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A Therapeutic Equivalence Study of Ketoconazole Cream 2%

Primary Purpose

Tinea Pedis

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Experimental: Ketoconazole 2% Cream (Douglas Pharmaceuticals America Ltd.)
Active comparator: Ketoconazole 2% Cream (Teva Pharmaceuticals USA)
Placebo comparator: Placebo (Douglas Pharmaceuticals America Ltd.)
Sponsored by
Douglas Pharmaceuticals America Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tinea Pedis focused on measuring Tinea pedis, Ketoconazole

Eligibility Criteria

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

Inclusion Criteria:

  • Healthy male or non-pregnant, non-lactating female, 18 years of age or older
  • Signed ICF meeting all criteria of current FDA regulations
  • Female subject of childbearing potential must NOT be pregnant or lactating at Visit 1 (negative urine pregnancy test)
  • Female subject of childbearing potential must agree to use of reliable method of contraception.
  • Clinical diagnosis of tinea pedis predominantly in interdigital spaces
  • Tinea pedis confirmed at baseline by positive KOH wet mount.
  • Sum of clinical signs and symptoms score of target lesion at least 4; in addition target lesion must have a minimum score of at least 2 for erythema and a minimum score of at least 2 for either pruritis or scaling.

Exclusion Criteria:

  • Females who are pregnant, lactating or planning to become pregnant during the study period.
  • history of, or current psoriasis, lichen planus, or contact dermatitis involving the feet within the previous 12 months.
  • history of dermatophyte infections with a lack of response to antifungal systemic or topical therapy (recurrent tinea pedis [i.e.more than 3 infections in the past 12 months] that were unresponsive to previous antifungal therapy).
  • history of allergy, hypersensitivity, or intolerance to ketoconazole, other imidazoles, sulfites or any other component of the study product.
  • confluent, diffuse moccasin-type tinea pedis of the entire plantar surface.
  • current uncontrolled diabetes.
  • presence of any other infection of the foot or other disease process that, in the Investigator's opinion, may interfere with the evaluation of the subject's tinea pedis.
  • known history of or current impaired wound healing, presence of peripheral vascular disease and/or trophic changes of the lower limbs to an extent that, in the opinion of the Investigator would make the subject unsuitable for the study or compromise subject's safety.
  • Signficant history or current evidence of chronic infectious disease, system disorder, organ disorder, immunosuppression (due to disease or therapy, including history of organ transplant), or other medical condition that, in the opinion of the Investigator, would place the subject at undue risk by participating or compromise the integrity of the study data.
  • Use of antipruritics, including antihistamines, within 72 hours prior to Visit 1.
  • Use of topical corticosteroids, topical antibiotics or topical antifungal therapy (e.g. clotrimazole, econazole, fluconazole) within 2 weeks before Visit 1.
  • Use of systemic (e.g. oral or injectable) antibiotics, systemic antifungal therapy, or systemic corticosteroids within 30 days before Visit 1. The use of intranasal, inhaled or ophthalmic corticosteroids for acute or chronic conditions (e.g. allergic conjunctivitis, asthma/COPD maintenance) is acceptable to the extent that, in the opinion of the Investigator, does not compromise safety of subject or integrity of the data.
  • Use of oral terbinafine or itraconazole within 2 months before Visit 1.
  • Use of immunosuppressive medication or radiation therapy within 3 months before Visit 1.
  • Receipt of any drug as part of a research study within 30 days before Visit 1.
  • Previous participation in this study.
  • Employee of the Investigator or research centre or their immediate family members.
  • Inability to understand the requirements of the study and the relative information or are unable or unwilling to comply with the study protocol.

Sites / Locations

  • Moore Clinical Research
  • Moore Clinical Reseach
  • FXM Research International

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

Ketoconazole 2% cream (Douglas Pharmaceuticals America Ltd.)

Ketoconazole 2% cream (Teva Pharmaceuticals USA)

Placebo (Douglas Pharmaceuticals America Ltd.)

Arm Description

Subject will be randomized to either test product/active comparator/placebo comparator. Test product is Ketoconazole 2% cream manufactured by Douglas Pharmaceuticals America Ltd.

Subject will be randomized to either test product/active comparator/placebo comparator. Active comparator is Ketaconazole 2% cream manufactured by Teva Pharmaceuticals USA.

Subject will be randomized to either test product/active comparator/placebo comparator. Placebo comparator is manufactured by Douglas Pharmaceuticals America Ltd.

Outcomes

Primary Outcome Measures

Therapeutic cure of tinea pedis
The proportion of subjects in each treatment group with a Therapeutic Cure of tinea pedis at the test-of-cure visit conducted 2 weeks after the end of treatment (Day 56 +/- 4). Therapeutic cure is defined as having both a clinical and mycological cure of tinea pedis.

