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CompletedNCT01302119Updated Apr 3, 2019Results posted

Efficacy and Safety of AN2690 Topical Solution to Treat Onychomycosis of the Toenail

A Phase 3 interventional study of AN2690 Topical Solution, 5% and Solution Vehicle in Onychomycosis of Toenails, sponsored by Pfizer. Completed at 32 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-04-03.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
604
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether AN2690 topical solution is a safe and effective treatment for onychomycosis of the toenail.

02

Conditions studied

  • Onychomycosis of Toenails

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Keywords

  • Onychomycosis
  • nail fungus
  • toenail fungus
  • fungal nail
  • hyperkeratosis
  • nail infection
  • nail treatment
  • toenail infection
  • toenail treatment
  • foot dermatoses
  • fungal culture
  • onycholysis
  • podiatrist
  • podiatry
  • subungual
  • tinea unguium
  • antifungal
  • anti-fungal
  • dermatologist
  • dermatology
  • dermatophyte
  • distal subungual onychomycosis
  • yellow nail
  • thick nail
  • brittle nail
  • crumbling nail
  • discolored nail
  • weak nail
03

In context

Onychomycosis

147 studies on the registry are indexed under Onychomycosis; 13 are open to participants now.

This study's enrollment of 604 is above the median of 56 across 134 interventional studies indexed under Onychomycosis.

Browse Onychomycosis studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Clinical diagnosis of distal subungual onychomycosis affecting at least one great toenail
  • KOH positive at screening
  • Willingness not to use any other products including nail polish applied to the toenails during the study
  • Women of childbearing potential who are currently sexually active must agree to use contraception for the entire study period

Exclusion criteria

Exclusion Criteria:

  • Concurrent or recent use of certain topical or systemic medications without a sufficient washout period
  • History of any significant chronic fungal disease other than onychomycosis
  • Significant confounding conditions as assessed by study doctor
  • Participated in any other trial of an investigational drug or device within 30 days or participation in a research study concurrent with this study
  • Pregnancy or lactation
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
604 participants (actual)

Study arms

  • Experimental
    AN2690 Topical Solution, 5%

    AN2690 Topical Solution, 5%

    Drug: AN2690 Topical Solution, 5%

  • Placebo comparator
    Solution Vehicle

    Solution Vehicle

    Drug: Solution Vehicle

Interventions

  • DrugAN2690 Topical Solution, 5%

    AN2690 Topical Solution, 5%, applied once daily for 48 weeks

  • DrugSolution Vehicle

    AN2690 Topical Solution, Vehicle, applied once daily for 48 weeks

06

What researchers measure

Primary outcomes

  1. Complete Cure (Completely Clear Nail and Negative Mycology) of Target Great Toenail at Week 52

    No clinical evidence of onychomycosis as evidenced by normal toenail plate, no onycholysis, and no subungual hyperkeratosis, and negative KOH wet mount and negative fungal culture.

    Time frame: Week 52

Secondary outcomes

  1. Completely Clear or Almost Clear Target Great Toenail at Week 52

    No clinical evidence of onychomycosis as evidenced by normal toenail plate, no onycholysis, and no subungual hyperkeratosis, or no more than minimal evidence of onychomycosis as evidenced by toenail plate dystrophic or discolored over ≤ 10% of the distal aspect, with minimally evident onycholysis and subungual hyperkeratosis.

    Time frame: Week 52

  2. Treatment Success (Completely Clear or Almost Clear Nail and Negative Mycology) of Target Great Toenail at Week 52

    No clinical evidence of onychomycosis as evidenced by normal toenail plate, no onycholysis, and no subungual hyperkeratosis, or no more than minimal evidence of onychomycosis as evidenced by toenail plate dystrophic or discolored over ≤ 10% of the distal aspect, with minimally evident onycholysis and subungual hyperkeratosis, and negative KOH wet mount and negative fungal culture.

    Time frame: Week 52

  3. Negative Mycology of Target Great Toenail at Week 52

    Negative KOH and negative fungal culture.

