2 N=19 Randomized Double-blind Treatment

Herpes Simplex Type 1 Suppression in Hepatitis C

Chronic Hepatitis C Infection

Enrolled (actual)
19
Serious AEs
0.0%
Results posted
Sep 2016
Primary outcome: Primary: Change in HCV RNA Viral Load — .24; .08 log(IU/mL) — p=0.05

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Valacyclovir (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
VA Office of Research and Development
Primary completion
Dec 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in HCV RNA Viral Load
.24; .08 0.05

Summary

The purpose of this study is to examine the effects of valacyclovir in patients who have chronic hepatitis C, antibodies to herpes simplex type 1 infection but do not have antibodies to herpes simplex type 2 infection. Herpes simplex type 1 infection commonly causes cold sores or fever blisters, also known as herpes labialis, but most persons do not have any symptoms at all. Valacyclovir is a medication which is approved by the Food and Drug administration to treat herpes labialis. Valacyclovir has not been approved to treat chronic hepatitis C infection. The study will take 16 weeks. Participants will be assigned to take either the study drug, valacyclovir, or a sugar pill that looks exactly like valacyclovir. The researchers and patients will not know which medication they are receiving. Study visits will occur every two weeks and will take approximately 30-45 minutes. All study visits will occur at the G.V. Sonny Montgomery VA Medical Center in Jackson, Mississippi.

Eligibility Criteria

Inclusion Criteria

  • Chronic hepatitis C infection with a detectable HCV RNA in the serum on two occasions, 6 months apart
  • Focus HSV-2 IgG negative and Focus HSV-1 IgG positive, using manufacturer's cut-offs

Exclusion Criteria

  • Antiherpes or immunomodulatory therapy during the past 30 days,
  • HIV or chronic hepatitis B infection,
  • Decompensated liver disease (ascites, hepatic encephalopathy, coagulopathy, jaundice/icterus),
  • Creatinine clearance <50 ml/min.,
  • Female subject who is pregnant or nursing,
  • Gastrointestinal disorder which might result in malabsorption of valacyclovir,
  • History of erythema multiforme major, thrombotic thrombocytopenia purpura or hemolytic uremic syndrome,
  • Allergy to valacyclovir or related drug.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01580995). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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