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1
Valacyclovir
Supplemental NDA 20- 550

  • ANTIVIRAL DRUGS ADVISORY COMMITTEE
  • May 14, 2003
2
CDC STD Treatment Guidelines for Genital Herpes Simplex Virus Infections
  • Principles of Management
    • Chemotherapy
    • Counseling
    • Condoms
3
CDC STD Treatment Guidelines for Genital Herpes Simplex Virus Infections
  • Episode                    Valacyclovir dosage


  • First     1 gram po bid X 7-10d


  • Recurrent              500 mg po bid X 3-5 days
  •     1 gram po qd X 5 days


  • Suppression     1g po qd
  •     500 mg qd( < 9 episodes)
4
GSK Study HS2AB3009
  • N= > 1400 discordant couples
  • Valacyclovir dose: 500 mg po qd X 8 months
  • Condom use encouraged
  • Primary endpoint
    • Clinical signs/symptoms of genital herpes plus lab confirmation
5
GSK Study HS2AB3009
Issues for Discussion
  • Trial design/endpoints
  • Restricted patient population
  • Applicability to other populations
  • Screening issues
  • Drop out rate
  • Impact on public health guidelines
  • Development of resistance
6
Advisory Committee Agenda
  • 8:15 a.m. Opening Remarks
  • 8:30 a.m. Overview of Genital Herpes
  • 9:00 a.m. GSK Presentation
  • 9:45 a.m. Clarifying Questions


  • 10:00 a.m. Break


  • 10:15 a.m. FDA Presentation
          • Harry Haverkos, M.D.
          • Fraser Smith, Ph.D.


  • 11:00 a.m. Questions and Discussion
  • 11:15 a.m. Open Public Hearing
  • 12:15 p.m. Lunch
  • 1:15 p.m. Charge and Questions to the Committee
  • 4:00 p.m. Adjourn