Aciclovir Versus Placebo for HSV-2 Meningitis

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorJacob Bodilsen

About this trial

To determine whether active treatment with (val)acyclovir is superior for treatment of viral meningitis compared with placebo assessed by numbers meeting a primary, objective endpoint at 7 days after randomisation

Eligibility criteria

Qualifiers

A clinical presentation consistent with viral meningitis (e.g. headache, nuchal rigidity, photophobia, or fever) AND

Cerebrospinal fluid (CSF) pleocytosis (>4 leukocytes x 106/L) AND

HSV-2 positive by PCR of the CSF

Glasgow Coma Scale score of 15 AND

Disqualifiers

Encephalitis as defined by the International Encephalitis Consortium if diagnosed during standard care (see Glossary)20

Transverse myelitis as defined by the Transverse Myelitis Consortium Working Group if diagnosed during standard care (see Glossary)21

Severe immuno-compromise defined as an ongoing need for biological- or chemotherapy (e.g. natalizumab), prednisolone >20 mg/day for ≥14 days, uncontrolled HIV/AIDS (see glossary), haematological malignancies, and organ transplant recipients14,18,22

Moderate to severe concomitant genital herpes requiring systemic aciclovir

Trial design

Treatments tested in this trial

  • Acyclovir 50 MG/ML
  • Placebo

Treatment groups

150 Participants
are divided into 2 treatment groups

Locations

This trial has no locations

Sponsors and collaborators

Jacob Bodilsen

Lead sponsor

Aalborg University Hospital

Sponsor institution