Clinical trial to investigate the efficacy and tolerability of Lipovir® Gel (Acyclovir 5%) compared to Zovirax® Cream (Acyclovir 5%) and placebo on patients with recurrent herpes labialis

2023-510338-10-00 Protocol OP-LIPC02 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 15 Jan 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 10 sites · Protocol OP-LIPC02

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 200
Countries 1
Sites 10

Recurrent herpes labialis (RHL)

To evaluate the efficacy of Lipovir® Gel compared to Zovirax® Cream on patients with RHL

Key facts

Sponsor
Laboratorios Ojer Pharma S.L.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Virus Diseases [C02]
Trial duration
15 Jan 2025 → ongoing
Decision date (initial)
2024-10-07
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Laboratorios Ojer Pharma, S.L.

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To evaluate the efficacy of Lipovir® Gel compared to Zovirax® Cream on patients with RHL

Secondary objectives 2

  1. To evaluate the local tolerability and acceptability of Lipovir® Gel compared to Zovirax® Cream on patients with RHL.
  2. To evaluate the safety of Lipovir® Gel compared to Zovirax® Cream on patients with RHL.

Conditions and MedDRA coding

Recurrent herpes labialis (RHL)

VersionLevelCodeTermSystem organ class
22.0 LLT 10082141 Herpes simplex labialis 10021881

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Run-in phase
from the screening visit to the new episode of RHL in the prodrome phase.
Not Applicable None
2 Treatment Phase
from the beginning of the new episode of RHL until the lesion is healed or for a maximum of 10 days, whichever occurs first
Randomised Controlled Single [{"id":175313,"code":2,"name":"Investigator"}] Lipovir® Gel: Patients will be treated with Lipovir® Gel
Zovirax Cream: Patients will be treated with Zovirax cream
Placebo: Patients will be treated with Placebo

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Participants must have at least 3 recurrences or herpes labialis within the past year.
  2. At least half of the recurrences are preceded by recognizable prodromal symptoms, e.g., itching, redness, burning, tingling or a sense of irritation.
  3. At least half of the prodromes are followed by classical lesions, e.g., ulcer, vesicle, and/or hard crust.
  4. Age ≥18 years at the time of signing the informed consent form.
  5. Able to read, understand, and sign the informed consent document.
  6. Able to understand and follow the study procedures, including completing the study diary.

Exclusion criteria 13

  1. Participant who is unable or is not expected to reliably comprehend or satisfactorily assess a herpetic lesion.
  2. Females who are pregnant, breastfeeding, or planning a pregnancy.
  3. Medical or dermatological conditions that interfere with the treatment or assessment of the herpes lesions (e.g., eczema, psoriasis, acne, seborrhoeic dermatitis).
  4. Immunocompromised patients or patients receiving immunosuppressive therapy.
  5. Systemic, severe as well as history of uncontrolled chronic disease or a concurrent clinically significant illness, or medical condition, which in the investigator’s opinion, wouldcontraindicate study participation or compliance with protocol -mandated procedures.
  6. Known hypersensitivity/allergic reaction to the study drug substance or any of the formulations’ excipients
  7. Known hypersensitivity to valaciclovir.
  8. History of herpes keratitis.
  9. History of unresponsiveness to acyclovir therapy
  10. Alcohol or drug abuse
  11. Simultaneous participation in another clinical trial or participation in any clinical trial involving an Investigational medicinal product within 30 days prior to written informed consent for this trial.
  12. Unlikely to co-operate with the requirements of the study.
  13. Subjects who have previously enrolled in this study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Duration of Episode (DOE) assessed by the investigator based on clinical observation and review of participant diary. For vesicular lesions, DOE is the time from treatment initiation to the healing (loss of crust; residual erythema may be present). For not vesicular lesions, DOE is the time from treatment initiation to the return to normal skin or to cessation of symptoms, whichever occurs last.

