Kanuka honey versus aciclovir for the topical treatment of herpes simplex labialis: a randomised controlled trial
Objective To compare New Zealand medical grade kanuka honey with topical aciclovir for the treatment of herpes simplex labialis.Design Prospective parallel randomised controlled open-label superiority trial.Setting 76 community pharmacies across New Zealand between 10 September 2015 and 13 December...
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2019-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/5/e026201.full |
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| author | Nick Shortt Alex Semprini Mark Weatherall Richard Beasley Irene Braithwaite Angela Liu Melanie McConnell Joseph Singer Darmiga Thayabaran Abbie Copinga Abigail Cadwallader Ahmad Zareh Aidan Kortegast Al-Sheibani Saif Alaina van Zyl Alex Graham Alice Liu Alice Manch Alison van Wyke Amanda Barkley Amy Zhuang Andrew Mcglashen Androulla Kotrotsos Angela Blackwood Angeline Day-Mesuré Annabel Turley Anne Lim Anne Marie-Nimmo Anstey Harsant Anthony Roberts Ashley Cronin Barbara Mcrae Blair Finlayson Bob Kim Brandon Brendon Mcintosh Brian Johnston Carina Soeteman Carla Mcinness Carrol Newman Cassie Butler Catherine Hosler Cathy Hight Chantel Kissick Charlotte Schimanski Chau Ly Cheryl Mabbett Chris Wrapson Christy Biju Chuck Varghese Claire Livingston Corry Bezems Danielle Stewart Daryl Sayer David Postlewaight Deb Lawrence Debora Ngny Deborah Ellison Debra Clutterback Delphine Destrez Diana Montelli Dipika Parmar Dixie Howard Donnie Loh Eddie See Elda Lubbe Eric Li Evan Tan Fiona Mclachlan Fiona Srush Fran Chen Garth Mitchinson Gina Azer-Iskander Glenn Summerville Grace O’conner Grant Bell Hayley Garvin Helen Jarvie Henriette Meyer Ingrid Nickson Ingrid Reed Irene Nicks Jackie Jamieson Jacqui Brus Jacqui Craw James Westbury Jan Green Janet Downing Jayne Lewis Jenna Ludlow Jenni Puckley Jennifer Gerbes Jenny Sparks Jenny Wu Jess Barton Jessica Ensor Jilly Alexander Jim Sherborne Joanna Topliss Jordan Jeffray Jordon Hinton Joseph Tsou Joy Birch Julia Mcdonald Julie Earwaker Julie Lamb Julie Summers Kadyn Lowe Kaleigh Mackel Karen Rich Karen Chen Karen Wainman Karena Hall Kate Adams Kate Griffin Kayleigh Mackel Kelly Burgess Kelly Harvey Kelly Shearer Kelsi Burns Kerry Dean Kerry Oxenham Kritika Singh Lara Blaikie Leanne Hall Leanne Herbert Leanne Hosking Leanne Steele Leigh Vaughan Lesley Robertson Levi Bian Linda Herman Linda Joe Linda Southby Lisa Josephs Lisa Mitchell Lorina Lu Lorraine Brunton Lucy Armstrong Lynda Bell Malinda Ouk Malli Kotali Marcus Liddle Margaret Helms Marion Gray Mark Arundel Mark Webster Martin Boyle Maryanne Smyth Mate Hegedus-Gaspar Matthew Grey Maureen Raju Melanie Wong Michelle Hwang Michelle Nawisielski Michelle Speirs Natascha Roughton Navjot Kaw Neha Chand Nehad Kamel Neville Puckey Nicholas Tee Nimmi Gnanasekaran Nolan Mcrae Noor Al-Rawe Oliver Rew Olivia Haslam Outi Kolju Palak Mehta Patrick Lim Peter Neal Rachael Gerretzen Rachael Munns Rachel Yang Rachelle Smith Raksha Goundar Rav Singh Ravniel Singh Rebecca Coley Rebecca Hesom Rebekah Beard Reece