At a glance
ClinicalIndex Comparison Record- ✓Documented herpes simplex encephalitis (HSE) with CSF or brain biopsy PCR-positive for HSV DNA
- ✓Completed 14–21 days of IV acyclovir at 30–60 mg/kg/day (or renal-adjusted equivalent)
- ✓Age ≥12 years
- ✓Weight ≥45.5 kg (100 pounds)
- ✕HSV meningitis only (without encephalitis)
- ✕Creatinine clearance ≤50 ml/min/1.73 m²
- ✕Life expectancy <90 days
- ✕Prior anti-herpesvirus medications other than IV acyclovir for current HSE episode
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase III Double-Blind, Placebo-Controlled Trial of Long Term Therapy of Herpes Simplex Encephalitis (HSE): An Evaluation of Valacyclovir (CASG-204)
In Brief
A Phase 3 clinical trial evaluating Valacyclovir and Placebo for Encephalitis. Completed, enrolled 91 participants across 21 sites in 4 countries.
Detailed Summary
This study involves patients 12 years and older who have been diagnosed with herpes simplex encephalitis (HSE) by a specific laboratory test and have completed treatment or are being treated with intravenous (given through a needle inserted into a vein) acyclovir. The purpose of the study is to determine if treatment with 4 tablets, 500 milligrams each, of valacyclovir given 3 times daily by mouth for 90 days is both effective and safe after completing intravenous acyclovir treatment and if it can increase survival with or without mild impairment of the brain and mental functions. Participants will be assigned to either drug or placebo (inactive substance) randomly (by chance). Study procedures will include blood samples and lumbar punctures (procedure in which a needle is inserted into the lower back to collect cerebral spinal fluid). Subjects will participate for up to 24 months.
Study Details
Timeline
Interventions
Valacyclovir is a L-valyl ester of acyclovir. Valacyclovir is provided in 500 mg tablets, 4 tablets (500 mg tablets) 3 times a day (every 8 hours) for 90 days.
Placebo (identical to active drug in appearance) 500 mg tablets, 4 tablets 3 times daily for 90 days.