Table 6.
Summary of efficacy end points in the current study vs the studies by Douglas et al, Reitano et al, and Mertz et al
| Study | Treatment | N | Time to first recurrencea (days) | % with >50% reductionb | Mean monthly recurrence | % recurrence-freeb | Mean % reduction in recurrence |
|---|---|---|---|---|---|---|---|
| Douglas et al18 | Placebo | 47 | 18 | 58.30% | 0.86 | 0.0% | – |
| ACV 200 mg 2× | 51 | >120 (P<0.001) | 0.14 (P<0.001) | 27.4% (P<0.001) | – | ||
| ACV 200 mg 5× | 45 | >120 (P<0.001) | 0.13 (P<0.001) | 35.6% (P<0.001) | – | ||
| Average (treatment) | 120 (Δ=102) | 0.135 (Δ=0.725) | 31.5% (Δ=31.5%) | ||||
| Reitano et al12 | Placebo | 134 | – | – | – | 5.0% | – |
| VACV 250 mg 2× | 274 | – | – | 34.0% (P<0.001) | 78%–79% | ||
| VACV 1 g 1× | 269 | – | – | 34.0% (P<0.001) | 78%–79% | ||
| VACV 500 mg 1× | 266 | – | – | 28.0% (P<0.001) | 71% | ||
| VACV 250 mg 1× | 269 | – | – | 15.0% (P=0.03) | 54% | ||
| ACV 400 mg 2× | 267 | – | – | 35.0% (P<0.001) | 78%–79% | ||
| Average (treatment) | 27.8% (Δ=22.8%, VACV; Δ=30.0%, ACV) | 72.1% | |||||
| Mertz et al19 | Placebo | 64 | 82 | – | 0.27 | 6.3% | – |
| FCV 125 mg 1× | 60 | 114 (P=0.22) | 0.22 | No significant increase | – | ||
| FCV 125 mg 2× | 65 | >120 (P=0.03) | 0.16 | 23.1% (P<0.04) | – | ||
| FCV 250 mg 1× | 61 | >120 (P=0.07) | 0.23 | 21.3% (P<0.05) | – | ||
| FCV 250 mg 2× | 64 | >120 (P<0.001) | 0.08 (P=0.002) | 47.0% (P<0.001) | – | ||
| FCV 500 mg 1× | 61 | >120 (P=0.06) | 0.15 | No significant increase | – | ||
| Average (treatment) | 118.8 (Δ=36.8) | 0.168 (Δ=0.102) | 30.5% (Δ=24.2%) | ||||
| Current study | GEV/NV pretreatment | 55 | 38 | 69.10% | 1.02 | 0.0% | 66% |
| GEV/NV treatment | 55 | 238 (P<0.0001) (Δ=200) |
0.35 (P<0.0001) (Δ=0.67) |
27.3% (P<0.0001) (Δ=27.3%) |
Notes: In all studies, the subjects had at least six genital herpes outbreaks per year.
Using Kaplan–Meier.
Adjusted from 4 months to a full year for the studies by Douglas et al and Mertz et al. The P-values are taken from the original study.
Abbreviations: ACV, acyclovir; VACV, valacylovir; FCV, famciclovir; GEV/NV, Gene-Eden-VIR/Novirin.