Olsen Renee Belling Robyn Morrison Roseanna Mcdonald Ruby Willing Saif Al-Sherbeni Sally Purdie Sam Betty Sam Appleford Samantha Fordham Samit Patel Sara Preston Sarah Wallace Sascha Ion Shahlaa Al Salih Sharon Sullivan Shazeel Rauf Sheryl Montgomerie Shilpa Narain Shirin Namjou Shuji Zhang Simerjeet Singh Sjaani Stanley Sonia Schwaum Steve Jo Sultana Zannat Tanya Baker Tyler Pornchaisuksiri Utsav Sharma Vicki Douglas Victoria Rameke Vincent Ho Vioky Usher Violet Harley Vishwatej Gangapuri Warren Greene Wendy Parkes William Gia Wilma Gordon Yalun Weng Yasmin Razoki Yolanda Savage Zheng Li |
| author_facet | Nick Shortt Alex Semprini Mark Weatherall Richard Beasley Irene Braithwaite Angela Liu Melanie McConnell Joseph Singer Darmiga Thayabaran Abbie Copinga Abigail Cadwallader Ahmad Zareh Aidan Kortegast Al-Sheibani Saif Alaina van Zyl Alex Graham Alice Liu Alice Manch Alison van Wyke Amanda Barkley Amy Zhuang Andrew Mcglashen Androulla Kotrotsos Angela Blackwood Angeline Day-Mesuré Annabel Turley Anne Lim Anne Marie-Nimmo Anstey Harsant Anthony Roberts Ashley Cronin Barbara Mcrae Blair Finlayson Bob Kim Brandon Brendon Mcintosh Brian Johnston Carina Soeteman Carla Mcinness Carrol Newman Cassie Butler Catherine Hosler Cathy Hight Chantel Kissick Charlotte Schimanski Chau Ly Cheryl Mabbett Chris Wrapson Christy Biju Chuck Varghese Claire Livingston Corry Bezems Danielle Stewart Daryl Sayer David Postlewaight Deb Lawrence Debora Ngny Deborah Ellison Debra Clutterback Delphine Destrez Diana Montelli Dipika Parmar Dixie Howard Donnie Loh Eddie See Elda Lubbe Eric Li Evan Tan Fiona Mclachlan Fiona Srush Fran Chen Garth Mitchinson Gina Azer-Iskander Glenn Summerville Grace O’conner Grant Bell Hayley Garvin Helen Jarvie Henriette Meyer Ingrid Nickson Ingrid Reed Irene Nicks Jackie Jamieson Jacqui Brus Jacqui Craw James Westbury Jan Green Janet Downing Jayne Lewis Jenna Ludlow Jenni Puckley Jennifer Gerbes Jenny Sparks Jenny Wu Jess Barton Jessica Ensor Jilly Alexander Jim Sherborne Joanna Topliss Jordan Jeffray Jordon Hinton Joseph Tsou Joy Birch Julia Mcdonald Julie Earwaker Julie Lamb Julie Summers Kadyn Lowe Kaleigh Mackel Karen Rich Karen Chen Karen Wainman Karena Hall Kate Adams Kate Griffin Kayleigh Mackel Kelly Burgess Kelly Harvey Kelly Shearer Kelsi Burns Kerry Dean Kerry Oxenham Kritika Singh Lara Blaikie Leanne Hall Leanne Herbert Leanne Hosking Leanne Steele Leigh Vaughan Lesley Robertson Levi Bian Linda Herman Linda Joe Linda Southby Lisa Josephs Lisa Mitchell Lorina Lu Lorraine Brunton Lucy Armstrong Lynda Bell Malinda Ouk Malli Kotali Marcus Liddle Margaret Helms Marion Gray Mark Arundel Mark Webster Martin Boyle Maryanne Smyth Mate Hegedus-Gaspar Matthew Grey Maureen Raju Melanie Wong Michelle Hwang Michelle Nawisielski Michelle Speirs Natascha Roughton Navjot Kaw Neha Chand Nehad Kamel Neville Puckey Nicholas Tee Nimmi Gnanasekaran Nolan Mcrae Noor Al-Rawe Oliver Rew Olivia Haslam Outi Kolju Palak Mehta Patrick Lim Peter Neal Rachael Gerretzen Rachael Munns Rachel Yang Rachelle Smith Raksha Goundar Rav Singh Ravniel Singh Rebecca Coley Rebecca Hesom Rebekah Beard