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Famciclovir Pediatric Formulation in Children 1 to 12 Years of Age With Herpes Simplex Infection

A Multicenter, Open-label, Single-arm, Two-step Study to Evaluate the Safety and Single-dose Pharmacokinetics of Famciclovir and Multiple-dose Safety After Administration of Famciclovir Oral Pediatric Formulation to Children 1 to 12 Years of Age With Herpes Simplex Infection

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00098059
Enrollment
74
Registered
2004-12-03
Start date
2005-02-28
Completion date
2007-12-31
Last updated
2013-04-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Herpes Simplex

Keywords

herpes simplex, cold sores, fever blisters, children, Famvir, famciclovir

Brief summary

This study will evaluate the safety and blood levels of a new pediatric formulation of Famvir in children 1-12 years of age. In Part A, patients will receive a single dose of famciclovir (12.5 mg/kg) to assess pharmacokinetics (PK) and safety. In Part B, patients will receive multiple doses of famciclovir alone or with concomitant oral anti-herpes therapy to assess safety and tolerability. Part B will start only after PK data from Part A had been analyzed.

Interventions

Famciclovir sprinkle capsules, 25 mg and 100 mg, using OraSweet® syrup vehicle

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
1 Years to 12 Years
Healthy volunteers
No

Inclusion criteria

* History or laboratory evidence of herpes simplex infection * Clinical evidence or suspicion of herpes simplex infection

Exclusion criteria

* Patients unable to swallow * Concomitant use of probenecid * Positive pregnancy test Additional protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Safety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Administered 2 times daily over 7 daysA patient with multiple AEs within the primary system organ class is counted only once in total row.
Area Under the Penciclovir Plasma Concentration-time Curve From Time 0 to Infinity (AUC0-∞)Plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dosePK parameter; penciclovir is the active metabolite of famciclovir.
Apparent Oral Clearance of Penciclovir (CL/F)Plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dosePK parameter; penciclovir is the active metabolite of famciclovir.
Apparent Terminal Elimination Half-life of Penciclovir (T1/2)Plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dosePK parameter; penciclovir is the active metabolite of famciclovir
Time of Maximum Observed Plasma Concentration of Penciclovir (Tmax)Plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dosePK parameter; penciclovir is the active metabolite of famciclovir.
Safety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.8 hours and 24 hours after study drug administration (Part A)A patient with multiple adverse events (AEs) within the primary system organ class is counted only once in total row.
Maximum Observed Plasma Concentration of Penciclovir (Cmax)plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dosePK parameter; penciclovir is the active metabolite of famciclovir.

Secondary

MeasureTime frameDescription
Overall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Day 1 at clinic: after swallowing first doseOverall acceptability of the study medication was determined by caretaker response.
Overall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyDay 8 at home: after swallowing last doseOverall acceptability of study medication was determined by caretaker response.
Overall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Day 1, after swallowing the dose.Overall acceptability of the study medication was determined by caretaker response.

Countries

Panama, United States

Participant flow

Participants by arm

ArmCount
Part A (Single-dose of Famciclovir)
Each patient in Part A received a single dose of famciclovir (12.5 mg/kg).
27
Part B (Multiple-dose of Famciclovir)
Each patient in Part B received famciclovir twice a day (b.i.d.) approximately 12 hours apart for 7 days for a total of 14 doses. An 8-step dosing scheme (ranged from 150 mg b.i.d. to 500 mg b.i.d.) was used to determine the weight-based adjusted daily dose.
47
Total74

Baseline characteristics

CharacteristicTotalPart B (Multiple-dose of Famciclovir)Part A (Single-dose of Famciclovir)
Age, Customized
13 to <=18 years
2 participants0 participants2 participants
Age, Customized
1 to <2 years
17 participants13 participants4 participants
Age, Customized
2 to <6 years
29 participants16 participants13 participants
Age, Customized
6 to <=12 years
26 participants18 participants8 participants
Sex: Female, Male
Female
41 Participants24 Participants17 Participants
Sex: Female, Male
Male
33 Participants23 Participants10 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
5 / 2723 / 47
serious
Total, serious adverse events
0 / 270 / 47

Outcome results

Primary

Apparent Oral Clearance of Penciclovir (CL/F)

PK parameter; penciclovir is the active metabolite of famciclovir.

Time frame: Plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dose

Population: Includes 26 of 27 patients enrolled in Part A of the study.

