Valaciclovir Hydrochloride Phase III for Hematopoietic Stem Cell Transplantation Patients
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Purpose
The purpose of this study is to evaluate the preventive efficacy for HSV infection and safety of valaciclovir (VACV) in the adult and pediatric HSCT patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Herpes Simplex |
Drug: VACV tablets (Adults or pediatrics) or granules (pediatrics) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | A Multicenter, Open-label Study to Evaluate Preventive Efficacy for Herpes Simplex Virus Infection and Safety of 256U87 (Valaciclovir Hydrochloride) in Adult and Pediatric Hematopoietic Stem Cell Transplantation Patients |
- Incidence of HSV infection [ Time Frame: administration period of 43 days (plus 7 days) ] [ Designated as safety issue: No ]
- Adverse events [ Time Frame: from at screening to 35 days after HSCT ] [ Designated as safety issue: Yes ]
- Laboratory results (hematology, clinical chemistry, urinalysis) [ Time Frame: at screening, Day 14, 35 ] [ Designated as safety issue: Yes ]
- Vital signs (body temperature, blood pressure, pulse rate) [ Time Frame: at screening, Day -7, 0, 7, 14, 21, 35 ] [ Designated as safety issue: Yes ]
- 12-lead ECG [ Time Frame: at screening, Day 35 ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 40 |
| Study Start Date: | May 2012 |
| Estimated Study Completion Date: | May 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: VACV (256U87; valaciclovir hydrochloride)
Adult patients (16-65 years): A VACV tablet (containing 500mg of valaciclovir) is orally given twice daily. Pediatric patients (1-16 years): VACV granules are orally given at a dose of 25 mg/kg b.w. twice daily. The maximum dose per treatment is limited to 500 mg. Pediatric patients weighing 40 kg or over may be orally given a VACV tablet (containing 500 mg of valaciclovir) twice daily.
|
Drug: VACV tablets (Adults or pediatrics) or granules (pediatrics)
A white to slightly yellowish white film coated tablet contains 556 mg of valaciclovir hydrochloride (500 mg of valaciclovir)). VACV granules have no or slightly specific odor.
Other Name: 256U87 tablet or granule
|
Detailed Description:
This clinical study is a multicenter open-label study on the adult and pediatric hematopoietic stem cell transplantation (HSCT) patients. The primary objective is to confirm the preventive efficacy for herpes simplex virus (HSV) infection of 256U87 (VACV: valaciclovir) due to the treatment before or immediately after hematopoietic stem cell transplantation. The secondary objective is to confirm the safety of VACV in the case of its use for such a purpose.
This clinical study consists of the following two periods: the screening period lasting 7 days at the longest and the administration period from 7 days before HSCT to 35 days after HSCT (43 days in total). During the administration period, adult patients are orally given a VACV tablet twice daily, while pediatric patients are orally given VACV granules twice daily at a dose of 25 mg/kg b.w. (maximum dose per treatment: 500 mg). Pediatric patients weighing 40 kg or over may be orally given a VACV tablet twice daily.
Eligibility| Ages Eligible for Study: | 1 Year to 64 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients who are planning to undergo hematopoietic stem cell transplantation, except cord blood transplantation.
- Patients aged from 1 and above to under 65 at the time of informed consent.
- Patients who can submit their voluntary written informed consent if they are 12 years old and over.
- Patient is male or female. Male patients must be willing to use adequate contraception during the study. Female patients of childbearing potential must agree to consistently perform any of the contraceptive methods.
- QTc <450 msec, or QTc <480 msec in patients with bundle branch block. (values based on either single ECG values or triplicate ECG averaged QTc values)
- Liver test (aspartate aminotransferase (AST) and alanine aminotransferase (ALT) <2x upper limit of normal (ULN); alkaline phosphatase (Al-P)and total bilirubin <=1.5xULN (total bilirubin >1.5xULN is acceptable if direct bilirubin <35%).
Exclusion Criteria:
- Patients with a history of HSCT.
- Patients who are judged to be in the following condition by the investigator (or subinvestigator): the clinical severity of malabsorption syndrome, vomiting, mucositis or other gastrointestinal dysfunction is so serious that orally administered VACV can not be absorbed.
- Patients who have known nucleoside analogs hypersensitivity.
- Patients who have a concurrent or past history of renal function disorder (serum creatinine >=1.5x ULN).
- Patients who have serious complication (eg, other malignant tumours, cardiac disorder, juvenile diabetes).
- Patients who are currently treated with the prohibited concomitant drugs.
- Patients with evidence of chronic hepatitis B or C.
- Patients with AIDS or patients infected with HIV.
- Patients who were given other trial products within 30 days before initiation of administration of this trial product or those who intend to participate in other clinical trials.
- Patients who are pregnant or probably pregnant.
- Patients who can not follow the protocol because of psychological, family, social or geological reasons.
- Patients are not allowed to participate in this clinical trial if the investigator (or subinvestigator) judges that their participation is inappropriate.
Contacts and Locations| Japan | |
| GSK Investigational Site | |
| Aichi, Japan, 466-8560 | |
| GSK Investigational Site | |
| Aichi, Japan, 453-8511 | |
| GSK Investigational Site | |
| Aichi, Japan, 446-8602 | |
| GSK Investigational Site | |
| Hiroshima, Japan, 734-8551 | |
| GSK Investigational Site | |
| Hyogo, Japan, 650-0047 | |
| GSK Investigational Site | |
| Hyogo, Japan, 654-0081 | |
| GSK Investigational Site | |
| Kagoshima, Japan, 890-8520 | |
| GSK Investigational Site | |
| Kanagawa, Japan, 259-1143 | |
| GSK Investigational Site | |
| Osaka, Japan, 594-1101 | |
| GSK Investigational Site | |
| Saitama, Japan, 339-8551 | |
| GSK Investigational Site | |
| Tokyo, Japan, 162-8655 | |
| Study Director: | GSK Clinical Trials | GlaxoSmithKline |
More Information
No publications provided
| Responsible Party: | GlaxoSmithKline |
| ClinicalTrials.gov Identifier: | NCT01602562 History of Changes |
| Other Study ID Numbers: | 116100 |
| Study First Received: | May 17, 2012 |
| Last Updated: | April 25, 2013 |
| Health Authority: | Japan: Ministry of Health, Labor and Welfare |
Keywords provided by GlaxoSmithKline:
|
Herpes simplex infection valaciclovir herpes simplex virus hematopoietic stem cell transplantation |
Additional relevant MeSH terms:
|
Herpes Simplex Herpesviridae Infections DNA Virus Infections Virus Diseases Skin Diseases, Viral Skin Diseases, Infectious Skin Diseases |
Valacyclovir Acyclovir Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013