Secondary Outcome Measures

Clinical cure of tinea pedis
The proportion of subjects in each treatment group with a Clinical Cure at Day 56 +/- 4. Clinical Cure is defined as a total severity score of </= 2, with no individual severity score of >1. This is calculated using The Clinical Signs and Symptoms of Tinea Pedis rated by the Investigator using a standardized rating scale as follows: 0=none (complete absence of any sign or symptom) Mild (slight) moderate (definitely present) Severe (Marked, intense). The following signs and symptoms will be rated: Signs = fissuring/cracking, erythema, maceration, and scaling Symptoms = pruritis and burning/stinging
Mycological cure of tinea pedis
The proportion of subjects in each treatment group with a Mycological Cure of tinea pedis at Day 56 +/- 4. Mycological Cure is defined as having a negative KOH test AND a negative fungal culture.

Full Information

First Posted
December 16, 2019
Last Updated
August 4, 2020
Sponsor
Douglas Pharmaceuticals America Ltd
Collaborators
Novum Pharmaceutical Research Services, ACM Global Laboratories
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1. Study Identification

Unique Protocol Identification Number
NCT04203342
Brief Title
A Therapeutic Equivalence Study of Ketoconazole Cream 2%
Official Title
A Randomized,Double-blind,Vehicle-controlled, Parallel-design,Multiple-site Study to Evaluate the Therapeutic Equivalence of Ketoconazole Cream 2% (Douglas Pharmaceuticals America Ltd) to Ketoconazole Cream 2% (Teva Pharmaceuticals USA Inc.) in the Treatment of Tinea Pedis.
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
December 11, 2019 (Actual)
Primary Completion Date
May 28, 2020 (Actual)
Study Completion Date
July 13, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Douglas Pharmaceuticals America Ltd
Collaborators
Novum Pharmaceutical Research Services, ACM Global Laboratories

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
Clinical Study to Evaluate the Therapeutic Equivalence of Ketoconazole Cream 2% in the Treatment of Tinea Pedis.
Detailed Description
A randomized, double-blind, vehicle-controlled, parallel-design, multiple-site study to evaluate the clinical (therapeutic) effet of a generic Ketoconazole Cream 2% (Douglas Pharmaceuticals America Ltd) compared with the reference standard Ketoconazole Cream 2% (Teva Pharmaceuticals USA Inc) in subjects with a microbiologically-confirmed, clinical diagnosis of tinea pedis. Approximately 675 subjects, male or female, 18 years or older, will be enrolled.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tinea Pedis
Keywords
Tinea pedis, Ketoconazole