Secondary endpoints 3

  1. Local product tolerability self-reported by the participant
  2. Product acceptability as assessed by the participant
  3. Incidence of adverse events

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Lipovir 50 mg/g Gel

PRD3681060 · Product

Active substance
Aciclovir
Pharmaceutical form
GEL
Route of administration
CUTANEOUS USE
Max daily dose
20 mg milligram(s)
Max total dose
2 g gram(s)
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
D06BB03 — ACICLOVIR
Marketing authorisation
5651849
MA holder
LABORATORIOS OJER PHARMA, S.L
MA country
Portugal
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Zovirax 50 mg/g crema

PRD9970950 · Product

Active substance
Aciclovir
Pharmaceutical form
CREAM
Route of administration
CUTANEOUS USE
Max daily dose
20 mg milligram(s)
Max total dose
2 g gram(s)
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
D06BB03 — ACICLOVIR
Marketing authorisation
56.780
MA holder
HALEON SPAIN, S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Placebo

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Laboratorios Ojer Pharma S.L.

Sponsor organisation
Laboratorios Ojer Pharma S.L.
Address
Avenida De Pio XII 4 Piso 1 A
City
Pamplona
Postcode
31007
Country
Spain

Scientific contact point

Organisation
Laboratorios Ojer Pharma S.L.
Contact name
Clinical Development Manager

Public contact point

Organisation
Laboratorios Ojer Pharma S.L.
Contact name
Clinical Development Manager

Third parties 2

OrganisationCity, countryDuties
Fundacio Privada Dau
ORG-100012557
Barcelona, Spain Code 14
Opis S.r.l.
ORG-100011127
Desio, Italy On site monitoring, Code 11, Code 12, Code 2, Code 5, Data management, E-data capture, Code 8

Locations

1 EU/EEA country · 10 investigational sites

By country

CountryMS statusPlanned subjectsSites
Poland Ongoing, recruiting 200 10
Rest of world 0

Investigational sites

Poland

10 sites · Ongoing, recruiting
Centrum Medyczne Mikolowska dr Adam Sipinski
gynecology, Ul. Mikolowska 45/2, 40-065, Katowice
One Day Med Sp. z o.o.
NA, Plac Rodla 8, 70-419, Szczecin
Provita Sp. z o.o.
NA, Ul. Fabryczna 13d, 40-611, Katowice
Specderm Poznanska Sp. j.
NA, Ul. Prezydenta Ryszarda Kaczorowskiego 7/u 50, 15-375, Bialystok
Synexus Polska Sp. z o.o.
NA, Ul. Glogowska 31/33, 60-702, Poznan
Synexus Polska Sp. z o.o.
NA, Ul. Marii Curie-Sklodowskiej 12, 50-381, Wroclaw
Synexus Polska Sp. z o.o.
NA, Ul. Luzycka 3c, 81-537, Gdynia
Synexus Polska Sp. z o.o.
NA, Aleja Najswietszej Maryi Panny 15, 42-202, Czestochowa
Synexus Polska Sp. z o.o.
NA, Ul. Maurycego Beniowskiego 23, 80-382, Gdansk
Synexus Polska Sp. z o.o.
NA, Ul. Skladowa 35, 90-127, Lodz

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Poland 2025-01-15 2025-02-18

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 13 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2023-510338-10-00_FP 2.0
Protocol (for publication) D4_Patient facing document_Diary 2.0
Protocol (for publication) D4_Patient facing document_Questionnaire 1
Recruitment arrangements (for publication) K5_Recruitment material_ FOV SSQ Checklist 1
Recruitment arrangements (for publication) N_Recruitment Arrangements_Placeholder_FP NA
Subject information and informed consent form (for publication) L1 SIS ICF_Main_FP 3.0
Subject information and informed consent form (for publication) L2 Pregnant Partner ICF FP 2.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Lipovir_ENG NA
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Lipovir_PT NA
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Zovirax_PL NA
Synopsis of the protocol (for publication) D2_Protocol synopsis ENG_2023-510338-10-00 2.0
Synopsis of the protocol (for publication) D2_Protocol synopsis PL_2023-510338-10-00 2.0
Synopsis of the protocol (for publication) D3 Protocol_Lay Synopsis_PL_2023-510338-10-00 2.0

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-12 Poland Acceptable
2024-09-30
2024-10-07
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-11-25 Poland Acceptable
2024-09-30
2024-11-25
3 SUBSTANTIAL MODIFICATION SM-1 2026-01-19 Poland Acceptable
2026-03-27
2026-03-31