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CompletedNCT02871011Updated Sep 20, 2019Results posted

Nitric Oxide Releasing Solution (NORS) Footbath to Treat Athlete's Foot

A Phase 2 interventional study of Nitric Oxide and Water in Tinea Pedis, sponsored by Nitric Solutions Inc.. Completed at 1 site in Canada. Open to participants aged 19 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-09-20.

Sponsored by Nitric Solutions Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the fungicidal efficacy of nitric oxide releasing solution footbath and it's effect on the clinical signs and symptoms associated with Tinea Pedis

Read the detailed description

Study Type: Interventional Study Design: Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Sequential Assignment Masking: Double Blind (Subject \& Assessor) Primary Purpose: Treatment

02

Conditions studied

  • Tinea Pedis

Keywords

  • Tinea Bronchodilator Agents
  • Tinea Pedis
  • Nitric Oxide
  • Dermatomycoses
  • Endothelium-Dependent Relaxing Factors
  • Infectious
  • Infection
  • Mycoses
  • Skin Diseases
  • Foot Dermatoses
  • Foot Diseases
  • Pruritus
  • Skin Manifestations Signs and Symptoms
03

In context

Tinea Pedis

74 studies on the registry are indexed under Tinea Pedis; 7 are open to participants now.

This study's enrollment of 20 is below the median of 120 across 68 interventional studies indexed under Tinea Pedis.

Browse Tinea Pedis studies →

Lead sponsor

This is the only study on the registry with Nitric Solutions Inc. as lead sponsor.

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

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Positive clinical findings for moccasin, interdigital or bullous tinea pedis as determined by direct clinical examination
  • Must have a clinical symptom severity score of at least 20 on a possible 64 point scale
  • Written informed consent must be obtained from the subject.
  • Must ≥ 19 years of age, for study sites located in British Columbia. For other locations the subject must be ≥ 18 years of age, unless local laws dictate otherwise.
  • Must agree to avoid professional pedicures or application of any nail polish product or nail cosmetic to the toenails after the screening visit until the conclusion of the trial.
  • Must agree to take measures to avoid pregnancy during the 31 day study period

Exclusion criteria

Exclusion Criteria:

  • Has a diagnosis of either psoriasis or eczema, in or immediately around the area under evaluation.
  • Has a visual diagnosis, by the investigator, of onychomycosis at a level, which in the opinion of the investigator could compromise the integrity of the study.
  • Use of topical antifungals e.g. (clotrimazole, ketoconazole,miconazole, oxiconazole- (Oxistat®, Glaxo Smith Kline), sulconazole, naftifine (Naftin®, Merz), terconazole, econazole nitrate (Spectazole®, Ortho-McNeil), butoconazole ,Fluconazole, ciclopirox olamine-(Loprox®), tolnaftate, haloprogin), Zeasorb, antibacterials and corticosteroids in the preceding 5 days of screening visit (Day 1) on or immediately around the area under evaluation.
  • Use of systemic corticosteroids in the preceding 7 days respectively, of screening visit (Day 1)
  • Use of systemic antifungals in the preceding 7 days of screening visit (Day1) including - (terbinafine - (Lamisil®, Novartis), Itraconazole - (Sporanox®, Janssen), fluconazole- (Diflucan®, Pfizer), ketoconazole, miconazole, griseofulvin (GrisPEG®), butoconazole, terconazole, Potassium iodide)
  • Has used any investigational drug(s) within 30 days preceding screening visit (Day 1)
  • Is pregnant or is a nursing mother
  • Is a woman of child bearing potential who is not using an adequate form of contraception (or abstinence)
  • Is \< 19 years of age, for study sites located in British Columbia. For other locations subject is \< 18 years of age, unless local laws dictate otherwise.
  • Suffers from a condition, which, in the opinion of the medical investigator, would compromise his/her safety and / or the quality of the data. Such conditions may include collagen vascular disease, diabetes mellitus, Cushing's Disease, hematological malignancy, chronic mucocutaneous candidiasis or atopy
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Placebo comparator
    Control

    Water, delivered as a footbath for 30 minutes, daily for 3 consecutive days.

