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Efficacy Safety, and Tolerability of Topical Terbinafine in Patients With Mild to Moderate Toenail Fungus of the Big Toenail

Information source: Novartis
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Onychomycosis

Intervention: terbinafine (Drug); Placebo (Drug); terbinafine (Drug); Placebo (Drug)

Phase: Phase 3

Status: Active, not recruiting

Sponsored by: Novartis

Official(s) and/or principal investigator(s):
Novartis Pharmaceuticals Novartis Pharmaceuticals, Affiliation: Novartis

Summary

This study is designed to assess the efficacy, safety and tolerability of a topical formulation of terbinafine solution applied daily in patients with toenail fungus. This trial will study patients with mild to moderate toenail fungus disease of the big toenail and their responses to two treatment durations, 24 or 48 weeks.

Clinical Details

Official title: A Randomized, Double-Blind, Vehicle-Controlled, Multicenter, Parallel Group Study to Assess the Efficacy, Safety, and Tolerability of Topical Terbinafine Hydrogen Chloride (HCl) Formulation for 24 or 48 Weeks of Treatment in Patients With Mild to Moderate Toenail Onychomycosis

Study design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Efficacy assessed by complete cure rate (negative culture, negative KOH microscopy and no residual disease involvement)at the end of study (week 52) after treating for 24 or 48 weeks.

Secondary outcome:

Efficacy assessed by mycological cure (negative culture and negative KOH microscopy) and clinical efficacy (less than 10% residual disease involvement) at the end of study after treating patients for 24 or 48 weeks.

Safety assessed by adverse events.

Eligibility

Minimum age: 12 Years. Maximum age: 75 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Male and females 12 - 75 years of age

- Fungal toenail infection of one or both of the large (great) toenails

- The nail infection must be due to a dermatophyte, (mixed infections dermatophyte

and non-dermatophyte] are not allowed)

Exclusion Criteria:

- Target foot must not have severe plantar (moccasin) tinea pedis that would require

systemic therapy. Mild to moderate tinea pedis (athlete's foot) infection should be treated with terbinafine prior to baseline or at any time during the trial. Other topical treatments for athlete's foot may be recommended at the discretion of the investigator.

- Subjects must not have abnormalities of the nail that could prevent a normal appearing

nail if clearing of infection is achieved

- No administration of systemic antifungal medications within 6 months prior to

screening visit

- No application of prescription topical antifungal medications for toenail fungus

within 3 months or other commercially available topical medications for toenail fungus applied directly to the toenails within 1 month prior to screening visit

- No professional pedicures or application of any nail polish product or nail cosmetic

to the toenails after the screening visit

- Known pregnancy or lactation at time of enrollment

Other protocol-defined inclusion/exclusion criteria may apply

Locations and Contacts

Novartis Investigative Site, Various Cities, France

Novartis Investigative Site, Various cities, Germany

Novartis, Investigative Site, Germany

Dr. Fred D. Youngswick, Novato, California 94945, United States

Dr. Larry Doehring, Northglenn, Colorado 80234, United States

Dr. Robert P. Dunne, Melbourne, Florida 32935, United States

Dr. Mark Ling, Newnan, Georgia 30263, United States

Dr. Jesse Plasencia, Chicago, Illinois 60632, United States

Dr. Jeffrey Conrow, Topeka, Kansas 66606, United States

Dr. John Mallory, Overland Park, Kansas 66215, United States

Dr.Michael Kaye, Covington, Louisiana 70433, United States

Dr. Max Weisfeld, Baltimore, Maryland 21214, United States

Dr. Linda Stein-Gold, Detroit, Michigan 48202, United States

Dr. Anna Glaser, St. Louis, Missouri 63104, United States

Dr. Richard Scher, New York, New York 10032, United States

Dr. Joseph Jorrizo, Winston Salem, North Carolina 27157, United States

Dr. Anne Lucky, Cincinnati, Ohio 45230, United States

Dr. Rich Phoebe, Portland, Oregon 97210, United States

Dr. Patricia Westmorland, Simpsonville, South Carolina 29681, United States

Dr. David Horowitz, Nashville, Tennessee 37203, United States

Dr. Richard Pollak, San Antonio, Texas 78229, United States

Dr. Jay Lifshen, Irving,, Texas 75061, United States

Dr. Patrick Agnew, Virginia Beach, Virginia 23464, United States

Additional Information

Click here to get more information on this study.

Starting date: December 2006
Ending date: July 2008
Last updated: February 15, 2008

Page last updated: June 20, 2008

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