Itraconazole Tablets Vs. Itraconazole Capsules vs. Placebo in Onychomycosis of the Toenail.

NCT ID: NCT00356915

Last Updated: 2017-02-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1381 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-07-31

Study Completion Date

2008-10-31

Brief Summary

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Onychomycosis is a common condition accounting for approximately half of all nail disorders. It is most commonly caused by dermatophytes. Itraconazole has been approved for the treatment of onychomycosis in the United States with an approved dosage regimen for the treatment of onychomycosis of the toenail of once daily (QD) treatment with 200mg of itraconazole (two 100 mg capsules) for 12 weeks. Barrier Therapeutics has developed a 200 mg tablet which could be used in a more convenient one-tablet-per-day dosing regimen. This clinical trial will compare the efficacy and safety of this new tablet formulation with itraconazole capsules and placebo.

Detailed Description

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Onychomycosis is common and accounts for about half of all nail disorders. Usually the cause is due to dermatophytes, either Trichophyton rubrum (71%) or Trichophyton mentagrophytes (20%) but may also be due to yeast infection, usually Candida albicans.

The prevalence of onychomycosis in the United States population as a whole is 13% and is more prevalent in the elderly (60%). Onychomycosis of the toenail recurs and is thought to have a genetic component.

Onychomycosis can result in permanent nail deformity. This disease has a significant impact on the patient's quality of life (e.g., concern with the appearance of the toenails and fingernails, interference with wearing shoes, walking and sports activities).

Itraconazole has been approved for the treatment of onychomycosis in the United States since the mid-nineteen-nineties. The approved dosage regimen for treatment of onychomycosis of the toenail is once daily (QD) treatment with 200 mg of itraconazole (Sporanox®, Janssen Pharmaceutical Products, L.P., Titusville, NJ, USA) for 12 weeks. The approved dosage form is a 100mg capsule. Barrier Therapeutics has developed a 200mg tablet which could be used in a more convenient one-tablet-per-day dosing regimen.

This clinical trial will compare the efficacy and safety of this new tablet formulation with itraconazole capsules and placebo.

Conditions

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Onychomycosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Itraconazole tablets

Itraconazole 200 mg tablets

Group Type EXPERIMENTAL

Itraconazole 200mg tablets

Intervention Type DRUG

Subjects took one 200mg tablet once per day after a full meal. The last dose was taken the day before the Week 12 visit.

Itraconazole capsules

Two Itraconazole 100 mg capsules were taken daily.

Group Type ACTIVE_COMPARATOR

Itraconazole 100mg capsules

Intervention Type DRUG

Subjects took two 100mg capsules once per day after a full meal. The dose dose was taken the day before the Week 12 visit.

Placebo tablets

The itraconazole 200-mg tablets and placebo tablets exactly matched one another and were white to slightly grey in color, were oblong and biconvex in shape, and were melt-extrusion, film-coated.

Group Type PLACEBO_COMPARATOR

Placebo tablets

Intervention Type DRUG

Placebo tablets are the same as the Itraconazole tablets but without the active drug included. Subjects took one tablet once per day after a full meal. The last tablet was taken the day before the Week 12 visit.

Interventions

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Itraconazole 100mg capsules

Subjects took two 100mg capsules once per day after a full meal. The dose dose was taken the day before the Week 12 visit.

Intervention Type DRUG

Itraconazole 200mg tablets

Subjects took one 200mg tablet once per day after a full meal. The last dose was taken the day before the Week 12 visit.

Intervention Type DRUG

Placebo tablets

Placebo tablets are the same as the Itraconazole tablets but without the active drug included. Subjects took one tablet once per day after a full meal. The last tablet was taken the day before the Week 12 visit.

Intervention Type DRUG

Other Intervention Names

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Sporanox® Onmel placebo

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of onychomycosis of at least one great toenail
* Percent Nail Involvement Score of the more severely affected great toenail (the Target Toenail) must be between 2 and 3 (25-75% of the nail unit).
* Length of Unaffected Part of the Target Toenail ≥2mm
* Direct microscopic examination with KOH that is positive for the hyphae associated with dermatophytes on the target toenail
* Subjects must have signed informed consent
* If the subject is woman of childbearing potential, she must have a negative urine pregnancy test and agree to use an effective form of birth control until the first menses after 60 days following the last dose of study medication.

Exclusion Criteria

* Onychomycosis caused by Candida spp. without the presence of a dermatophyte
* Participation in a clinical trial for the systemic treatment of onychomycosis of the toenail within 24 weeks prior to Visit 1
* Use of systemic antifungals within 12 weeks prior to Visit 1
* Use of topical antifungal nail lacquer within 30 days prior to Visit 1
* Use of any other topical onychomycosis treatment on any toenail within 7 days prior to Visit 1
* Evidence of ventricular dysfunction such as congestive heart failure (CHF) or a history of CHF
* Known liver disease or a history of liver toxicity with other drugs
* Use of systemic immunosuppressants
Minimum Eligible Age

16 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role collaborator

Stiefel, a GSK Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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Radiant Research -Birmingham

Birmingham, Alabama, United States

Site Status

University of Alabama School of Medicine

Birmingham, Alabama, United States

Site Status

Radiant Research - Tucson

Tuscon, Arizona, United States

Site Status

Burke Pharmaceutical Research

Hot Springs, Arkansas, United States

Site Status

East Bay Dermatology Medical Group Inc.

