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A Study of Itraconazole in the Management of Superficial Fungal Infections in India

Phase 4
Terminated
Conditions
Mycoses
Interventions
Registration Number
NCT03923010
Lead Sponsor
Janssen Research & Development, LLC
Brief Summary

The purpose of this study is to estimate the proportion of participants prescribed itraconazole for Tinea cruris or Tinea corporis who have clinical response after 7 days of treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Clinically diagnosed with Tinea cruris or Tinea corporis with or without history of treatment
  • Are prescribed itraconazole at 200 milligram/day orally for the treatment of T. cruris or T. corporis and taken once a day
  • A woman of childbearing potential must have a negative highly sensitive serum (beta human chorionic gonadotropin [beta hCG]) at screening on Day -3 to 0 before start of study drug
  • A woman must be (a) not of childbearing potential (b) of childbearing potential and: Practicing a highly effective method of contraception (failure rate of less than [<] 1 percentage [%] per year when used consistently and correctly) and agrees to remain on a highly effective method while receiving study drug and until 30 days after last dose (that is, the end of relevant systemic exposure)
  • A male participant must wear a condom when engaging in any activity that allows for passage of ejaculate to another person. A male participant must agree not to donate sperm for the purpose of reproduction during the study and for a minimum 90 days after receiving the last dose of study drug
Exclusion Criteria
  • History of ventricular dysfunction such as congestive heart failure (CHF) or receiving treatment for CHF, liver or renal insufficiency; significant cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric, or metabolic disturbances at any time prior to the start of study
  • Known achlorhydria or on treatment of gastric acidity
  • Presence of other dermatoses, example. psoriasis, seborrhoeic or atopic dermatitis
  • Infected with organism with known or established resistance to itraconazole
  • Co-existing fungal infection of other body area

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ItraconazoleItraconazoleParticipants with Tinea cruris or Tinea corporis infection that have been prescribed itraconazole 200 milligram (mg) daily by their treating physician will be enrolled in this study. Participants will receive itraconazole 200 mg orally once daily for 7 days and at the discretion of the treating physician on Day 14. Participants will also get their regular clinical care at the discretion of their treating physician.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants with Clinical ResponseDay 7 (End of Treatment)

Percentage of participants with clinical response will be reported. Assessment of clinical response will be done by using Investigator Global Evaluation tool based on the signs and symptoms and clinical improvement scores. The percentage of clinical improvement will be measured at the score ranging from 1 to 5 where Score 1: Healed (absence of signs and symptoms), Score 2: Markedly improved (greater than \[\>\] 50 percentage \[%\] clinical improvement), Score 3: Considerable residual lesion (less than \[\<\] 50% clinical improvement), Score 4: No change (same as baseline), and Score 5: Worse (deterioration from baseline). Clinical response will be defined as having Scores 1 or 2 (healed or markedly improved).

Secondary Outcome Measures
NameTimeMethod
Baseline Minimum Inhibitory Concentration (MIC) of ItraconazoleBaseline (Day 0)

Minimum inhibitory concentration of itraconazole toward fungal pathogens will be determined.

Percentage of Participants with Clinical ResponseDay 14

Percentage of participants with clinical response will be reported. Assessment of clinical response will be done by using Investigator Global Evaluation tool based on the signs and symptoms and clinical improvement scores. The percentage of clinical improvement will be measured at the score ranging from 1 to 5 where Score 1: Healed (Absence of signs and symptoms), Score 2: Markedly improved (greater than \[\>\] 50 percentage \[%\] clinical improvement), Score 3: Considerable residual lesion (less than \[\<\] 50% clinical improvement), Score 4: No change (same as baseline), and Score 5: Worse (deterioration from baseline). Clinical response will be defined as having Scores 1 or 2 (healed or markedly improved).

Percentage of Participants who Have Mycological CureDay 14

Percentage of participants who have mycological cure will be reported. Mycological cure is defined as both culture and microscopy negative to causative fungi.

Plasma Concentrations of Itraconazole and Hydroxy-ItraconazoleDays 7 and 14: Pre-dose, 2 and 4.5 hours

Plasma concentrations of itraconazole and hydroxy-itraconazole will be measured.

Trial Locations

Locations (4)

Yenepoya Medical College

🇮🇳

Mangalore, India

Post Graduate Institute of Medical Education & Research (PGIMER)

🇮🇳

Chandigarh, India

Sri Ramachandra Medical Centre

🇮🇳

Chennai, India

Lata Mangeshkar Hospital

🇮🇳

Nagpur, India

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