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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, Study Director, Affiliation: Novartis Pharmaceuticals, One Health Plaza, East Hanover, NJ 07936-1080, Tel.: 862-778-8300

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 terbinifine 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, Canada

Novartis Investigative Site, Various cities, Iceland

Dr. Boni Elewski, Birmingham, Alabama 35233, United States

Dr. Stacy Smith, San Diego, California 92123, United States

Dr. James Swinehart, Denver, Colorado 80210, United States

Dr. David G. Armstrong, North Chicago, Illinois 60064, United States

Dr. Kevin Terry, Lutherville, Maryland 21093, United States

Dr. Anthony Puopolo, Milford, Massachusetts 01757, United States

Dr. John Fenyk, Chaska, Minnesota 55318, United States

Dr. Joel Schlessinger, Omaha, Nebraska 68144, United States

Dr. AnneMarie Uliasz, New York, New York 10029, United States

Dr. Willard Niemi, Raleigh, North Carolina 27615, United States

Dr. John Barnes, Portland, Oregon 97205, United States

Dr. Diane Baker, Lake Oswego, Oregon 97035, United States

Dr. Lawrence Parish, Philadelphia, Pennsylvania 19103, United States

Dr. Harry Penny, Altoona, Pennsylvania 16602, United States

Dr. Cynthia Strout, Mt. Pleasant, South Carolina 29464, United States

Dr. Amit Pandya, Dallas, Texas 75390-8802, United States

Dr. Scott J. Ashton, Dallas, Texas 75243, United States

Dr. Teresa Coats, Austin, Texas 78705, United States

Dr. Lawrence Harkless, San Antonio, Texas 78207, United States

Dr. Robert Shouey, Harrisonburg, Virginia 22801, 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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