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Efficacy of Fosravuconazole, an oral antifungal agent, in the treatment of tinea pedis

Not Applicable
Conditions
Tinea pedis of interdigital and vesicular type, Tinea pedis of keratotic type
Registration Number
JPRN-jRCTs031220578
Lead Sponsor
aka Wataru
Brief Summary

The efficacy of short-term oral foslavuconazole for 1 or 4 weeks in the treatment of tinea pedis (interdigital, vesiculobullous, and keratotic types) was confirmed. All adverse reactions occurring in this study were nonsevere and mild. Patient satisfaction with short-term oral fosravuconazole administration was also high. These results indicate that foslavuconazole is useful for short-term oral treatment of tinea pedis.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
104
Inclusion Criteria

The subjects of this study will be patients with tinea pedis who meet all of the following criteria.
1) Patients with tinea pedis (interdigital type, vesicular type, keratotic type) on either foot or both sides of the foot.
(The diagnosis of tinea pedis requires confirmation of the dermatophyte element by direct speculum examination.)
*In patients with tinea pedis on both feet, the side with more severe clinical symptoms of tinea pedis should be selected for observation.
2) Patients who are at least 18 years on the date of consent
3) Patients with written consent to participate in the study after the details of the study have been explained to them.
Patients with other concurrent skin fungal infections, such as tinea cruris and tinea corporis, may be enrolled in the study. However, the concomitant diseases and their standard treatment methods will be explained to the subjects. If the subjects desire, treatment will be provided through regular medical care after the observation period.

Exclusion Criteria

Patients with the following exclusion criteria will be excluded from the study.
1) Patients with a history of hypersensitivity to the drugs under study
2) Patients with severe eczema, erosions, maceration, abscesses, etc., on the affected area of tinea pedis requiring topical treatment other than antifungal agents
3) Patients with complications such as secondary infection of tinea pedis
4) Patients who have used oral antifungal agents within three months before the start of the study
5) Patients who used topical antifungal agents or topical onychomycosis agents within one month before the start of the study
6) Patients with hepatic impairment (or clinically problematic hepatic dysfunction), AST or ALT greater than 2.5 times the upper reference limit of the laboratory, or AST or ALT greater than 100 U/L
7) Patients with clinically problematic renal dysfunction, such as creatinine of 2.0 mg/dL or higher
8) Patients receiving warfarin
9) Patients suffering from serious systemic diseases (severe diabetes, autoimmune diseases such as collagen diseases, hematological diseases, and malignant tumors)
10) Patients receiving systemic immunosuppressive drugs (steroids, tacrolimus, cyclosporine, methotrexate, JAK inhibitors, PDE4 inhibitors, biological agents, etc.)
11) Pregnant or possibly pregnant patients, lactating patients, or patients who wish to become pregnant during the study period
12) Patients who have participated or are participating in other clinical trials or clinical studies within six months
13) Patients deemed ineligible for this study by the principal investigator or sub-investigator

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1) Tinea pedis of interdigital and vesicular type: Overall clinical response after four weeks of treatment<br>2) Tinea pedis of keratotic type: Overall clinical response after eight weeks of treatment
Secondary Outcome Measures
NameTimeMethod
1) Overall clinical efficacy after completion of follow-up<br>Tinea pedis of interdigital and vesicular type: Overall clinical efficacy after 8 weeks of treatment<br>Tinea pedis of keratotic type: Overall clinical efficacy after 12 weeks of treatment<br>2) Mycological examination (mycological efficacy): at the time of efficacy determination and at the time of follow-up evaluation<br>3) Degree of improvement of clinical symptoms: at the time of efficacy determination and at the time of follow-up evaluation<br>4) Changes in tinea pedis symptoms<br>Compare and evaluate changes over time.<br>5) Patient satisfaction<br>Evaluation using the Japanese version of TSQM-9.<br>Scores for effectiveness, convenience, and general satisfaction will be evaluated according to the TSQM-9 criteria.
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