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Safety and Efficacy of Econazole Nitrate Foam 1% in Subjects With Tinea Pedis

Primary Purpose

Tinea Pedis, Athlete's Foot

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Econazole Nitrate Foam 1%
Vehicle Foam
Sponsored by
AmDerma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tinea Pedis focused on measuring Econazole Nitrate, Foam, Quinnova, Tinea Pedis

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Be at least 12 years of age and of either sex.
  • Have a clinical diagnosis of interdigital tinea pedis involving at least2 web spaces in total which extends no more than approximately 1 inch proximal to the web spaces or metatarsophalangeal joints with at least i) moderate scaling and ii) mild erythema defined as a Grade 2 and Grade 1, respectively on the Grading of Signs and Symptoms at baseline.
  • Be willing and able to give informed consent/assent or have their parent/guardian do so, if applicable.
  • Be willing and able to use the assigned study medication as directed and to commit to all follow-up visits for the duration of the study.
  • Have microscopic evidence (positive KOH) of the presence of fungi. Evaluable subjects must have a positive KOH and a fungal culture positive for a dermatophyte in the skin scrapings taken at the Baseline Visit. Subjects with a positive KOH may be entered into the study pending the results of the fungal culture.
  • Be in good health and free of any disease or physical condition which might, in the Investigator's opinion, expose the subject to an unacceptable risk by study participation.
  • Females must be non-pregnant (confirmed by a negative urine pregnancy test at baseline), non-lactating and not intending to become pregnant during the course of the study.

Exclusion Criteria:

  • Is pregnant, nursing or planning a pregnancy during the study.
  • Has used topical antifungals or topical corticosteroids on the feet within 30 days prior to the start of the study.
  • Has received systemic antifungal therapy within 12 weeks prior to the start of the study medication.
  • Has used systemic antibacterials or systemic corticosteroids within 30 days prior to the start of the study. Systemic corticosteroids do not include intranasal, inhaled, and ophthalmic corticosteroids used for the management of allergies, pulmonary disorders or other conditions.
  • Has a history of uncontrolled diabetes mellitus or is immunocompromised (due to disease, e.g., HIV, or medications).
  • Has concurrent tinea infection e.g. tinea versicolor, tinea cruris, moccasin-type tinea pedis, etc. (in the opinion of the Investigator).
  • Onychomycosis, involving ≥ 20% of the area of either great toenail or involvement of more than five toenails in total.
  • Has any other skin disease which might interfere with the evaluation of tinea pedis.
  • Is currently enrolled in an investigational drug or device study.
  • Has received an investigational drug or treatment with an investigational device within 30 days prior to entering this study.
  • Is unreliable, including subjects with a history of drug or alcohol abuse.
  • Has known hypersensitivity to any of the components of the study medications.

Sites / Locations

  • Francisco Flores, MD
  • Daniel M. Stewart, DO
  • Cyaandi Dove, DPM
  • Robert S. Haber, MD
  • Cynthia Strout, MD
  • Michael H. Gold, MD
  • Jeffrey Adelglass, MD

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Econazole Nitrate Foam 1%

Vehicle Foam

Arm Description

Study medication

Placebo medication

Outcomes

Primary Outcome Measures

Complete Cure
Complete Cure is defined as a negative KOH and negative fungal culture and no evidence of clinical disease as indicated by scores of 0 (none) for each sign and symptom at Day 43.

Secondary Outcome Measures

Effective Treatment
Effective Treatment defined as negative KOH, negative fungal culture, no or mild (a score of 0 or 1) erythema and/or scaling with all other signs or symptoms being absent (score = 0) at Day 43.
Mycological Cure
Mycological Cure defined as negative KOH and negative culture at Day 43.

Full Information

First Posted
May 12, 2011
Last Updated
December 5, 2012
Sponsor
AmDerma
Collaborators
AmDerma Pharmaceuticals, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01353976
Brief Title
Safety and Efficacy of Econazole Nitrate Foam 1% in Subjects With Tinea Pedis
Official Title
A Multi-Center, Randomized, Double-Blind, Vehicle Controlled, Parallel Group Comparison Study of the Safety and Efficacy of Econazole Nitrate Foam 1% and Foam Vehicle in Subjects With Interdigital Tinea Pedis
Study Type
Interventional