    Drug: Water

  • Experimental
    Nitric oxide

    Nitric oxide delivered as a footbath for 30 minutes, daily for 3 consecutive days.

    Drug: Nitric Oxide

Interventions

  • Delivered as a footbath

    Also known as: NORS

  • DrugWater

    Delivered as a footbath

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Number of Participants With Complete Cure: Post Treatment (Day 17)

    Complete cure will be determined by negative fungal culture or negative microscopic evaluation via KOH preparation and a Clinical Symptom Severity Score of ≤ 8 (0-64) on Day 17. Improvement is expressed as a lower score.

    Time frame: Day 17

  2. Number of Participants With Complete Cure: Post Treatment (Day 31)

    Complete cure will be determined by a minimum of a 12- point reduction on day 17 in the Clinical Symptom Severity Score (from \>20 to \<8) on a scale of 0-64. Improvement is expressed as a lower score.

    Time frame: Day 31

  3. Number of Participants With Therapeutic Failure: Post Treatment (Day 17)

    Positive fungi colonization via mycological culture OR microscopic evaluation (KOH) AND a post treatment Clinical Symptom Severity Score of ≤ 8 (0-64) on Day 17. Improvement is expressed as a lower score.

    Time frame: Day 17

  4. Number of Participants withTherapeutic Failure: Post Treatment Day 31 AND a Post Treatment Clinical Symptom Severity Score (Day 31) of < 8.

    Positive fungi colonization via mycological culture OR microscopic evaluation (KOH) AND a post treatment Clinical Symptom Severity Score of ≤ 8 (0-64) on Day 31. Improvement is expressed as a lower score.

    Time frame: Day 31

  5. Incidence of Adverse Events

    Number of moderate A/E possibly related to treatment

    Time frame: Duration of the study, 31 days for each participant.

Secondary outcomes

  1. Change in Participants Clinical Symptom Severity Score Between Day 1 and Day 31

    Clinical Symptom Severity Score change in score on Day and Day 31 between all participants with an initial Clinical Symptom severity Score of \>20 (0-64 scale) in the two study groups. Increased improvement is expressed as largest negative change and a lower score.

    Time frame: Day 1 and 31

07

Results

Posted Sep 20, 2019

Participant flow

Participant flow — Overall Study
MilestoneControlNitric Oxide
Started713
Completed713
Not completed00

Outcome measures

PrimaryNumber of Participants With Complete Cure: Post Treatment (Day 17)

Complete cure will be determined by negative fungal culture or negative microscopic evaluation via KOH preparation and a Clinical Symptom Severity Score of ≤ 8 (0-64) on Day 17. Improvement is expressed as a lower score.

Time frame:
Day 17
Reported as:
Count of participants · Participants
Number of Participants With Complete Cure: Post Treatment (Day 17)
ParticipantsControlNitric Oxide
Number of Participants With Complete Cure: Post Treatment (Day 17)04
PrimaryNumber of Participants With Complete Cure: Post Treatment (Day 31)

Complete cure will be determined by a minimum of a 12- point reduction on day 17 in the Clinical Symptom Severity Score (from \>20 to \<8) on a scale of 0-64. Improvement is expressed as a lower score.

Time frame:
Day 31
Reported as:
Count of participants · Participants
Number of Participants With Complete Cure: Post Treatment (Day 31)
ParticipantsControlNitric Oxide
Number of Participants With Complete Cure: Post Treatment (Day 31)05
PrimaryNumber of Participants With Therapeutic Failure: Post Treatment (Day 17)

Positive fungi colonization via mycological culture OR microscopic evaluation (KOH) AND a post treatment Clinical Symptom Severity Score of ≤ 8 (0-64) on Day 17. Improvement is expressed as a lower score.

