ClinicalTrials.gg
CompletedNCT03098615Updated Dec 10, 2019Results posted

Study Evaluating the Effect of Jublia on Dermatophytomas

A Phase 4 interventional study of Jublia (Efinaconazole 10% Topical Solution) in Onychomycosis and Dermatophytosis, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to female participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-12-10.

Sponsored by University of Alabama at Birmingham · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
Female
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Study summary

This study will examine how Jublia affects dermatophytomas, which are difficult to treat with other therapeutic options.

Read the detailed description

Dermatophytomas are known to be resistant to even long courses of systemic antifungals, and have therefore been excluded from both topical and systemic clinical trials for onychomycosis, including those for Efinaconazole solution. Efinaconazole (Jublia) 10% solution is an FDA approved topical medication indicated for treatment of distal lateral subungual onychomycosis (DLSO), and the utility of this medication likely exceeds published results. Efinaconazole solution's novel ability to penetrate into the subungual space likely accounts for improved treatment results seen in DLSO treated with Jublia. We will investigate the utility of topical efinaconazole solution in the treatment of dermatophytomas.

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Conditions studied

  • Onychomycosis
  • Dermatophytosis

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03

In context

Onychomycosis

158 studies on the registry are indexed under Onychomycosis; 16 are open to participants now.

This study's enrollment of 19 is below the median of 60 across 143 interventional studies indexed under Onychomycosis.

Browse Onychomycosis studies →

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,421 studies on the registry; 277 are open to participants now.

Of its 164 completed or terminated interventional studies of FDA-regulated products, 130 (79%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
Female
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

  • Has the been signed and patient's questions answered.
  • Age >= 18
  • Patient willing and able to participate for the full duration of the study
  • No onychomycosis
  • Greater than 4 weeks from prior major surgery for any indication
  • Willing to abstain from:

The application of other topical medications or cosmetic products to the toenail Professional pedicures for the duration of the study. - Females of must: Have been using adequate (abstinence, intrauterine device (IUD), birth control pills or spermicidal gel with diaphragm or condom) since their last menses Agree to continue using adequate means of contraception (abstinence, IUD, birth control pills or spermicidal gel with diaphragm or condom) for the duration of study participation

Females are not considered to be of childbearing potential if they are at least 1 year or have had a tubal ligation, bilateral oophorectomy or hysterectomy.

Exclusion criteria

Exclusion Criteria:

  • Active onychomycosis of the toenails or fingernails
  • Any of the following in the 4 weeks (or as indicated) prior to randomization:

Major surgery for any indication

  • Any personal history of: Invasive cancer diagnosed or treated within the past 5 years. Participants who have been in remission for 5 years or more and have not required treatment in the past 5 years may be eligible if the principal investigator believes there is little to no risk of recurrence.
  • Concurrent use of the following medications or treatments Other topical antifungals for any concomitant infection
  • Females who are pregnant or lactating. Should a woman become pregnant or suspect she is pregnant while she is participating in this study she should notify the study physician immediately.
  • Uncontrolled concurrent illness including ongoing or active infection, psychiatric illness/social situations that would limit compliance with study requirements or other underlying serious medical condition which, in the investigator's opinion, might preclude study participation.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Other
    Jublia (Efinaconazole 10% Topical Solution) + nail polish

    Subjects with distal lateral subungual onychomycosis (DLSO) with dermatophytoma.

    Drug: Jublia (Efinaconazole 10% Topical Solution)

Interventions

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What researchers measure

Primary outcomes

  1. Number of Participants With Elimination of Dermatophytomas That Occur in Distal Lateral Subungual Onychomycosis (DLSO)

    Clear nail growth between the proximal nail fold and the dermatophytoma's proximal edge will be measured.

    Time frame: week 48

Secondary outcomes

  1. Clinical or Mycological Cure of Nail

    Completely normal nail plate or negative fungal culture

    Time frame: week 48

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Results

Posted Mar 19, 2019

Participant flow

Participant flow — Overall Study
MilestoneJublia Treatment Group
Started19
Completed17
Not completed2

Outcome measures

PrimaryNumber of Participants With Elimination of Dermatophytomas That Occur in Distal Lateral Subungual Onychomycosis (DLSO)

Clear nail growth between the proximal nail fold and the dermatophytoma's proximal edge will be measured.

Time frame:
week 48
Reported as:
Count of participants · Participants
Number of Participants With Elimination of Dermatophytomas That Occur in Distal Lateral Subungual Onychomycosis (DLSO)
ParticipantsBaseline Group
Number of Participants With Elimination of Dermatophytomas That Occur in Distal Lateral Subungual Onychomycosis (DLSO)19
SecondaryClinical or Mycological Cure of Nail

Completely normal nail plate or negative fungal culture

Time frame:
week 48
Reported as:
Count of participants · Participants
Clinical or Mycological Cure of Nail
ParticipantsJublia (Efinaconazole 10% Topical Solution) + Nail Polish
Clinical or Mycological Cure of Nail12

Adverse events

Collected over 48 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Baseline Group0/19 (0%)0/19 (0%)0/19 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Baseline Group
<=18 years0
Between 18 and 65 years16
>=65 years3
Sex: Female, Male
Sex: Female, Male(Participants)Baseline Group
Female7
Male12
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Baseline Group
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American3
White16
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Baseline Group
United States19
08

Study locations

1 site
  • The Kirklin Clinic
    Birmingham, Alabama 35249, United States
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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

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Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Sep 2015, a primary completion of May 2017 and a completion of Jul 2018. It does not say whether these dates are actual or estimated.

Results were first posted in Mar 2019, 1 year 10 months after primary completion.

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

Registered
Oct 16, 2015
First posted
Apr 4, 2017
Start
Sep 2015
Primary completionActual
May 2017
CompletionActual
Jul 2018
Results first posted
Mar 19, 2019
Last update
Dec 10, 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 Dec 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03098615
Responsible party
Boni Elewski, MD (Principal Investigator, University of Alabama at Birmingham) — Principal investigator
First posted
Apr 4, 2017
Start date
Sep 2015
Primary completion
May 2017
Completion
Jul 2018
Results posted
Mar 19, 2019
Last update
Dec 10, 2019

Study contacts

Boni E Elewski, MD
principal investigator · University of Alabama at Birmingham

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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Studies of the drug tested here: Efinaconazole

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