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Safety and Efficacy of Econazole Nitrate Foam 1% and Foam Vehicle 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
Econazole Nitrate Cream 1%
Placebo Cream
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 least 2 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 (Section 10.1) 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 (UPT) 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

  • Sunil S. Dhawan, MD
  • Guy F. Webster, MD, PhD
  • Marta I. Rendon, MD
  • Jonathan Kantor, MD
  • Steven E. Kempers, MD
  • Joel Schlessinger, MD
  • Phoebe Rich, MD
  • Edward J. Primka III, MD
  • Michael T. Jarratt, MD
  • William Abramovits, MD
  • David M. Pariser, MD, FAAD, FACP
  • Harry H. Sharata, MD, PhD

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Active Comparator

Sham Comparator

Arm Label

Econazole Nitrate Foam 1%

Vehicle Foam

Econazole Nitrate Cream 1%

Placebo Cream

Arm Description

Study medication

Placebo medication

Econazole Nitrate Cream 1%

Placebo Cream

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 system at Day 43, analysis of the Econazole Nitrate Foam 1% and Foam Vehicle treatment groups only.

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, analysis of the Econazole Nitrate Foam 1% and Foam Vehicle treatment groups only.
Mycological Cure
Mycological Cure defined as negative KOH and negative culture at Day 43, analysis of the Econazole Nitrate Foam 1% and Foam Vehicle treatment groups only.

Full Information

First Posted
May 19, 2011
Last Updated
September 27, 2012
Sponsor
AmDerma
Collaborators
AmDerma Pharmaceuticals, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01358240
Brief Title
Safety and Efficacy of Econazole Nitrate Foam 1% and Foam Vehicle in Subjects With Tinea Pedis
Official Title
A Multi-Center, Randomized, Double-Blind, Vehicle Controlled, Parallel Group Comparison of Econazole Nitrate Foam 1% vs Foam Vehicle and an Evaluator-Blinded Comparison of Econazole Nitrate Foam 1% and Econazole Nitrate Cream 1% in Subjects With Interdigital Tinea Pedis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Completed
Study Start Date
June 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 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. The study will also utilize Econazole Nitrate Cream 1% (for safety comparison) and a Placebo cream for blinding purposes only.

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
336 (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
Arm Title
Econazole Nitrate Cream 1%
Arm Type
Active Comparator
Arm Description
Econazole Nitrate Cream 1%
Arm Title
Placebo Cream
Arm Type
Sham Comparator
Arm Description
Placebo Cream
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
Drug
Intervention Name(s)
Vehicle Foam
Intervention Description
Vehicle Foam applied once a day for 4 week
Intervention Type
Drug
Intervention Name(s)
Econazole Nitrate Cream 1%
Intervention Description
Econazole Nitrate Foam 1% applied once a day for 4 weeks
Intervention Type
Other
Intervention Name(s)
Placebo Cream
Intervention Description
Placebo cream 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 system at Day 43, analysis of the Econazole Nitrate Foam 1% and Foam Vehicle treatment groups only.
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, analysis of the Econazole Nitrate Foam 1% and Foam Vehicle treatment groups only.
Time Frame
Day 43
Title
Mycological Cure
Description
Mycological Cure defined as negative KOH and negative culture at Day 43, analysis of the Econazole Nitrate Foam 1% and Foam Vehicle treatment groups only.
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 least 2 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 (Section 10.1) 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 (UPT) 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
Sunil S. Dhawan, MD
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
Guy F. Webster, MD, PhD
City
Hockessin
State/Province
Delaware
ZIP/Postal Code
19707
Country
United States
Facility Name
Marta I. Rendon, MD
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33486
Country
United States
Facility Name
Jonathan Kantor, MD
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32204
Country
United States
Facility Name
Steven E. Kempers, MD
City
Fridley
State/Province
Minnesota
ZIP/Postal Code
55432
Country
United States
Facility Name
Joel Schlessinger, MD
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68144
Country
United States
Facility Name
Phoebe Rich, MD
City
Portland
State/Province
Oregon
ZIP/Postal Code
97210
Country
United States
Facility Name
Edward J. Primka III, MD
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37917
Country
United States
Facility Name
Michael T. Jarratt, MD
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
William Abramovits, MD
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
David M. Pariser, MD, FAAD, FACP
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States
Facility Name
Harry H. Sharata, MD, PhD
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53719
Country
United States

12. IPD Sharing Statement

Learn more about this trial

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

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