ClinicalTrials.gg
Status unknownNCT04814511ETSKABIUpdated Aug 26, 2021

Escalated Therapy of Scabies With INFECTOSCAB 5% (Permethrin)

A Phase 3 interventional study of InfectoScab 5 % Creme and Permethrin 10 % Creme in Scabies, sponsored by Infectopharm Arzneimittel GmbH. Status unknown at 8 sites in Germany. Open to participants aged 6 Years to 85 Years. Per ClinicalTrials.gov, last updated 2021-08-26.

Sponsored by Infectopharm Arzneimittel GmbH · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
183
Allocation
Randomized
Ages
6 Years to 85 Years
Sex
All
01

Study summary

The ETSKABI study is a prospective, open-label, multicenter, initially single-armed and in case of treatment failure subsequently three-armed randomized clinical trial. Within the initial treatment phase, the to-date clinical efficacy of the standard therapy regimen according to the current German "S1-guideline for the diagnosis and treatment of scabies" is to be examined. The subsequent second phase focusses on three differently escalated treatment regimens in order to evaluate their potential to cure those patients still suffering from Scabies after standard therapy.

In total, 183 patients with Scabies who meet all inclusion criteria and do not meet none of the exclusion criteria are to be enrolled and topically treated with Permethrin 5 % cream (up to two administrations, i.e. repeated one-time on day 14 in case of persisting Scabies). In case of treatment failure by the end of phase one, adult patients will be randomized to either receive an (i) escalated therapy with Permethrin 5 % cream (repeated topical administration on two consecutive days), (ii) an add-on-combination consisting of escalated therapy with Permethrin 5 % cream and Ivermectin p.o. or (iii) an escalated therapy with Permethrin 10 % cream (up to two administrations, i.e. repeated one-time on day 14 in case of persisting Scabies).

The primary objective of the ETSKABI study is the clinical efficacy of the standard therapy by the end of phase one (standard therapy according to the S1-guideline). Beside this, clinical efficacy by the end of phase two (escalation phase) will be evaluated as well as adverse events in order to investigate over-all clinical safety.

02

Conditions studied

  • Scabies

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03

In context

Scabies

51 studies on the registry are indexed under Scabies; 10 are open to participants now.

This study's planned enrollment of 183 is close to the median of 183 across 41 interventional studies indexed under Scabies.

Browse Scabies studies →

Lead sponsor

Infectopharm Arzneimittel GmbH is the lead sponsor of 9 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
6 Years to 85 Years
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

  • Confirmed acute scabies disease: detection of mites and/or mite nymphs and/or mite larvae at scabies-typical predilection sites, detected by reflected light microscopy (dermatoscopy) or light microscopy of skin samples.
  • Age between 6 and 85 years
  • Written of the study participant (if of age) or of all guardians (in the case of study participants who are minors \< 12 years of age) or of all guardians and the study participant (in the case of study participants who are minors ≥ 12 years of age).

Exclusion criteria

Exclusion Criteria:

  • Previous treatment with antiscabiosa in the last 14 days.
  • Known intolerance to permethrin, other pyrethroids, chrysanthemum, ivermectin or any of the other ingredients of the study medication.
  • Scabies crustosa
  • Impetiginisation/eczematisation requiring in-patient treatment
  • Body weight > 120 kg
  • Pregnancy, lactation
  • Immunodeficiency (of any kind, including extensive local therapy (>20% body surface area) with >2 weeks in the last 4 weeks or ≥ 10 mg prednisolone equivalent >7 days in the last 4 weeks- even without signs of scabies crustosa)
  • Other serious illnesses which, in the opinion of the investigator, prevent the patient from participating in the study (including risk factors for severe COVID-19 disease in the case of SARS-CoV-2 infection).
  • Planned systemic use of corticosteroids
  • Planned or previous (last 4 weeks) use of systemic or cutaneous non-steroidal
  • Known or clinically suspected blood-brain barrier disruption (e.g. ABCB-1 (=MDR-1) mutation), and history of neurotoxic effects from ivermectin or other substrates/inhibitors of para-glycoprotein (P-gp)
  • Apparent unreliability or unwillingness to cooperate.
  • Inability to understand and comply with study instructions
  • Known alcohol, medication or drug dependence
  • Court/agency-ordered institutionalisation
  • Dependence on sponsor or investigator
  • Previous participation in a clinical trial within the last 30 days or in the same clinical trial
Terms in these criteria, in plain language(3)

