Arenberger Petr, Arenbergerova Monika, Hladíková Marie, Holcova Simona, Ottillinger Bertram
Department of Dermatovenerology, Third Faculty of Medicine, Charles University of Prague, Prague, Czech Republic.
Department of Medical Informatics, Second Faculty of Medicine, Charles University of Prague, Prague, Czech Republic.
Curr Ther Res Clin Exp. 2017 Oct 14;88:1-7. doi: 10.1016/j.curtheres.2017.10.004. eCollection 2018.
This controlled single-blind trial compared the efficacy of a lip balm with propolis special extract GH 2002 at a concentration of 0.5% in the treatment of episodes of herpes labialis with that of 5% aciclovir cream.
Patients in the erythematous/papular stage were randomized: 189 patients were treated with propolis cream, 190 patients were treated with aciclovir cream (intention-to-treat population). Application was 5 times daily. The primary parameter was the difference in median time to complete encrustation or epithelialization of lesions. Secondary parameters were the development of typical herpes symptoms (eg, pain, burning and itching, tension, and swelling), the global assessment of efficacy, and the safety of application.
The predefined clinical situation was reached after a median of 4 days with propolis and after 5 days with aciclovir ( < 0.0001). Significant differences in favor of the study preparation were found with all secondary parameters and symptoms. No allergic reactions, local irritations, or other adverse events were observed.
A formulation of 0.5% propolis GH 2002 extract lip balm was found to be superior in the treatment of episodes of herpes labialis over 5% aciclovir cream in patients in the papular/erythematous phase upon inclusion. EudraCT Registration No. 2006-001971-38.
本对照单盲试验比较了浓度为0.5%的含蜂胶特殊提取物GH 2002的润唇膏与5%阿昔洛韦乳膏治疗唇疱疹发作的疗效。
处于红斑/丘疹期的患者被随机分组:189例患者接受蜂胶乳膏治疗,190例患者接受阿昔洛韦乳膏治疗(意向性治疗人群)。每日涂抹5次。主要参数为病变完全结痂或上皮化的中位时间差异。次要参数为典型疱疹症状(如疼痛、灼痛、瘙痒、紧绷和肿胀)的发展、疗效的总体评估以及用药安全性。
蜂胶组中位4天后达到预设临床状况,阿昔洛韦组为5天(<0.0001)。在所有次要参数和症状方面均发现有利于研究制剂的显著差异。未观察到过敏反应、局部刺激或其他不良事件。
对于纳入研究的处于丘疹/红斑期的患者,发现0.5%蜂胶GH 2002提取物润唇膏在治疗唇疱疹发作方面优于5%阿昔洛韦乳膏。欧盟临床试验注册号:2006 - 001971 - 38。