Pharmacokinetics and Safety Study of ME1111 in Moderate to Severe Onychomycosis Patients
Primary Purpose
Onychomycosis
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ME1111 solution
Vehicle Solution
Sponsored by
About this trial
This is an interventional treatment trial for Onychomycosis
Eligibility Criteria
Inclusion Criteria:
- Male or female of any race and between the ages of 18 and 70 inclusive
- Clinically diagnosed onychomycosis of the target nail
- Presence of moderate to severe distal subungual onychomycosis
- A positive potassium hydroxide(KOH) microscopy test result
- A positive fungal culture for a dermatophyte
- Females of childbearing potential must be using a highly effective method of birth control and be willing to remain on the same method of birth control throughout the study
- Good general health as determined by the Investigator based on the subject's medical history and physical examination
Exclusion Criteria:
- Clinical significant laboratory abnormalities that would interfere with the conduct or interpretation of the study or jeopardize subject's safety
- Subjects with a history of diabetes mellitus
- Unwilling to refrain from the use of nail cosmetics such as clear and/or colored nail solutions
- Females who are nursing, pregnant, or planning a pregnancy during the study
- Failure to complete the specified washout period(s) for the following topical medications: Antifungals drugs within 4 weeks; Anti-inflammatory drugs, corticosteroids, immunomodulators within 2 weeks
- Failure to complete the specified washout period(s) for the following systemic medications: Corticosteroids within 2 weeks; Antifungals for treatment of onychomycosis or any antifungal with known activity against dermatophyte within the previous 24 weeks or 5 half-lives of the drug, whichever is longer; Immunomodulators within 4 weeks
- History of cardiac disease and cardiac arrhythmic activity, or prolonged QT interval
- Received treatment for any type of cancer within the last 6 months
- History of any significant disease or disorder that might put subjects at risk by participating in study or influence results of study
- Nail or anatomic abnormalities of the toe
- Positive test for HIV, Hepatitis B or Hepatitis C
- 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 (500 mL or more), within the last 6-week
- Participated in any other trial of an investigational drug or device within 30 days or 5 half-lives of the investigational drug or participation in a research study concurrent with this study
- Unable to communicate or cooperate with the Investigator due to comprehension, mental development, or impaired cerebral function
- Presence of any underlying disease that the Investigator deems uncontrolled, and poses a concern for the subjects safety while participating on the study
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
ME1111 solution
Vehicle Solution
Arm Description
Outcomes
Primary Outcome Measures
The number of adverse events observed throughout the study period.
Application site reactions will be evaluated using categorical scales for signs and symptoms throughout the study period.
Area under the plasma concentration of ME1111 will be assessed based on the analysis of blood samples over 24 hours
Urinary excretion rate will be assessed based on the analysis of urinary samples over 24 hours
Plasma trough levels of ME1111
Secondary Outcome Measures
Area under the nail concentration of ME1111
The proportion of subjects who achieve negative KOH microscopy testing results
The proportion of subjects who achieve negative fungal culture results
The change from baseline in linear toenail growth at Days 29 and 57 will be analyzed
Full Information
NCT ID
NCT01841996
First Posted
April 18, 2013
Last Updated
December 15, 2013
Sponsor
Meiji Seika Pharma Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT01841996
Brief Title
Pharmacokinetics and Safety Study of ME1111 in Moderate to Severe Onychomycosis Patients
Official Title
A Phase 1 Randomized, Double-Blind, Vehicle-Controlled, Multiple-Dose Study of the Safety, Absorption and Systemic Pharmacokinetics of ME1111 Topical Agent Applied to All Toenails of Adult Moderate to Severe Onychomycosis Patients for 28 Days
Study Type
Interventional
2. Study Status
Record Verification Date
December 2013
Overall Recruitment Status
Completed
Study Start Date
March 2013 (undefined)
Primary Completion Date
August 2013 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Meiji Seika Pharma Co., Ltd.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is Randomized, Double-Blind, Vehicle-Controlled, Multiple-Dose Study.