Time frame:
Day 17
Reported as:
Count of participants · Participants
Number of Participants With Therapeutic Failure: Post Treatment (Day 17)
ParticipantsControlNitric Oxide
Number of Participants With Therapeutic Failure: Post Treatment (Day 17)20
PrimaryNumber of Participants withTherapeutic Failure: Post Treatment Day 31 AND a Post Treatment Clinical Symptom Severity Score (Day 31) of < 8.

Positive fungi colonization via mycological culture OR microscopic evaluation (KOH) AND a post treatment Clinical Symptom Severity Score of ≤ 8 (0-64) on Day 31. Improvement is expressed as a lower score.

Time frame:
Day 31
Reported as:
Count of participants · Participants
Number of Participants withTherapeutic Failure: Post Treatment Day 31 AND a Post Treatment Clinical Symptom Severity Score (Day 31) of < 8.
ParticipantsControlNitric Oxide
Number of Participants withTherapeutic Failure: Post Treatment Day 31 AND a Post Treatment Clinical Symptom Severity Score (Day 31) of < 8.10
PrimaryIncidence of Adverse Events

Number of moderate A/E possibly related to treatment

Time frame:
Duration of the study, 31 days for each participant.
Reported as:
Number · Events
Incidence of Adverse Events
EventsControlNitric Oxide
Incidence of Adverse Events03
SecondaryChange in Participants Clinical Symptom Severity Score Between Day 1 and Day 31

Clinical Symptom Severity Score change in score on Day and Day 31 between all participants with an initial Clinical Symptom severity Score of \>20 (0-64 scale) in the two study groups. Increased improvement is expressed as largest negative change and a lower score.

Time frame:
Day 1 and 31
Reported as:
Mean · Clinial symptom Severity Score
Change in Participants Clinical Symptom Severity Score Between Day 1 and Day 31
Clinial symptom Severity ScoreControlNitric Oxide
Change in Participants Clinical Symptom Severity Score Between Day 1 and Day 31-3.4 ± 8.6-18.8 ± 7.1

Adverse events

Collected over Thirty-one Days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Control0/7 (0%)0/7 (0%)0/7 (0%)
Nitric Oxide0/13 (0%)0/13 (0%)3/13 (23.1%)
Most frequent other events
Most frequent other events
EventControlNitric Oxide
Discomfort -warm/stingSkin and subcutaneous tissue disorders0/73/13

Baseline characteristics

Age, Continuous
Age, Continuous(years)ControlNitric OxideTotal
Mean53.1 (35 to 79)53.2 (34 to 79)53.2 (34 to 79)
Sex: Female, Male
Sex: Female, Male(Participants)ControlNitric OxideTotal
Female033
Male71017
Region of Enrollment
Region of Enrollment(participants)ControlNitric OxideTotal
Canada71320
08

Study locations

1 site
  • Fairmont Medical Clinic
    Vancouver, British Columbia V5Z-16H, Canada
09

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2016 to primary completion in Nov 2016, 3 months.

Results were first posted in Sep 2019, 2 years 10 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 4, 2016
First posted
Aug 18, 2016
StartActual
Aug 13, 2016
Primary completionActual
Nov 14, 2016
CompletionActual
Feb 21, 2017
Results first posted
Sep 20, 2019
Last update
Sep 20, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 20, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02871011
Lead sponsor
Nitric Solutions Inc.
Responsible party
Sponsor
First posted
Aug 18, 2016
Start date
Aug 13, 2016
Primary completion
Nov 14, 2016
Completion
Feb 21, 2017
Results posted
Sep 20, 2019
Last update
Sep 20, 2019

Study contacts

Lisa Miller, M.D.
principal investigator · Nitric Solutions Inc.

Oversight

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

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This study is completed, as verified in Aug 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Nitric Oxide

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