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
183 participants (estimated)

Study arms

  • Other
    Standard therapy with InfectoScab 5 % Creme

    Drug: InfectoScab 5 % Creme

  • Experimental
    Escalated therapy with InfectoScab 5 % Creme (arm E5)

    Drug: InfectoScab 5 % Creme

  • Experimental
    Escalated therapy with Permethrin 10 % Creme (arm E10)

    Drug: Permethrin 10 % Creme

  • Experimental
    Escalated therapy with InfectoScab 5 % Creme in combination with Driponin 3 mg Tabletten (arm EK)

    Drug: InfectoScab 5 % Creme · Drug: Driponin 3 mg Tabletten

Interventions

  • DrugInfectoScab 5 % Creme

    InfectoScab 5 % Creme is the already approved standard therapeutic agent, containing the active ingredient permethrin in 5 % concentration. In this study, it is used for topical treatment in the first treatment cycle (standard therapy) as well as in the second treatment cycle (escalation therapy).

  • Permethrin 10 % Creme also contains permethrin as the active ingredient, but in 10 % concentration. Permethrin 10 % creme is used exclusively for topical treatment in the second therapy cycle (escalation therapy).

  • DrugDriponin 3 mg Tabletten

    Driponin 3 mg Tabletten are approved for the treatment of scabies, containing ivermectin as the active ingredient. Driponin is used as a supplementary, peroral add-on combination treatment in addition to topical permethrin therapy and is used exclusively in the second treatment cycle (escalation therapy).

06

What researchers measure

Primary outcomes

  1. Efficacy (Yes/No)

    Efficacy (Yes/No) after completed standard therapy treatment cycle (InfectoScab 5 % Creme, up to two administrations, if necessary), i.e. treatment success on day 14 (one administration) or on day 28 (one readministration due to persisting Scabies on day 14). Treatment success is defined as: * absence of new scabietic skin lesions, AND * all remaining scabietic lesions are in healing, AND * exclusion of mite infestation in all non-healed efflorescences by reflected light microscopy (dermatoscope), possibly confirmed by microscopic examination of a skin sample, AND * exclusion of the usage of other anti-scabietic drugs

    Time frame: day 0 - day 28

Secondary outcomes

  1. Efficacy (treatment success) for VS1 and VS2, as well as for the corresponding follow-up visits FUS1 and FUS2 (separately and cumulatively).

    Time frame: day 14 - day 70

  2. Efficacy (therapy success) for VE5, VE101/2 (separately and cumulatively) and VEK as well as for the corresponding follow-up visits FUE5/E10/EK, separately as well as cumulatively according to visit type (regular visit, FU visit)

    Time frame: day 28 - day 70

  3. Cumulative efficacy (treatment success) of permethrin-only treatment (i.e. without combined escalation permethrin + ivermectin) by visit type (regular visit, FU visit)

    Time frame: day 28 - day 56

  4. Frequency of required repeated standard therapy as well as escalated therapy.

    Time frame: day 0 - day 70

  5. Itch (numerical rating scale (NRS) of 0-10) and change in itch vs baseline (scale differences) for all visits, for standard therapy and escalated therapy, and for escalated therapy additionally the change in itch vs start of escalated therapy.

    Time frame: day 0 - day 70

  6. Number and type of body regions affected (wrists/hands, arm pouches, armpits, genital region, groin, knee, feet/ankles/lower legs, head, torso, other) for all visits.

