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临床试验/NCT01145807
NCT01145807Unknown3 期

A Randomized, Double-blind, Vehicle- and Placebo-Controlled, Multicenter Trial in Patients With Mild to Moderate Distal Subungual Toenail Onychomycosis to Investigate the Efficacy, Tolerability, and Safety of Twice Daily Application of TDT 067 for 48 Weeks

Celtic Pharma Development Services1 个研究点 分布在 1 个国家目标入组 738 人开始时间: 2010年4月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
发起方
入组人数
738
试验地点
1
主要终点
Cure Rate

研究概览

简要总结

The aim of this study is to establish the efficacy, clinical benefits, and safety of treatment with TDT 067 for clinically diagnosed distal subungual onychomycosis of the toenails caused by dermatophytes confirmed by positive mycology.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients must be between 18 and 75 years of age inclusive, of any race, and of either sex.
  • Female patients must be either surgically sterile, postmenopausal (no menses for the previous 12 months), or must be practicing an effective method of birth control as determined by the Investigator.
  • Patients must have at least 1 great toenail (target toenail) with clinically diagnosed distal subungual onychomycosis involving between 25% and 65%, inclusive, of the nail and confirmed by KOH visualization and fungal culture positive for dermatophytes. (Patients with culture positive for dermatophytes alone or dermatophytes and non dermatophytes are eligible to participate.) If both great toenails meet inclusion criteria, the one with the greater involvement will be designated the target nail.
  • Patients must be able to understand the requirements of the study, abide by the restrictions, and return for all of the required examinations.
  • Patients must be willing to sign a statement of informed consent.
  • Patients must have a target great toenail with the capability to grow as determined by history of nail cutting.
  • Patients must be willing to refrain from using any nail polish products and other nail cosmetic products on any of the toenails and must be willing to refrain from professional pedicures for the duration of this study.

排除标准

  • Patients who have been treated with an investigational drug within 1 month prior to study start.
  • Patients who are pregnant or planning to become pregnant or who are lactating.
  • Patients with hypersensitivity to terbinafine or to any other ingredients of the formulation.
  • Patients who are unable to spray their toenails and the surrounding tissues on the affected foot without assistance.
  • Patients with symptomatic tinea pedis requiring treatment.
  • Patients using oral terbinafine within 6 months prior to the start of study; patients who have received other oral antifungals within 3 months.
  • Patients using topical antifungal treatments for onychomycosis within 1 month prior to the start of study; patients using topical antifungal treatments for the feet within 1 month prior to the start of the study.
  • Patients with any nail dystrophy that will interfere with the assessment of a clear nail. Patients who have toenail abnormalities or dystrophies that could prevent the restoration of a normal appearing nail in spite of a mycological cure for dermatophytes, including patients with psoriasis, lichen planus, malignancy or pigmentation disorders involving the nail unit, chemical damage, or onychodystrophy due to trauma or other structural deformities.
  • Patients with superficial white or proximal subungual onychomycosis.
  • Patients with a toenail infection involving a non dermatophyte alone.
  • Patients with involvement of the matrix (lunula) or the proximal 2 mm of nail as measured from the proximal nail fold.
  • Patients who have a nail plate with thickness greater than 2 mm or total thickness of the nail plus subungual debris measuring greater than 3 mm.
  • Patients with yellow streaks or dermatophytoma of the target toenail.
  • Patients with a history of peripheral arterial disease or diabetes mellitus.
  • Patients with any condition that in the opinion of the Investigator renders the patient unsuitable for participation in this study.
  • Patients with alanine aminotransferase (ALT) or aspartate (AST) levels greater than 2 times the upper limit of normal without clinical reason, unless, in the opinion of the Investigator, participation in this study would not place the patient at undue risk.

研究组 & 干预措施

Placebo

Placebo Comparator

non Transfersome® placebo

干预措施: Placebo (Drug)

Transfersome® vehicle

Sham Comparator

Transfersome® vehicle

干预措施: Transfersome (Drug)

TDT 067

Experimental

TDT 067

干预措施: TDT067 (Drug)

结局指标

主要结局

Cure Rate

时间窗: 52 Weeks

To compare complete cure rates for onychomycosis at Week 52 for TDT 067 versus non-Transfersome placebo. If the comparison between TDT 067 and non-Transfersome placebo is statistically significant in favor of TDT 067, the following additional primary efficacy objective: To compare onychomycosis cure rates at Week 52 for TDT 067 versus Transfersome vehicle

次要结局

  • Cure Rate 48(48 Weeks)
  • Cure Rate 52(52 Weeks)
  • Cure Rate 60(60 Weeks)

研究者

发起方
Celtic Pharma Development Services
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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TDT 067 Onychomycosis Study | 临床试验