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CompletedNCT03289871Updated Sep 21, 2017

Clinical Evaluation of the Efficacy of a Medical Device in Treatment of Toenail Onychomycosis

An interventional study of Excilor and Loceryl 5% in Onychomycosis, sponsored by Oystershell NV. Completed at 2 sites in Tunisia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-09-21.

Sponsored by Oystershell NV · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
112
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates the effect of the medical device "Excilor® Fungal Nail Infection" in the treatment of toenail onychomycosis. Half of the participants will receive the tested product and the other half will receive a comparator (Amorolfin 5%). Patients will be followed during 6 months.

02

Conditions studied

  • Onychomycosis

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03

Who can participate

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

Inclusion criteria

  • Subject having given her/his informed, written consent,
  • Subject cooperative and aware of the modalities of use and the necessity and duration of the controls so that perfect adhesion to the protocol can be expected.
  • Subject being psychologically able to understand information and to give their/his/her consent.
  • Age: more than 18 years.
  • Subject with superficial onychomycosis on at least one great toenail or light to moderate disto-lateral onychomycosis (without matrix involvement and involvement \<2/3 of the tablet).
  • Subject with positive results of KOH staining.
  • Subject having stopped any systemic antifungal treatment since at least 6 months before inclusion and/or any topical antifungal treatment since at least 3 months before inclusion.
  • Female subjects of childbearing potential should use an accepted contraceptive regimen since at least 12 weeks before the beginning of the study, during all the study and at least 1 month after the study end.

Exclusion criteria

Exclusion Criteria:

  • Subject considered by the Investigator likely to be non-compliant with the protocol.
  • Patient enrolled in another clinical trial during the test period.
  • Woman being pregnant, nursing or planning a pregnancy during the course of this study.
  • Subject having a known allergy to one of the constituents of the tested products.
  • Patient suffering from serious or progressive diseases (to investigator's discretion), such as diabetes, peripheral circulatory disease, HIV, psoriasis, lichen planus, immunosuppressive pathology....
  • Subject with cutaneous pathology on studied zone (other than onychomycosis like angioma, dermatitis...).
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
112 participants (actual)

Study arms

  • Experimental
    Excilor

    2 applications per day for 6 months

    Device: Excilor

  • Active comparator
    Loceryl 5%

    1 application per week for 6 months

    Drug: Loceryl 5%

Interventions

  • DeviceExcilor
  • DrugLoceryl 5%
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What researchers measure

Primary outcomes

  1. At the end of the study (day 168), evolution of the percentage of healthy surface versus baseline, was evaluated by a blinded investigator. Comparison with the comparator product.

    Percentage healthy surface was assessed using digital image analysis. Briefly, two macro-photographs (top and front) were made of the great toenail, placed beside a piece of graph paper to allow determination of the exact size of the nail during analysis (contour tracing). Consequently, all pictures were digitalised and recorded on the computer. Image analysis of the top picture was performed with Adobe Photoshop software. For each photograph, a blinded dermatologist traced the healthy surface.

    Time frame: After 168 days of treatment

Secondary outcomes

  1. At different time points, evolution of the percentage of healthy surface versus baseline, was evaluated by a blinded investigator. Comparison with the comparator product.

    Percentage healthy surface was assessed using digital image analysis. Briefly, two macro-photographs (top and front) were made of the great toenail, placed beside a piece of graph paper to allow determination of the exact size of the nail during analysis (contour tracing). Consequently, all pictures were digitalised and recorded on the computer. Image analysis of the top picture was performed with Adobe Photoshop software. For each photograph, a blinded dermatologist traced the healthy surface.

    Time frame: After 14, 28, 56 and 112 days of treatment

  2. Evaluation of the clinical efficacy assessed by the investigator with structured scales. Comparison with the comparator product.

    Onycholysis, nail dystrophy, nail discoloration and nail thickening were assessed using the following scores: 0 = none, 1 = very slight, 2 = slight, 3 =moderate, and 4 = severe.

    Time frame: On Day 0, Day 14, Day 28, Day 56, Day 112 and Day 168

  3. Evaluation of the microbiological efficacy of the product assessed by fungal culture and comparison with the comparator product.

    Time frame: On baseline (day zero) and day 168

  4. Evaluation of the product tolerance, assessed by the investigator by clinical evaluation and subject interrogatory with a score from 0 (bad tolerance) to 3 (very good tolerance).

    Time frame: After 14, 28, 56 and 112 days of treatment

  5. Evaluation of the quality of life of the subjects thanks to the questionnaire NailQoL . Comparison with the comparator product.

    Time frame: On Day 0, Day 14, Day 28, Day 56, Day 112 and Day 168

  6. Subjective evaluation by subjects by completing the subjective evaluation questionnaire at each visit.

    Time frame: On Day 0, Day 14, Day 28, Day 56, Day 112 and Day 168

06

Study locations

2 sites
  • Hospital Habib Thameur
    Tunis, Tunisia
  • Principal instruction military hospital
    Tunis, Tunisia
07

Registry details

Key details

Study ID
NCT03289871
Lead sponsor
Oystershell NV
Responsible party
Sponsor
First posted
Sep 21, 2017
Start date
Jan 2015
Primary completion
Nov 2015
Completion
Nov 2015
Last update
Sep 21, 2017

Study contacts

Nejib Doss, MD
principal investigator · Principal Instruction military hospital of Tunis

Oversight

Data monitoring committee
No
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