Multiple-Site Study to Evaluate the Therapeutic Equivalence of Permethrin Cream, 5% in the Treatment of Scabies
Primary Purpose
Scabies
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Permethrin Cream, 5%
Elimite™ Cream (permethrin) 5%
Sponsored by
About this trial
This is an interventional treatment trial for Scabies
Eligibility Criteria
Inclusion Criteria:
- Male or non-pregnant, non-lactating female, 2 years of age or older.
- If female and of childbearing potential, prepared to abstain from sexual intercourse or use a reliable method of contraception during the study (e.g., double barrier methods, intrauterine device (IUD), oral, transdermal or injected hormonal contraceptives). Female patients using hormonal contraceptives should have been on the same product/dosing regimen for at least 28 days before baseline and should not change this regimen during the study.
- Signed informed consent that meets all criteria of current FDA and International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) regulations. For patients who are considered minors in the state the study is being conducted (< 18 years in most states) the parent or legal guardian should sign the consent form and the child will be required to sign a patient "assent" form, as appropriate. Patients 11-17 years of age will read and sign an Independent Review Board (IRB)-approved assent form and patients 6-10 years of age will provide verbal assent. Patients 2-5 years of age will be exempt from providing assent based on the child's comprehension and cognitive skills.
- Clinical diagnosis of active scabies by presence of a burrow and/or typical scabietic lesions at the classic sites of infestation.
- Parasitological confirmation of clinical diagnosis with demonstration under light microscope of mites and/or their products (larvae, eggs or fecal material).
- Symptom score of 2 or 3 on a 4-point rating scale of 0-3 for nocturnal itching/pruritus.
- Ability to apply or have study product applied as directed. If patient is a child, then parent/guardian will apply study product to him/her.
Exclusion Criteria:
- Patients who are pregnant, lactating, or planning to become pregnant during the study.
- Any systemic or dermatologic disorder that, in the opinion of the Investigator, will interfere with the study results or increase the risk of adverse events (AEs).
- Known hypersensitivity to permethrin cream or any of its components.
- Use of any systemic or topical acaricide or ectoparasiticide within one month before Screening.
- Patient has signs of a systemic infection or is receiving systemic therapy for an infectious disease.
- Patients with severe cutaneous bacterial or fungal infections requiring therapy (including systemic and topical antibiotics) or coexisting dermatological disorder that could interfere with the diagnosis and subsequent monitoring of scabies) or heavily crusted with lesions consistent with Norwegian scabies.
- Patients with an underlying immunodeficient state (including prolonged treatment with corticosteroids), immunosuppressive disorders requiring therapy, severe systemic disease and history of HIV infection.
- Any condition, medical, psychological, or social, that, in the Investigator's opinion, would interfere with participation in the study.
- Family members of employees of the clinic or Investigator.
- Patients who, in the opinion of the Investigator, would be non-compliant with the requirements of the study protocol.
- Patients whose close personal contacts will not or are not willing to comply with standard of care for Scabies management.
- Receipt of any drug as part of a research study within 30 days before Screening.
- History of seizures.
- Use of systemic corticosteroids within two weeks before Screening.
- Use of topical corticosteroids within one week before Screening.
- Previous participation in this study.
Sites / Locations
- Applied Research Center of Arkansas
- St. Josephs Clinical Research
- Long Beach Clinical Trials
- Havana Research Institute
- Integrity Clinical Research Center, Inc.
- The Chappel Group Research
- Lenus Research & Medical Group, LLC
- DermDox Cetners for Dermatology
- West Houston Clinical Research Services
- Sun Research Instiute
- Clinica Dermatologica/APF Research International
- Clinica Dermatologica Y Cirugia de Piel/APF Research International
- Clinica de la Doctora Laura Vargas
- APF Research International
- APF Research International
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
Reference: Elimite™ Cream
Test: Permethrin Cream, 5%
Arm Description
Reference: Elimite™ Cream (permethrin) 5% (Prestium Pharma, Inc.)
Test: Permethrin Cream, 5% (Encube Ethicals)
Outcomes
Primary Outcome Measures
Number of Patients in Each Treatment Group With Therapeutic Cure (Parasitological Cure Plus Clinical Cure) of Scabies
Parasitological cure is defined as failure to demonstrate microscopically the presence of scabies infestation (i.e., no living mites, no viable mite eggs, and no mite fecal matter present).
Clinical cure is defined as visual evidence of absence of new lesions and healing of original lesions, regardless the presence of post-scabietic nodules (i.e., post-scabietic nodules need not be considered as new lesions or persistence of old lesions).
Secondary Outcome Measures
Full Information
NCT ID
NCT03178942
First Posted
May 31, 2017
Last Updated
March 14, 2019
Sponsor
Encube Ethicals Pvt. Ltd.
