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Absorption and Systemic Study of AN2690 in Patients With Moderate to Severe Onychomycosis (ADME I)

Primary Purpose

Onychomycosis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AN2690
Sponsored by
Pfizer
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Onychomycosis focused on measuring Onychomycosis, Fungal Nail

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • A witnessed, signed informed consent approved by Institutional Review Board
  • Male or female of any race at least 18 years of age but not older than 65 years of age at the time of screening
  • Body Mass Index between 18.5 and 35, inclusive
  • Onychomycosis involving > 80% of both great toenails, as determined by visual inspection after the nail has been trimmed
  • Each great toenail possess a combined thickness of the nail plate and nail bed > 3 mm
  • At least six additional toenails with clinical diagnosis of onychomycosis
  • A positive KOH wet mount for at least one great toenail
  • If subject is a female of childbearing potential, must be using a highly effective method of birth control (e.g. implants, injectables, combined oral contraceptives, some intrauterine contraceptive devices) during the study
  • Considered reliable and capable of understanding his/her responsibility and role in the study

Exclusion Criteria:

  • History of allergy to any of the test product(s) or any components in the test product(s) or history of hypersensitivity or allergic reactions to any of the study preparations as described in the Investigator's Brochure
  • Clinically significant laboratory abnormalities that would interfere with the conduct or interpretation of the study or jeopardize his/her safety
  • Diabetes mellitus requiring treatment other than diet and exercise
  • Unwilling to refrain from the use of nail cosmetics such as clear and or colored nail lacquers from the screening visit until the end of the study
  • Nursing, pregnant or planning to become pregnant during the study
  • Has not undergone the specified washout period(s) for the following topical preparations or does the subject require the concurrent use of any of the following topical medications:

    1. Topical antifungal applied to the feet (does not include antifungals for treatment of T. pedis during the study: 4 weeks
    2. Anti-inflammatories, corticosteroids, topical immunomodulators: 2 weeks
  • Has not undergone the specified washout period(s) for the following systemic medications or does the subject require the concurrent use of any of the following systemic medications:

    1. Corticosteroids (including intramuscular injections): 2 weeks
    2. Antifungals for treatment of onychomycosis or any systemic antifungal with known activity against dermatophyte: 24 weeks
    3. Systemic immunomodulators: 4 weeks
  • Received treatment of any type for cancer within the last 6 months
  • History of any significant internal disease
  • Nail or anatomic abnormalities of the toe, e.g., genetic nail disorders, primentary disorders, onychogryphosis, trauma to the nail(s) to be treated
  • AIDS or AIDS related complex
  • History of street drug or alcohol abuse
  • Donated or lost blood, or participated in a clinical study which involved the withdrawal of a large volume of blood (480 mL or more), during the six week period preceding study initiation
  • Donated plasma during the two week period preceding study initiation
  • Participated in any other trial of an investigational drug or device within 60 days prior to enrollment or participation in a research study concurrent with this study

Sites / Locations

  • J&S Studies

Outcomes

Primary Outcome Measures

Efficacy measures of linear toenail growth, fungal culture results, KOH results, and clear toenail

Secondary Outcome Measures

Safety and tolerance assessed by application site reactions, adverse events, laboratory tests, vital signs, physical examinations, and 12-lead EKG

Full Information

First Posted
May 15, 2008
Last Updated
February 20, 2019
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT00680160
Brief Title
Absorption and Systemic Study of AN2690 in Patients With Moderate to Severe Onychomycosis (ADME I)
Official Title
An Open-label, Multiple-dose Study Of The Absorption And Systemic Pharmacokinetics Of An2690 Applied As A 7.5% Solution To All Toenails Of Adult Patients With Moderate To Severe Onychomycosis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Completed
Study Start Date
April 30, 2006 (Actual)
Primary Completion Date
May 9, 2007 (Actual)
Study Completion Date
May 9, 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to determine the absorption, systemic pharmacokinetics and accumulation in the nail of AN2690 during a 28 day period of daily application of a 7.5% solution of AN2690 to all 10 toenails of up to 25 otherwise healthy adult patients with onychomycosis.
Detailed Description
For this study, the case definition of onychomycosis included moderate to severe distal subungual onychomycosis including subjects with evidence of subungual dermatophytoma or yellow spikes, lateral and proximal onychomycosis and severely dystrophic nail plates. Subjects with only superficial white onychomycosis were excluded. Confirmation of the clinical diagnosis of onychomycosis of at least one great toenail included a positive KOH wet mount.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Onychomycosis
Keywords
Onychomycosis, Fungal Nail