    Time frame: day 0 - day 70

  7. Proportion of patients (in %) with evidence of mites (incl. nymphs and larvae, reflecting light microscopy (dermatoscope) or light microscopy of skin samples) for all visits, for standard therapy and escalated therapy

    Time frame: day 0 - day 70

  8. Proportion of patients with use of antiscabiosa not conforming to study procedures for all visits, for standard therapy and escalated therapy

    Time frame: day 0 - day 70

  9. Proportion of patients with new scabies efflorescences for all treatment cycles and control visits

    Time frame: day 0 - day 70

  10. Patients with "additionally confirmed" therapy failure (in %)

    Proportion of patients with new scabies efflorescences at the end of standard therapy or escalated therapy OR with mite detection by microscopic examination of a skin sample at the aforementioned time points OR use of other antiscabiosa not conforming to the study procedure during the respective therapy cycle.

    Time frame: day 0 - day 70

  11. Patients with reinfestation (in %): Proportion of patients with microscopically confirmed new efflorescences at the end of standard therapy or escalated therapy (respective FU-visit) who were assessed as cured at the immediately preceding control visit.

    Time frame: day 0 - day 70

  12. Adverse events, serious adverse events, unexpected drug reactions, serious unexpected drug reactions (total frequency, type, severity, causality, with frequencies, with separate presentation of local reactions).

    Time frame: day 0 - day 70

07

Study locations

7 of 8 sites recruiting
  • Uniklinik RWTH Aachen
    Aachen, 52074, Germany
    Recruiting
    • Mark Neis, PD Dr. · Principal investigator
    • Amir Yazdi, Prof. Dr. · Sub investigator
  • Universitätsklinikum Augsburg
    Augsburg, 86179, Germany
    Recruiting
    • Julia Welzel, Prof. Dr. · Principal investigator
    • Kai-Uwe Krämer, Dr. · Sub investigator
  • Klinikum Darmstadt
    Darmstadt, 64297, Germany
    Recruiting
    • Maurizio Podda, Dr. · Principal investigator
    • Maximilian Kovacs, Dr. · Sub investigator
  • Städtisches Klinikum Dresden
    Dresden, 01067, Germany
    Not yet recruiting
    • Uwe Wollina, Prof. Dr. · Principal investigator
    • André Koch, Dr. · Sub investigator
  • Universitätsklinik und Poliklinik für Dermatologie und Venerologie
    Halle (Saale), 06120, Germany
    Recruiting
    • Cord Sunderkötter, Prof. Dr. · Principal investigator
    • Johannes Wohlrab, Prof. Dr. · Sub investigator
  • Klinikum der Stadt Ludwigshafen
    Ludwigshafen, 67063, Germany
    Recruiting
    • Christoph Löser, Dr. · Principal investigator
    • Edgar Dippel, Prof. Dr. · Sub investigator
  • Universitätsmedizin Rostock
    Rostock, 18057, Germany
    Recruiting
    • Rüdiger Panzer, Dr. · Principal investigator
    • Susanne Krebs, Dr. · Sub investigator
  • Universitätsklinikum Würzburg
    Würzburg, 97080, Germany
    Recruiting
    • Johanna Stoevesandt, Dr. · Principal investigator
    • Andreas Kerstan, Dr. · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2021 (actual). Primary completion is estimated for Dec 2022, 18 months after the start.

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

Registered
Mar 22, 2021
First posted
Mar 24, 2021
StartActual
Jun 11, 2021
Primary completionEst.
Dec 2022
CompletionEst.
Aug 2023
Last update
Aug 26, 2021
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 26, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04814511
Lead sponsor
Infectopharm Arzneimittel GmbH
Collaborators
Winicker Norimed GmbH
Responsible party
Sponsor
First posted
Mar 24, 2021
Start date
Jun 11, 2021
Primary completion
Dec 2022 (estimated)
Completion
Aug 2023 (estimated)
Last update
Aug 26, 2021

Study contacts

Andreas Linke, Dr.
Contact
studien@infectopharm.com
Cord Sunderkötter, Prof. Dr.
principal investigator · Universitätsklinik und Poliklinik für Dermatologie und Venerologie

Oversight

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

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Studies of the drug tested here: Permethrin

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