Study to Evaluate the Efficacy and Safety of P-3058 Nail Solution in the Treatment of Onychomycosis

NCT ID: NCT03094468

Last Updated: 2018-01-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-31

Study Completion Date

2019-12-31

Brief Summary

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The aim of this phase III study is to establish the efficacy and safety of P-3058 (terbinafine 10% nail solution) topically administered once weekly in patients with onychomycosis in comparison to the Vehicle in a double-blind fashion. The overall treatment period will be of 48 weeks.

Detailed Description

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The study will consist of a screening phase, a treatment phase of 48 weeks and a 12-week follow-up. Patients affected by mild to-moderate distal lateral subungual onychomycosis (DLSO) on a target great toenail will be included in the study. Clinical as well as mycology assessments will be performed throughout the whole study. Safety will be monitored by recording any adverse event and evaluating local tolerability.

Conditions

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Onychomycosis of Toenail

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Vehicle-controlled
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Double blind

Study Groups

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P-3058

Group Type EXPERIMENTAL

P-3058 (terbinafine hydrochloride 10%)

Intervention Type DRUG

Patients will apply the P-3058 nail solution once weekly in a double blind fashion. The overall treatment phase is of 48 weeks.

Vehicle

Group Type PLACEBO_COMPARATOR

Vehicle of P-3058

Intervention Type DRUG

Patients will apply the Vehicle of P-3058 once weekly in a double blind fashion. The overall treatment phase is of 48 weeks.

Interventions

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P-3058 (terbinafine hydrochloride 10%)

Patients will apply the P-3058 nail solution once weekly in a double blind fashion. The overall treatment phase is of 48 weeks.

Intervention Type DRUG

Vehicle of P-3058

Patients will apply the Vehicle of P-3058 once weekly in a double blind fashion. The overall treatment phase is of 48 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent before starting any study related procedures.
* Patients aged 12 and older of any race.
* Males or females.
* Outpatients.
* Clinically diagnosed mild-to-moderate distal lateral subungual onychomycosis (DLSO) of at least one great toenail (the "target nail") at the Screening visit (V1).
* Patients with onychomycosis involving ≥ 20% to ≤ 50% of the area of the target great toenail.
* Patients with a positive KOH examination.
* Patients with positive culture for dermatophyte(s).
* Evidence of target great toenail growth reported by the patient defined as at least monthly nail clipping.

Exclusion Criteria

* Woman who is pregnant, nursing an infant, or planning a pregnancy during the study period.
* Patients with history of allergic reactions to terbinafine or its excipients.
* Use of any investigational drug/device or participation in a previous clinical trial within four weeks prior to Screening visit (V1).
* Patients using nail polish or other nail cosmetic product on the concerned nails from at least 24 hours prior to Screening visit (V1) until the end of the study.
* Use of systemic antifungal drugs in the 24 weeks prior to Screening visit (V1) or non-responsive to systemic antifungal therapy for onychomycosis.
* Nail application of topical antifungal drugs or device in the 4 weeks prior to Screening visit (V1).
* Presence of any nail infections other than dermatophyte.
* Presence of onychodystrophy that could interfere with clinical assessments.
* Presence of "yellow spikes" on the target nail.
* Presence of dermatophytoma on the target nail.
* Presence of nail thickness exceeding 2 mm.
* Patients with proximal subungual involvement (marker of immunosuppressed patient).
* Patients with severe plantar or moccasin tinea pedis (defined by blistering, pustules or inability to ambulate).
* Patients with nail abnormalities due to conditions like psoriasis, lichen planus, immune dysfunction, collagen-vascular diseases, peripheral vascular disease.
* Patients with life expectancy less than 2 years.
* Chemotherapy, immunosuppressive therapy in the 12 weeks prior to Screening visit (V1).
* Systemic corticosteroids, antimetabolites and immune-stimulants therapy in the 4 weeks prior to Screening visit (V1).
* HIV infection or any other immunodeficiency.
* Alcohol or substance abuse.
* Patients/parents (or legal guardian) unable to understand the procedures and purposes of the study.
* Any other condition that, in the opinion of the Investigator, would prevent the subject from effectively participating in the study, place the subject at risk or effect the assessment of efficacy and safety of the study medication.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Almirall, S.A.

INDUSTRY

Sponsor Role collaborator

Polichem S.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Maurizio Caserini, MD

Role: STUDY_DIRECTOR

Polichem SA

Locations

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Polichem Investigation Site no 45

North Hollywood, California, United States

Site Status

Polichem Investigation Site no 5

Oceanside, California, United States

Site Status

Polichem Investigation Site no 39

San Diego, California, United States

Site Status

Polichem Investigation Site no 2

Hialeah, Florida, United States

Site Status

Polichem Investigation Site no 23

Jacksonville, Florida, United States

Site Status

Polichem Investigation Site no 22

Miami, Florida, United States

Site Status

Polichem Investigation Site no 52

Louisville, Kentucky, United States

Site Status

Polichem Investigation Site no 41

Portsmouth, New Hampshire, United States

Site Status

Polichem Investigation site no 1

New York, New York, United States

Site Status

Polichem Investigation Site no 44

Cincinnati, Ohio, United States

Site Status

Polichem Investigation Site no 40

Norman, Oklahoma, United States

Site Status

Polichem Investigation Site no 14

Oklahoma City, Oklahoma, United States

Site Status

Polichem Investigation Site no 10

Austin, Texas, United States

Site Status

Polichem Investigation Site no 11

Dallas, Texas, United States

Site Status

Polichem Investigation Site no 43

Dallas, Texas, United States

Site Status

Polichem Investigation Site no 6

Fort Worth, Texas, United States

Site Status

Polichem Investigation Site no 12

Houston, Texas, United States

Site Status

Polichem Investigation Site no 4

Houston, Texas, United States

Site Status

Polichem Investigation Site no 42

Pflugerville, Texas, United States

Site Status

Polichem Investigation Site no 53

San Antonio, Texas, United States

Site Status

Polichem Investigation Site no 54

San Antonio, Texas, United States

Site Status

Polichem Investigation site no 3

Calgary, Alberta, Canada

Site Status

Polichem Investigation Site no 8

Edmonton, Alberta, Canada

Site Status

Polichem Investigation Site no 13

Mississauga, Ontario, Canada

Site Status

Polichem Investigation Site no 9

Richmond Hill, Ontario, Canada

Site Status

Polichem Investigation Site no 7

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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PM1328

Identifier Type: -

Identifier Source: org_study_id

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