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Clinical Trials/NCT04961684
NCT04961684CompletedNot Applicable

Clinical Evaluation of Efficacy and Safety of a Medical Device for the Treatment of Toenail Onychomycosis

Oystershell NV1 site in 1 country76 target enrollmentStarted: February 10, 2020Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
76
Locations
1
Primary Endpoint
Percentage of healthy surface (performance)

Study Overview

Brief Summary

The efficacy and safety of Solver Pen (prototype number X92001704) is evaluated in this randomized, open label, controlled, investigator-blinded, comparative clinical trial in 76 patients. Subjects are treated with either the test medical device (Solver Pen) or the comparator (Loceryl, 5% amorolfine), respectively, for a period of 90 days. The primary objective of the investigation is the increase of percentage of healthy surface on the great toenail at study end versus baseline, as evaluated by a blinded investigator. Patients are followed up for a period of 90 days, with visits at D0 (baseline), D30, D60 and D90, respectively.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Single (Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Patient having given her/his informed, written consent.
  • Patient cooperative and aware of the modalities of use and the necessity and duration of the controls so that perfect adhesion to the protocol can be expected.
  • Patient being psychologically able to understand information and to give their/his/her consent.
  • Age: more than 18 years.
  • Subject with superficial onychomycosis on at least one great toenail or light to moderate disto-lateral onychomycosis (without matrix involvement and involvement <2/3 of the tablet).
  • Patient with positive KOH staining.
  • Patient having stopped any systemic antifungal treatment since at least 6 months before inclusion and/or any topical antifungal treatment since at least 3 months before inclusion.
  • Women of childbearing potential should use an accepted contraceptive regimen since at least 12 weeks before the beginning of the study, during all the study and at least 1 month after study end.

Exclusion Criteria

  • Pregnant or nursing woman or planning a pregnancy during the investigation;
  • Patient considered by the Investigator likely to be non-compliant with the protocol.
  • Patient enrolled in another clinical trial during the test period.
  • Subject having a known allergy to one of the constituents of the tested products.
  • Patient with a condition or receiving a medication which, in the investigator's judgment, put the subject at undue risk;
  • Patient suffering from serious or progressive diseases (to investigator's discretion) such as uncontrolled diabetes, peripheral circulatory disease, HIV, psoriasis, lichen planus, immunosuppressive pathology...
  • Subject with cutaneous pathology on studied zone (other than onychomycosis like angioma, dermatitis...).

Arms & Interventions

Loceryl 5%

Active Comparator

Intervention: Loceryl 5% (Drug)

Solver Pen

Experimental

Intervention: Solver Pen (Device)

Outcomes

Primary Outcomes

Percentage of healthy surface (performance)

Time Frame: 90 days

Variation of the percentage of healthy surface after 90 days of treatment with the test medical device or reference versus baseline value. Evaluation is done in blind by digital analysis of photographs of the great, infected toenail.

Secondary Outcomes

  • Microbiological efficacy: fungal culture (performance)(90 days)
  • Clinical efficacy: nail discoloration (performance)(30, 60 and 90 days)
  • Percentage of healthy surface (performance)(30 and 60 days)
  • Microbiological efficacy: KOH staining (performance)(90 days)
  • Clinical efficacy: onychomycosis evolution (performance)(30, 60 and 90 days)
  • Clinical efficacy: nail distrophy (performance)(30, 60 and 90 days)
  • Subjective evaluation questionnaire for the patient (performance)(14, 30, 60 and 90 days of treatment)
  • Assessment of local tolerance by the investigator (safety and tolerability)(30, 60 and 90 days)
  • Clinical efficacy: onycholysis (performance)(30, 60 and 90 days)
  • Incidence of Adverse events (safety and tolerability)(30, 60 and 90 days)
  • Clinical efficacy: nail thickening (performance)(30, 60 and 90 days)
  • Impact on quality of life (performance)(60 and 90 days)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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