The purpose is to determine the safety, tolerability, systemic exposure and pharmacokinetics of ME1111 after repeated daily topical application of ME1111 in a maximal use setting in adults with distal subungual onychomycosis of the toenails.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Onychomycosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
24 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ME1111 solution
Arm Type
Experimental
Arm Title
Vehicle Solution
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
ME1111 solution
Intervention Description
Once a day for 28 days
Intervention Type
Drug
Intervention Name(s)
Vehicle Solution
Intervention Description
Once a day for 28 days
Primary Outcome Measure Information:
Title
The number of adverse events observed throughout the study period.
Time Frame
from Baseline to Day 57
Title
Application site reactions will be evaluated using categorical scales for signs and symptoms throughout the study period.
Time Frame
from Baseline to Day 57
Title
Area under the plasma concentration of ME1111 will be assessed based on the analysis of blood samples over 24 hours
Time Frame
Day 1, 28
Title
Urinary excretion rate will be assessed based on the analysis of urinary samples over 24 hours
Time Frame
Day 1, 28
Title
Plasma trough levels of ME1111
Time Frame
Day 4, 8, 15, 22, 25, 43, 57
Secondary Outcome Measure Information:
Title
Area under the nail concentration of ME1111
Time Frame
Day 2, 15, 29, 57
Title
The proportion of subjects who achieve negative KOH microscopy testing results
Time Frame
Day 29, 57
Title
The proportion of subjects who achieve negative fungal culture results
Time Frame
Day 29, 57
Title
The change from baseline in linear toenail growth at Days 29 and 57 will be analyzed
Time Frame
Day 1, 29, 57
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female of any race and between the ages of 18 and 70 inclusive
Clinically diagnosed onychomycosis of the target nail
Presence of moderate to severe distal subungual onychomycosis
A positive potassium hydroxide(KOH) microscopy test result
A positive fungal culture for a dermatophyte
Females of childbearing potential must be using a highly effective method of birth control and be willing to remain on the same method of birth control throughout the study
Good general health as determined by the Investigator based on the subject's medical history and physical examination
Exclusion Criteria:
Clinical significant laboratory abnormalities that would interfere with the conduct or interpretation of the study or jeopardize subject's safety
Subjects with a history of diabetes mellitus
Unwilling to refrain from the use of nail cosmetics such as clear and/or colored nail solutions
Females who are nursing, pregnant, or planning a pregnancy during the study
Failure to complete the specified washout period(s) for the following topical medications: Antifungals drugs within 4 weeks; Anti-inflammatory drugs, corticosteroids, immunomodulators within 2 weeks
Failure to complete the specified washout period(s) for the following systemic medications: Corticosteroids within 2 weeks; Antifungals for treatment of onychomycosis or any antifungal with known activity against dermatophyte within the previous 24 weeks or 5 half-lives of the drug, whichever is longer; Immunomodulators within 4 weeks
History of cardiac disease and cardiac arrhythmic activity, or prolonged QT interval
Received treatment for any type of cancer within the last 6 months
History of any significant disease or disorder that might put subjects at risk by participating in study or influence results of study
Nail or anatomic abnormalities of the toe
Positive test for HIV, Hepatitis B or Hepatitis C
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 (500 mL or more), within the last 6-week
Participated in any other trial of an investigational drug or device within 30 days or 5 half-lives of the investigational drug or participation in a research study concurrent with this study
Unable to communicate or cooperate with the Investigator due to comprehension, mental development, or impaired cerebral function
Presence of any underlying disease that the Investigator deems uncontrolled, and poses a concern for the subjects safety while participating on the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mitsuharu Egawa
Organizational Affiliation
Meiji Seika Pharma Co., Ltd.
Official's Role
Study Chair
Facility Information:
City
Austin
State/Province
Texas
Country
United States
City
College Station
State/Province
Texas
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Pharmacokinetics and Safety Study of ME1111 in Moderate to Severe Onychomycosis Patients
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