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Valacyclovir Supplemental NDA 20- 550

ANTIVIRAL DRUGS ADVISORY COMMITTEE May 14, 2003. Valacyclovir Supplemental NDA 20- 550. CDC STD Treatment Guidelines for Genital Herpes Simplex Virus Infections. Principles of Management Chemotherapy Counseling Condoms.

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Valacyclovir Supplemental NDA 20- 550

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  1. ANTIVIRAL DRUGS ADVISORY COMMITTEE May 14, 2003 ValacyclovirSupplemental NDA 20- 550

  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 EpisodeValacyclovir 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

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