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Masking
None (Open Label)
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
AN2690
Intervention Description
AN2690 7.5% Solution, once daily for 28 days
Primary Outcome Measure Information:
Title
Efficacy measures of linear toenail growth, fungal culture results, KOH results, and clear toenail
Time Frame
Days 0, 14, 28, 42, 84, 120, 150, 180, 240, 300, and 360
Secondary Outcome Measure Information:
Title
Safety and tolerance assessed by application site reactions, adverse events, laboratory tests, vital signs, physical examinations, and 12-lead EKG
Time Frame
Days 0-28, 42, 84, 120, 150, 180, 240, 300, and 360

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A witnessed, signed informed consent approved by Institutional Review Board Male or female of any race at least 18 years of age but not older than 65 years of age at the time of screening Body Mass Index between 18.5 and 35, inclusive Onychomycosis involving > 80% of both great toenails, as determined by visual inspection after the nail has been trimmed Each great toenail possess a combined thickness of the nail plate and nail bed > 3 mm At least six additional toenails with clinical diagnosis of onychomycosis A positive KOH wet mount for at least one great toenail If subject is a female of childbearing potential, must be using a highly effective method of birth control (e.g. implants, injectables, combined oral contraceptives, some intrauterine contraceptive devices) during the study Considered reliable and capable of understanding his/her responsibility and role in the study Exclusion Criteria: History of allergy to any of the test product(s) or any components in the test product(s) or history of hypersensitivity or allergic reactions to any of the study preparations as described in the Investigator's Brochure Clinically significant laboratory abnormalities that would interfere with the conduct or interpretation of the study or jeopardize his/her safety Diabetes mellitus requiring treatment other than diet and exercise Unwilling to refrain from the use of nail cosmetics such as clear and or colored nail lacquers from the screening visit until the end of the study Nursing, pregnant or planning to become pregnant during the study Has not undergone the specified washout period(s) for the following topical preparations or does the subject require the concurrent use of any of the following topical medications: Topical antifungal applied to the feet (does not include antifungals for treatment of T. pedis during the study: 4 weeks Anti-inflammatories, corticosteroids, topical immunomodulators: 2 weeks Has not undergone the specified washout period(s) for the following systemic medications or does the subject require the concurrent use of any of the following systemic medications: Corticosteroids (including intramuscular injections): 2 weeks Antifungals for treatment of onychomycosis or any systemic antifungal with known activity against dermatophyte: 24 weeks Systemic immunomodulators: 4 weeks Received treatment of any type for cancer within the last 6 months History of any significant internal disease Nail or anatomic abnormalities of the toe, e.g., genetic nail disorders, primentary disorders, onychogryphosis, trauma to the nail(s) to be treated AIDS or AIDS related complex History of street drug or alcohol abuse Donated or lost blood, or participated in a clinical study which involved the withdrawal of a large volume of blood (480 mL or more), during the six week period preceding study initiation Donated plasma during the two week period preceding study initiation Participated in any other trial of an investigational drug or device within 60 days prior to enrollment or participation in a research study concurrent with this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
J&S Studies
City
Bryan
State/Province
Texas
ZIP/Postal Code
77802
Country
United States

12. IPD Sharing Statement

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Absorption and Systemic Study of AN2690 in Patients With Moderate to Severe Onychomycosis (ADME I)

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