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Early Feasibility Study to Evaluate the Efficacy of the RenewalNail™ Plasma Treatment System in Patients With Onychomycosis (Fungal Nail)

Primary Purpose

Onychomycosis of Toenail, Onychomycosis

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
plasma treatment
Sponsored by
DeviceFarm, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Onychomycosis of Toenail

Eligibility Criteria

21 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects who are between 21 to 75 years (inclusive) of age;
  • Subjects who are in good general health and free from any clinically significant disease that might interfere with the study evaluations;
  • Subjects with established clinical diagnosis of distal subungual onychomycosis;
  • Subjects with at least one big toe nail involved with 20-75% infection;
  • Subjects with both positive KOH and culture for onychomycosis dermatophytes in screening of nail samples;
  • Subjects whose infection is confirmed to be caused by T. rubrum or T. mentagrophytes;
  • Subjects who are willing and able to refrain from employing other (non-study) treatments (traditional or alternative) for his or her toenail onychomycosis throughout study participation;
  • Subjects who are willing and able to refrain from the use of nail cosmetics such as clear and/or colored nail lacquers during the week of treatment (from Study Visits 1 through 3);
  • Subjects who are willing and able to give written informed consent and able to adhere to procedures and visit schedules;
  • Women of childbearing potential who are currently sexually active must agree to use a medically accepted method of contraception while receiving protocol specified treatment. Methods include condoms (male or female), diaphragm or cervical cap with spermicide, medically prescribed intrauterine device, oral or systemic hormonal contraceptive, surgical sterilization (e.g., hysterectomy or tubal ligation);
  • Women of childbearing potential who are not currently sexually active must agree to use a medically accepted method of contraception should they become sexually active while participating in the study;
  • Women of childbearing potential must have a negative pregnancy test prior to start of study.

Exclusion Criteria:

  • Subjects with onychomycosis infection involving lunula of the affected toenail(s) or spikes of disease extending to nail matrix in the affected big toenail;
  • Subjects whose foot is too large (larger than US men's size 13) or too small (smaller than US women's size 3) to properly fit into the plasma treatment device;
  • Subjects whose affected big toenail cannot become normal in the opinion of the investigator;
  • Subjects who received topical antifungal treatment of the nails within 2 weeks before study initiation;
  • Subjects who received systemic antifungal treatment within 3 months before study initiation;
  • Simultaneous participation in another clinical study or participation in another clinical study in the 30 days directly preceding treatment;
  • Subjects who are immunocompromised (e.g. adrenal insufficiency, diabetes mellitus, febrile neutropenia, and the human immunodeficiency virus infected);
  • Subjects with any pacemakers, or any metallic implants or prostheses in the vicinity of the treatment site (such as ankle, foot, etc.);
  • Subjects with any clinically significant condition or situation, other than the condition being studied that, in the opinion of the investigator, would interfere with study evaluations or optimal participation in the study;
  • Subjects who feel they cannot sit for 45 minutes at a time during the treatment;
  • Subjects who are part of the staff personnel directly involved with this study or who are family members of the investigational study staff;
  • Subjects with known allergy to any of the tested treatment products [i.e. perfluorocarbons and plastic polycarbonate];
  • Women who are pregnant, breastfeeding, or planning pregnancy prior to the end of study participation;

Sites / Locations

  • David L. Kahan, DPM

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Experimental

Arm Description

5 Subjects with 20-75% Distal Subungual Onychomycosis (mild to moderate DSO) infection of their big toe (hallux) nail infected by the dermatophytes Trichophyton (T.) rubrum or T. mentagrophytes will be enrolled. All Subjects will receive three 45-minute plasma treatments performed over a week.

Outcomes

Primary Outcome Measures

Mycological Cure
number of participants with mycological cure defined as two consecutive negative cultures per FDA guideline

Secondary Outcome Measures

Clear Nail Growth
Number of patients with photographic evidence of increased clear nail growth

