Brivudine versus famciclovir for treating shingles
Official title: Efficacy and Safety of Brivudine in the Treatment of Herpes Zoster: A Multicenter, Randomized, Prospective Clinical Trial
Run by Peking University Third Hospital · NCT07099157 · Data updated 2026-11-12
This will see if brivudine or famciclovir reduces pain more by 30 days in adults with shingles.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 140 (estimated) |
| Sponsor | Peking University Third Hospital Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 4 sites (Beijing and 3 other locations) |
| Status | Recruiting |
| Started | August 25, 2025 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2027 |
| Registry record updated | January 2, 2026 |
| Trial ID | NCT07099157 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with acute herpes zoster who can give informed consent, agree to required contraception measures, and meet safety criteria (no allergies or contraindicated medications) are appropriate candidates.
✕Probably not a fit
Patients with known allergy to brivudine, famciclovir, or penciclovir, those currently using fluorouracil agents, or others with contraindications to the study drugs are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, multicenter trial enrolls 140 adults with herpes zoster at five centers in China and compares brivudine (125 mg/day) with famciclovir (dose adjusted for kidney function) for seven days. Participants are followed at Days 3, 7, 14, 30, and 90 to measure pain (Numeric Pain Rating Scale), time to lesion healing, postherpetic neuralgia incidence, and adverse events. The primary endpoint is pain score on Day 30, with secondary endpoints including earlier pain scores, lesion resolution time, PHN rate, and safety. Results will show whether one antiviral provides faster pain relief or lowers the risk of postherpetic neuralgia.
Why it matters
Potential benefit: If successful, the better-performing antiviral could provide faster pain relief and reduce the risk of postherpetic neuralgia for adults with shingles.
How similar studies have gone: Antiviral therapy for acute herpes zoster is well established and drugs like famciclovir have shown effectiveness, but direct head-to-head data comparing brivudine and famciclovir are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age ≥18 years, regardless of gender; 2. Signed Informed Consent Form; 3. Female subjects must not plan for pregnancy or oocyte donation from screening until 1 week after the last dose and must voluntarily adopt highly effective physical contraception; male subjects must not plan for fertility or sperm donation during the same period and must voluntarily adopt highly effective physical contraception. Methods include: * Barrier methods: Condom or barrier cap (diaphragm or cervical cap); * Intrauterine device (IUD) or intrauterine system (IUS); * Surgical sterilization (bilateral oophorectomy with/without hysterectomy, total hysterectomy, bilateral tubal ligation, or vasectomy) performed ≥6 months prior to the first dose in the subject or their partner; * Other investigator-confirmed highly effective physical contraception. Exclusion Criteria: 1. Allergy to brivudine, famciclovir, or penciclovir; 2. Current use of fluorouracil agents (e.g., 5-fluorouracil, capecitabine, tegafur, flucytosine); 3. Cancer patients currently undergoing chemotherapy; 4. Pregnant or lactating women; 5. Parkinson's disease; 6. Any condition deemed inappropriate for study participation by the investigator.
Where it's running
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Peking University Third Hospital
Beijing, China Recruiting -
Beijing Hospital of Traditional Chinese Medicine, Capital Medical University
Beijing, China Recruiting -
Peking University First Hospital
Beijing, China Recruiting -
Xuanwu Hospital, Capital Medical University
Beijing, China Not yet recruiting
Study contacts
- Study coordinator: Jin-Zhu Guo, M.D.
- Email: guojinzhu_826@163.com
- Phone: 008613521115717
Similar studies
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Erector spinae plane block versus transcutaneous radiofrequency for postherpetic neuralgia
This project will see if erector spinae plane block or transcutaneous radiofrequency works better to reduce pain in adults with postherpetic neuralgia.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.