Reece Olsen Renee Belling Robyn Morrison Roseanna Mcdonald Ruby Willing Saif Al-Sherbeni Sally Purdie Sam Betty Sam Appleford Samantha Fordham Samit Patel Sara Preston Sarah Wallace Sascha Ion Shahlaa Al Salih Sharon Sullivan Shazeel Rauf Sheryl Montgomerie Shilpa Narain Shirin Namjou Shuji Zhang Simerjeet Singh Sjaani Stanley Sonia Schwaum Steve Jo Sultana Zannat Tanya Baker Tyler Pornchaisuksiri Utsav Sharma Vicki Douglas Victoria Rameke Vincent Ho Vioky Usher Violet Harley Vishwatej Gangapuri Warren Greene Wendy Parkes William Gia Wilma Gordon Yalun Weng Yasmin Razoki Yolanda Savage Zheng Li |
| author_sort | Nick Shortt |
| collection | DOAJ |
| description | Objective To compare New Zealand medical grade kanuka honey with topical aciclovir for the treatment of herpes simplex labialis.Design Prospective parallel randomised controlled open-label superiority trial.Setting 76 community pharmacies across New Zealand between 10 September 2015 and 13 December 2017.Participants 952 adults randomised within the first 72 hours of a herpes simplex labialis episode.Interventions Random assignment 1:1 to either 5% aciclovir cream or medical grade kanuka honey (90%)/glycerine (10%) cream, both applied five times daily.Outcome measures The primary outcome was time from randomisation to return to normal skin (stage 7). Secondary outcomes included time from randomisation to stage 4 (open wound), time from stage 4 to 7, maximal pain, time to pain resolution and treatment acceptability.Results Primary outcome variable: Kaplan-Meier-based estimates (95% CI) for the median time in days for return to normal skin were 8 (8 to 9) days for aciclovir and 9 (8 to 9) for honey; HR (95% CI) 1.06 (0.92 to 1.22), p=0.56. There were no statistically significant differences between treatments for all secondary outcome variables. No related serious adverse events were reported.Conclusion There was no evidence of a difference in efficacy between topical medical grade kanuka honey and 5% aciclovir in the pharmacy-based treatment of herpes simplex labialis.Trial registration number ACTRN12615000648527;Post-results |
| format | Article |
| id | doaj-art-263107e69b5642ca903fcdc2ffce818b |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-263107e69b5642ca903fcdc2ffce818b2025-02-04T05:35:09ZengBMJ Publishing GroupBMJ Open2044-60552019-05-019510.1136/bmjopen-2018-026201Kanuka honey versus aciclovir for the topical treatment of herpes simplex labialis: a randomised controlled trialNick Shortt0Alex Semprini1Mark Weatherall2Richard Beasley3Irene Braithwaite4Angela Liu5Melanie McConnell6Joseph SingerDarmiga Thayabaran7Abbie CopingaAbigail CadwalladerAhmad ZarehAidan KortegastAl-Sheibani SaifAlaina van ZylAlex GrahamAlice Liu8Alice ManchAlison van WykeAmanda BarkleyAmy ZhuangAndrew McglashenAndroulla KotrotsosAngela BlackwoodAngeline Day-MesuréAnnabel TurleyAnne LimAnne Marie-NimmoAnstey HarsantAnthony RobertsAshley CroninBarbara McraeBlair FinlaysonBob Kim BrandonBrendon McintoshBrian Johnston9Carina SoetemanCarla McinnessCarrol NewmanCassie ButlerCatherine HoslerCathy HightChantel KissickCharlotte SchimanskiChau LyCheryl MabbettChris WrapsonChristy BijuChuck VargheseClaire LivingstonCorry BezemsDanielle StewartDaryl SayerDavid PostlewaightDeb LawrenceDebora NgnyDeborah EllisonDebra ClutterbackDelphine DestrezDiana MontelliDipika ParmarDixie HowardDonnie LohEddie SeeElda LubbeEric Li10Evan TanFiona Mclachlan11Fiona SrushFran ChenGarth MitchinsonGina Azer-IskanderGlenn SummervilleGrace O’connerGrant BellHayley GarvinHelen JarvieHenriette MeyerIngrid NicksonIngrid ReedIrene NicksJackie JamiesonJacqui BrusJacqui CrawJames WestburyJan GreenJanet DowningJayne LewisJenna LudlowJenni PuckleyJennifer GerbesJenny Sparks12Jenny WuJess BartonJessica EnsorJilly AlexanderJim SherborneJoanna ToplissJordan JeffrayJordon HintonJoseph TsouJoy BirchJulia McdonaldJulie EarwakerJulie LambJulie SummersKadyn LoweKaleigh MackelKaren RichKaren Chen13Karen WainmanKarena HallKate AdamsKate GriffinKayleigh MackelKelly BurgessKelly HarveyKelly ShearerKelsi BurnsKerry DeanKerry OxenhamKritika SinghLara BlaikieLeanne Hall14Leanne HerbertLeanne HoskingLeanne SteeleLeigh VaughanLesley RobertsonLevi BianLinda HermanLinda JoeLinda SouthbyLisa JosephsLisa MitchellLorina LuLorraine BruntonLucy ArmstrongLynda BellMalinda OukMalli KotaliMarcus LiddleMargaret HelmsMarion GrayMark ArundelMark WebsterMartin BoyleMaryanne SmythMate Hegedus-GasparMatthew GreyMaureen RajuMelanie Wong15Michelle Hwang16Michelle NawisielskiMichelle SpeirsNatascha RoughtonNavjot KawNeha ChandNehad KamelNeville PuckeyNicholas TeeNimmi GnanasekaranNolan McraeNoor Al-RaweOliver RewOlivia HaslamOuti KoljuPalak MehtaPatrick LimPeter NealRachael GerretzenRachael MunnsRachel YangRachelle SmithRaksha GoundarRav SinghRavniel SinghRebecca ColeyRebecca HesomRebekah BeardReece OlsenRenee BellingRobyn MorrisonRoseanna McdonaldRuby WillingSaif Al-SherbeniSally PurdieSam BettySam ApplefordSamantha FordhamSamit Patel17Sara PrestonSarah Wallace18Sascha IonShahlaa Al SalihSharon SullivanShazeel RaufSheryl MontgomerieShilpa NarainShirin NamjouShuji ZhangSimerjeet SinghSjaani StanleySonia SchwaumSteve JoSultana ZannatTanya BakerTyler PornchaisuksiriUtsav SharmaVicki DouglasVictoria RamekeVincent Ho19Vioky UsherViolet HarleyVishwatej GangapuriWarren GreeneWendy ParkesWilliam GiaWilma GordonYalun WengYasmin RazokiYolanda SavageZheng Li201 Medical Research Institute of New Zealand, Wellington, New ZealandMedical Research Institute of New Zealand, Wellington, New ZealandUniversity of Otago Wellington, Wellington, New ZealandMedical Research Institute of New Zealand, Wellington, New Zealand1 Medical Research Institute of New Zealand, Wellington, New Zealand2 Yale School of Medicine, New Haven, Connecticut, USA6 School of Biological Sciences, Victoria University, Wellington, New Zealand1 Medical Research Institute of New Zealand, Wellington, New ZealandVictorian Infectious Diseases Service, The Royal Melbourne Hospital, Melbourne, Victoria, Australia1 Department of Critical Care, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK2Haematology, Concord Repatriation General Hospital, Sydney, NSW, AustraliaInstitute for Health and Sport, Victoria University, Melbourne, Victoria, AustraliaMedical Research Institute of New Zealand, Wellington, New ZealandRadiology, Texas Children`s Hospital, Houston, Texas, USACollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia27 Immunology, The Children’s Hospital at Westmead, Westmead, New South Wales, AustraliaTrillium Health Partners, Mississauga, Ontario, CanadaGeneral Medicine, Armadale Health Service, Armadale, Western Australia, AustraliaWythenshawe Hospital, Manchester, UKWestern Sydney University, Penrith South, New South Wales, AustraliaZylox-Tonbridge Medical Technology, HangZhou, ZheJiang, ChinaObjective To compare New Zealand medical grade kanuka honey with topical aciclovir for the treatment of herpes simplex labialis.Design Prospective parallel randomised controlled open-label superiority trial.Setting 76 community pharmacies across New Zealand between 10 September 2015 and 13 December 2017.Participants 952 adults randomised within the first 72 hours of a herpes simplex labialis episode.Interventions Random assignment 1:1 to either 5% aciclovir cream or medical grade kanuka honey (90%)/glycerine (10%) cream, both applied five times daily.Outcome measures The primary outcome was time from randomisation to return to normal skin (stage 7). Secondary outcomes included time from randomisation to stage 4 (open wound), time from stage 4 to 7, maximal pain, time to pain resolution and treatment acceptability.Results Primary outcome variable: Kaplan-Meier-based estimates (95% CI) for the median time in days for return to normal skin were 8 (8 to 9) days for aciclovir and 9 (8 to 9) for honey; HR (95% CI) 1.06 (0.92 to 1.22), p=0.56. There were no statistically significant differences between treatments for all secondary outcome variables. No related serious adverse events were reported.Conclusion There was no evidence of a difference in efficacy between topical medical grade kanuka honey and 5% aciclovir in the pharmacy-based treatment of herpes simplex labialis.Trial registration number ACTRN12615000648527;Post-resultshttps://bmjopen.bmj.com/content/9/5/e026201.full |
| spellingShingle | Nick Shortt Alex Semprini Mark Weatherall Richard Beasley Irene Braithwaite Angela Liu Melanie McConnell Joseph Singer Darmiga Thayabaran Abbie Copinga Abigail Cadwallader Ahmad Zareh Aidan Kortegast Al-Sheibani Saif Alaina van Zyl Alex Graham Alice Liu Alice Manch Alison van Wyke Amanda Barkley Amy Zhuang Andrew Mcglashen Androulla Kotrotsos Angela Blackwood Angeline Day-Mesuré Annabel Turley Anne Lim Anne Marie-Nimmo Anstey Harsant Anthony Roberts Ashley Cronin Barbara Mcrae Blair Finlayson Bob Kim Brandon Brendon Mcintosh Brian Johnston Carina Soeteman Carla Mcinness Carrol Newman Cassie Butler Catherine Hosler Cathy Hight Chantel Kissick Charlotte Schimanski Chau Ly Cheryl Mabbett Chris Wrapson Christy Biju Chuck Varghese Claire Livingston Corry Bezems Danielle Stewart Daryl Sayer David Postlewaight Deb Lawrence Debora Ngny Deborah Ellison Debra Clutterback Delphine Destrez Diana Montelli Dipika Parmar Dixie Howard Donnie Loh Eddie See Elda Lubbe Eric Li Evan Tan Fiona Mclachlan Fiona Srush Fran Chen Garth Mitchinson Gina Azer-Iskander Glenn Summerville Grace O’conner Grant Bell Hayley Garvin Helen Jarvie Henriette Meyer Ingrid Nickson Ingrid Reed Irene Nicks Jackie Jamieson Jacqui Brus Jacqui Craw James Westbury Jan Green Janet Downing Jayne Lewis Jenna Ludlow Jenni Puckley Jennifer Gerbes Jenny Sparks Jenny Wu Jess Barton Jessica Ensor Jilly Alexander Jim Sherborne Joanna Topliss Jordan Jeffray Jordon Hinton Joseph Tsou Joy Birch Julia Mcdonald Julie Earwaker Julie Lamb Julie Summers Kadyn Lowe Kaleigh Mackel Karen Rich Karen Chen Karen Wainman Karena Hall Kate Adams Kate Griffin Kayleigh Mackel Kelly Burgess Kelly Harvey Kelly Shearer Kelsi Burns Kerry Dean Kerry Oxenham Kritika Singh Lara Blaikie Leanne Hall Leanne Herbert Leanne Hosking Leanne Steele Leigh Vaughan Lesley Robertson Levi Bian Linda Herman Linda Joe Linda Southby Lisa Josephs Lisa Mitchell Lorina Lu Lorraine Brunton Lucy Armstrong Lynda Bell Malinda Ouk Malli Kotali Marcus Liddle Margaret Helms Marion Gray Mark Arundel Mark Webster Martin Boyle Maryanne Smyth Mate Hegedus-Gaspar Matthew Grey Maureen Raju Melanie Wong Michelle Hwang Michelle Nawisielski Michelle Speirs Natascha Roughton Navjot Kaw Neha Chand Nehad Kamel Neville Puckey Nicholas Tee Nimmi Gnanasekaran Nolan Mcrae Noor Al-Rawe Oliver Rew Olivia Haslam Outi Kolju Palak Mehta Patrick Lim Peter Neal Rachael Gerretzen Rachael Munns Rachel Yang Rachelle Smith Raksha Goundar Rav Singh Ravniel Singh Rebecca Coley Rebecca Hesom Rebekah Beard Reece Olsen Renee Belling Robyn Morrison Roseanna Mcdonald Ruby Willing Saif Al-Sherbeni Sally Purdie Sam Betty Sam Appleford Samantha Fordham Samit Patel Sara Preston Sarah Wallace Sascha Ion Shahlaa Al Salih Sharon Sullivan Shazeel Rauf Sheryl Montgomerie Shilpa Narain Shirin Namjou Shuji Zhang Simerjeet Singh Sjaani Stanley Sonia Schwaum Steve Jo Sultana Zannat Tanya Baker Tyler Pornchaisuksiri Utsav Sharma Vicki Douglas Victoria Rameke Vincent Ho Vioky Usher Violet Harley Vishwatej Gangapuri Warren Greene Wendy Parkes William Gia Wilma Gordon Yalun Weng Yasmin Razoki Yolanda Savage Zheng Li Kanuka honey versus aciclovir for the topical treatment of herpes simplex labialis: a randomised controlled trial BMJ Open |
| title | Kanuka honey versus aciclovir for the topical treatment of herpes simplex labialis: a randomised controlled trial |
| title_full | Kanuka honey versus aciclovir for the topical treatment of herpes simplex labialis: a randomised controlled trial |
| title_fullStr | Kanuka honey versus aciclovir for the topical treatment of herpes simplex labialis: a randomised controlled trial |
| title_full_unstemmed | Kanuka honey versus aciclovir for the topical treatment of herpes simplex labialis: a randomised controlled trial |
| title_short | Kanuka honey versus aciclovir for the topical treatment of herpes simplex labialis: a randomised controlled trial |
| title_sort | kanuka honey versus aciclovir for the topical treatment of herpes simplex labialis a randomised controlled trial |
| url | https://bmjopen.bmj.com/content/9/5/e026201.full |
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