Title

Double-blind, Vehicle-controlled Study of the Efficacy and Safety of SADBE in Subjects With Recurrent Herpes Labialis
A Phase 2, Multi-site, Randomized, Double-blind, Vehicle-controlled Study of the Efficacy and Safety of Squaric Acid Dibutyl Ester (SADBE) in Subjects With Recurrent Herpes Labialis - Single Versus Two-dose Arm Application
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Study Participants

    139
This study evaluates the safety and efficacy of SADBE in the prevention of recurrent herpes labialis in adults. Two-thirds of the participants will receive a SADBE solution, while the other third will receive only the vehicle as a placebo control. The solutions will be administered topically to the patient's arms. The study will compare a single-arm application versus a two-arm application versus two placebo doses on the arm.
Study Started
Dec 31
2016
Primary Completion
Dec 20
2018
Study Completion
Dec 20
2018
Results Posted
Nov 02
2021
Last Update
Nov 02
2021

Drug SADBE

Topical solution

  • Other names: Squaric acid dibutyl ester

Other Placebo

Topical solution

  • Other names: Vehicle-DMSO

One SADBE application Active Comparator

Patient will receive a topical 2% SADBE sensitization dose applied to the patient's upper arm. Three weeks after topical sensitization dose patient will receive topical placebo applied to the patient's upper arm.

Two SADBE applications Active Comparator

Patient will receive a topical 2% SADBE sensitization dose applied to the patient's upper arm. A 0.5% SADBE intensification dose will be applied to the patient's upper arm 3 weeks after sensitization dose.

Placebo application (DMSO only-No SADBE) Placebo Comparator

Patient will receive a topical placebo (vehicle-DMSO) dose applied to the patient's upper arm. A topical placebo (vehicle-DMSO) follow up dose will be applied to the patient's upper arm 3 weeks after the first placebo dose dose.

Criteria

Inclusion Criteria:

Age ≥18
Clinical diagnosis of herpes labialis, which may be made at the screening visit based on the patient's self-reported history of symptoms. An active herpes labialis outbreak at the time of entry into the clinical trial will neither be required nor will be an exclusion criteria.
Self report having four or more episodes of herpes labialis in the past 12 months

Exclusion Criteria:

People that have had treatment with anti viral therapy within 2 weeks before sensitization dose.
Pregnant or lactating females.
Current or recurrent non-herpetic infection or any underlying condition that may predispose to infection or anyone who has been admitted to the hospital due to bacteremia, pneumonia or any other serious infection.
Therapy with glucocorticoid or immunosuppressants at time of recruitment or within past 4 weeks, except for inhaled corticosteroids for asthma or topical steroids in sites other than face.
History of malignancy (except patients with surgically cured basal cell or squamous cell skin cancers)
History of organ transplantation
HIV-positive status determined by history at screening or known history of any other immunosuppressive disease.
Severe co-morbidities (diabetes mellitus requiring insulin, CHF (EF<50% at baseline will be exclusionary) MI, CVA or TIA within 3 months of screening visit, unstable angina pectoris, oxygen-dependent severe pulmonary disease
History of exposure to squaric acid or squaric acid dibutyl ester.
Known hypersensitivity to DMSO
Any condition judged by the investigator to cause this clinical trial to be detrimental to the patient.
Subject is currently enrolled in another investigational device or drug trial(s), or subject has received other investigational agent(s) within 28 days of baseline visit.
Previous or current participation in a clinical trial of SADBE to treat herpes labialis.

Summary

Placebo Application (DMSO Only-No SADBE)

Two SADBE Applications

One SADBE Application

All Events

Event Type Organ System Event Term Placebo Application (DMSO Only-No SADBE) Two SADBE Applications One SADBE Application

Days to Next Herpes Labialis (Cold Sore) Episode From 43 Days After the First Dose up to 121 Days After the First Dose

The number of days until a patient reports his or her first new herpes labialis episode from 43 - 121 days following the first dose

Placebo Application (DMSO Only-No SADBE)

128.0
days (Median)
Full Range: 4.0 to 318.0

Two SADBE Applications

163.0
days (Median)
Full Range: 7.0 to 318.0

One SADBE Application

174.0
days (Median)
Full Range: 17.0 to 318.0

Number of Outbreaks Beginning 43 Days After the First Dose up to 12 Months

The number of new herpes labialis episodes per subject during the 12-month follow up period following the first drug dose, beginning day 43 after the first dose

Placebo Application (DMSO Only-No SADBE)

0.61
outbreaks per participant (Mean)
Standard Deviation: 0.802

Two SADBE Applications

0.5
outbreaks per participant (Mean)
Standard Deviation: 0.849

One SADBE Application

0.231
outbreaks per participant (Mean)
Standard Deviation: 0.427

Total

139
Participants

4 or 5 prior outbreaks

55
Participants

6 or more prior outbreaks

83
Participants

Age, Continuous

47.1
years (Median)
Full Range: 19.8 to 82.6

HSV-1-neg / HSV-2 neg

6
Participants

HSV-1-neg / HSV-2 pos

9
Participants

HSV-1-pos / HSV-2 neg

73
Participants

HSV-1-pos / HSV-2 pos

49
Participants

Median self-reported prior outbreaks over 12 months

18
Participants

Age, Categorical

Race/Ethnicity, Customized

Region of Enrollment

Sex: Female, Male

Overall Study

One SADBE Application

Two SADBE Applications

Placebo Application (DMSO Only-No SADBE)