    Time frame: Week 52

07

Results

Posted Aug 15, 2014

Participant flow

Subjects were screened and enrolled at forty-two investigative centers in the United States and Canada. The study population included men and women, 18 years of age and older who had distal subungual onychomycosis. The first subject visit occurred on February 2, 2011, and the last subject completed the Post Study Follow Up on February 20, 2013.

Participant flow — Overall Study
MilestoneAN2690 Topical Solution, 5%Solution Vehicle
Started399205
Completed349177
Not completed5028
Withdrew: Withdrawal by subject3020
Withdrew: Lost to follow-up104
Withdrew: Adverse event21
Withdrew: Non-compliance42
Withdrew: Non-specific41

Outcome measures

PrimaryComplete Cure (Completely Clear Nail and Negative Mycology) of Target Great Toenail at Week 52

No clinical evidence of onychomycosis as evidenced by normal toenail plate, no onycholysis, and no subungual hyperkeratosis, and negative KOH wet mount and negative fungal culture.

Time frame:
Week 52
Reported as:
Number · participants
Complete Cure (Completely Clear Nail and Negative Mycology) of Target Great Toenail at Week 52
participantsAN2690 Topical Solution, 5%Solution Vehicle
Success363
Failure360202
Statistical analysis
  • AN2690 Topical Solution, 5% vs Solution Vehicle · Cochran-Mantel-Haenszel · p = <0.001
SecondaryCompletely Clear or Almost Clear Target Great Toenail at Week 52

No clinical evidence of onychomycosis as evidenced by normal toenail plate, no onycholysis, and no subungual hyperkeratosis, or no more than minimal evidence of onychomycosis as evidenced by toenail plate dystrophic or discolored over ≤ 10% of the distal aspect, with minimally evident onycholysis and subungual hyperkeratosis.

Time frame:
Week 52
Reported as:
Number · participants
Completely Clear or Almost Clear Target Great Toenail at Week 52
participantsAN2690 Topical Solution, 5%Solution Vehicle
Success10930
Failure287175
Statistical analysis
  • AN2690 Topical Solution, 5% vs Solution Vehicle · Cochran-Mantel-Haenszel · p = <0.001
SecondaryTreatment Success (Completely Clear or Almost Clear Nail and Negative Mycology) of Target Great Toenail at Week 52

No clinical evidence of onychomycosis as evidenced by normal toenail plate, no onycholysis, and no subungual hyperkeratosis, or no more than minimal evidence of onychomycosis as evidenced by toenail plate dystrophic or discolored over ≤ 10% of the distal aspect, with minimally evident onycholysis and subungual hyperkeratosis, and negative KOH wet mount and negative fungal culture.

Time frame:
Week 52
Reported as:
Number · participants
Treatment Success (Completely Clear or Almost Clear Nail and Negative Mycology) of Target Great Toenail at Week 52
participantsAN2690 Topical Solution, 5%Solution Vehicle
Success718
Failure325197
Statistical analysis
  • AN2690 Topical Solution, 5% vs Solution Vehicle · Cochran-Mantel-Haenszel · p = <0.001
SecondaryNegative Mycology of Target Great Toenail at Week 52

Negative KOH and negative fungal culture.

Time frame:
Week 52
Reported as:
Number · participants
Negative Mycology of Target Great Toenail at Week 52
participantsAN2690 Topical Solution, 5%Solution Vehicle
Success14225
Failure254180
Statistical analysis
  • AN2690 Topical Solution, 5% vs Solution Vehicle · Cochran-Mantel-Haenszel · p = <0.001

Adverse events

Collected over Up to Week 52. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
AN2690 Topical Solution, 5%—7/395 (1.8%)88/395 (22.3%)
Solution Vehicle—2/202 (1%)48/202 (23.8%)
Most frequent serious events
Showing 10 of 14
Most frequent serious events
EventAN2690 Topical Solution, 5%Solution Vehicle
Bronchitis (unrelated)Infections and infestations0/3951/202
Carotid artery disease (unrelated)Nervous system disorders0/3951/202
Transient ischaemic attack (unrelated)Nervous system disorders0/3951/202
Aortic aneurysm (unrelated)Vascular disorders0/3951/202
Peripheral artery aneurysm (unrelated)Vascular disorders0/3951/202
Retinal artery occlusion (unrelated)Eye disorders1/3950/202
Appendicitis (unrelated)Infections and infestations1/3950/202
Cystitis (unrelated)Infections and infestations1/3950/202
Femur fracture (unrelated)Injury, poisoning and procedural complications1/3950/202
Arthralgia (unrelated)Musculoskeletal and connective tissue disorders1/3950/202
Most frequent other events
Most frequent other events
EventAN2690 Topical Solution, 5%Solution Vehicle
Tinea pedisInfections and infestations53/39525/202
NasopharyngitisInfections and infestations27/39516/202
Upper respiratory tract infectionInfections and infestations18/39512/202

