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Combined Fractional CO2 Laser With Topical Tioconazole Versus Q-switched Nd:YAG Laser in the Treatment of Onychomycosis; a Randomized Controlled Trial

Primary Purpose

Onychomycosis of Fingernail

Status
Recruiting
Phase
Phase 4
Locations
Egypt
Study Type
Interventional
Intervention
Topical tioconazole
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Onychomycosis of Fingernail

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: • Age group >18 years. Patients of both genders. Patients with OM any type. Exclusion Criteria: • Pregnancy Localized bacterial infection around the affected nail Concomitant nails disease that causes nail dystrophy or discoloration such as psoriasis, lichen planus and atopic dermatitis that may interfere with diagnosis and treatment Hypersensitivity to terbinafine Intake of oral antifungal medication within the last 3 months or used topical antifungal medication within the last 2 weeks prior to the laser treatment

Sites / Locations

  • Kasr Alainy Faculty of MedicineRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Fractional CO2 laser combined with topical tioconazole

Q switched ND-Yag

Arm Description

Fractional CO2 laser (10,600 nm) will be done. The sessions will be done every 2 weeks. Topical tioconazole 28% nail solution will be applied in between the sessions twice daily

Laser protocol with a specific parameters will be applied on the affected nails. In one session two passes across each nail plate will be performed with two minutes pauses between each pass. Sessions will be done every 2 weeks

Outcomes

Primary Outcome Measures

treatment of onychomycosis
Patient Evaluation (Clinical percentage of improvement). 2- Improvement of OM (assessed by investigator). 3-Percentage of grading and OSI score improvement

Secondary Outcome Measures

Full Information

First Posted
August 12, 2023
Last Updated
August 17, 2023
Sponsor
Cairo University
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1. Study Identification

Unique Protocol Identification Number
NCT05999474
Brief Title
Combined Fractional CO2 Laser With Topical Tioconazole Versus Q-switched Nd:YAG Laser in the Treatment of Onychomycosis; a Randomized Controlled Trial
Official Title
Combined Fractional CO2 Laser With Topical Tioconazole Versus Q-switched Nd:YAG Laser in the Treatment of Onychomycosis; a Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 1, 2022 (Actual)
Primary Completion Date
September 1, 2023 (Anticipated)
Study Completion Date
October 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Cairo University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Our aim is to assess the clinical efficacy and the safety of fractional CO2 laser combined with topical tioconazole versus Q-switched Nd:YAG laser in the treatment of OM.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Onychomycosis of Fingernail

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Fractional CO2 laser combined with topical tioconazole
Arm Type
Experimental
Arm Description
Fractional CO2 laser (10,600 nm) will be done. The sessions will be done every 2 weeks. Topical tioconazole 28% nail solution will be applied in between the sessions twice daily
Arm Title
Q switched ND-Yag
Arm Type
Active Comparator
Arm Description
Laser protocol with a specific parameters will be applied on the affected nails. In one session two passes across each nail plate will be performed with two minutes pauses between each pass. Sessions will be done every 2 weeks
Intervention Type
Drug
Intervention Name(s)
Topical tioconazole
Other Intervention Name(s)
Laser
Intervention Description
Laser
Primary Outcome Measure Information:
Title
treatment of onychomycosis
Description
Patient Evaluation (Clinical percentage of improvement). 2- Improvement of OM (assessed by investigator). 3-Percentage of grading and OSI score improvement
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: • Age group >18 years. Patients of both genders. Patients with OM any type. Exclusion Criteria: • Pregnancy Localized bacterial infection around the affected nail Concomitant nails disease that causes nail dystrophy or discoloration such as psoriasis, lichen planus and atopic dermatitis that may interfere with diagnosis and treatment Hypersensitivity to terbinafine Intake of oral antifungal medication within the last 3 months or used topical antifungal medication within the last 2 weeks prior to the laser treatment
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Amira Elbendary, MD
Phone
01555668584
Email
aelbendary@kasralainy.edu.eg
First Name & Middle Initial & Last Name or Official Title & Degree
Khadiga Sayed, MD
Phone
+201060105697
Ext
+201060105697
Email
Diga1980@hotmail.com
Facility Information:
Facility Name
Kasr Alainy Faculty of Medicine
City
Cairo
Country
Egypt
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Amira Elbendary, MD
Phone
01555668584
Email
aelbendary@kasralainy.edu.eg

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Combined Fractional CO2 Laser With Topical Tioconazole Versus Q-switched Nd:YAG Laser in the Treatment of Onychomycosis; a Randomized Controlled Trial

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