New gum tablet could speed up cold sore healing
NCT ID NCT05098938
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested a single acyclovir tablet that sticks to the gum to treat cold sores (herpes labialis) in 2020 adults with frequent outbreaks. Participants applied the tablet or a placebo at home and tracked healing over 14 days. The goal was to see if the drug shortens the time until sores heal and symptoms go away.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- acyclovir
- What this could lead to
- If successful, this could confirm that a single acyclovir buccal tablet speeds up cold sore healing and reduces symptoms.
- What could go wrong
- This is a completed Phase 3 trial, but results may not show a big benefit over placebo. Cold sores often heal on their own, so the drug may only help a little.
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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2,020 people
The number who actually took part.
- Started
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Nov 2021
- Finished
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Jul 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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: * Males or females, 18 years of age or older inclusive; * History of recurrent HL lesions where: * Recurrence is defined as at least 4 episodes in the preceding 12 months; * At least half of the episodes should be vesicular in nature; * At least half of the episodes should be preceded by prodromal symptoms; * Herpes labialis lesions are characterized by their localization on the cutaneous and/or mucosal surfaces of the lips; * Willing to avoid, during the treatment phase, the use of anti-inflammatory (not including low-dose (81 mg) aspirin), anti-herpetic, antibiotic and antiviral agents as well as steroids or other natural products that would interfere with the immune system response; * Female participants of childbearing potential must be using a medically acceptable form of birth control during screening \[e.g., hormonal contraceptives (oral, patch, injectable or vaginal ring), implantable device (implantable rod or intrauterine device), or a double barrier\], abstinence or in same sex relationship and have a negative pregnancy test at Screening and prior to study drug administration. Female participants of non-childbearing potential must be amenorrheic for at least two years or have undergone surgical sterilization (i.e. tubal ligation/occlusion, hysterectomy and/or bilateral oophorectomy); * Agreement to abstain from any mechanical disruption of the prodromal area or lesion (i.e. scrubbing, lancing, shaving the area, rubbing with alcohol, application of heat emitting devices used for cold sore treatment, etc.); * Capable of giving signed informed consent as described in protocol which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol; * Ability to understand and follow study-related instructions; * Be willing and able to participate in all scheduled visits, treatment plan, and trial procedures according to the clinical protocol. Exclusion Criteria: * Participants who did not develop herpes prodromal symptoms within 6 months after randomization in the study; * More than 50% of recurrences that aborted spontaneously (without intervention) in the past 12 months; * Primary herpes lesion outside the lips (e.g., nose, chin, etc.); * Abnormal peri-oral skin condition that might affect the normal course of cold sores (e.g., eczema, psoriasis, etc.); * Oral diseases whose prodromal symptoms may mimic those of herpes labialis, including recurrent oral aphthous disease; * Allergy to any acyclovir or its containing agents; * Milk allergy or known history of hypersensitivity to one of the components of Sitavig; * Self-reported immunocompromised condition, including self-reported Human Immunodeficiency Virus (HIV) positive and previous bone marrow or organ transplant; * Known medical history of renal disease, that in the judgment of the investigator is severe; * Females who are planning to become pregnant, are pregnant or lactating.
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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.
Contacts and locations
Locations
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Science 37
Culver City, California, 90230, United States