CClinicalTrials.gg
CompletedNCT00855309Updated Jul 6, 2018Results posted

Acyclovir in Preventing Herpes Simplex Virus Infection in Patients With Neutropenia

A Phase 3 interventional study of acyclovir sodium in Herpes Simplex, sponsored by Wake Forest University Health Sciences. Completed at 1 site in United States. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2018-07-06.

Sponsored by Wake Forest University Health Sciences · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
112
Allocation
Randomized
Ages
18 Years to 120 Years
Sex
All
01

Study summary

RATIONALE: Acyclovir may be effective in preventing herpes simplex virus infection in patients with neutropenia.

PURPOSE: This randomized phase III trial is studying the side effects of acyclovir and is comparing two doses of acyclovir in preventing herpes simplex virus infection in patients with neutropenia.

Read the detailed description

OBJECTIVES:

  • To determine the difference in nephrotoxicity between low-dose and weight-based intravenous acyclovir sodium as herpes simplex virus infection prophylaxis in patients with neutropenia.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive weight-based IV acyclovir sodium every 8 or 12 hours.
  • Arm II: Patients receive low-dose IV acyclovir sodium every 8 or 12 hours. Treatment continues for approximately 2 weeks unless clinical herpes simplex virus infection is confirmed or the patient is no longer neutropenic.
02

Conditions studied

  • Herpes Simplex

Keywords

  • chemotherapeutic agent toxicity
  • renal toxicity
  • infection
  • neutropenia
03

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 112 is above the median of 101 across 227 interventional studies indexed under Herpes Simplex.

Browse Herpes Simplex studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,320 studies on the registry; 199 are open to participants now.

Of its 323 completed or terminated interventional studies of FDA-regulated products, 243 (75%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Be 18 years of age or older.
  • Receiving treatment in inpatient oncology services at Wake Forest University Baptist Medical Center
  • Receiving chemotherapy or have received chemotherapy within the past 2 weeks
  • Seropositive herpes simplex virus (HSV)-1 or HSV-2 immunoglobulin antibody assay
  • Creatinine clearance ≥ 50 mL/min
  • Intravenous acyclovir sodium therapy is deemed necessary by the physician based upon clinical judgement (i.e., mucositis, vomiting, decreased GI absorption)

Exclusion criteria

Exclusion Criteria:

  • Pregnant or nursing
  • Hypersensitivity to acyclovir sodium
  • High tumor burden (i.e., WBC > 50,000/mm\^3 at admission)
  • Neutropenic, defined as one of the following:
  • ANC \< 500/mm\^3
  • ANC \< 1,000/mm\^3 with a predicted decrease to 500/mm\^3
  • Active HSV infection, as evidenced by any of the following:
  • Positive HSV cultures
  • Oral lesions
  • Receiving 5 mg/kg acyclovir sodium every 8 hours
05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
112 participants (actual)

Study arms

  • Experimental
    Arm I

    Patients receive weight-based IV acyclovir sodium every 8 or 12 hours.

    Drug: acyclovir sodium

  • Experimental
    Arm II

    Patients receive low-dose IV acyclovir sodium every 8 or 12 hours.

    Drug: acyclovir sodium

Interventions

  • Drugacyclovir sodium

    Given IV

06

What researchers measure

Primary outcomes

  1. Number of Participants Experiencing Incidence of Nephrotoxicity, Defined as a Serum Creatinine ≥ 2 Times the Patient's Baseline

    Time frame: 24 hours

07

Results

Posted Nov 25, 2013
Limitations and caveats
per the protocol, only nephrotoxicities (as measured by Creatinine increase over baseline were observed.

Participant flow

Participant flow — Overall Study
MilestoneWeight-based IV AcyclovirLow-dose IV Acyclovir
Started5755
Completed5655
Not completed10
Withdrew: Patient never recieved drug10

Outcome measures

PrimaryNumber of Participants Experiencing Incidence of Nephrotoxicity, Defined as a Serum Creatinine ≥ 2 Times the Patient's Baseline
Time frame:
24 hours
Reported as:
Number · participants
Number of Participants Experiencing Incidence of Nephrotoxicity, Defined as a Serum Creatinine ≥ 2 Times the Patient's Baseline
participantsArm IArm II
Number of Participants Experiencing Incidence of Nephrotoxicity, Defined as a Serum Creatinine ≥ 2 Times the Patient's Baseline23

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Arm I—0/56 (0%)2/56 (3.6%)
Arm II—0/55 (0%)3/55 (5.5%)
Most frequent other events
Most frequent other events
EventArm IArm II
NephrotoxicityRenal and urinary disorders2/563/55

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Arm IArm IITotal
<=18 years000
Between 18 and 65 years423981
>=65 years151631
Age, Continuous
Age, Continuous(years)Arm IArm IITotal
Mean55.3 ± 13.553.3 ± 14.454.4 ± 14.0
Sex: Female, Male
Sex: Female, Male(Participants)Arm IArm IITotal
Female242751
Male332861
Region of Enrollment
Region of Enrollment(participants)Arm IArm IITotal
United States5755112
08

Study locations

1 site
  • Wake Forest University Comprehensive Cancer Center
    Winston-Salem, North Carolina 27157-1096, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 6, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00855309
Lead sponsor
Wake Forest University Health Sciences
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Mar 4, 2009
Start date
Nov 2008
Primary completion
Nov 2013
Completion
Nov 2013
Results posted
Nov 25, 2013
Last update
Jul 6, 2018

Study contacts

M. Jay Brown, PharmD
principal investigator · Wake Forest University Health Sciences

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion