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Not yet recruitingNCT06254027Updated Feb 12, 2024

Clinical Investigation for the Evaluation of Efficacy and Safety of Two Medical Devices for Onychomycosis Treatment

An interventional study of Forte and Active Cover Light in Onychomycosis, sponsored by Oystershell NV. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-02-12.

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

From the registry’s dates

  • Primary completion was expected by Jun 2025, 1 year 5 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
132
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the effectiveness of FORTE, ACTIVE COVER LIGHT and Loceryl® in the treatment of onychomycosis based on the blinded evaluation of the percentage of healthy nail surface compared to baseline.

Read the detailed description

The primary objective of the study is to evaluate the effectiveness of FORTE (X92001873), ACTIVE COVER LIGHT (X92001872) and Loceryl® in the treatment of onychomycosis based on the blinded evaluation of the percentage of healthy nail surface compared to baseline.

The secondary objectives are to evaluate:

  • Their effectiveness in the treatment of onychomycosis based on the microbiological cure (KOH staining and fungal culture)
  • Their effectiveness in the improvement of nail appearance (onychomycosis evolution, onycholysis, dystrophy, discoloration, and nail thickening)
  • Their effectiveness in the improvement of the quality of life of the patients using a specific questionnaire.
  • Their effectiveness, tolerance and acceptability based on patient's opinion.
  • Their safety The aim of the study is to demonstrate non-inferiority of the change in healthy nail surface from baseline to D270 of each product (μD) versus a predefined limit of 16% (clinically meaningful: μC) with a non-inferiority margin of δ = -5%
02

Conditions studied

  • Onychomycosis

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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 planned enrollment of 132 is above the median of 60 across 143 interventional studies indexed under Onychomycosis.

Browse Onychomycosis studies →

Lead sponsor

Oystershell NV is the lead sponsor of 18 studies on the registry; 6 are open to participants now.

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
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

  1. Patient having given freely her/his informed, written consent.
  2. Patient having a good general health.
  3. Age: more than 18 years.
  4. Patient with superficial onychomycosis on at least one great toenail or fingernail (for at least 10% in each arm) or light to moderate disto-lateral onychomycosis (without matrix involvement and involvement \<2/3 of the tablets).
  5. Patient with positive KOH staining.
  6. Patient cooperative and aware of the products modalities of use and the necessity and duration of the controls so that perfect adhesion to the protocol can be expected.
  7. Patient being psychologically able to understand information and to give their/his/her consent.
  8. Patient having stopped any systemic antifungal treatment since at least 6 months before screening.
  9. Patient having stopped any topical antifungal treatment since at least 3 months before screening.
  10. Patient who agrees to refrain from receiving pedicure/manicure, artificial nails and/or cosmetic nail varnish or other medication on the nail being treated for the entire study duration.
  11. Female of should use a regimen recognized as effective since at least 12 weeks before screening visit, during all the study and at least 1 month after study end.

Exclusion criteria

Exclusion Criteria:

  1. Pregnant, breastfeeding woman or woman planning a pregnancy during the study.
  2. Patient considered by the investigator likely to be non-compliant with the protocol.
  3. Patient enrolled in another clinical trial or which exclusion period is not over.
  4. Patient with a condition or receiving a medication which, in the investigator's judgment, put the patient at undue risk.
  5. Patient suffering from a severe or progressive disease (to investigator's discretion) such as uncontrolled diabetes, peripheral circulatory disease, , psoriasis, lichen planus, pathology...
  6. Patient having a known allergy or to one of the constituents of the tested products.
  7. Patient with cutaneous pathology on studied zone (other than onychomycosis like angioma, dermatitis...).
Terms in these criteria, in plain language(5)

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
132 participants (estimated)

Study arms

  • Experimental
    Forte

    Device: One application per day for 9 months.

    Device: Forte

  • Experimental
    Active Cover Light

    Device: One application per day for 9 months.

