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Active, not recruitingNCT07756671Updated Oct 6, 2026

Photodynamic Therapy For Onychomycosis

A Phase 1 interventional study of ALA 10% gel and PDT in Onychomycosis of Toenail, sponsored by The University of Texas Health Science Center, Houston. Active, not recruiting at 3 sites in United States. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by The University of Texas Health Science Center, Houston · Phase 1, Interventional, and Treatment

Updated Oct 6, 2026Now Active, not recruitingGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years to 100 Years
Sex
All
01

Study summary

The purpose of this study is clinical and mycological clearance of onychomycosis using photodynamic therapy (PDT) with aminolevulinic acid (ALA) 10% gel at 6 months, 3 months, 9 months and 12 months

02

Conditions studied

  • Onychomycosis of Toenail

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Keywords

  • toenail fungus
  • photodynamic therapy (PDT)
  • aminolevulinic acid (ALA)
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 5 is below the median of 60 across 143 interventional studies indexed under Onychomycosis.

Browse Onychomycosis studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 897 studies on the registry; 214 are open to participants now.

Of its 173 completed or terminated interventional studies of FDA-regulated products, 142 (82%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 100 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

  • Clinical and mycological diagnosis [by potassium hydroxide (KOH) stain] of onychomycosis

Exclusion criteria

Exclusion Criteria:

  • Known or suspected allergies or sensitivities to any components of any of the study drugs
  • Patients with coagulation disorders
  • Known or suspected claustrophobia
  • Pregnancy during the treatment period
  • Medically unable to consent
  • Employees of the clinics
  • Prisoners
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (estimated)

Study arms

  • Experimental
    Photodynamic Therapy

    Drug: ALA 10% gel · Device: PDT · Drug: Urea

Interventions

  • ALA 10% gel will be applied under occlusion for 3 hours before PDT

  • DevicePDT

    Participants will have illumination on the affected nail with RhodoLED® XL 635 nm red light at 37 J/cm² at 5 inches for 13.5 minutes.

  • DrugUrea

    Participants will have 20% urea applied to affected nail daily for 2 weeks before start of treatment

06

What researchers measure

Primary outcomes

  1. Number of participants that show Clinical clearance of onychomycosis

    Clinical clearance is indicated by lack of nail thickening (subungual hyperkeratosis), nail-plate separation (onycholysis) and white/yellow/orange/brown discoloration

    Time frame: 6 months after treatment

  2. Number of participants that show mycological clearance of onychomycosis as indicated by a negative KOH testing result

    Time frame: 6 months after treatment

Secondary outcomes

  1. Number of participants that show Clinical clearance of onychomycosis nail thickening (subungual hyperkeratosis), nail-plate separation (onycholysis), and white/yellow/orange/brown discoloration

    Clinical clearance is indicated by lack of nail thickening (subungual hyperkeratosis), nail-plate separation (onycholysis) and white/yellow/orange/brown discoloration

    Time frame: 3 months

  2. Number of participants that show Clinical clearance of onychomycosis nail thickening (subungual hyperkeratosis), nail-plate separation (onycholysis), and white/yellow/orange/brown discoloration

    Clinical clearance is indicated by lack of nail thickening (subungual hyperkeratosis), nail-plate separation (onycholysis) and white/yellow/orange/brown discoloration

    Time frame: 9 months

  3. Number of participants that show Clinical clearance of onychomycosis

    Clinical clearance is indicated by lack of nail thickening (subungual hyperkeratosis), nail-plate separation (onycholysis) and white/yellow/orange/brown discoloration

    Time frame: 12 months

  4. Number of participants that show Mycological clearance of onychomycosis as indicated by a negative KOH testing result

    Time frame: 3 months

  5. Number of participants that show Mycological clearance of onychomycosis as indicated by a negative KOH testing result

    Time frame: 9 months

  6. Number of participants that show Mycological clearance of onychomycosis as indicated by a negative KOH testing result

    Time frame: 12 months

07

Study locations

3 sites
  • Arlington Center for Dermatology
    Arlington, Texas 76011, United States
  • Houston Skin
    Houston, Texas 77004, United States
  • Houston Skin
    Webster, Texas 77598, United States
08

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Active, not recruiting
changed Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    Recruiting→Active, not recruiting
    + 3 other changes: date precision, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07756671
Responsible party
Stephen K Tyring (Adjunct Professor, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Aug 11, 2026
Start date
Aug 10, 2026
Primary completion
Jun 30, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Oct 6, 2026

Study contacts

Stephen Tyring, MD, PhD, MBA
principal investigator · The University of Texas Health Science Center, Houston

Oversight

FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Alpha-Linolenic Acid · Urea

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