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Clotrimazole vs. Mycelex® in Patients With Human Insufficiency Virus (HIV) Infection for the Treatment of Oropharyngeal Candidiasis

Primary Purpose

Candidiasis, Oral

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Roxanes's clotrimazole troches
Mycelex® troches
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Candidiasis, Oral

Eligibility Criteria

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

Inclusion Criteria:

  • Documented HIV positive status
  • Clinical examination of oropharynx is consistent with diagnosis of oral Candidiasis (such as creamy, white, curdlike patches or erythematous lesions on mucosal surfaces)
  • Findings on direct microscopic examination (Gram Stain or potassium hydroxide smear) consistent with Candida species or positive fungal culture for Candida species, with culture obtained in the 2 days preceding initiation of therapy with the study drug
  • Male or female patients ≥ 18 years
  • For women of childbearing potential: negative blood or urine pregnancy test and agreement to use adequate contraception (investigator's discretion) while on study drug
  • Mental status allows comprehension of instructions for troche administration
  • Written informed consent

Exclusion Criteria:

  • Sings of symptoms suggestive of esophageal Candidiasis (such as dysphagia or odynophagia) unless the results of an endoscopic evaluation of the esophagus are negative
  • Presence of perioral lesions only
  • Use of other antifungal agents within 5 days of enrollment to the study
  • Pregnant or lactating women
  • History of hypersensitivity to imidazole or azole compounds
  • Patient unwilling or unable to be followed at the study center for the duration of the study (3 weeks)
  • Patients has received an investigational drug in the last 30 days
  • Treatment with another investigational drug is planned within the next 3 weeks

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Roxanes's clotrimazole troches

    Mycelex® troches

    Arm Description

    Outcomes

    Primary Outcome Measures

    Percent of patients that have a clinical response assessed by symptoms and physical examination

    Secondary Outcome Measures

    Incidence of negative fungal cultures of the oropharynx for Candida species
    Incidence of negative fungal cultures of the oropharynx for Candida species
    Clinical response by symptom assessment and physical examination
    Assessment of compliance with Treatment by troche Count and Patient interview

    Full Information

    First Posted
    July 8, 2014
    Last Updated
    July 11, 2014
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02184351
    Brief Title
    Clotrimazole vs. Mycelex® in Patients With Human Insufficiency Virus (HIV) Infection for the Treatment of Oropharyngeal Candidiasis
    Official Title
    A Prospective Randomized, Blinded Parallel Group Study of Clotrimazole Troches vs. Mycelex® Troches (10 mg Troche Five Times a Day for 14 Days) in Patients With Human Insufficiency Virus (HIV) Infection for the Treatment of Oropharyngeal Candidiasis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    May 2001 (undefined)
    Primary Completion Date
    November 2001 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim

    4. Oversight

    5. Study Description

    Brief Summary
    The objectives of this study are to compare the efficacy and safety of Roxane's clotrimazole troches vs. Mycelex troches in HIV positive patients with oropharyngeal candidiasis, where this condition has been diagnosed by clinical examination and confirmed by fungal culture.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Candidiasis, Oral

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Roxanes's clotrimazole troches
    Arm Type
    Experimental
    Arm Title
    Mycelex® troches
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Roxanes's clotrimazole troches
    Intervention Type
    Drug
    Intervention Name(s)
    Mycelex® troches
    Primary Outcome Measure Information:
    Title
    Percent of patients that have a clinical response assessed by symptoms and physical examination
    Time Frame
    Day 21
    Secondary Outcome Measure Information:
    Title
    Incidence of negative fungal cultures of the oropharynx for Candida species
    Time Frame
    7 days after end of treatment
    Title
    Incidence of negative fungal cultures of the oropharynx for Candida species
    Time Frame
    after 14 days of treatment
    Title
    Clinical response by symptom assessment and physical examination
    Time Frame
    after 7 and 14 days of treatment
    Title
    Assessment of compliance with Treatment by troche Count and Patient interview
    Time Frame
    after 7 and 14 days of treatment

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Documented HIV positive status Clinical examination of oropharynx is consistent with diagnosis of oral Candidiasis (such as creamy, white, curdlike patches or erythematous lesions on mucosal surfaces) Findings on direct microscopic examination (Gram Stain or potassium hydroxide smear) consistent with Candida species or positive fungal culture for Candida species, with culture obtained in the 2 days preceding initiation of therapy with the study drug Male or female patients ≥ 18 years For women of childbearing potential: negative blood or urine pregnancy test and agreement to use adequate contraception (investigator's discretion) while on study drug Mental status allows comprehension of instructions for troche administration Written informed consent Exclusion Criteria: Sings of symptoms suggestive of esophageal Candidiasis (such as dysphagia or odynophagia) unless the results of an endoscopic evaluation of the esophagus are negative Presence of perioral lesions only Use of other antifungal agents within 5 days of enrollment to the study Pregnant or lactating women History of hypersensitivity to imidazole or azole compounds Patient unwilling or unable to be followed at the study center for the duration of the study (3 weeks) Patients has received an investigational drug in the last 30 days Treatment with another investigational drug is planned within the next 3 weeks

    12. IPD Sharing Statement

    Links:
    URL
    http://trials.boehringer-ingelheim.com/content/dam/internet/opu/clinicaltrial/com_EN/results/1190/1190.1_U02-3190.pdf
    Description
    Related Info

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    Clotrimazole vs. Mycelex® in Patients With Human Insufficiency Virus (HIV) Infection for the Treatment of Oropharyngeal Candidiasis

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