ClinicalTrials.gg
CompletedNCT04203342Updated Aug 6, 2020

A Therapeutic Equivalence Study of Ketoconazole Cream 2%

A Phase 3 interventional study of Experimental: Ketoconazole 2% Cream (Douglas Pharmaceuticals America Ltd.) and Active comparator: Ketoconazole 2% Cream (Teva Pharmaceuticals USA) in Tinea Pedis, sponsored by Douglas Pharmaceuticals America Ltd. Completed at 3 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-08-06.

Sponsored by Douglas Pharmaceuticals America Ltd · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was May 2020, 6 years 5 months ago, and no results have been posted to the registry.
Phase
Phase 3
Study type
Interventional
Enrollment
682
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Clinical Study to Evaluate the Therapeutic Equivalence of Ketoconazole Cream 2% in the Treatment of Tinea Pedis.

Read the detailed description

A randomized, double-blind, vehicle-controlled, parallel-design, multiple-site study to evaluate the clinical (therapeutic) effet of a generic Ketoconazole Cream 2% (Douglas Pharmaceuticals America Ltd) compared with the reference standard Ketoconazole Cream 2% (Teva Pharmaceuticals USA Inc) in subjects with a microbiologically-confirmed, clinical diagnosis of tinea pedis. Approximately 675 subjects, male or female, 18 years or older, will be enrolled.

02

Conditions studied

  • Tinea Pedis

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Keywords

  • Tinea pedis
  • Ketoconazole
03

In context

Tinea Pedis

73 studies on the registry are indexed under Tinea Pedis; 8 are open to participants now.

This study's enrollment of 682 is above the median of 128 across 66 interventional studies indexed under Tinea Pedis.

Browse Tinea Pedis studies →

Lead sponsor

This is the only study on the registry with Douglas Pharmaceuticals America Ltd as lead sponsor.

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

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

  • Healthy male or non-pregnant, non-lactating female, 18 years of age or older
  • Signed ICF meeting all criteria of current FDA regulations
  • Female subject of must NOT be pregnant or lactating at Visit 1 (negative urine pregnancy test)
  • Female subject of childbearing potential must agree to use of reliable method of .
  • Clinical diagnosis of tinea pedis predominantly in interdigital spaces
  • Tinea pedis confirmed at baseline by positive KOH wet mount.
  • Sum of clinical signs and symptoms score of target lesion at least 4; in addition target lesion must have a minimum score of at least 2 for erythema and a minimum score of at least 2 for either pruritis or scaling.

Exclusion criteria

Exclusion Criteria:

  • Females who are pregnant, lactating or planning to become pregnant during the study period.
  • history of, or current psoriasis, lichen planus, or contact dermatitis involving the feet within the previous 12 months.
  • history of dermatophyte infections with a lack of response to antifungal systemic or topical therapy (recurrent tinea pedis [i.e.more than 3 infections in the past 12 months] that were unresponsive to previous antifungal therapy).
  • history of allergy, , or intolerance to ketoconazole, other imidazoles, sulfites or any other component of the study product.
  • confluent, diffuse moccasin-type tinea pedis of the entire plantar surface.
  • current uncontrolled diabetes.
  • presence of any other infection of the foot or other disease process that, in the Investigator's opinion, may interfere with the evaluation of the subject's tinea pedis.
  • known history of or current impaired wound healing, presence of peripheral vascular disease and/or trophic changes of the lower limbs to an extent that, in the opinion of the Investigator would make the subject unsuitable for the study or compromise subject's safety.
  • Signficant history or current evidence of chronic infectious disease, system disorder, organ disorder, (due to disease or therapy, including history of organ transplant), or other medical condition that, in the opinion of the Investigator, would place the subject at undue risk by participating or compromise the integrity of the study data.
  • Use of antipruritics, including antihistamines, within 72 hours prior to Visit 1.
  • Use of topical , topical antibiotics or topical antifungal therapy (e.g. clotrimazole, econazole, fluconazole) within 2 weeks before Visit 1.
  • Use of systemic (e.g. oral or injectable) antibiotics, systemic antifungal therapy, or systemic corticosteroids within 30 days before Visit 1. The use of intranasal, inhaled or ophthalmic corticosteroids for acute or chronic conditions (e.g. allergic conjunctivitis, asthma/ maintenance) is acceptable to the extent that, in the opinion of the Investigator, does not compromise safety of subject or integrity of the data.
  • Use of oral terbinafine or itraconazole within 2 months before Visit 1.
  • Use of immunosuppressive medication or radiation therapy within 3 months before Visit 1.
  • Receipt of any drug as part of a research study within 30 days before Visit 1.
  • Previous participation in this study.
  • Employee of the Investigator or research centre or their immediate family members.
  • Inability to understand the requirements of the study and the relative information or are unable or unwilling to comply with the study protocol.
Terms in these criteria, in plain language(6)

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

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

Study arms

  • Experimental
    Ketoconazole 2% cream (Douglas Pharmaceuticals America Ltd.)

