Clinical Trial Results:
An open-label study to investigate the local tolerability and acceptability of Lipovir® Gel (Acyclovir 5%) compared to Zovirax® Cream (Acyclovir 5%) on patients with Recurrent Herpes Labialis
Summary
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EudraCT number |
2017-000549-38 |
Trial protocol |
PT |
Global end of trial date |
09 Aug 2018
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Results information
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Results version number |
v1(current) |
This version publication date |
05 Aug 2021
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First version publication date |
05 Aug 2021
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Other versions |
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Summary report(s) |
Synopsis |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
LIP-01-01
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Laboratorios Ojer Pharma, S.L.
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Sponsor organisation address |
Calle Sancho el Mayor Nº 2, 1º Izquierda, Pamplona, Spain, 31002
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Public contact |
Laboratorios Ojer Pharma, S.L., Laboratorios Ojer Pharma, S.L., +34 948 281 776, pojer@ojerpharma.com
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Scientific contact |
Blueclinical Lda, Blueclinical - Investigação e Desenvolvimento em Saúde, Lda, +351 220 995 159, regulatory@blueclinical.pt
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
31 Oct 2018
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
09 Aug 2018
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To evaluate the local tolerability and acceptability of Lipovir® Gel compared to Zovirax® Cream in patients with RHL, according to participants’ self-report.
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Protection of trial subjects |
This is a Phase IV study with products already approved, therefore there are no additional risks that required additional safety measures. Nevertheless, the safety of the participants was ensured during the whole study.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
22 Feb 2018
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Portugal: 60
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Worldwide total number of subjects |
60
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EEA total number of subjects |
60
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
60
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
The selection of participants for this trial will be made from the population of patients who go to the Institutions where the three sites are located. | |||||||||||||||
Pre-assignment
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Screening details |
Screening visit comprises medical history, physical examination, vital signs, 12-lead electrocardiogram and clinical laboratory safety tests. Screening results were valid for 28 days. | |||||||||||||||
Period 1
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Period 1 title |
Overall trial (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | |||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Lipovir | |||||||||||||||
Arm description |
acyclovir 5% Gel | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Lipovir® gel
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Investigational medicinal product code |
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Other name |
Lavirk®
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Pharmaceutical forms |
Gel
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Routes of administration |
Topical
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Dosage and administration details |
5 times daily (every 4 hours, avoiding sleep hours) up to a maximum of 10 days
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Arm title
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Zovirax | |||||||||||||||
Arm description |
acyclovir 5% Cream (comparator) | |||||||||||||||
Arm type |
Active comparator | |||||||||||||||
Investigational medicinal product name |
Zovirax® Cream
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Cream
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Routes of administration |
Topical
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Dosage and administration details |
5 times daily (every 4 hours, avoiding sleep hours) up to a maximum of 10 days
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Baseline characteristics reporting groups
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Reporting group title |
Lipovir
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Reporting group description |
acyclovir 5% Gel | ||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Zovirax
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Reporting group description |
acyclovir 5% Cream (comparator) | ||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Lipovir
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Reporting group description |
acyclovir 5% Gel | ||
Reporting group title |
Zovirax
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Reporting group description |
acyclovir 5% Cream (comparator) |
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End point title |
Bleeding (Products' local tolerability self-reported by the participant) | |||||||||
End point description |
Local tolerability was assessed at every treatment day by asking the subjects wether they experienced RHL lesions related symtomps
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End point type |
Primary
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End point timeframe |
From the first product administration (day 1) until the end of the study (Day 10)
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Statistical analysis title |
Mann-Whitney Utests | |||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.04166 | |||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||
Confidence interval |
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End point title |
Burning (Products' local tolerability self-reported by the participant) | |||||||||
End point description |
Local tolerability was assessed at every treatment day by asking the subjects wether they experienced RHL lesions related symptoms
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End point type |
Primary
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End point timeframe |
From the first product administration (day 1) until the end of the study (Day 10)
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Statistical analysis title |
Effectiveness | |||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.00009 | |||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||
Confidence interval |
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End point title |
Drying (Products' local tolerability self-reported by the participant) | |||||||||
End point description |
Local tolerability was assessed at every treatment day by asking the subjects wether they experienced RHL lesions related symptoms
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End point type |
Primary
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End point timeframe |
From the first product administration (day 1) until the end of the study (Day 10)
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Statistical analysis title |
Effectiveness | |||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.00009 | |||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||
Confidence interval |
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End point title |
Itching (Products' local tolerability self-reported by the participant) | |||||||||
End point description |
Local tolerability was assessed at every treatment day by asking the subjects wether they experienced RHL lesions related symptoms
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End point type |
Primary
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End point timeframe |
From the first product administration (day 1) until the end of the study (Day 10)
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Statistical analysis title |
Effectiveness | |||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.00016 | |||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||
Confidence interval |
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End point title |
Pain (Products' local tolerability self-reported by the participant) | |||||||||
End point description |
Local tolerability was assessed at every treatment day by asking the subjects wether they experienced RHL lesions related symptoms
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End point type |
Primary
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End point timeframe |
From the first product administration (day 1) until the end of the study (Day 10)
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Statistical analysis title |
Effectiveness | |||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.10012 | |||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||
Confidence interval |
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End point title |
Redness (Products' local tolerability self-reported by the participant) | |||||||||
End point description |
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End point type |
Primary
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End point timeframe |
From the first product administration (day 1) until the end of the study (Day 10)
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Statistical analysis title |
Effectiveness | |||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.00371 | |||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||
Confidence interval |