ArmMeasureValue (MEAN)Dispersion
1 to < 2 YearsApparent Oral Clearance of Penciclovir (CL/F)20.8 L/hFull Range 8.5
2 to <6 YearsApparent Oral Clearance of Penciclovir (CL/F)25.1 L/hFull Range 4.3
6 to <13 YearsApparent Oral Clearance of Penciclovir (CL/F)43.7 L/hFull Range 9.6
13 to <=18 YearsApparent Oral Clearance of Penciclovir (CL/F)68.8 L/hFull Range 0
Primary

Apparent Terminal Elimination Half-life of Penciclovir (T1/2)

PK parameter; penciclovir is the active metabolite of famciclovir

Time frame: Plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dose

Population: Includes 26 of 27 patients enrolled in Part A of the study.

ArmMeasureValue (MEAN)Dispersion
1 to < 2 YearsApparent Terminal Elimination Half-life of Penciclovir (T1/2)1.09 hoursFull Range 0.08
2 to <6 YearsApparent Terminal Elimination Half-life of Penciclovir (T1/2)1.36 hoursFull Range 0.2
6 to <13 YearsApparent Terminal Elimination Half-life of Penciclovir (T1/2)1.60 hoursFull Range 0.25
13 to <=18 YearsApparent Terminal Elimination Half-life of Penciclovir (T1/2)1.86 hours
Primary

Area Under the Penciclovir Plasma Concentration-time Curve From Time 0 to Infinity (AUC0-∞)

PK parameter; penciclovir is the active metabolite of famciclovir.

Time frame: Plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dose

Population: Includes 26 of 27 patients enrolled in Part A of the study.

ArmMeasureValue (MEAN)Dispersion
1 to < 2 YearsArea Under the Penciclovir Plasma Concentration-time Curve From Time 0 to Infinity (AUC0-∞)6.17 (μg/mL)hFull Range 2.42
2 to <6 YearsArea Under the Penciclovir Plasma Concentration-time Curve From Time 0 to Infinity (AUC0-∞)6.85 (μg/mL)hFull Range 1.55
6 to <13 YearsArea Under the Penciclovir Plasma Concentration-time Curve From Time 0 to Infinity (AUC0-∞)8.15 (μg/mL)hFull Range 1.01
13 to <=18 YearsArea Under the Penciclovir Plasma Concentration-time Curve From Time 0 to Infinity (AUC0-∞)5.93 (μg/mL)hFull Range 0
Primary

Maximum Observed Plasma Concentration of Penciclovir (Cmax)

PK parameter; penciclovir is the active metabolite of famciclovir.

Time frame: plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dose

Population: Includes all 27 patients enrolled in Part A of the study.

ArmMeasureValue (MEAN)Dispersion
1 to < 2 YearsMaximum Observed Plasma Concentration of Penciclovir (Cmax)2.84 μg/mLFull Range 1.25
2 to <6 YearsMaximum Observed Plasma Concentration of Penciclovir (Cmax)2.44 μg/mLFull Range 0.94
6 to <13 YearsMaximum Observed Plasma Concentration of Penciclovir (Cmax)2.82 μg/mLFull Range 0.65
13 to <=18 YearsMaximum Observed Plasma Concentration of Penciclovir (Cmax)1.89 μg/mL
Primary

Safety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.

A patient with multiple adverse events (AEs) within the primary system organ class is counted only once in total row.

Time frame: 8 hours and 24 hours after study drug administration (Part A)

Population: Includes all 27 patients enrolled in Part A of the study.

ArmMeasureGroupValue (NUMBER)
1 to < 2 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Patients with AEs0 participants
1 to < 2 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Gastrointestinal disorders0 participants
1 to < 2 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Nervous system disorders0 participants
1 to < 2 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.General disorders and administration site0 participants
1 to < 2 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Infections and infestations0 participants
1 to < 2 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Skin and subcutaneous tissue disorders0 participants
2 to <6 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Skin and subcutaneous tissue disorders1 participants
2 to <6 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.General disorders and administration site0 participants
2 to <6 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Patients with AEs2 participants
2 to <6 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Nervous system disorders0 participants
2 to <6 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Gastrointestinal disorders1 participants
2 to <6 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Infections and infestations1 participants
6 to <13 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Gastrointestinal disorders0 participants
6 to <13 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Nervous system disorders1 participants
6 to <13 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.General disorders and administration site0 participants
6 to <13 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Skin and subcutaneous tissue disorders0 participants
6 to <13 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Infections and infestations0 participants
6 to <13 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Patients with AEs1 participants
13 to <=18 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Infections and infestations0 participants
13 to <=18 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Skin and subcutaneous tissue disorders0 participants
13 to <=18 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Gastrointestinal disorders1 participants
13 to <=18 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.General disorders and administration site1 participants
13 to <=18 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Patients with AEs2 participants
13 to <=18 YearsSafety and Tolerability of a Single-dose of Famciclovir in Part A of the Study.Nervous system disorders1 participants
Primary

Safety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.

