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TerminatedNCT06645509Updated Jun 22, 2025

Severe Primary Hand Hyperhidrosis Treatment With Topical Administration of Victorhy

A Phase 2 interventional study of TTB gel (dose 1) and TTB gel (dose 2) in Palmar Hyperhidrosis, sponsored by Dryox Health. Terminated at 4 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-22.

Sponsored by Dryox Health · Phase 2, Interventional, and Treatment

Why this study was terminated
The trial was early terminated due to a slower patient accrual than expected. By the expiration date of the IMP batch manufactured for the trial (30 May 2025), only 58 patients were enrolled, below the planned N of 60.

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Apr 2024, registered Oct 2024).
Phase
Phase 2
Study type
Interventional
Enrollment
58
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The objective of this study is to assess the efficacy and safety of Victorhy, a topical TTB gel in patients with severe primary hand hyperhidrosis.

Read the detailed description

This is a Phase II, multicenter, randomized, double-blind, parallel group and vehicle-controlled study in which participants with severe primary hand hyperhidrosis will be randomly assigned (1:1:1) to one of the following arms:

  • Victorhy dose 1
  • Victorhy dose 2
  • Placebo (Vehicle gel)

This study will evaluate the efficacy of Victorhy, a topical TTB gel, in patients with severe primary hand hyperhidrosis. This trial will also assess the quality of life of study participants, the rebound effect, and the pharmacokinetics of topical TTB gel. The study is intended to assess a formulation including two different doses of Victorhy (treatment groups), compared to placebo (control group) with the objective of determining the optimal therapeutic dose for use in severe hand hyperhidrosis.

Objectives:

Primary objective: To assess the efficacy of a topical TTB gel in patients with severe primary hand hyperhidrosis.

Secondary objectives:

  • To assess the tolerability and safety of topical TTB gel
  • To determine the optimal therapeutic dose of topical TTB gel
  • To assess the quality of life of study participants
  • To assess the rebound effect
02

Conditions studied

  • Palmar Hyperhidrosis

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Keywords

  • Hyperhidrosis
  • Palmar Hyperhidrosis
  • Primary Palmar Hyperhidrosis
  • Sweat Gland Diseases
  • Cholinergic Antagonists
03

In context

Hyperhidrosis

111 studies on the registry are indexed under Hyperhidrosis; 10 are open to participants now.

This study's enrollment of 58 is above the median of 50 across 99 interventional studies indexed under Hyperhidrosis.

Browse Hyperhidrosis studies →

Lead sponsor

This is the only study on the registry with Dryox Health 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

Subjects must meet all the following criteria to be eligible for study participation:

  1. To sign an .
  2. Be 18 years of age or older.
  3. Be willing to comply with the study protocol.
  4. Be males, or non-pregnant and non-lactating females (a negative urine pregnancy test is required for female participants of ).
  5. Have a primary hand hyperhidrosis diagnosis for at least 6 months.
  6. Have a HDSS of 3 or 4 at randomization/day 1.
  7. Have a gravimetric test of at least 100 mg of sweat production at rest in each palm, and a sum of at least 250 mg in both palms, in 5 minutes (room temperature) AND/OR being on a waiting list for surgical sympathectomy.
  8. Be willing to discontinue their current treatment for primary hyperhidrosis.
  9. In the case of women and men of childbearing potential, for safety reasons, those who agree to follow the required measures from the signing of the informed consent until the last study visit (day 35).

Exclusion criteria

Exclusion Criteria:

Subjects meeting any of the following criteria are not eligible for study participation:

