VALACYCLOVIR THERAPY OF SHINGLES IN IMMUNOCOMPROMISED PATIENTS

Valacyclovir对于18岁及以上免疫功能低下患者的局部带状疱疹治疗是安全有效的。这是一项随机、双盲、对照试验，比较两种剂量口服盐酸伐昔洛韦治疗18岁及以上免疫功能低下患者的无并发症带状疱疹的疗效和安全性。为了在两个治疗组中每组有25名患者完成治疗和随访，66名患者将平均随机分配到这两个治疗组。研究药物的第一剂（第1天）必须在带状疱疹皮疹发作后72小时内给予。患者将接受1000mg或2000mg valacyclovir治疗，每天三次，连续7天。这些药要口服。患者的参与将持续24周。将在第1、3、6、8、10、14、21和28天对患者进行带状疱疹相关疼痛和/或异常感觉和带状疱疹并发症的检查和评估，然后每4周检查一次，直至24周。对资源利用和生活质量问题的回答将在研究期间定期收集。安全性将通过常规血液学和生化评估以及不良反应报告来监测。

Valacyclovir is safe and effective for treatment of localized herpes zoster in immunocompromised patients 18 years of age and older. This is a randomized, double-blind, controlled trial comparing the efficacy and safety of two doses of oral valacyclovir HCl for the treatment of uncomplicated herpes zoster in immunocompromised patients 18 years of age and older. In order that 25 patients complete therapy and follow-up in each of the two treatment groups, 66 patients will be equally randomized to each of these two treatment groups. Administration of the first dose(day 1) of study drug must occur within 72 hours of zoster rash onset. Patients will receive 1000 mg or 2000 mg valacyclovir three times daily for 7 days. These drugs will be taken orally. Patients' participation will be for a total of 24 weeks. Patients will be seen and assessed for zoster-associated pain and/or abnormal sensations and zoster complications on days 1,3,6,8,10,14,21, and 28 and then every 4 weeks up to and including week 24. Responses to resource use and quality of life questions will be collected at intervals during the study. Safety will be monitored by means of routine hematological and biochemical assessments and reporting of adverse experiences.