Trial Outcomes & Findings for Phase III Study of ASP2151 in Herpes Simplex Patients (NCT NCT01959295)

NCT ID: NCT01959295

Last Updated: 2024-10-09

Results Overview

The percentage of participants achieving lesion healing by Day 8 of study treatment

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

468 participants

Primary outcome timeframe

8days

Results posted on

2024-10-09

Participant Flow

Participant milestones

Participant milestones
Measure
ASP2151
200 mg once daily
ASP2151 Placebo
ASP2151 placebo once daily
Overall Study
STARTED
311
157
Overall Study
COMPLETED
278
140
Overall Study
NOT COMPLETED
33
17

Reasons for withdrawal

Reasons for withdrawal
Measure
ASP2151
200 mg once daily
ASP2151 Placebo
ASP2151 placebo once daily
Overall Study
Adverse Event
2
0
Overall Study
Lost to Follow-up
0
2
Overall Study
Physician Decision
2
3
Overall Study
Protocol Violation
16
5
Overall Study
Withdrawal by Subject
3
1
Overall Study
Clinical laboratory value is ineligible on day 1
10
6

Baseline Characteristics

Phase III Study of ASP2151 in Herpes Simplex Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ASP2151
n=307 Participants
200mg once daily
ASP2151 Placebo
n=154 Participants
ASP2151 placebo once daily
Total
n=461 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
287 Participants
n=99 Participants
147 Participants
n=107 Participants
434 Participants
n=206 Participants
Age, Categorical
>=65 years
20 Participants
n=99 Participants
7 Participants
n=107 Participants
27 Participants
n=206 Participants
Age, Continuous
40.4 years
STANDARD_DEVIATION 12.9 • n=99 Participants
40.5 years
STANDARD_DEVIATION 13.5 • n=107 Participants
40.4 years
STANDARD_DEVIATION 13.1 • n=206 Participants
Sex: Female, Male
Female
219 Participants
n=99 Participants
107 Participants
n=107 Participants
326 Participants
n=206 Participants
Sex: Female, Male
Male
88 Participants
n=99 Participants
47 Participants
n=107 Participants
135 Participants
n=206 Participants
Region of Enrollment
Japan
307 participants
n=99 Participants
154 participants
n=107 Participants
461 participants
n=206 Participants
Disease type
Labial/facial herpes
264 Participants
n=99 Participants
133 Participants
n=107 Participants
397 Participants
n=206 Participants
Disease type
Recurrent genital herpes
43 Participants
n=99 Participants
21 Participants
n=107 Participants
64 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 8days

Population: The full analysis set (FAS). The FAS was defined as patients who were diagnosed with labial/facial herpes or recurrent genital herpes at the time of case registration, subsequently received the study drug at least once, and had any efficacy variable measured, except for those found not to have herpes simplex after study drug administration.

The percentage of participants achieving lesion healing by Day 8 of study treatment

Outcome measures

Outcome measures
Measure
ASP2151
n=307 Participants
ASP2151: 200 mg once daily
ASP2151 Placebo
n=154 Participants
ASP2151 placebo: once daily
Percentage of Participants With Healing by Day 8
66.4 Percentage of Participants
69.5 Percentage of Participants

SECONDARY outcome

Timeframe: 29days

Population: The full analysis set (FAS). The FAS was defined as patients who were diagnosed with labial/facial herpes or recurrent genital herpes at the time of case registration, subsequently received the study drug at least once, and had any efficacy variable measured, except for those found not to have herpes simplex after study drug administration.