A patient with multiple AEs within the primary system organ class is counted only once in total row.

Time frame: Administered 2 times daily over 7 days

Population: Includes 47 patients enrolled in Part B of the study.

ArmMeasureGroupValue (NUMBER)
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Vascular disorders0 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Respiratory, thoracic and mediastinal disorders1 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Investigations1 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Skin and subcutaneous tissue disorders1 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Infections and infestations3 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Patients with AEs6 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Nervous system disorders0 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Gastrointestinal disorders4 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Injury, poisoning and procedural complications0 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.General disorders and administration site3 participants
1 to < 2 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Metabolism and nutrition disorders1 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Infections and infestations0 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Patients with AEs8 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Gastrointestinal disorders3 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Nervous system disorders2 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.General disorders and administration site1 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Respiratory, thoracic and mediastinal disorders1 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Skin and subcutaneous tissue disorders2 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Vascular disorders0 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Injury, poisoning and procedural complications1 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Investigations0 participants
2 to <6 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Metabolism and nutrition disorders0 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Investigations0 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Vascular disorders2 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Nervous system disorders5 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Patients with AEs12 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Injury, poisoning and procedural complications1 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Gastrointestinal disorders6 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Infections and infestations0 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Respiratory, thoracic and mediastinal disorders2 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Metabolism and nutrition disorders0 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.Skin and subcutaneous tissue disorders0 participants
6 to <13 YearsSafety and Tolerability of Famciclovir Pediatric Oral Formulation in Part B of the Study.General disorders and administration site1 participants
Primary

Time of Maximum Observed Plasma Concentration of Penciclovir (Tmax)

PK parameter; penciclovir is the active metabolite of famciclovir.

Time frame: Plasma level measurements: pre-dose, 1, 2, 3, 4 and 5 hours post-dose

Population: Includes all 27 patients enrolled in Part A of the study.

ArmMeasureValue (MEDIAN)
1 to < 2 YearsTime of Maximum Observed Plasma Concentration of Penciclovir (Tmax)1.21 hours
2 to <6 YearsTime of Maximum Observed Plasma Concentration of Penciclovir (Tmax)1.07 hours
6 to <13 YearsTime of Maximum Observed Plasma Concentration of Penciclovir (Tmax)1.00 hours
13 to <=18 YearsTime of Maximum Observed Plasma Concentration of Penciclovir (Tmax)1.47 hours
Secondary

Overall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.

Overall acceptability of the study medication was determined by caretaker response.

Time frame: Day 1, after swallowing the dose.

Population: Includes all 27 patients enrolled in Part A of the study.

ArmMeasureGroupValue (NUMBER)
1 to < 2 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Badly1 participants
1 to < 2 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Well2 participants
1 to < 2 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Neither bad nor good1 participants
2 to <6 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Badly4 participants
2 to <6 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Well8 participants
2 to <6 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Neither bad nor good1 participants
6 to <13 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Neither bad nor good4 participants
6 to <13 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Badly0 participants
6 to <13 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Well4 participants
13 to <=18 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Badly2 participants
13 to <=18 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Well0 participants
13 to <=18 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part A of the Study.Neither bad nor good0 participants
Secondary

Overall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study

Overall acceptability of study medication was determined by caretaker response.

Time frame: Day 8 at home: after swallowing last dose

Population: Includes all 47 patients enrolled in Part B of the study. Response was not available for 1 patient in the 2 to \<6 years and 6 to \<=12 years groups.

ArmMeasureGroupValue (NUMBER)
1 to < 2 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyNeither bad nor good3 participants
1 to < 2 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyBadly7 participants
1 to < 2 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyWell3 participants
2 to <6 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyNeither bad nor good3 participants
2 to <6 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyBadly5 participants
2 to <6 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyWell7 participants
6 to <13 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyBadly3 participants
6 to <13 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyWell11 participants
6 to <13 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the StudyNeither bad nor good3 participants
Secondary

Overall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.

Overall acceptability of the study medication was determined by caretaker response.

Time frame: Day 1 at clinic: after swallowing first dose

Population: Includes all 47 patients enrolled in Part B of the study.

ArmMeasureGroupValue (NUMBER)
1 to < 2 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Neither bad nor good2 participants
1 to < 2 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Badly9 participants
1 to < 2 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Well2 participants
2 to <6 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Neither bad nor good1 participants
2 to <6 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Badly6 participants
2 to <6 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Well9 participants
6 to <13 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Badly7 participants
6 to <13 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Well9 participants
6 to <13 YearsOverall Acceptability of Pediatric Oral Formulation by Patients in Part B of the Study.Neither bad nor good2 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026