    Device: Active Cover Light

  • Active comparator
    Loceryl 5%

    Drug: Loceryl 5% One application per week for 3 months

    Drug: Loceryl

Interventions

  • DeviceForte

    One application per day for a complete treatment period.

    Also known as: Excilor

  • DeviceActive Cover Light

    One application per day for a complete treatment period.

    Also known as: Nailner

  • One application per week for a complete treatment period.

    Also known as: Amorolfine

06

What researchers measure

Primary outcomes

  1. Percentage of healthy surface (Performance)

    Variation of the percentage of healthy surface after 270 days (9 months) of treatment with the test medical devices (FORTE or ACTIVE COVER LIGHT) or reference product (Loceryl) versus baseline value.

    Time frame: 270 days

Secondary outcomes

  1. Percentage of healthy surface (Performance)

    Variation of the percentage of healthy nail surface versus baseline value.

    Time frame: 30 days; 90 days; 180 days

  2. Microbiological efficacy: KOH staining (Performance)

    Evaluation of microbiological efficacy versus baseline by KOH staining and fungal culture.

    Time frame: 270 days (month 9)

  3. Clinical efficacy: Visual appearance of nail (including onycholysis, nail dystrophy, nail discoloration and nail thickening) (Performance)

    Evaluation of the visual appearance of the nail by assessing following parameters: onycholysis, nail dystrophy, nail discoloration, and nail thickening by the investigator in live. Each parameter is scored from 0 (none) - 4 (severe). The total score of all parameters is an indication of the visual appearance of the nail.

    Time frame: Baseline, 30 days; 90 days, 180 days; 270 days

  4. Clinical efficacy: onychomycosis evolution (Performance)

    Assessment of onychomycosis evolution by the investigator in live by scoring: 1. - Failure: increase in the total infected area or aggravation 2. - Status Quo 3. - Improvement: decrease of the total infected area 4. - Success: Disappearance of the total infected area

    Time frame: 30 days; 90 days; 180 days; 270 days

  5. Impact on quality of life (Performance)

    Evaluation of the impact on the quality of life (QoL) of patients using a validated questionnaire (NailQoL). The questionnaire contains 15 questions, each using the scoring: * 0 (never) * 25 (rarely) * 50 (sometimes) * 75 (often) * 100 (all the time)

    Time frame: Baseline, 30 days; 90 days, 180 days; 270 days

  6. Subjective evaluation questionnaire for the patient (Performance)

    Evaluation of efficacy, tolerance, and acceptability of the test medical devices and reference by the patients using a subjective evaluation questionnaire. The subjective evaluation questionnaire uses a scoring (Completely Agree, Agree, Neutral, Disagree or Completely disagree) or uses 'Yes/No'- questions to be able to provide a score for performance. Some open questions are added to allow the patients to elaborate on certain answers in order to have a better understanding of their response.

    Time frame: 14 days; 30 days; 90 days; 180 days; 270 days

  7. Evaluation of tolerance

    Evaluation of tolerance of the test medical devices and reference. Assessment is performed by the investigator via clinical evaluation and subject interrogation. The investigator will assign a score between 0 (bad tolerance) to 3 (very good tolerance).

    Time frame: 30 days; 90 days; 180 days; 270 days

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Mar 2024; primary completion for Jun 2025, 15 months later.

Of 21 interventional studies with no phase under Onychomycosis, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 18. This study's planned 15 months is above that.

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

Registered
Jan 16, 2024
First posted
Feb 12, 2024
StartEst.
Mar 2024
Primary completionEst.
Jun 2025
CompletionEst.
Sep 2025
Last update
Feb 12, 2024
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 Feb 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06254027
Lead sponsor
Oystershell NV
Collaborators
Eurofins
Responsible party
Sponsor
First posted
Feb 12, 2024
Start date
Mar 2024 (estimated)
Primary completion
Jun 2025 (estimated)
Completion
Sep 2025 (estimated)
Last update
Feb 12, 2024

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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