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Trial · NCT05098938

A Study to Compare Sitavig (Acyclovir) Buccal Tablet With a Placebo in the Treatment of Herpes Labialis in Participants Whose Immune System Works Normally

NCT05098938, Phase 3, Completed, Bayer; results first posted 2025-09-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Compare Sitavig (Acyclovir) Buccal Tablet With a Placebo in the Treatment of Herpes Labialis in Participants Whose Immune System Works Normally. Trials, record NCT05098938. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05098938

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Compare Sitavig (Acyclovir) Buccal Tablet With a Placebo in the Treatment of Herpes Labialis in Participants Whose Immune System Works Normally
NCT number
NCT05098938
Status
Completed
Phases
Phase 3
Enrollment
2,020 participants, actual
Lead sponsor
Bayer
Conditions
Recurrent Herpes Labialis
Interventions
Acyclovir 50mg buccal/topical tablet, BAYM008894/UI1614773, Placebo
First posted
2021-10-28
Last updated
2025-09-02
Results first posted
2025-09-02
Limitations and caveats
Initial results (Feb 2024) indicated significant data inconsistencies. After quality analysis of the data, it appears that the contract research organization (CRO) did not read the facial images correctly, which are the data source for the primary endpoint.

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryDuration of Episode (DOE) Was Measured in Hours (Using the Science 37 Platform), of a Single Treated Herpes Labialis (HL) LesionUp to 14 days
Duration of episode (DOE) is defined as the time from the initiation of treatment (study intervention) to the healing of primary lesions (loss of crust) for participants who experience a vesicular lesion. For participants whose primary lesions are not vesicular in nature, duration of episode is the time from study intervention initiation to the return to normal skin as determined by the independent blinded reader of the participant's face images using a 6-point Likert scale or to the cessation of symptoms, whichever comes last.
SecondaryIncidence of Aborted LesionsUp to 14 days
Incidence of aborted lesions, defined as treated HL lesions that do not progress to the vesicular or crust stage. A lesion that returns to normal skin without forming a vesicle or crust will be counted as an aborted lesion.
SecondaryIncidence of Recurrence of HL Lesions During the 12-months Follow-up PeriodUp to 12 months
SecondaryTime to Recurrence of HL Lesions, Measured in Days From Resolution of the Cold Sore Treated in the Treatment Phase Until Onset of Prodromal SymptomsUp to 12 months
SecondaryIncidence of Treatment-Emergent Adverse Events (TEAE)sUp to 12 months
SecondaryPercentage of Participants Who Have at Least One RecurrenceUp to 12 months

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDuration of Episode (DOE) Was Measured in Hours (Using the Science 37 Platform), of a Single Treated Herpes Labialis (HL) LesionUp to 14 daysPP population: The Per Protocol (PP) population included all subjects who completed 14-days of evaluations and did not have any major protocol violations.HoursMEDIAN
SECONDARYIncidence of Aborted LesionsUp to 14 daysPP population: The Per Protocol (PP) population included all subjects in ITT who completed 14-days of evaluations and did not have any major protocol violations.lesionsNUMBER
SECONDARYIncidence of Recurrence of HL Lesions During the 12-months Follow-up PeriodUp to 12 months
Follow-up population: The follow-up population included all participants, who continued into the 12-months Follow-up period and was defined as participants whose lesions were all treated at the end of the treament period (of 14 days) of the study.
lesionsNUMBER
SECONDARYTime to Recurrence of HL Lesions, Measured in Days From Resolution of the Cold Sore Treated in the Treatment Phase Until Onset of Prodromal SymptomsUp to 12 months
Follow-up population: The follow-up population included all participants, who continued into the 12-months Follow-up period and was defined as participants whose lesions were all treated at the end of the treament period (of 14 days) of the study.
daysMEDIAN
SECONDARYIncidence of Treatment-Emergent Adverse Events (TEAE)sUp to 12 monthsSafety analysis setparticipantsNUMBER
SECONDARYPercentage of Participants Who Have at Least One RecurrenceUp to 12 monthspercentage of participantsNUMBER

Results by group20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Duration of Episode (DOE) Was Measured in Hours (Using the Science 37 Platform), of a Single Treated Herpes Labialis (HL) LesionSitavig66.595% Confidence Interval 55.4 to 74.7Hours
Duration of Episode (DOE) Was Measured in Hours (Using the Science 37 Platform), of a Single Treated Herpes Labialis (HL) LesionPlacebo73.695% Confidence Interval 65.5 to 85.2Hours
Incidence of Aborted LesionsSitavig40lesions
Incidence of Aborted LesionsPlacebo58lesions
Incidence of Recurrence of HL Lesions During the 12-months Follow-up PeriodSitavig117lesions
Incidence of Recurrence of HL Lesions During the 12-months Follow-up PeriodPlacebo94lesions
Time to Recurrence of HL Lesions, Measured in Days From Resolution of the Cold Sore Treated in the Treatment Phase Until Onset of Prodromal SymptomsSitavig88.095% Confidence Interval 63.0 to 108.0days
Time to Recurrence of HL Lesions, Measured in Days From Resolution of the Cold Sore Treated in the Treatment Phase Until Onset of Prodromal SymptomsPlacebo88.095% Confidence Interval 65.0 to 106.0days
Incidence of Treatment-Emergent Adverse Events (TEAE)sSitavigParticipants with TEAEs146participants
Incidence of Treatment-Emergent Adverse Events (TEAE)sPlaceboParticipants with TEAEs149participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSitavig1,009
Overall StudySTARTEDPlacebo1,011
Overall StudyCOMPLETEDSitavig372
Overall StudyCOMPLETEDPlacebo369
Overall StudyNOT COMPLETEDSitavig637
Overall StudyNOT COMPLETEDPlacebo642

Adverse events392

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal discomfortGastrointestinal disordersSitavig05040
otherAbdominal discomfortGastrointestinal disordersPlacebo24973
otherAbdominal distensionGastrointestinal disordersSitavig05040
otherAbdominal distensionGastrointestinal disordersPlacebo14971
otherAbdominal pain upperGastrointestinal disordersSitavig05040
otherAbdominal pain upperGastrointestinal disordersPlacebo14971
otherAcneSkin and subcutaneous tissue disordersSitavig05040
otherAcneSkin and subcutaneous tissue disordersPlacebo14971
otherAllergic respiratory diseaseRespiratory, thoracic and mediastinal disordersSitavig15041
otherAllergic respiratory diseaseRespiratory, thoracic and mediastinal disordersPlacebo04970

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySitavig1504
Total, all-cause mortalityPlacebo0497
Total, other adverse eventsSitavig143504
Total, other adverse eventsPlacebo146497
Total, serious adverse eventsSitavig5504
Total, serious adverse eventsPlacebo7497

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Sitavig vs Placebo: deaths from any causeTrial comparisons
Sitavig vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05098938

GET https://conductscience.org/api/trials/v1/NCT05098938/events?page=2