Collaborators
Novum Pharmaceutical Research Services
1. Study Identification
Unique Protocol Identification Number
NCT03178942
Brief Title
Multiple-Site Study to Evaluate the Therapeutic Equivalence of Permethrin Cream, 5% in the Treatment of Scabies
Official Title
A Randomized, Double-Blind, Parallel-Design, Multiple-Site Study to Evaluate the Therapeutic Equivalence of Permethrin Cream, 5% (Encube Ethicals) Compared to Elimite™ Cream (Permethrin) 5% (Prestium Pharma, Inc.) in the Treatment of Scabies
Study Type
Interventional
2. Study Status
Record Verification Date
February 2019
Overall Recruitment Status
Completed
Study Start Date
June 1, 2017 (Actual)
Primary Completion Date
November 11, 2017 (Actual)
Study Completion Date
November 11, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Encube Ethicals Pvt. Ltd.
Collaborators
Novum Pharmaceutical Research Services
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.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Study to Evaluate the Therapeutic Equivalence of Permethrin Cream 5%in the Treatment of Scabies.
Detailed Description
A Randomized, Double-Blind, Parallel-Design, Multiple-Site Study to Evaluate the Therapeutic Equivalence of Permethrin Cream 5% (Encube Ethicals) Compared to Elimite™ Cream (permethrin) 5% (Prestium Pharma, Inc.) in the Treatment of Scabies.
The objectives of this study are to:
Evaluate the therapeutic equivalence of the Test formulation, Permethrin Cream, 5% (Encube Ethicals) to the marketed product, Elimite™ Cream (permethrin) 5% (Prestium Pharma, Inc.) in patients with scabies.
Compare the safety of Test and Reference treatments in patients with scabies.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Scabies
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Patients will be assigned to the test or reference permethrin to treat scabies.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
The study product will be randomized, packaged and blinded so that the packaging for both treatments look identical.
Allocation
Randomized
Enrollment
254 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Reference: Elimite™ Cream
Arm Type
Active Comparator
Arm Description
Reference: Elimite™ Cream (permethrin) 5% (Prestium Pharma, Inc.)
Arm Title
Test: Permethrin Cream, 5%
Arm Type
Experimental
Arm Description
Test: Permethrin Cream, 5% (Encube Ethicals)
Intervention Type
Drug
Intervention Name(s)
Permethrin Cream, 5%
Intervention Description
Permethrin Cream 5%
Intervention Type
Drug
Intervention Name(s)
Elimite™ Cream (permethrin) 5%
Other Intervention Name(s)
Elimite™ Cream
Intervention Description
Permethrin Cream 5%
Primary Outcome Measure Information:
Title
Number of Patients in Each Treatment Group With Therapeutic Cure (Parasitological Cure Plus Clinical Cure) of Scabies
Description
Parasitological cure is defined as failure to demonstrate microscopically the presence of scabies infestation (i.e., no living mites, no viable mite eggs, and no mite fecal matter present).
Clinical cure is defined as visual evidence of absence of new lesions and healing of original lesions, regardless the presence of post-scabietic nodules (i.e., post-scabietic nodules need not be considered as new lesions or persistence of old lesions).
Time Frame
Day 28 ± 4
Other Pre-specified Outcome Measures:
Title
Number of Patients With a Therapeutic Cure That Completed Visit 2 Within 14 ± 2 Days and Visit 3 Within 28 ± 4 Days.
Description
Parasitological cure is defined as failure to demonstrate microscopically the presence of scabies infestation (i.e., no living mites, no viable mite eggs, and no mite fecal matter present).
Clinical cure is defined as visual evidence of absence of new lesions and healing of original lesions, regardless the presence of post-scabietic nodules (i.e., post-scabietic nodules need not be considered as new lesions or persistence of old lesions).
Time Frame
Visit 2 Within 14 ± 2 Days and Visit 3 Within 28 ± 4 Days
Title
Number of Patients With a Therapeutic Cure That Completed Visit 2 Within 14 ± 2 Days and Visit 3 Between Day 26 and Day 32, Inclusive.
Description
Parasitological cure is defined as failure to demonstrate microscopically the presence of scabies infestation (i.e., no living mites, no viable mite eggs, and no mite fecal matter present).
Clinical cure is defined as visual evidence of absence of new lesions and healing of original lesions, regardless the presence of post-scabietic nodules (i.e., post-scabietic nodules need not be considered as new lesions or persistence of old lesions).
Time Frame
Visit 2 within 14 ± 2 days and Visit 3 between Day 26 and Day 32, inclusive.
Title
Number of Patients With a Therapeutic Cure That Completed Visit 2 Within 14 ± 2 Days and Visit 3 Within 28 ± 2 Days.
Description
Parasitological cure is defined as failure to demonstrate microscopically the presence of scabies infestation (i.e., no living mites, no viable mite eggs, and no mite fecal matter present).