The criteria for determining healing are as follows: 1. A condition where all erythematous and papular lesions, vesicular and pustular lesions, and erosive and ulcerative lesions have been resolved, and either the complete resolution of crusts or the complete epithelialization beneath any remaining crusts has been achieved. 2. In participants where no crust has formed, a condition characterized by the epithelialization of erosions/ulcers formation in mucosal lesions and potentially other affected areas. 3. In participants where no vesicles or pustules have formed, a condition characterized by the complete resolution of all erythematous and papular lesions

Outcome measures

Outcome measures
Measure
ASP2151
n=307 Participants
ASP2151: 200 mg once daily
ASP2151 Placebo
n=154 Participants
ASP2151 placebo: once daily
Time to Healing
8 day
Interval 6.0 to 9.0
8 day
Interval 6.0 to 9.0

SECONDARY outcome

Timeframe: 29days

Population: The full analysis set (FAS). The FAS was defined as patients who were diagnosed with labial/facial herpes or recurrent genital herpes at the time of case registration, subsequently received the study drug at least once, and had any efficacy variable measured, except for those found not to have herpes simplex after study drug administration.

The criteria for complete crust formation are outlined as follows: 1. A condition where all erythematous and papular lesions, vesicular and pustular lesions, and erosive and ulcerative lesions have been resolved, and all rashes are crusted (epithelialization beneath is not required). 2. In participants where no crust has formed, a condition characterized by the epithelialization of erosions/ulcers formation in mucosal lesions and potentially other affected areas. 3. In participants where no vesicles or pustules have formed, a condition characterized by the complete resolution of all erythematous and papular lesions.

Outcome measures

Outcome measures
Measure
ASP2151
n=307 Participants
ASP2151: 200 mg once daily
ASP2151 Placebo
n=154 Participants
ASP2151 placebo: once daily
Time to Complete Crusting
6 day
Interval 5.0 to 8.0
6 day
Interval 5.0 to 8.0

SECONDARY outcome

Timeframe: 29days

Population: The full analysis set (FAS). The FAS was defined as patients who were diagnosed with labial/facial herpes or recurrent genital herpes at the time of case registration, subsequently received the study drug at least once, and had any efficacy variable measured, except for those found not to have herpes simplex after study drug administration.

The day of viral disappearance is the first day on which the results of viral isolation continuously show 'HSV negative' until the final implementation day. The negative means that the results of the isolation and culture are negative, or the isolation and culture has not been performed due to complete crusting or healing of the lesion site.

Outcome measures

Outcome measures
Measure
ASP2151
n=307 Participants
ASP2151: 200 mg once daily
ASP2151 Placebo
n=154 Participants
ASP2151 placebo: once daily
Time to Virus Disappearance
4 day
Interval 3.0 to 6.0
5 day
Interval 4.0 to 6.0

Adverse Events

ASP2151

Serious events: 0 serious events
Other events: 69 other events
Deaths: 128 deaths

ASP2151 Placebo

Serious events: 0 serious events
Other events: 29 other events
Deaths: 59 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
ASP2151
n=309 participants at risk
200 mg once daily
ASP2151 Placebo
n=157 participants at risk
ASP2151 placebo once daily
Infections and infestations
Genital herpes
3.6%
11/309 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
1.9%
3/157 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
Infections and infestations
Nasopharyngitis
4.9%
15/309 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
3.2%
5/157 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
Infections and infestations
Oral herpes
4.2%
13/309 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
5.1%
8/157 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
Investigations
Beta-N-acetyl-D-glucosaminidase increased
2.9%
9/309 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
1.3%
2/157 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
Investigations
Electrocardiogram QT prolonged
0.97%
3/309 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
2.5%
4/157 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
Investigations
Fibrin degradation products increased
4.2%
13/309 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
2.5%
4/157 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
Investigations
Alpha 1 microglobulin increased
7.4%
23/309 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.
3.2%
5/157 • 29 days
The safety analysis population consists of 466 participants (309 in the ASP group;157 in the placebo group), excluding two participants who were randomized but never received the investigational drug. The two excluded participants were discontinued from the study before receiving the investigational drug, and therefore, they were not monitored or assessed for adverse events.

Additional Information

Maruho Co.,Ltd. Kyoto R&D Center

Clinical Development Dept.

Phone: +81-75-325-3255

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place