Full Information

First Posted
July 11, 2017
Last Updated
September 21, 2019
Sponsor
DeviceFarm, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03216200
Brief Title
Early Feasibility Study to Evaluate the Efficacy of the RenewalNail™ Plasma Treatment System in Patients With Onychomycosis (Fungal Nail)
Official Title
A Single Center Open Label Early Feasibility Study to Evaluate the Efficacy and Safety of the RenewalNail™ Plasma Treatment System in Patients With Mild to Moderate Onychomycosis (Fungal Nail) of the Hallux Caused by Trichophyton Rubrum or Trichophyton Mentagrophytes.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
July 7, 2017 (Actual)
Primary Completion Date
June 30, 2018 (Actual)
Study Completion Date
July 10, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
DeviceFarm, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A study to determine if a three-treatment protocol with the RenewalNail™ plasma treatment system over a week will result in mycological cure and/or clear nail growth on the treated hallux toe.
Detailed Description
The purpose of this study is to assess the clinical feasibility of DeviceFarm, Inc.'s RenewalNail™ system and the treatment protocol that was developed based on extensive laboratory testing on human cadaver nails. The Protocol calls for three 45-minute treatments performed over a week to achieve mycological cure. Mycological cure will be assessed with two consecutive mycological culture tests done over a week following the third treatment. Two consecutive negative mycology culture results confirm the elimination of fungus causing onychomycosis infection, as recommended by recent FDA guidance. There will be no placebo arm in the study. Clear nail growth will be documented and assessed by photography for 5 months after treatment.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
single center open-label study
Masking
None (Open Label)
Allocation
N/A
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental
Arm Type
Experimental
Arm Description
5 Subjects with 20-75% Distal Subungual Onychomycosis (mild to moderate DSO) infection of their big toe (hallux) nail infected by the dermatophytes Trichophyton (T.) rubrum or T. mentagrophytes will be enrolled. All Subjects will receive three 45-minute plasma treatments performed over a week.
Intervention Type
Device
Intervention Name(s)
plasma treatment
Other Intervention Name(s)
RenewalNail™ plasma treatment system
Intervention Description
application of cold atmospheric plasma to a fungal infected toenail
Primary Outcome Measure Information:
Title
Mycological Cure
Description
number of participants with mycological cure defined as two consecutive negative cultures per FDA guideline
Time Frame
2 cultures taken a week apart within 2 weeks after the first treatment
Secondary Outcome Measure Information:
Title
Clear Nail Growth
Description
Number of patients with photographic evidence of increased clear nail growth
Time Frame
5 months after the first treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects who are between 21 to 75 years (inclusive) of age; Subjects who are in good general health and free from any clinically significant disease that might interfere with the study evaluations; Subjects with established clinical diagnosis of distal subungual onychomycosis; Subjects with at least one big toe nail involved with 20-75% infection; Subjects with both positive KOH and culture for onychomycosis dermatophytes in screening of nail samples; Subjects whose infection is confirmed to be caused by T. rubrum or T. mentagrophytes; Subjects who are willing and able to refrain from employing other (non-study) treatments (traditional or alternative) for his or her toenail onychomycosis throughout study participation; Subjects who are willing and able to refrain from the use of nail cosmetics such as clear and/or colored nail lacquers during the week of treatment (from Study Visits 1 through 3); Subjects who are willing and able to give written informed consent and able to adhere to procedures and visit schedules; Women of childbearing potential who are currently sexually active must agree to use a medically accepted method of contraception while receiving protocol specified treatment. Methods include condoms (male or female), diaphragm or cervical cap with spermicide, medically prescribed intrauterine device, oral or systemic hormonal contraceptive, surgical sterilization (e.g., hysterectomy or tubal ligation); Women of childbearing potential who are not currently sexually active must agree to use a medically accepted method of contraception should they become sexually active while participating in the study; Women of childbearing potential must have a negative pregnancy test prior to start of study. Exclusion Criteria: Subjects with onychomycosis infection involving lunula of the affected toenail(s) or spikes of disease extending to nail matrix in the affected big toenail; Subjects whose foot is too large (larger than US men's size 13) or too small (smaller than US women's size 3) to properly fit into the plasma treatment device; Subjects whose affected big toenail cannot become normal in the opinion of the investigator; Subjects who received topical antifungal treatment of the nails within 2 weeks before study initiation; Subjects who received systemic antifungal treatment within 3 months before study initiation; Simultaneous participation in another clinical study or participation in another clinical study in the 30 days directly preceding treatment; Subjects who are immunocompromised (e.g. adrenal insufficiency, diabetes mellitus, febrile neutropenia, and the human immunodeficiency virus infected); Subjects with any pacemakers, or any metallic implants or prostheses in the vicinity of the treatment site (such as ankle, foot, etc.); Subjects with any clinically significant condition or situation, other than the condition being studied that, in the opinion of the investigator, would interfere with study evaluations or optimal participation in the study; Subjects who feel they cannot sit for 45 minutes at a time during the treatment; Subjects who are part of the staff personnel directly involved with this study or who are family members of the investigational study staff; Subjects with known allergy to any of the tested treatment products [i.e. perfluorocarbons and plastic polycarbonate]; Women who are pregnant, breastfeeding, or planning pregnancy prior to the end of study participation;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffrey N Roe, PhD
Organizational Affiliation
DeviceFarm, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
David L. Kahan, DPM
City
Sacramento
State/Province
California
ZIP/Postal Code
95825
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Early Feasibility Study to Evaluate the Efficacy of the RenewalNail™ Plasma Treatment System in Patients With Onychomycosis (Fungal Nail)

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