Could a cold sore virus treatment save ICU pneumonia patients?
NCT ID NCT06134492
First seen Jun 27, 2026 · Last updated Jul 24, 2026 · Updated 2 times
Summary
This study tests whether the antiviral drug acyclovir helps people on breathing machines who have pneumonia and also have herpes simplex virus (HSV) in their lungs. About 616 adults in intensive care will be randomly assigned to receive acyclovir or no antiviral treatment. The goal is to see if treating the virus improves survival, since current evidence is unclear and acyclovir can cause kidney side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 616 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2024
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. ≥ 18 years 2. need for invasive or non-invasive respiratory support 3. PCR HSV-1 detection in BAL (≥ 10\^3 copies/ml) 4. Pneumonia (community or healthcare acquired, incl. ventilator-associated pneumonia) 5. declaration of consent by the patient or legal representative Exclusion Criteria: 1. History of hypersensitivity to acyclovir or valacyclovir or other components of the investigational product. 2. Pregnancy/Lactation 3.3. Simultaneous participation in another clinical interventional trial under EU Regulation 536/2014, the German Medicines Act (AMG), Medical Devices Regulation (MDR), or Medical Devices Act (MPDG) without prior consultation and approval by the respective sponsors prior to randomization 4.Decision to withhold life-sustaining therapies 5.Use of a virostatic agent (i.v. or p. os) with activity against herpes simplex (acyclovir, valacyclovir, famciclovir/penciclovir, brivudine, cidofovir, foscarnet) for therapeutic or prophylactic reasons at the time of randomization. 6.Solid organ transplantation, stem cell transplantation 7.Neutropenia (absolute neutrophil count \<1500/μl (\<1.5 × 109 /l) 8.Previous study participation in HerpMV
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
28 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Evangelisches Klinikum Bethel
RECRUITINGBielefeld, North Rhine-Westphalia, 33617, Germany
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Evangelisches Klinikum Bethel
RECRUITINGBielefeld, 33611, Germany
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Klinikum Nürnberg, Campus Nord
RECRUITINGNuremberg, Bavaria, 90419, Germany
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Klinikum Nürnberg, Campus Süd
RECRUITINGNuremberg, Bavaria, 90471, Germany
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Klinikum der Ludwig-Maximilian-Universität München
RECRUITINGMünchen, Bavaria, 81377, Germany
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Klinikum rechts der Isar
RECRUITINGMünchen, Bavaria, 81675, Germany
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Klinikum rechts der Isar
RECRUITINGMünchen, Bavaria, 81675, Germany
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Marien Hospital Herne, Universitätsklinikum der Ruhr-Universität Bochum
RECRUITINGHerne, Nordreihn-Westfalen, 44625, Germany
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RoMed Klinikum Rosenheim
RECRUITINGRosenheim, Bavaria, 83022, Germany
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Universitätsklinikum Augsburg
RECRUITINGAugsburg, Bavaria, 86156, Germany
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Universitätsklinikum Bonn
RECRUITINGBonn, North Rhine-Westphalia, 53127, Germany
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Universitätsklinikum Dresden
RECRUITINGDresden, Saxony, 01307, Germany
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Universitätsklinikum Düsseldorf
RECRUITINGDüsseldorf, North Rhine-Westphalia, 40225, Germany
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Universitätsklinikum Essen
RECRUITINGEssen, North Rhine-Westphalia, 45147, Germany
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Universitätsklinikum Freiburg
RECRUITINGFreiburg im Breisgau, Baden-Wurttemberg, 79106, Germany
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Universitätsklinikum Halle
RECRUITINGHalle, Saxony-Anhalt, 06120, Germany
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Universitätsklinikum Hamburg Eppendorf
RECRUITINGHamburg, Free and Hanseatic City of Hamburg, 20246, Germany
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Universitätsklinikum Heidelberg
RECRUITINGHeidelberg, Baden-Wurttemberg, 69120, Germany
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Universitätsklinikum Heidelberg
RECRUITINGHeidelberg, Baden-Wurttemberg, 69120, Germany
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Universitätsklinikum Jena
RECRUITINGJena, Thuringia, 07747, Germany
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Universitätsklinikum Köln AöR
RECRUITINGCologne, North Rhine-Westphalia, 50937, Germany
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Universitätsklinikum Leipzig
RECRUITINGLeipzig, Saxony, 04103, Germany
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Universitätsklinikum Leipzig
RECRUITINGLeipzig, Saxony, 04103, Germany
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Universitätsklinikum Münster
RECRUITINGMünster, North Rhine-Westphalia, 48149, Germany
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Universitätsklinikum Regensburg
RECRUITINGRegensburg, Bavaria, 93053, Germany
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Universitätsklinikum Schleswig-Holstein Campus Kiel
RECRUITINGKiel, Schleswig-Holstein, 24105, Germany
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Universitätsklinikum Schleswig-Holstein Campus Lübeck
RECRUITINGLübeck, Schleswig-Holstein, 23538, Germany
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Universitätsklinikum Tübingen
RECRUITINGTübingen, Baden-Wurttemberg, 72076, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can lung ultrasound reveal COVID-19's signature in the lungs?
- Blood test vs. clinical check: which safely cuts antibiotic use in pneumonia?
- Europe's ICUs join forces to take on a deadly lung infection
- Fast lung test may help doctors pick the right antibiotic sooner
- Rethinking staff training to fight a deadly ICU infection
- A 20-Year-Old immune regulator faces its biggest test against cold sores