Fremont, California, United States

Site Status

Skin Surgey Medical Group

San Diego, California, United States

Site Status

Therapeutics Clinical Research

San Diego, California, United States

Site Status

University of California

San Francisco, California, United States

Site Status

Radiant Research - Santa Rosa

Santa Rosa, California, United States

Site Status

Meridian Skincare

Englewood, Colorado, United States

Site Status

The Savin Center

New Haven, Connecticut, United States

Site Status

Dr. Stephen Horwitz

Aventure, Florida, United States

Site Status

International Dermatology Research Inc.

Miami, Florida, United States

Site Status

FMX Research Corporation

Miami, Florida, United States

Site Status

Advanced Dermatology and Cosmetic Surgery

Ormond Beach, Florida, United States

Site Status

Radiant Research - St. Petersburg

St. Petersburg, Florida, United States

Site Status

Radiant Research - West Palm Beach

West Palm Beach, Florida, United States

Site Status

Radiant Research - Atlanta West

Austell, Georgia, United States

Site Status

Gwinnett Clinical Research Center Inc.

Snellville, Georgia, United States

Site Status

Northwest Clinical Trials

Boise, Idaho, United States

Site Status

Radiant Research - Chicago

Chicago, Illinois, United States

Site Status

Radiant Research - Kansas City

Overland Park, Kansas, United States

Site Status

Dr. David Fivenson

Ann Arbour, Michigan, United States

Site Status

Skin and Vein Center

Troy, Michigan, United States

Site Status

Minnesota Clinical Study Center

Fridley, Minnesota, United States

Site Status

VA Medical Center

Minneapolis, Minnesota, United States

Site Status

Dr. Eduardo Tschen

Albuquerque, New Mexico, United States

Site Status

Skin Specialty Group

New York, New York, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

Dermatology Consulting Services

High Point, North Carolina, United States

Site Status

Dermatology Clinical Research Center

Cincinnati, Ohio, United States

Site Status

Radiant Research - Cincinnati

Cincinnati, Ohio, United States

Site Status

Northwest Cutaneous Research

Portland, Oregon, United States

Site Status

Oregon Medical Research Center

Portland, Oregon, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Radiant Research - Anderson

Anderson, South Carolina, United States

Site Status

Radiant Research - Greenville

Greenville, South Carolina, United States

Site Status

Dr. J. M. Humeniuk

Greer, South Carolina, United States

Site Status

Dermatology East

Germantown, Tennessee, United States

Site Status

Dermatology Associates of Knoxville

Knoxville, Tennessee, United States

Site Status

Tennessee Clinical Research Center

Nashville, Tennessee, United States

Site Status

DermResearch Inc.

Austin, Texas, United States

Site Status

Dr. Terry Jones

Bryan, Texas, United States

Site Status

Radiant Research - Dallas North

Dallas, Texas, United States

Site Status

Dr. Stephen Miller

San Antoinio, Texas, United States

Site Status

Endeavor Clinical Trials

San Antonio, Texas, United States

Site Status

Dermatology Research Center

Salt Lake City, Utah, United States

Site Status

South Valley Dermatology Center

West Jordan, Utah, United States

Site Status

Pariser Dermatology Specialists Ltd.

Norfolk, Virginia, United States

Site Status

Radiant Research - Tacoma

Tacoma, Washington, United States

Site Status

Madison Skin and Research Inc.

Madison, Wisconsin, United States

Site Status

Advanced Healthcare S. C.

Milwaukee, Wisconsin, United States

Site Status

Dr. Kirk Barber

Calgary, Alberta, Canada

Site Status

Dr. Richard Thomas

Vancouver, British Columbia, Canada

Site Status

Dr. Marc Bourcier

Moncton, New Brunswick, Canada

Site Status

Dr. Aditja Gupta

London, Ontario, Canada

Site Status

Dr. Chuck Lynde

Markham, Ontario, Canada

Site Status

EntraLogix

Oakville, Ontario, Canada

Site Status

Dr. Jerry Tan

Windsor, Ontario, Canada

Site Status

Dr. Robert Bissonnette

Montreal, Quebec, Canada

Site Status

Edifico Professional Guarionex Lopez

Santo Domingo, , Dominican Republic

Site Status

Dr. Manuel Briones

Guayaquil, , Ecuador

Site Status

Centro Orquidea Blanca

San Pedro, Sula, Honduras

Site Status

Clinica Metropolis II

Panama City, , Panama

Site Status

Langeberg Medical Centre

Cape Town, , South Africa

Site Status

University of Cape Town

Cape Town, , South Africa

Site Status

Dr. Z. F. Ahmed Vawda

Durban, , South Africa

Site Status

DJW Navorsing

Krugerson, , South Africa

Site Status

Countries

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United States Canada Dominican Republic Ecuador Honduras Panama South Africa

References

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Maddin S, Quiring J, Bulger L. Randomized, placebo-controlled, phase 3 study of itraconazole for the treatment of onychomycosis. J Drugs Dermatol. 2013 Jul 1;12(7):758-63.

Reference Type DERIVED
PMID: 23884486 (View on PubMed)

Other Identifiers

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BT0300-302-INT

Identifier Type: -

Identifier Source: org_study_id

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