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Study drug will be randomised, packaged and blinded by an independent packaging company.
Allocation
Randomized
Enrollment
682 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Ketoconazole 2% cream (Douglas Pharmaceuticals America Ltd.)
Arm Type
Experimental
Arm Description
Subject will be randomized to either test product/active comparator/placebo comparator. Test product is Ketoconazole 2% cream manufactured by Douglas Pharmaceuticals America Ltd.
Arm Title
Ketoconazole 2% cream (Teva Pharmaceuticals USA)
Arm Type
Active Comparator
Arm Description
Subject will be randomized to either test product/active comparator/placebo comparator. Active comparator is Ketaconazole 2% cream manufactured by Teva Pharmaceuticals USA.
Arm Title
Placebo (Douglas Pharmaceuticals America Ltd.)
Arm Type
Placebo Comparator
Arm Description
Subject will be randomized to either test product/active comparator/placebo comparator. Placebo comparator is manufactured by Douglas Pharmaceuticals America Ltd.
Intervention Type
Drug
Intervention Name(s)
Experimental: Ketoconazole 2% Cream (Douglas Pharmaceuticals America Ltd.)
Intervention Description
Topical treatment for tinea pedis. Subjects will be instructed to apply sufficient study product to cover affected and immediate surrounding areas once daily for 42 +/- 4 days. Each subject is expected to receive 42 +/- 4 doses.
Intervention Type
Drug
Intervention Name(s)
Active comparator: Ketoconazole 2% Cream (Teva Pharmaceuticals USA)
Intervention Description
Topical treatment for tinea pedis. Subjects will be instructed to apply sufficient study product to cover affected and immediate surrounding areas once daily for 42 +/- 4 days. Each subject is expected to receive 42 +/- 4 doses.
Intervention Type
Drug
Intervention Name(s)
Placebo comparator: Placebo (Douglas Pharmaceuticals America Ltd.)
Intervention Description
Topical placebo to treatment for tinea pedis. Subjects will be instructed to apply sufficient study product to cover affected and immediate surrounding areas once daily for 42 +/- 4 days. Each subject is expected to receive 42 +/- 4 doses.
Primary Outcome Measure Information:
Title
Therapeutic cure of tinea pedis
Description
The proportion of subjects in each treatment group with a Therapeutic Cure of tinea pedis at the test-of-cure visit conducted 2 weeks after the end of treatment (Day 56 +/- 4). Therapeutic cure is defined as having both a clinical and mycological cure of tinea pedis.
Time Frame
2 weeks post-treatment (Day 56)
Secondary Outcome Measure Information:
Title
Clinical cure of tinea pedis
Description
The proportion of subjects in each treatment group with a Clinical Cure at Day 56 +/- 4. Clinical Cure is defined as a total severity score of </= 2, with no individual severity score of >1. This is calculated using The Clinical Signs and Symptoms of Tinea Pedis rated by the Investigator using a standardized rating scale as follows: 0=none (complete absence of any sign or symptom) Mild (slight) moderate (definitely present) Severe (Marked, intense). The following signs and symptoms will be rated: Signs = fissuring/cracking, erythema, maceration, and scaling Symptoms = pruritis and burning/stinging
Time Frame
2 weeks post-treatment (Day 56)
Title
Mycological cure of tinea pedis
Description
The proportion of subjects in each treatment group with a Mycological Cure of tinea pedis at Day 56 +/- 4. Mycological Cure is defined as having a negative KOH test AND a negative fungal culture.
Time Frame
2 weeks post-treatment (Day 56)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy male or non-pregnant, non-lactating female, 18 years of age or older Signed ICF meeting all criteria of current FDA regulations Female subject of childbearing potential must NOT be pregnant or lactating at Visit 1 (negative urine pregnancy test) Female subject of childbearing potential must agree to use of reliable method of contraception. Clinical diagnosis of tinea pedis predominantly in interdigital spaces Tinea pedis confirmed at baseline by positive KOH wet mount. Sum of clinical signs and symptoms score of target lesion at least 4; in addition target lesion must have a minimum score of at least 2 for erythema and a minimum score of at least 2 for either pruritis or scaling. Exclusion Criteria: Females who are pregnant, lactating or planning to become pregnant during the study period. history of, or current psoriasis, lichen planus, or contact dermatitis involving the feet within the previous 12 months. history of dermatophyte infections with a lack of response to antifungal systemic or topical therapy (recurrent tinea pedis [i.e.more than 3 infections in the past 12 months] that were unresponsive to previous antifungal therapy). history of allergy, hypersensitivity, or intolerance to ketoconazole, other imidazoles, sulfites or any other component of the study product. confluent, diffuse moccasin-type tinea pedis of the entire plantar surface. current uncontrolled diabetes. presence of any other infection of the foot or other disease process that, in the Investigator's opinion, may interfere with the evaluation of the subject's tinea pedis. known history of or current impaired wound healing, presence of peripheral vascular disease and/or trophic changes of the lower limbs to an extent that, in the opinion of the Investigator would make the subject unsuitable for the study or compromise subject's safety. Signficant history or current evidence of chronic infectious disease, system disorder, organ disorder, immunosuppression (due to disease or therapy, including history of organ transplant), or other medical condition that, in the opinion of the Investigator, would place the subject at undue risk by participating or compromise the integrity of the study data. Use of antipruritics, including antihistamines, within 72 hours prior to Visit 1. Use of topical corticosteroids, topical antibiotics or topical antifungal therapy (e.g. clotrimazole, econazole, fluconazole) within 2 weeks before Visit 1. Use of systemic (e.g. oral or injectable) antibiotics, systemic antifungal therapy, or systemic corticosteroids within 30 days before Visit 1. The use of intranasal, inhaled or ophthalmic corticosteroids for acute or chronic conditions (e.g. allergic conjunctivitis, asthma/COPD maintenance) is acceptable to the extent that, in the opinion of the Investigator, does not compromise safety of subject or integrity of the data. Use of oral terbinafine or itraconazole within 2 months before Visit 1. Use of immunosuppressive medication or radiation therapy within 3 months before Visit 1. Receipt of any drug as part of a research study within 30 days before Visit 1. Previous participation in this study. Employee of the Investigator or research centre or their immediate family members. Inability to understand the requirements of the study and the relative information or are unable or unwilling to comply with the study protocol.
Facility Information:
Facility Name
Moore Clinical Research
City
Brandon
State/Province
Florida
ZIP/Postal Code
33511
Country
United States
Facility Name
Moore Clinical Reseach
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
FXM Research International
City
Belize City
Country
Belize

12. IPD Sharing Statement

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A Therapeutic Equivalence Study of Ketoconazole Cream 2%

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