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CompletedNCT05567484Updated Oct 5, 2022

Comparative Study Between Pulsed and Continuous Itraconazole for the Treatment of Onychomycosis

A Phase 1 interventional study of Itraconazole in Onychomychosis, sponsored by Combined Military Hospital Abbottabad. Completed at 1 site in Pakistan. Open to participants aged 20 Years to 60 Years. Per ClinicalTrials.gov, last updated 2022-10-05.

Sponsored by Combined Military Hospital Abbottabad · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled May 2021, registered Sep 2022).
Phase
Phase 1
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
20 Years to 60 Years
Sex
All
01

Study summary

The term onychomycosis is used for a chronic fungal infection of the nail which when caused by dermatophytes, becomes tinea unguium. It not only includes the dermatophytes but also saprophytic molds infections and yeasts. Thorough literature research has revealed that 90% toenail and 75% fingernail onychomycosis are a result of dermatophytes arguably by Trichophyton mentagrophytes and Trichophyton rubrum. Comorbid conditions such as diabetes mellitus and peripheral arterial disease and immunosuppression due to HIV plays a catalytic role in its prognosis. In a study, upon comparison of placebo with continuous terbinafine 250 mg daily for 24 weeks and continuous terbinafine 250 mg daily for 16 weeks, no significant differences were observed by the researchers between the two methods i.e continuous and pulse regimens of terbinafine, itraconazole, and fluconazole respectively. Moreover, in one another research study, the researchers also did not find significant superiority of continuous itraconazole 200 mg daily for 12 weeks over pulsed itraconazole 400 mg in the treatment of terms onychomycosis of mycological cure that is the reason why continuous daily itraconazole 200 mg for 24 weeks has so far performed best in rank probabilities over other therapies, but its clinical significance is still debated. The purpose of carrying out this study was to carry out comparison between pulsed and continuous itraconazole for the treatment of onychomycosis as previous literature shows ambiguous results, therefore, this study will cement the rare evidence pertaining to the efficacy of pulsed and continuous itraconazole in the treatment of onychomycosis in our local population

02

Conditions studied

  • Onychomychosis
03

In context

Lead sponsor

Combined Military Hospital Abbottabad is the lead sponsor of 25 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
20 Years to 60 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

  • Patients age between 20-60 years
  • Patients positive for fungus via direct microscopy due to the identification of hyphae or blastospores on the target toenail
  • Patients positive fungal culture. Patients who had not applied any topical agent to the target toenail for the last 1 month

Exclusion criteria

Exclusion Criteria:

  • Pregnant patients
  • Patients with poor adherence
  • Lactating women.
  • Patients previously allergic to oral itraconazole.
  • Patients with elevated baseline liver function tests such as ALT, AST, alkaline phosphatase, and total bilirubin twice the upper limit of normal
  • History of renal disease.
  • Patients unresponsive to systemic antifungal therapy within the past year
  • History of using systemic immunosuppressants.
  • Patients exhibiting evidence of ventricular dysfunction and history of congestive heart disease
  • Immunocompromised patients
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Active comparator
    group A pulse thearpy of itraconazole

    Patients in pulse therapy group received oral itraconazole 100 mg, two capsules twice daily for seven days a month

    Drug: Itraconazole

  • Active comparator
    Group B continous thearpy of itraconazole

    Patients in continuous therapy group, received continuous oral 100 mg of itraconazole once daily for 12 weeks continuously.

    Drug: Itraconazole

Interventions

  • 100 mg two capsules of itraconazole were given twice daily to 30 patient group A for one week per month.baseline LFTs were also monitered

    Also known as: capsule icon

06

What researchers measure

Primary outcomes

  1. effectiveness of pulse therapy of itraconazole and continuous therapy of itraconazole for the treatment of onychomycosis as assessed by ONYCHOMYCHOSIS SEVERITY INDEX (OSI)

    Onychomycosis severity index was used to measure the effectiveness of drug

    Time frame: 12 weeks

07

Study locations

1 site
  • cmh Abbottabad
    Abbottabad, Khyber Pakhtunkhwa 22020, Pakistan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 5, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05567484
Lead sponsor
Combined Military Hospital Abbottabad
Responsible party
Rohida Rahmat (principle investigator, Combined Military Hospital Abbottabad) — Principal investigator
First posted
Oct 5, 2022
Start date
May 1, 2021
Primary completion
Dec 31, 2021
Completion
Dec 31, 2021
Last update
Oct 5, 2022

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Itraconazole

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