    Subject will be randomized to either test product/active comparator/placebo comparator. Test product is Ketoconazole 2% cream manufactured by Douglas Pharmaceuticals America Ltd.

    Drug: Experimental: Ketoconazole 2% Cream (Douglas Pharmaceuticals America Ltd.)

  • Active comparator
    Ketoconazole 2% cream (Teva Pharmaceuticals USA)

    Subject will be randomized to either test product/active comparator/placebo comparator. Active comparator is Ketaconazole 2% cream manufactured by Teva Pharmaceuticals USA.

    Drug: Active comparator: Ketoconazole 2% Cream (Teva Pharmaceuticals USA)

  • Placebo comparator
    Placebo (Douglas Pharmaceuticals America Ltd.)

    Subject will be randomized to either test product/active comparator/placebo comparator. Placebo comparator is manufactured by Douglas Pharmaceuticals America Ltd.

    Drug: Placebo comparator: Placebo (Douglas Pharmaceuticals America Ltd.)

Interventions

  • Topical treatment for tinea pedis. Subjects will be instructed to apply sufficient study product to cover affected and immediate surrounding areas once daily for 42 +/- 4 days. Each subject is expected to receive 42 +/- 4 doses.

  • Topical treatment for tinea pedis. Subjects will be instructed to apply sufficient study product to cover affected and immediate surrounding areas once daily for 42 +/- 4 days. Each subject is expected to receive 42 +/- 4 doses.

  • DrugPlacebo comparator: Placebo (Douglas Pharmaceuticals America Ltd.)

    Topical placebo to treatment for tinea pedis. Subjects will be instructed to apply sufficient study product to cover affected and immediate surrounding areas once daily for 42 +/- 4 days. Each subject is expected to receive 42 +/- 4 doses.

06

What researchers measure

Primary outcomes

  1. Therapeutic cure of tinea pedis

    The proportion of subjects in each treatment group with a Therapeutic Cure of tinea pedis at the test-of-cure visit conducted 2 weeks after the end of treatment (Day 56 +/- 4). Therapeutic cure is defined as having both a clinical and mycological cure of tinea pedis.

    Time frame: 2 weeks post-treatment (Day 56)

Secondary outcomes

  1. Clinical cure of tinea pedis

    The proportion of subjects in each treatment group with a Clinical Cure at Day 56 +/- 4. Clinical Cure is defined as a total severity score of \</= 2, with no individual severity score of \>1. This is calculated using The Clinical Signs and Symptoms of Tinea Pedis rated by the Investigator using a standardized rating scale as follows: 0=none (complete absence of any sign or symptom) 1. Mild (slight) 2. moderate (definitely present) 3. Severe (Marked, intense). The following signs and symptoms will be rated: Signs = fissuring/cracking, erythema, maceration, and scaling Symptoms = pruritis and burning/stinging

    Time frame: 2 weeks post-treatment (Day 56)

  2. Mycological cure of tinea pedis

    The proportion of subjects in each treatment group with a Mycological Cure of tinea pedis at Day 56 +/- 4. Mycological Cure is defined as having a negative KOH test AND a negative fungal culture.

    Time frame: 2 weeks post-treatment (Day 56)

07

Study locations

3 sites
  • Moore Clinical Research
    Brandon, Florida 33511, United States
  • Moore Clinical Reseach
    Tampa, Florida 33609, United States
  • FXM Research International
    Belize City, Belize
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2019 to primary completion in May 2020, 5 months.

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

Registered
Dec 16, 2019
First posted
Dec 18, 2019
StartActual
Dec 11, 2019
Primary completionActual
May 28, 2020
CompletionActual
Jul 13, 2020
Last update
Aug 6, 2020
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 Aug 6, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04203342
Lead sponsor
Douglas Pharmaceuticals America Ltd
Collaborators
Novum Pharmaceutical Research Services, ACM Global Laboratories
Responsible party
Sponsor
First posted
Dec 18, 2019
Start date
Dec 11, 2019
Primary completion
May 28, 2020
Completion
Jul 13, 2020
Last update
Aug 6, 2020

Oversight

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

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

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Studies of the drug tested here: Ketoconazole

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