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Pharmacokinetics and Safety Study of ME1111 in Moderate to Severe Onychomycosis Patients

Primary Purpose

Onychomycosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ME1111 solution
Vehicle Solution
Sponsored by
Meiji Seika Pharma Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Onychomycosis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female of any race and between the ages of 18 and 70 inclusive
  2. Clinically diagnosed onychomycosis of the target nail
  3. Presence of moderate to severe distal subungual onychomycosis
  4. A positive potassium hydroxide(KOH) microscopy test result
  5. A positive fungal culture for a dermatophyte
  6. Females of childbearing potential must be using a highly effective method of birth control and be willing to remain on the same method of birth control throughout the study
  7. Good general health as determined by the Investigator based on the subject's medical history and physical examination

Exclusion Criteria:

  1. Clinical significant laboratory abnormalities that would interfere with the conduct or interpretation of the study or jeopardize subject's safety
  2. Subjects with a history of diabetes mellitus
  3. Unwilling to refrain from the use of nail cosmetics such as clear and/or colored nail solutions
  4. Females who are nursing, pregnant, or planning a pregnancy during the study
  5. Failure to complete the specified washout period(s) for the following topical medications: Antifungals drugs within 4 weeks; Anti-inflammatory drugs, corticosteroids, immunomodulators within 2 weeks
  6. Failure to complete the specified washout period(s) for the following systemic medications: Corticosteroids within 2 weeks; Antifungals for treatment of onychomycosis or any antifungal with known activity against dermatophyte within the previous 24 weeks or 5 half-lives of the drug, whichever is longer; Immunomodulators within 4 weeks
  7. History of cardiac disease and cardiac arrhythmic activity, or prolonged QT interval
  8. Received treatment for any type of cancer within the last 6 months
  9. History of any significant disease or disorder that might put subjects at risk by participating in study or influence results of study
  10. Nail or anatomic abnormalities of the toe
  11. Positive test for HIV, Hepatitis B or Hepatitis C
  12. History of street drug or alcohol abuse
  13. Donated or lost blood or participated in a clinical study which involved the withdrawal of a large volume of blood (500 mL or more), within the last 6-week
  14. Participated in any other trial of an investigational drug or device within 30 days or 5 half-lives of the investigational drug or participation in a research study concurrent with this study
  15. Unable to communicate or cooperate with the Investigator due to comprehension, mental development, or impaired cerebral function
  16. Presence of any underlying disease that the Investigator deems uncontrolled, and poses a concern for the subjects safety while participating on the study

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ME1111 solution

Vehicle Solution

Arm Description

Outcomes

Primary Outcome Measures

The number of adverse events observed throughout the study period.
Application site reactions will be evaluated using categorical scales for signs and symptoms throughout the study period.
Area under the plasma concentration of ME1111 will be assessed based on the analysis of blood samples over 24 hours
Urinary excretion rate will be assessed based on the analysis of urinary samples over 24 hours
Plasma trough levels of ME1111

Secondary Outcome Measures

Area under the nail concentration of ME1111
The proportion of subjects who achieve negative KOH microscopy testing results
The proportion of subjects who achieve negative fungal culture results
The change from baseline in linear toenail growth at Days 29 and 57 will be analyzed

Full Information

First Posted
April 18, 2013
Last Updated
December 15, 2013
Sponsor
Meiji Seika Pharma Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01841996
Brief Title
Pharmacokinetics and Safety Study of ME1111 in Moderate to Severe Onychomycosis Patients
Official Title
A Phase 1 Randomized, Double-Blind, Vehicle-Controlled, Multiple-Dose Study of the Safety, Absorption and Systemic Pharmacokinetics of ME1111 Topical Agent Applied to All Toenails of Adult Moderate to Severe Onychomycosis Patients for 28 Days
Study Type
Interventional

