A Study to Evaluate the Efficacy and Safety of Oral VT-1161 in Patients With Onychomycosis of the Toenail

NCT ID: NCT02267356

Last Updated: 2020-11-04

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

259 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-17

Study Completion Date

2017-07-07

Brief Summary

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Several properties of VT-1161 suggest that it might be a safer and more effective treatment for onychomycosis of the toenail (also known as toenail fungus) than other oral antifungal medicines.

This study will evaluate the effectiveness and safety of VT-1161 for the treatment of toenail onychomycosis and consists of a screening phase, a 24-week treatment phase in which the patient will take either active drug, placebo or a combination of the 2 (according to random assignment), an initial observational phase of 36 weeks and an additional observational study extension of 9 months.

The additional 9-month observational study extension was added with a protocol amendment and patient participation was optional.

Detailed Description

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Conditions

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Onychomycosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Low dose 12-week

2 VT-1161 150mg tablets and 2 placebo tablets once daily for 2 weeks, then once weekly for 10 weeks, followed by 4 placebo tablets once weekly for 12 weeks

Group Type EXPERIMENTAL

VT-1161

Intervention Type DRUG

Low dose 24-week

2 VT-1161 150mg tablets and 2 placebo tablets once daily for 2 weeks, then once weekly for 22 weeks

Group Type EXPERIMENTAL

VT-1161

Intervention Type DRUG

High dose 12-week

4 VT-1161 150mg tablets once daily for 2 weeks, then once weekly for 10 weeks, followed by 4 placebo tablets once weekly for 12 weeks

Group Type EXPERIMENTAL

VT-1161

Intervention Type DRUG

High dose 24-week

4 VT-1161 150mg tablets once daily for 2 weeks, then once weekly for 22 weeks

Group Type EXPERIMENTAL

VT-1161

Intervention Type DRUG

Placebo

4 placebo tablets once daily for 2 weeks, then once weekly for 22 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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VT-1161

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Distal subungual onychomycosis of the great toenail, affecting at least ≥25 to ≤75% of nail.

Positive culture for dermatophytes and positive KOH.

Nail ≤ 3 mm thick at the distal end.

At least ≥ 2 mm of the proximal end of the great toenail must be free of infection.

Subjects must be able to swallow tablets.

Women of childbearing potential and males must use acceptable birth control methods throughout the study.

Exclusion Criteria

Presence of subungual hematoma or melanonychia.

Presence of dermatophytoma/nail streaks and severe onychorrhexis.

Significant dystrophy or anatomic abnormalities of the great toenail.

Presence of any other infections of the foot.

Evidence of clinically significant major organ disease.

Poorly controlled diabetes mellitus.

Onychomycosis involving more than 8 toe nails.

Recent use of systemic antifungal therapy.

Recent of any topical antifungal nail therapy.

Recent use of systemic corticosteroid therapy.

Recent use of immunosuppressive medication.

History of prolonged QT intervals.

Known human immunodeficiency virus (HIV) infection.

Known significant renal or hepatic impairment.

Known history of intolerance or hypersensitivity to azole antifungal drugs.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Viamet

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The Kirklin Clinic of UAB Hospital

Birmingham, Alabama, United States

Site Status

Radiant Research

Tucson, Arizona, United States

Site Status

Dermatology Specialists, Inc

Oceanside, California, United States

Site Status

Therapeutics Clinical Research

San Diego, California, United States

Site Status

Center For Clinical Research

San Francisco, California, United States

Site Status

Radiant Research

Santa Rosa, California, United States

Site Status

International Dermatology Research

Miami, Florida, United States

Site Status

Radiant Research

Pinellas Park, Florida, United States

Site Status

Northwest Clinical Trials

Boise, Idaho, United States

Site Status

Gateway Health Center

Newburgh, Indiana, United States

Site Status

Mid Atlantic Research Center for Health

Baltimore, Maryland, United States

Site Status

Associated Skin Care Specialist Minnesota Clinical Study Center

Minneapolis, Minnesota, United States

Site Status

Skin Specialists, PC

Omaha, Nebraska, United States

Site Status

Academic Dermatology Associates

Albuquerque, New Mexico, United States

Site Status

Forest Hills Dermatology Group

Forest Hills, New York, United States

Site Status

Skin Search of Rochester

Rochester, New York, United States

Site Status

Radiant Research

Akron, Ohio, United States

Site Status

Radiant Research

Cincinnati, Ohio, United States

Site Status

Radiant Research

Columbus, Ohio, United States

Site Status

Oregon Dermatology & Research Center

Portland, Oregon, United States

Site Status

Oregon Medical Research Center

Portland, Oregon, United States

Site Status

Paddington Testing Company

Philadelphia, Pennsylvania, United States

Site Status

Martin Foot and Ankle

York, Pennsylvania, United States

Site Status

Radiant Research

Greer, South Carolina, United States

Site Status

Coastal Carolina Research Center

Mt. Pleasant, South Carolina, United States

Site Status

The Skin Wellness Center

Knoxville, Tennessee, United States

Site Status

Tennessee Clinical Research Center

Nashville, Tennessee, United States

Site Status

DermResearch

Austin, Texas, United States

Site Status

J&S Clinical Studies

College Station, Texas, United States

Site Status

Ashton Podiatry Associates, PA

Dallas, Texas, United States

Site Status

Endeavor Clinical Trials

San Antonio, Texas, United States

Site Status

The Education And Research Foundation, Inc.

Lynchburg, Virginia, United States

Site Status

Virginia Clinical Research, Inc.

Norfolk, Virginia, United States

Site Status

Countries

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United States

References

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Elewski B, Brand S, Degenhardt T, Curelop S, Pollak R, Schotzinger R, Tavakkol A. A phase II, randomized, double-blind, placebo-controlled, dose-ranging study to evaluate the efficacy and safety of VT-1161 oral tablets in the treatment of patients with distal and lateral subungual onychomycosis of the toenail. Br J Dermatol. 2021 Feb;184(2):270-280. doi: 10.1111/bjd.19224. Epub 2020 Jul 13.

Reference Type DERIVED
PMID: 32421854 (View on PubMed)

Other Identifiers

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VMT-VT-1161-CL-005

Identifier Type: -

Identifier Source: org_study_id