Baseline characteristics

Analysis was performed using the intent-to-treat (ITT) population. Demographic characteristics were also analyzed using the Per Protocol (PP), Safety, and Post Study Follow Up (PSFU) populations, and were consistent with those of the ITT population. Safety analysis was performed using the Safety population.

Age, Continuous
Age, Continuous(years)AN2690 Topical Solution, 5%Solution VehicleTotal
Mean55.5 ± 11.555.4 ± 11.055.5 ± 11.3
Sex: Female, Male
Sex: Female, Male(Participants)AN2690 Topical Solution, 5%Solution VehicleTotal
Female7331104
Male323174497
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)AN2690 Topical Solution, 5%Solution VehicleTotal
Hispanic or Latino573087
Not Hispanic or Latino339175514
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)AN2690 Topical Solution, 5%Solution VehicleTotal
American Indian or Alaska Native213
Asian11213
Native Hawaiian or Other Pacific Islander213
Black or African American211435
White355183538
More than one race000
Unknown or Not Reported549
Region of Enrollment
Region of Enrollment(participants)AN2690 Topical Solution, 5%Solution VehicleTotal
United States315165480
Canada8140121
08

Study locations

32 sites
  • Investigational Site
    Phoenix, Arizona 85050, United States
  • Investigational Site
    Novato, California 94945, United States
  • Investigational Site
    Oceanside, California 92056, United States
  • Investigational Site
    San Diego, California 92123, United States
  • Investigational Site
    San Francisco, California 94115, United States
  • Investigational Site
    Santa Rosa, California 95405, United States
  • Investigational Site
    Miami, Florida 33144, United States
  • Investigational Site
    Miami, Florida 33175, United States
  • Investigational Site
    Nampa, Idaho 83642, United States
  • Investigational Site
    Evansville, Indiana 47714, United States
  • Investigational Site
    Ann Arbor, Michigan 48103, United States
  • Investigational Site
    Saint Louis, Missouri 63117, United States
  • Investigational Site
    Verona, New Jersey 07044, United States
  • Investigational Site
    Albuquerque, New Mexico 87106, United States
  • Investigational Site
    High Point, North Carolina 27262, United States
  • Investigational Site
    Raleigh, North Carolina 27612, United States
  • Investigational Site
    Columbus, Ohio 43212, United States
  • Investigational Site
    Portland, Oregon 97223, United States
  • Investigational Site
    Philadelphia, Pennsylvania 19103, United States
  • Investigational Site
    Greer, South Carolina 29651, United States
  • Investigational Site
    Knoxville, Tennessee 37922, United States
  • Investigational Site
    Dallas, Texas 75243, United States
  • Investigational Site
    San Antonio, Texas 78209, United States
  • Investigational Site
    Salt Lake City, Utah 84124, United States
  • Investigational Site
    Harrisonburg, Virginia 22801, United States
  • Investigational Site
    Norfolk, Virginia 23507, United States
  • Investigational Site
    Barrie, Ontario L4M6L2, Canada
  • Investigational Site
    Markham, Ontario L3P1A8, Canada
  • Investigational Site
    North Bay, Ontario P1B3Z7, Canada
  • Investigational Site
    Boucherville, Quebec J4B5E4, Canada
  • Investigational Site
    Montreal, Quebec H2K4L5, Canada
  • Investigational Site
    Quebec, G1V4X7, Canada
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01302119
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Feb 23, 2011
Start date
Feb 2011
Primary completion
Dec 31, 2012
Completion
Feb 20, 2013
Results posted
Aug 15, 2014
Last update
Apr 3, 2019

Study contacts

PfizerCT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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