2. Study Status

Record Verification Date
December 2013
Overall Recruitment Status
Completed
Study Start Date
March 2013 (undefined)
Primary Completion Date
August 2013 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Meiji Seika Pharma Co., Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is Randomized, Double-Blind, Vehicle-Controlled, Multiple-Dose Study. The purpose is to determine the safety, tolerability, systemic exposure and pharmacokinetics of ME1111 after repeated daily topical application of ME1111 in a maximal use setting in adults with distal subungual onychomycosis of the toenails.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ME1111 solution
Arm Type
Experimental
Arm Title
Vehicle Solution
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
ME1111 solution
Intervention Description
Once a day for 28 days
Intervention Type
Drug
Intervention Name(s)
Vehicle Solution
Intervention Description
Once a day for 28 days
Primary Outcome Measure Information:
Title
The number of adverse events observed throughout the study period.
Time Frame
from Baseline to Day 57
Title
Application site reactions will be evaluated using categorical scales for signs and symptoms throughout the study period.
Time Frame
from Baseline to Day 57
Title
Area under the plasma concentration of ME1111 will be assessed based on the analysis of blood samples over 24 hours
Time Frame
Day 1, 28
Title
Urinary excretion rate will be assessed based on the analysis of urinary samples over 24 hours
Time Frame
Day 1, 28
Title
Plasma trough levels of ME1111
Time Frame
Day 4, 8, 15, 22, 25, 43, 57
Secondary Outcome Measure Information:
Title
Area under the nail concentration of ME1111
Time Frame
Day 2, 15, 29, 57
Title
The proportion of subjects who achieve negative KOH microscopy testing results
Time Frame
Day 29, 57
Title
The proportion of subjects who achieve negative fungal culture results
Time Frame
Day 29, 57
Title
The change from baseline in linear toenail growth at Days 29 and 57 will be analyzed
Time Frame
Day 1, 29, 57

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female of any race and between the ages of 18 and 70 inclusive Clinically diagnosed onychomycosis of the target nail Presence of moderate to severe distal subungual onychomycosis A positive potassium hydroxide(KOH) microscopy test result A positive fungal culture for a dermatophyte Females of childbearing potential must be using a highly effective method of birth control and be willing to remain on the same method of birth control throughout the study Good general health as determined by the Investigator based on the subject's medical history and physical examination Exclusion Criteria: Clinical significant laboratory abnormalities that would interfere with the conduct or interpretation of the study or jeopardize subject's safety Subjects with a history of diabetes mellitus Unwilling to refrain from the use of nail cosmetics such as clear and/or colored nail solutions Females who are nursing, pregnant, or planning a pregnancy during the study Failure to complete the specified washout period(s) for the following topical medications: Antifungals drugs within 4 weeks; Anti-inflammatory drugs, corticosteroids, immunomodulators within 2 weeks Failure to complete the specified washout period(s) for the following systemic medications: Corticosteroids within 2 weeks; Antifungals for treatment of onychomycosis or any antifungal with known activity against dermatophyte within the previous 24 weeks or 5 half-lives of the drug, whichever is longer; Immunomodulators within 4 weeks History of cardiac disease and cardiac arrhythmic activity, or prolonged QT interval Received treatment for any type of cancer within the last 6 months History of any significant disease or disorder that might put subjects at risk by participating in study or influence results of study Nail or anatomic abnormalities of the toe Positive test for HIV, Hepatitis B or Hepatitis C History of street drug or alcohol abuse Donated or lost blood or participated in a clinical study which involved the withdrawal of a large volume of blood (500 mL or more), within the last 6-week Participated in any other trial of an investigational drug or device within 30 days or 5 half-lives of the investigational drug or participation in a research study concurrent with this study Unable to communicate or cooperate with the Investigator due to comprehension, mental development, or impaired cerebral function Presence of any underlying disease that the Investigator deems uncontrolled, and poses a concern for the subjects safety while participating on the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mitsuharu Egawa
Organizational Affiliation
Meiji Seika Pharma Co., Ltd.
Official's Role
Study Chair
Facility Information:
City
Austin
State/Province
Texas
Country
United States
City
College Station
State/Province
Texas
Country
United States

12. IPD Sharing Statement

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Pharmacokinetics and Safety Study of ME1111 in Moderate to Severe Onychomycosis Patients

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