CClinicalTrials.gg
CompletedNCT00808405PK/GUDUpdated Dec 11, 2013Results posted

GUD Clinical and Virologic Response to Acyclovir in HIV Negative African Women

An interventional study of acyclovir and matching placebo in Genital Herpes, sponsored by University of Washington. Completed at 2 sites in 2 countries. Open to female participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-12-11.

Sponsored by University of Washington · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
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Study summary

To examine the time to healing of genital lesion and duration of herpes simplex virus (HSV) shedding from genetic ulcer disease (GUD) among 90 HIV-negative African women who have a history of GUD and are HSV-2 seropositive and HIV-1 seronegative randomized in a 2:1 ratio to receive episodic acyclovir 400mg orally three times daily or matching placebo three times daily for 5 days and who are followed for a total of 13 days.

02

Conditions studied

  • Genital Herpes

Keywords

  • herpes simplex virus
  • acyclovir
  • HSV shedding
  • women
  • Africa
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In context

Herpes Simplex

305 studies on the registry are indexed under Herpes Simplex; 31 are open to participants now.

This study's enrollment of 88 is below the median of 101 across 227 interventional studies indexed under Herpes Simplex.

Browse Herpes Simplex studies →

Lead sponsor

University of Washington is the lead sponsor of 1,397 studies on the registry; 225 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 132 (86%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • HIV negative as determined by concordant rapid testing
  • HSV-2 seropositive (Focus HerpeSelect >3.4)
  • At least one prior occurrence of GUD
  • 18-50 years of age

Exclusion criteria

Exclusion Criteria:

  • Current use, or use w/in past 7 days of acyclovir, valacyclovir, or famciclovir
  • Prior hypersensitivity \&/or allergic reaction to acyclovir
  • Use of probenicid
  • Current use, or use within past 28 days, of an investigational agent
  • Currently pregnant or nursing
  • Currently plan to become pregnant during next 3 months
  • Any condition that will interfere with successful completion of study procedures
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
88 participants (actual)

Study arms

  • Active comparator
    acyclovir

    Drug: acyclovir

  • Placebo comparator
    placebo

    Drug: matching placebo

Interventions

  • Drugacyclovir

    400mg taken orally three times daily for 5 days

  • Drugmatching placebo

    matching placebo taken orally three times daily for 5 days.

06

What researchers measure

Primary outcomes

  1. Time to Healing of Genital Lesions

    To examine time to healing of genital lesions among women who have a history of GUD and are HSV-2 seropositive and HIV-1 seronegative, and who are randomized to 400mg acyclovir or matching placebo

    Time frame: Days 1-5, 7, 9, 11, 13

Secondary outcomes

  1. Time to First Negative Herpes Simplex Virus (HSV) DNA PCR

    To examine the time to first negative HSV DNA PCR among women who have a history of GUD and are HSV-2 seropositive and HIV-1 seronegative, and who are randomized to 400mg acyclovir or matching placebo

    Time frame: Days 1-5, 7, 9, 11, 13

07

Results

Posted May 18, 2012

Participant flow

Between January and December 2009, women from Johannesburg, South Africa and Lusaka, Zambia who had previously participated in the HPTN 039 (NCT00076232) study, as well as other women in the community who presented to the research clinics with genetic ulcer disease (GUD) during the recruitment period, were invited to participate in the study.

Participant flow — Overall Study
MilestoneAcyclovirPlacebo
Started6127
Completed6127
Not completed00

Outcome measures

PrimaryTime to Healing of Genital Lesions

To examine time to healing of genital lesions among women who have a history of GUD and are HSV-2 seropositive and HIV-1 seronegative, and who are randomized to 400mg acyclovir or matching placebo

Time frame:
Days 1-5, 7, 9, 11, 13
Reported as:
Mean · Days
Time to Healing of Genital Lesions
DaysAcyclovirPlacebo
Time to Healing of Genital Lesions5.1 ± 0.36.0 ± 0.6
SecondaryTime to First Negative Herpes Simplex Virus (HSV) DNA PCR

To examine the time to first negative HSV DNA PCR among women who have a history of GUD and are HSV-2 seropositive and HIV-1 seronegative, and who are randomized to 400mg acyclovir or matching placebo

Time frame:
Days 1-5, 7, 9, 11, 13
Reported as:
Mean · Days
Time to First Negative Herpes Simplex Virus (HSV) DNA PCR
DaysAcyclovirPlacebo
Time to First Negative Herpes Simplex Virus (HSV) DNA PCR3.0 ± 0.35.0 ± 0.8

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Acyclovir—0/61 (0%)0/61 (0%)
Placebo—0/27 (0%)0/27 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)AcyclovirPlaceboTotal
<=18 years000
Between 18 and 65 years612788
>=65 years000
Age Continuous
Age Continuous(years)AcyclovirPlaceboTotal
Mean38.66 ± 10.2838.15 ± 10.3138.5 ± 10.23
Sex: Female, Male
Sex: Female, Male(Participants)AcyclovirPlaceboTotal
Female612788
Male000
Region of Enrollment
Region of Enrollment(participants)AcyclovirPlaceboTotal
Zambia311344
South Africa301444
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Study locations

2 sites
  • Reproductive Health and HIV Research Unit (RHRU)
    Johannesburg, South Africa
  • Center for Infectious Disease Research of Zambia (CIDRZ)
    Lusaka, Zambia
09

References and documents

Publications

  • Celum C, Wald A, Hughes J, Sanchez J, Reid S, Delany-Moretlwe S, Cowan F, Casapia M, Ortiz A, Fuchs J, Buchbinder S, Koblin B, Zwerski S, Rose S, Wang J, Corey L; HPTN 039 Protocol Team. Effect of aciclovir on HIV-1 acquisition in herpes simplex virus 2 seropositive women and men who have sex with men: a randomised, double-blind, placebo-controlled trial. Lancet. 2008 Jun 21;371(9630):2109-19. doi: 10.1016/S0140-6736(08)60920-4. PubMed 18572080 ↗
  • Lu Y, Celum C, Wald A, Baeten JM, Cowan F, Delany-Moretlwe S, Reid SE, Hughes JP, Wilcox E, Corey L, Hendrix CW. Acyclovir achieves a lower concentration in African HIV-seronegative, herpes simplex virus 2-seropositive women than in non-African populations. Antimicrob Agents Chemother. 2012 May;56(5):2777-9. doi: 10.1128/AAC.06160-11. Epub 2012 Feb 13. PubMed 22330926 ↗
  • Baeten JM, Reid SE, Delany-Moretlwe S, Hughes JP, Wang RS, Wilcox E, Limbada M, Akpomiemie G, Corey L, Wald A, Celum C. Clinical and virologic response to episodic acyclovir for genital ulcers among HIV-1 seronegative, herpes simplex virus type 2 seropositive African women: a randomized, placebo-controlled trial. Sex Transm Dis. 2012 Jan;39(1):21-4. doi: 10.1097/OLQ.0b013e31823b50c6. PubMed 22183840 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 11, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00808405
Lead sponsor
University of Washington
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH)
Responsible party
Connie Celum (MPH/ Principal Investigator, Protocol Co-Chair, University of Washington) — Principal investigator
First posted
Dec 15, 2008
Start date
Jan 2009
Primary completion
Dec 2009
Completion
Jul 2010
Results posted
May 18, 2012
Last update
Dec 11, 2013

Study contacts

Connie Celum, MD, MPH
principal investigator · University of Washington
Anna Wald, MD, MPH
principal investigator · University of Washington

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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