  1. Prior surgical procedure for hyperhidrosis.
  2. Iontophoresis for the palms 4 weeks prior to randomization.
  3. Treatment with botulinum toxin (e.g., Botox) for hand hyperhidrosis 6 months prior to randomization.
  4. Known allergy to any of the components in the product, as well as to atropine or its derivatives, e.g., ipratropium or oxitropium.
  5. Subjects who are actively participating in an experimental therapy study or who received experimental therapy 30 days or 5 half-lives (whichever is longer) prior to randomization.
  6. Subjects who have had a change in a regimen of psychotherapeutic medication (change in drug, dose, frequency) or who have started a psychoactive medication prior to two months of randomization.
  7. Treatment with medications having systemic anticholinergic activity, centrally acting alpha-2 adrenergic agonists (e.g., clonidine, guanabenz, methyl dopa), or beta-blockers 4 weeks prior to randomization.
  8. Treatment with Spiriva or similar, or any systemic treatment with an anticholinergic medication such as, but not limited to atropine belladonna, scopolamine, aclidinium, hyoscyamine, oxybutynin or glycopyrronium within 4 weeks prior to randomization.
  9. Prior diagnosis of asthma or (COPD).
  10. If female, current pregnancy or lactation.
  11. Patients with skin lesions or bruisers; open wounds or inflammatory lesions on the hands or, any condition that may alter the barrier function of the skin on the hands.
  12. Secondary hand hyperhidrosis or presence of a condition that may cause secondary hyperhidrosis (e.g., lymphoma, malaria, severe anxiety not controlled by medication, carcinoid syndrome, substance abuse, hyperthyroidism).
  13. Known history of Sjögren's syndrome or Sicca syndrome.
  14. Known history of neuromuscular disease.
  15. History of glaucoma, inflammatory bowel disease, toxic megacolon, active febrile illness, paralytic ileus, unstable cardiovascular status in acute hemorrhage, severe ulcerative colitis, toxic megacolon complicating ulcerative colitis or myasthenia gravis.
  16. Men with a history of urinary retention requiring catheterization due to prostatic hypertrophy or severe obstructive symptoms of prostatic hypertrophy.
  17. History or presence of ventricular arrhythmias, atrial fibrillation, atrial flutter. History of other supraventricular tachycardia with a ventricular rate greater than 100 (other than sinus tachycardia).
  18. Subjects who are a high medical risk because of other systemic diseases or active uncontrolled infections, or any other condition which, in the judgment of the Investigator, would put the subject at unacceptable risk for participation in the study.
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.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
58 participants (actual)

Study arms

  • Experimental
    Victorhy (dose 1) (TTB gel)

    Participants will receive Victorhy (TTB, dose 1) topically to both hands, once daily for 28 days (20 participants)

    Drug: TTB gel (dose 1)

  • Experimental
    Victorhy (dose 2) (TTB gel)

    Participants will receive Victorhy (TTB, dose 2) topically to both hands, once daily for 28 days (20 participants)

    Drug: TTB gel (dose 2)

  • Placebo comparator
    Vehicle gel

    Participants will receive a vehicle gel topically to both hands, once daily for 28 days (20 participants)

    Drug: Placebo

Interventions

  • DrugTTB gel (dose 1)

    A topical administration of Victorhy (TTB gel) to both hands, once daily for 28 days

    Also known as: Victorhy

  • DrugTTB gel (dose 2)

    A topical administration of Victorhy (TTB gel) to both hands, once daily for 28 days

    Also known as: Victorhy

  • DrugPlacebo

    A topical administration of a vehicle (Placebo) gel to both hands, once daily for 28 days

06

What researchers measure

Primary outcomes

  1. Mean absolute change in gravimetrically measured sweat production

    Time frame: From Day 1 to Day 29

  2. Mean change in Hyperhidrosis Disease Severity Scale (HDSS)

    HDSS is a scale from grade 1 to grade 4 to measure the level of interference of sweat production with the patient's daily activities. It is the participants who give their subjective assessment, which may be: * Grade 1: My sweating is never noticeable and never interferes with my daily activities. * Grade 2: My sweating is tolerable but sometimes interferes with my daily activities. * Grade 3: My sweating is barely tolerable and frequently interferes with my daily activities. * Grade 4: My sweating is intolerable and always interferes with my daily activities.

    Time frame: From Day 1 to Day 29

Secondary outcomes

  1. Global Impression of Change

    Overall impression of the hand sweating of the participants at day 29 compared to before treatment, ranging from 1 (much better) to 7 (much worse). It is the patients who provide their assessment of this outcome.

    Time frame: From Day 1 to Day 29

  2. Proportion of participants who have an equal to or higher than 1 grade improvement in HDSS

    An improvement of 1 or more grades in the HDSS.

    Time frame: From Day 1 to Day 29

  3. Proportion of participants who have an equal to or higher than 2 grade improvement in HDSS

    An improvement of 2 or more grades in the HDSS.