2. Study Status

Record Verification Date
December 2012
Overall Recruitment Status
Completed
Study Start Date
May 2011 (undefined)
Primary Completion Date
April 2012 (Actual)
Study Completion Date
August 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AmDerma
Collaborators
AmDerma Pharmaceuticals, LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a study of the safety and efficacy of topical Econazole Nitrate Foam 1% and the foam vehicle in subjects with interdigital tinea pedis (athlete's foot between the toes). This is a 6 week study which has a 4 week treatment period and a 2 week follow-up evaluation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tinea Pedis, Athlete's Foot
Keywords
Econazole Nitrate, Foam, Quinnova, Tinea Pedis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
264 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Econazole Nitrate Foam 1%
Arm Type
Experimental
Arm Description
Study medication
Arm Title
Vehicle Foam
Arm Type
Placebo Comparator
Arm Description
Placebo medication
Intervention Type
Drug
Intervention Name(s)
Econazole Nitrate Foam 1%
Intervention Description
Econazole Nitrate Foam 1% applied once a day for 4 weeks
Intervention Type
Other
Intervention Name(s)
Vehicle Foam
Intervention Description
Vehicle foam applied once a day for 4 weeks
Primary Outcome Measure Information:
Title
Complete Cure
Description
Complete Cure is defined as a negative KOH and negative fungal culture and no evidence of clinical disease as indicated by scores of 0 (none) for each sign and symptom at Day 43.
Time Frame
Day 43
Secondary Outcome Measure Information:
Title
Effective Treatment
Description
Effective Treatment defined as negative KOH, negative fungal culture, no or mild (a score of 0 or 1) erythema and/or scaling with all other signs or symptoms being absent (score = 0) at Day 43.
Time Frame
Day 43
Title
Mycological Cure
Description
Mycological Cure defined as negative KOH and negative culture at Day 43.
Time Frame
Day 43

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Be at least 12 years of age and of either sex. Have a clinical diagnosis of interdigital tinea pedis involving at least2 web spaces in total which extends no more than approximately 1 inch proximal to the web spaces or metatarsophalangeal joints with at least i) moderate scaling and ii) mild erythema defined as a Grade 2 and Grade 1, respectively on the Grading of Signs and Symptoms at baseline. Be willing and able to give informed consent/assent or have their parent/guardian do so, if applicable. Be willing and able to use the assigned study medication as directed and to commit to all follow-up visits for the duration of the study. Have microscopic evidence (positive KOH) of the presence of fungi. Evaluable subjects must have a positive KOH and a fungal culture positive for a dermatophyte in the skin scrapings taken at the Baseline Visit. Subjects with a positive KOH may be entered into the study pending the results of the fungal culture. Be in good health and free of any disease or physical condition which might, in the Investigator's opinion, expose the subject to an unacceptable risk by study participation. Females must be non-pregnant (confirmed by a negative urine pregnancy test at baseline), non-lactating and not intending to become pregnant during the course of the study. Exclusion Criteria: Is pregnant, nursing or planning a pregnancy during the study. Has used topical antifungals or topical corticosteroids on the feet within 30 days prior to the start of the study. Has received systemic antifungal therapy within 12 weeks prior to the start of the study medication. Has used systemic antibacterials or systemic corticosteroids within 30 days prior to the start of the study. Systemic corticosteroids do not include intranasal, inhaled, and ophthalmic corticosteroids used for the management of allergies, pulmonary disorders or other conditions. Has a history of uncontrolled diabetes mellitus or is immunocompromised (due to disease, e.g., HIV, or medications). Has concurrent tinea infection e.g. tinea versicolor, tinea cruris, moccasin-type tinea pedis, etc. (in the opinion of the Investigator). Onychomycosis, involving ≥ 20% of the area of either great toenail or involvement of more than five toenails in total. Has any other skin disease which might interfere with the evaluation of tinea pedis. Is currently enrolled in an investigational drug or device study. Has received an investigational drug or treatment with an investigational device within 30 days prior to entering this study. Is unreliable, including subjects with a history of drug or alcohol abuse. Has known hypersensitivity to any of the components of the study medications.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniel Piacquadio, MD
Organizational Affiliation
Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Francisco Flores, MD
City
Miramar
State/Province
Florida
ZIP/Postal Code
33027
Country
United States
Facility Name
Daniel M. Stewart, DO
City
Clinton Township
State/Province
Michigan
ZIP/Postal Code
48038
Country
United States
Facility Name
Cyaandi Dove, DPM
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89119
Country
United States
Facility Name
Robert S. Haber, MD
City
South Euclid
State/Province
Ohio
ZIP/Postal Code
44118
Country
United States
Facility Name
Cynthia Strout, MD
City
Mt. Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
Facility Name
Michael H. Gold, MD
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Facility Name
Jeffrey Adelglass, MD
City
Plano
State/Province
Texas
ZIP/Postal Code
75234
Country
United States

12. IPD Sharing Statement

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Safety and Efficacy of Econazole Nitrate Foam 1% in Subjects With Tinea Pedis

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