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End point title |
Stinging (Products' local tolerability self-reported by the participant) | |||||||||
End point description |
Local tolerability was assessed at every treatment day by asking the subjects wether they experienced RHL lesions related symptoms
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End point type |
Primary
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End point timeframe |
From the first product administration (day 1) until the end of the study (Day 10)
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Statistical analysis title |
Effectiveness | |||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.07185 | |||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||
Confidence interval |
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End point title |
Swelling (Products' local tolerability self-reported by the participant) | |||||||||
End point description |
Local tolerability was assessed at every treatment day by asking the subjects wether they experienced RHL lesions related symptoms
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End point type |
Primary
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End point timeframe |
From the first product administration (day 1) until the end of the study (Day 10)
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Statistical analysis title |
Effectiveness | |||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.01546 | |||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||
Confidence interval |
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End point title |
Tingling (Products' local tolerability self-reported by the participant) | |||||||||
End point description |
Local tolerability was assessed at every treatment day by asking the subjects wether they experienced RHL lesions related symptoms
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End point type |
Primary
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End point timeframe |
From the first product administration (day 1) until the end of the study (Day 10)
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Statistical analysis title |
Effectiveness | |||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.01597 | |||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||
Confidence interval |
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End point title |
Spread well on the skin (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
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End point type |
Primary
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End point timeframe |
At the end of study
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Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.03304 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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End point title |
Pleasant texture (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
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End point type |
Primary
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End point timeframe |
At the end of study
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Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.00292 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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End point title |
Embarrassment social anxiety (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
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End point type |
Primary
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End point timeframe |
At the end of study
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Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.00579 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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End point title |
Non-compliance due to aesthetic reasons (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
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End point type |
Primary
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End point timeframe |
At the end of study
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Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.40164 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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End point title |
Smaller herpes lesion (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
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End point type |
Primary
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End point timeframe |
At the end of study
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Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.29131 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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End point title |
Faster healing (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
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End point type |
Primary
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End point timeframe |
At the end of study
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Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.03875 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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End point title |
Less Itching, burning and tingling (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
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End point type |
Primary
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End point timeframe |
At the end of study
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Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.01041 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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End point title |
Comfort Sensation (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
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End point type |
Primary
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End point timeframe |
At the end of study
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Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.00016 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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End point title |
Refreshing sensation (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
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End point type |
Primary
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End point timeframe |
At the end of study
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Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
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Number of subjects included in analysis |
59
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.00001 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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||||||||||||||||||||||
End point title |
Skin around herpes lesion less dehydratated than usual (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
|
|||||||||||||||||||||
End point type |
Primary
|
|||||||||||||||||||||
End point timeframe |
At the end of study
|
|||||||||||||||||||||
|
||||||||||||||||||||||
Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
|
|||||||||||||||||||||
Number of subjects included in analysis |
59
|
|||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.04827 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
|
||||||||||||||||||||||
End point title |
Repairing effect (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
|
|||||||||||||||||||||
End point type |
Primary
|
|||||||||||||||||||||
End point timeframe |
At the end of study
|
|||||||||||||||||||||
|
||||||||||||||||||||||
Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
|
|||||||||||||||||||||
Number of subjects included in analysis |
59
|
|||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.02581 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
|
||||||||||||||||||||||
End point title |
Good Tolerance (Product's Acceptability as assessed by the participant) | |||||||||||||||||||||
End point description |
Subjects were asked to answer questions about the product's acceptability using a 4-point scale: Totally Agree, Agree, Disagree, Totally Disagree
|
|||||||||||||||||||||
End point type |
Primary
|
|||||||||||||||||||||
End point timeframe |
At the end of study
|
|||||||||||||||||||||
|
||||||||||||||||||||||
Statistical analysis title |
Effectiveness | |||||||||||||||||||||
Comparison groups |
Lipovir v Zovirax
|
|||||||||||||||||||||
Number of subjects included in analysis |
59
|
|||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||
Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.0064 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
|
||||||||||||||||||||||
Adverse events information
|
||||||||||||||||||||||
Timeframe for reporting adverse events |
24-FEB-2018 to 09-AUG-2018
|
|||||||||||||||||||||
Assessment type |
Systematic | |||||||||||||||||||||
Dictionary used for adverse event reporting
|
||||||||||||||||||||||
Dictionary name |
MedDRA | |||||||||||||||||||||
Dictionary version |
21.0
|
|||||||||||||||||||||
Reporting groups
|
||||||||||||||||||||||
Reporting group title |
Lipovir
|
|||||||||||||||||||||
Reporting group description |
- | |||||||||||||||||||||
Reporting group title |
Zovirax
|
|||||||||||||||||||||
Reporting group description |
- | |||||||||||||||||||||
|
||||||||||||||||||||||
Frequency threshold for reporting non-serious adverse events: 0% | ||||||||||||||||||||||
|
|
|||
Substantial protocol amendments (globally) |
|||
Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
|||
Were there any global interruptions to the trial? No | |||
Limitations and caveats |
|||
Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |