Clinical trial

Pilot Study on the Evaluation of the Efficacy, Tolerability and Safety of Topical and Oral Antifungals in the Treatment of Onychomycosis and Creation of a Library of Dermatological Clinical Isolates

Name
N. 143.22
Description
This pilot, prospective, observational drug study aims to evaluate the efficacy, tolerability and safety of topical and oral antifungals in the treatment of onychomycosis caused by yeasts, dermatophytic moulds and non-dermatophytic moulds as well as correlate the scores in the MALDI-TOF method for the 'identification of genus and species of higher fungi utilizing the comparison between identification in direct optical microscopy, culture examination and optical microscopy and macroscopic and onychoscopic clinical aspects. Furthermore, an optional substudy will evaluate the drug resistance of clinical isolates using molecular or genetic methods.
Trial arms
Trial start
2022-07-20
Estimated PCD
2025-07-20
Trial end
2025-12-25
Status
Active (not recruiting)
Treatment
Terbinafine Topical Gel
Topical application of terbinafine
Arms:
Patients with onychomycosis
Itraconazole 200 mg
systemic itraconazole pulse therapy
Arms:
Patients with onychomycosis
Terbinafine 250 mg
systemic terbinafine
Arms:
Patients with onychomycosis
Ciclopirox Topical Gel
Topical application of ciclopirox
Arms:
Patients with onychomycosis
Amorolfine 50 MG/ML
Topical application of amorolfine
Arms:
Patients with onychomycosis
Size
200
Primary endpoint
Change of Onychomycosis Severity Index (OSI)
week 0,12,24,36,52
Safety and Tolerability: Established from patient incidence of Treatment-Emergent Adverse Events
Monitored from screening visit to end of study visit (52 week)
Complete Cure at 12 months in the Target Toes
Week 52
Eligibility criteria
Inclusion Criteria: * patients with clinical suspicion of onychomycosis. Exclusion Criteria: * Patients deemed unsuitable by the investigator * Patients with documented sensitivity to study drugs such as azoles, allylamine, and ciclopirox olamine. * Failure to adhere to topical or oral therapy; * Replacement of the therapy reported in the study protocol; * Voluntary decision by the patient
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': True, 'targetDuration': '12 Months', 'designInfo': {'observationalModel': 'COHORT', 'timePerspective': 'PROSPECTIVE'}, 'bioSpec': {'retention': 'SAMPLES_WITHOUT_DNA', 'description': 'Nail'}, 'enrollmentInfo': {'count': 200, 'type': 'ESTIMATED'}}
Updated at
2024-05-08

1 organization

4 products

3 indications

Indication
Nail Fungus
Indication
Infection
Indication
Nail Diseases
Product
Ciclopirox
Product
Amorolfine