A Safety And Tolerability Study Of Valaciclovir Oral Suspension In Infants And Children
Study Details
Study Description
Brief Summary
Limited data are available on valaciclovir use in children and valaciclovir is not currently approved for use in pediatrics. The marketed formulation of valaciclovir is not ideal for use in pre-adolescent patients who may have trouble swallowing solid oral dosage forms. An extemporaneous suspension formulation of valaciclovir has been developed to expedite the provision of benefits to children similar to those from administration of valaciclovir solid formulations in adults.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Cohort 1 Subjects in the age group of 2 to less than 6 years will be included |
Drug: Valaciclovir
Valaciclovir will be administered as an extemporaneously prepared suspension formulation. Valaciclovir oral suspension will be prepared by crushing marketed Valtrex Caplets 500 milligram (mg) and suspending the resultant powder in Suspension Structured Vehicle USNF with dose strength of 25 milligram per milliliter (mg/mL) or 50 mg/mL.
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Experimental: Cohort 2 Subjects in the age group of 1 to less than 2 years will be included |
Drug: Valaciclovir
Valaciclovir will be administered as an extemporaneously prepared suspension formulation. Valaciclovir oral suspension will be prepared by crushing marketed Valtrex Caplets 500 milligram (mg) and suspending the resultant powder in Suspension Structured Vehicle USNF with dose strength of 25 milligram per milliliter (mg/mL) or 50 mg/mL.
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Experimental: Cohort 3 Subjects in the age group of 6 months to less than 1 year will be included |
Drug: Valaciclovir
Valaciclovir will be administered as an extemporaneously prepared suspension formulation. Valaciclovir oral suspension will be prepared by crushing marketed Valtrex Caplets 500 milligram (mg) and suspending the resultant powder in Suspension Structured Vehicle USNF with dose strength of 25 milligram per milliliter (mg/mL) or 50 mg/mL.
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Experimental: Cohort 4 Subjects in the age group of 3 months to less than 6 months will be included |
Drug: Valaciclovir
Valaciclovir will be administered as an extemporaneously prepared suspension formulation. Valaciclovir oral suspension will be prepared by crushing marketed Valtrex Caplets 500 milligram (mg) and suspending the resultant powder in Suspension Structured Vehicle USNF with dose strength of 25 milligram per milliliter (mg/mL) or 50 mg/mL.
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Experimental: Cohort 5 Subjects in the age group of 1 month to less than 3 months will be included |
Drug: Valaciclovir
Valaciclovir will be administered as an extemporaneously prepared suspension formulation. Valaciclovir oral suspension will be prepared by crushing marketed Valtrex Caplets 500 milligram (mg) and suspending the resultant powder in Suspension Structured Vehicle USNF with dose strength of 25 milligram per milliliter (mg/mL) or 50 mg/mL.
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Outcome Measures
Primary Outcome Measures
- Plasma acyclovir and valaciclovir concentrations pre-dose (within 15 minutes of dose administration) and at 0.5, 1, 2, 4 and 6 hours following administration of the valaciclovir oral suspension dose. [0.5, 1, 2, 4 and 6 hours]
Secondary Outcome Measures
- Safety monitoring throughout the study and at the follow up evaluation 2-4 days after the single dose of study medication. [Up to Day 5]
Eligibility Criteria
Criteria
Inclusion criteria:
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Subjects who have a current herpes virus infection.
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Have neonatally acquired herpes at risk of potential recurrence.
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Immunocompromised or cancer patients at risk for development of a herpes virus infection.
Exclusion criteria:
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Hypersensitivity to antiherpetic medications.
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Impaired hepatic or renal function.
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Show presence of other serious or unstable underlying disease.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | GSK Investigational Site | Birmingham | Alabama | United States | 35233 |
2 | GSK Investigational Site | Little Rock | Arkansas | United States | 72202 |
3 | GSK Investigational Site | San Diego | California | United States | 92123 |
4 | GSK Investigational Site | Jacksonville | Florida | United States | 32209 |
5 | GSK Investigational Site | Lexington | Kentucky | United States | 40503 |
6 | GSK Investigational Site | Louisville | Kentucky | United States | 40202 |
7 | GSK Investigational Site | New Orleans | Louisiana | United States | 70112 |
8 | GSK Investigational Site | Durham | North Carolina | United States | 27705 |
9 | GSK Investigational Site | Cincinnati | Ohio | United States | 45229 |
10 | GSK Investigational Site | Galveston | Texas | United States | 77555-0653 |
11 | GSK Investigational Site | Santiago | RegiĆ³n Metro De Santiago | Chile | 7580206 |
12 | GSK Investigational Site | Brits | South Africa | 2000 | |
13 | GSK Investigational Site | George | South Africa | 6529 |
Sponsors and Collaborators
- GlaxoSmithKline
Investigators
- Study Director: GSK Clinical Trials, GlaxoSmithKline
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
- Bradley J, Scholtz F, Brennan C, Zhao H, Weller S. Pharmacokinetics and safety of single-dose valacyclovir oral suspension in infants and children with current or potential herpesvirus infection. Poster presentation, 45th Annual Meeting Infectious Disease
- Kimberlin DW, Jacobs RF, Weller S, van der Walt JS, Heitman CK, Man CY, Bradley JS. Pharmacokinetics and safety of extemporaneously compounded valacyclovir oral suspension in pediatric patients from 1 month through 11 years of age. Clin Infect Dis. 2010 Jan 15;50(2):221-8. doi: 10.1086/649212.
- HS210914