Topical Gel Anti-Fungal Agent for Tinea Unguium - Full Text View

Sponsored by:	MediQuest Therapeutics
Information provided by:	MediQuest Therapeutics
ClinicalTrials.gov Identifier:	NCT00253305

Purpose

The purpose of this study is to compare, in a controlled fashion, the response to two anti-fungal agents, naftifine or terbinafine, with vehicle in novel topical gel formulations in the treatment of subjects with distal subungual tinea unguium of the toenails (onychomycosis).

The formulation used as the vehicle for the active agents has been shown in earlier studies to facilitate the penetration of the active agent through fungally-infected nails. This study will examine dose-response and agent differences in terms of efficacy and safety.

Once the subject has qualified for the study, he/she will be randomly assigned to one of five study groups, dispensed appropriate study medication and instructed to apply one drop to the great toe designated for study.

Condition	Intervention	Phase
Onychomycosis	Drug: Organogel of naftifine, 2% Drug: Organogel of terbinafine, 2% Drug: Organogel of naftifine, 6% Drug: Organogel of terbinafine, 6%	Phase II

MedlinePlus related topics: Molds Tinea Infections

Drug Information available for: Clotrimazole Miconazole Miconazole nitrate Tioconazole Naftifin Naftifine hydrochloride Terbinafine Terbinafine hydrochloride

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double-Blind, Placebo Control, Single Group Assignment, Safety/Efficacy Study
Official Title:	Phase IIB Efficacy and Safety Study of Four Topical Gel Formulations of Anti-Fungal Agents, MQX-5858, MQX-5859, MQX-5866, and MQX-5867, Versus Vehicle in the Treatment of Tinea Unguium.

Further study details as provided by MediQuest Therapeutics:

Primary Outcome Measures:

Quanitative improvement in toenail appearance.
Assessment of dermatophyte culture and KOH examination.
Frequency and severity of adverse events.

Secondary Outcome Measures:

Time to achieve 90% and 100% clearance of fungus from nail.
Assessment of treatment success.
Assessment of mycological success.

Estimated Enrollment:	75
Study Start Date:	September 2005

Eligibility

Ages Eligible for Study:	18 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

clinical diagnosis of distal subungual tinuea unguium of one great toenail.
between 20 - 65% infected area for target nail
2 mm of clear nail proximally on target nail
positive dermatophyte culture and positive KOH test
able to sign informed consent
understand requirements of study
females must be post-menopausal or agree to use approved contraceptives throughout the study

Exclusion Criteria:

patients with nails infected with organisms other than dermatophytes
patients with proximal subungual tinea unguium
patients with spikes of disease extending to nail matrix
patients with more than 5 infected nails
patients with confounding problems/ abnormalities of target nail
patients with screening lab values more than 20% of normal
patients with known hypersensitivity to test material components
patients requiring systemic medications that may interfere with study
patients with a poor history of compliance with study requirements

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00253305

Locations

United States, Alabama
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35233
United States, Arizona
Genova Clinical Research, Inc.
Tucson, Arizona, United States, 85741
United States, Florida
Greater Miami Skin and Laser Center
Miami Beach, Florida, United States, 33140
United States, Missouri
Washington University
St. Louis, Missouri, United States, 63110
United States, Oregon
Northwest Cutaneous research
Portland, Oregon, United States, 97210

Sponsors and Collaborators

MediQuest Therapeutics

More Information

Study ID Numbers:	MQT-05-001
Study First Received:	November 13, 2005
Last Updated:	May 29, 2007
ClinicalTrials.gov Identifier:	NCT00253305
Health Authority:	United States: Food and Drug Administration

Keywords provided by MediQuest Therapeutics:

tinea unguium
onychomycosis

Study placed in the following topic categories:

Mycoses
Skin Diseases, Infectious
Onychomycosis
Naftifine
Skin Diseases
Clotrimazole

Miconazole
Tioconazole
Tinea
Terbinafine
Dermatomycoses

Additional relevant MeSH terms:

Anti-Infective Agents
Anti-Infective Agents, Local
Nail Diseases
Molecular Mechanisms of Pharmacological Action
Antifungal Agents

Therapeutic Uses
Enzyme Inhibitors
Infection
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009