Clinical cure is defined as visual evidence of absence of new lesions and healing of original lesions, regardless the presence of post-scabietic nodules (i.e., post-scabietic nodules need not be considered as new lesions or persistence of old lesions).
Time Frame
Visit 2 Within 14 ± 2 Days and Visit 3 Within 28 ± 2 Days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
2 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or non-pregnant, non-lactating female, 2 years of age or older.
If female and of childbearing potential, prepared to abstain from sexual intercourse or use a reliable method of contraception during the study (e.g., double barrier methods, intrauterine device (IUD), oral, transdermal or injected hormonal contraceptives). Female patients using hormonal contraceptives should have been on the same product/dosing regimen for at least 28 days before baseline and should not change this regimen during the study.
Signed informed consent that meets all criteria of current FDA and International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) regulations. For patients who are considered minors in the state the study is being conducted (< 18 years in most states) the parent or legal guardian should sign the consent form and the child will be required to sign a patient "assent" form, as appropriate. Patients 11-17 years of age will read and sign an Independent Review Board (IRB)-approved assent form and patients 6-10 years of age will provide verbal assent. Patients 2-5 years of age will be exempt from providing assent based on the child's comprehension and cognitive skills.
Clinical diagnosis of active scabies by presence of a burrow and/or typical scabietic lesions at the classic sites of infestation.
Parasitological confirmation of clinical diagnosis with demonstration under light microscope of mites and/or their products (larvae, eggs or fecal material).
Symptom score of 2 or 3 on a 4-point rating scale of 0-3 for nocturnal itching/pruritus.
Ability to apply or have study product applied as directed. If patient is a child, then parent/guardian will apply study product to him/her.
Exclusion Criteria:
Patients who are pregnant, lactating, or planning to become pregnant during the study.
Any systemic or dermatologic disorder that, in the opinion of the Investigator, will interfere with the study results or increase the risk of adverse events (AEs).
Known hypersensitivity to permethrin cream or any of its components.
Use of any systemic or topical acaricide or ectoparasiticide within one month before Screening.
Patient has signs of a systemic infection or is receiving systemic therapy for an infectious disease.
Patients with severe cutaneous bacterial or fungal infections requiring therapy (including systemic and topical antibiotics) or coexisting dermatological disorder that could interfere with the diagnosis and subsequent monitoring of scabies) or heavily crusted with lesions consistent with Norwegian scabies.
Patients with an underlying immunodeficient state (including prolonged treatment with corticosteroids), immunosuppressive disorders requiring therapy, severe systemic disease and history of HIV infection.
Any condition, medical, psychological, or social, that, in the Investigator's opinion, would interfere with participation in the study.
Family members of employees of the clinic or Investigator.
Patients who, in the opinion of the Investigator, would be non-compliant with the requirements of the study protocol.
Patients whose close personal contacts will not or are not willing to comply with standard of care for Scabies management.
Receipt of any drug as part of a research study within 30 days before Screening.
History of seizures.
Use of systemic corticosteroids within two weeks before Screening.
Use of topical corticosteroids within one week before Screening.
Previous participation in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pratik Kamani
Organizational Affiliation
Encube Ethicals Pvt. Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Applied Research Center of Arkansas
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72212
Country
United States
Facility Name
St. Josephs Clinical Research
City
Anaheim
State/Province
California
ZIP/Postal Code
92804
Country
United States
Facility Name
Long Beach Clinical Trials
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
Havana Research Institute
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States
Facility Name
Integrity Clinical Research Center, Inc.
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33015
Country
United States
Facility Name
The Chappel Group Research
City
Kissimmee
State/Province
Florida
ZIP/Postal Code
34744
Country
United States
Facility Name
Lenus Research & Medical Group, LLC
City
Sweetwater
State/Province
Florida
ZIP/Postal Code
33172
Country
United States
Facility Name
DermDox Cetners for Dermatology
City
Hazleton
State/Province
Pennsylvania
ZIP/Postal Code
18201
Country
United States
Facility Name
West Houston Clinical Research Services
City
Houston
State/Province
Texas
ZIP/Postal Code
77055
Country
United States
Facility Name
Sun Research Instiute
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Facility Name
Clinica Dermatologica/APF Research International
City
San Salvador
ZIP/Postal Code
O1101
Country
El Salvador
Facility Name
Clinica Dermatologica Y Cirugia de Piel/APF Research International
City
San Salvador
ZIP/Postal Code
O1501
Country
El Salvador
Facility Name
Clinica de la Doctora Laura Vargas
City
San Salvador
Country
El Salvador
Facility Name
APF Research International
City
Aguas Buenas
ZIP/Postal Code
OO703
Country
Puerto Rico
Facility Name
APF Research International
City
Loiza
ZIP/Postal Code
OO772
Country
Puerto Rico
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Multiple-Site Study to Evaluate the Therapeutic Equivalence of Permethrin Cream, 5% in the Treatment of Scabies
We'll reach out to this number within 24 hrs