    Time frame: From Day 1 to Day 29

  4. Proportion of participants who have at least a 50 percent reduction in gravimetrically measured sweat production

    A positive case is defined as a patient who showed a reduction of 50 percent or more in gravimetrically measured sweat production compared to day 1.

    Time frame: From Day 1 to Day 29

  5. Percent change in gravimetrically-measured sweat production

    Percent change from day 1 to day 29 in the gravimetrically-measured sweat production.

    Time frame: From Day 1 to Day 29

  6. Hyperhidrosis Quality of Life Index (HidroQoL) to Evaluate the Quality of Life of the Study Participants

    The HidroQoL assesses how hyperhidrosis impacts Quality of life. With 18 items on two domains, it is a comprehensive measure. The first domain with six items refers to daily life activities and the second domain with 12 items covers the psychosocial life of participants. Each item has three response options (no, not at all = 0; a little = 1; very much = 2), with a total score range from 0 to 36. The higher the score, the greater the severity. To compute scores for each dimension, items must be summed. It is the patients who provide their assessment of this outcome.

    Time frame: From Day 1 to Day 29

  7. Dermatology Life Quality Index (DLQI) to Evaluate Quality of Life of Study Participants

    It consists of 10 questions referring to the past seven days. Each question of the questionnaire includes a Likert-type scale with four possible answers: "not at all", "a little", "a lot" or "very much", with scores of 0, 1, 2 and 3 respectively, with an additional option of "not relevant". The health domains included are symptoms and perceptions (questions 1, 2), daily activities (3, 4), leisure (5, 6), work/study (7), interpersonal relationships including sexuality (8, 9) and treatment (10). The sum of the scores provides a simple aggregate global value between 0 and 30, and the result can be presented as the percentage impact of the dermatologic condition on the patient's quality of life. The higher the score, the greater the impact on the patient's quality of life. It is the patients who provide their assessment of this outcome.

    Time frame: From Day 1 to Day 29

  8. EQ-5D-5L Questionnaire to Evaluate the Quality of Life of the Study Participants

    It is a standardized measure of health status that provides a simple, generic measure of health. It consists of 5 items in a 5-point Likert scale and a sixth item ranged from 0 to 100. The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. It is the patients who provide their assessment of this outcome.

    Time frame: From Day 1 to Day 29

  9. Local skins reactions (LSRs)

    LSRs include burning/stinging, pruritus, oedema, erythema, dryness, and scaling. Each LSR will be scored as 0 (None), 1 (Mild), 2 (Moderate) or 3 (Severe). LSRs observed on a study visit day are not recorded as adverse events unless scored as 3 (Severe).

    Time frame: From Day 1 to Day 29

  10. Rebound effect assessment

    To assess if on Day 35 there is an increase of 1 or more over the HDSS value obtained on Day 29 (End of Treatment Visit).

    Time frame: From Day 1 to Day 35

07

Study locations

4 sites
  • Hospital Santa Caterina de Salt
    Salt, Girona 17190, Spain
  • Hospital Vithas Nosa Señora de Fátima (Hospital Vithas Vigo)
    Vigo, Pontevedra 36206, Spain
  • Hospital Pardo de Aravaca (Hospital Universitario Vithas Madrid Aravaca)
    Madrid, 28023, Spain
  • Hospital Vithas Parque San Antonio (Hospital Vithas Málaga)
    Málaga, 29016, Spain
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06645509
Lead sponsor
Dryox Health
Responsible party
Sponsor
First posted
Oct 17, 2024
Start date
Apr 29, 2024
Primary completion
Jun 2, 2025
Completion
Jun 2, 2025
Last update
Jun 22, 2025

Study contacts

Clara Matas Nada, MD
principal investigator · Hospital Santa Caterina de Salt
José Gregorio Álvarez Fernández, MD
principal investigator · Hospital Pardo de Aravaca (Hospital Universitario Vithas Madrid Aravaca)
Carmen Rodríguez Cerdeira, MD
principal investigator · Hospital Vithas Nosa Señora de Fátima (Hospital Vithas Vigo)
Enrique Herrera Acosta, MD
principal investigator · Hospital Vithas Parque San Antonio (Hospital Vithas Málaga)

Oversight

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

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