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Not yet recruitingNCT07869706Updated Oct 9, 2026

Systemic Antifungal Plus Q-Switched Nd:YAG Laser for Onychomycosis

An interventional study of Terbinafine and Q-switched Nd:YAG laser in Onychomycosis, sponsored by Assiut University. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Assiut University · Not applicable, Interventional, and Treatment

Updated Oct 9, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
97
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This randomized controlled trial aims to compare the efficacy and safety of systemic terbinafine combined with Q-switched Nd:YAG laser versus systemic terbinafine alone in the treatment of onychomycosis.

Read the detailed description

Onychomycosis is a common fungal infection of the nails. Systemic antifungal therapy is the standard treatment for moderate-to-severe disease, and Q-switched Nd:YAG laser has been investigated as an adjunctive modality.

This prospective randomized trial will compare clinical and mycological outcomes between patients receiving oral terbinafine alone and those receiving oral terbinafine combined with Q-switched Nd:YAG laser therapy.

02

Conditions studied

  • Onychomycosis

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Keywords

  • Terbinafine
  • Onychomycosis
  • Q-switched Nd:YAG laser
  • Assiut
  • Nail fungus
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In context

Onychomycosis

147 studies on the registry are indexed under Onychomycosis; 13 are open to participants now.

This study's planned enrollment of 97 is above the median of 56 across 134 interventional studies indexed under Onychomycosis.

Browse Onychomycosis studies →

Lead sponsor

Assiut University is the lead sponsor of 4,919 studies on the registry; 2,116 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • - Age 18 years or older
  • Mycologically confirmed onychomycosis by direct microscopy with potassium hydroxide and/or fungal culture
  • Willing to receive systemic antifungal therapy
  • Willing to undergo Q-switched Nd:YAG laser treatment
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • - Pregnancy or lactation
  • Planned pregnancy during treatment
  • Nail disorders such as psoriasis, eczema, or lichen planus
  • Significant hepatic disease
  • Significant renal impairment
  • Congestive heart failure or ventricular dysfunction
  • Previous systemic antifungal therapy within the preceding 3 months
  • Previous topical antifungal therapy of the target nail within the preceding 1 month
  • Previous laser treatment of the target nail
  • Clinically significant drug interaction with systemic antifungal agents
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
97 participants (estimated)

Study arms

  • Experimental
    Terbinafine plus Q-switched Nd:YAG laser

    Oral terbinafine 250 mg daily plus Q-switched Nd:YAG laser sessions every 2 weeks for 6 sessions.

    Drug: Terbinafine · Device: Q-switched Nd:YAG laser

  • Active comparator
    Terbinafine alone

    Oral terbinafine 250 mg daily without laser therapy.

    Drug: Terbinafine

Interventions

  • DrugTerbinafine

    Oral terbinafine 250 mg once daily for 6 weeks (fingernails) or 12 weeks (toenails).

  • DeviceQ-switched Nd:YAG laser

    Q-switched Nd:YAG laser (1064 nm) applied to the affected nail plate, 4 passes per session, every 2 weeks for 6 sessions.

06

What researchers measure

Primary outcomes

  1. Change in Onychomycosis Severity Index

    Mean change in Onychomycosis Severity Index (OSI) score (range 0 to 35, higher scores indicate more severe disease) from baseline to end of treatment.

    Time frame: At 3 months

Secondary outcomes

  1. Mycological cure rate

    Number of patients with negative direct microscopy and negative fungal culture at the end of treatment.

    Time frame: At 3 months

  2. Clinical cure rate

    Number of patients achieving complete or near-complete normalization of the treated nail appearance.

    Time frame: At 3 months

  3. Patient satisfaction score

    Mean patient satisfaction score using a quartile grading system (0 = unsatisfied to 3 = very satisfied).

    Time frame: At 3 months

  4. Number of patients with treatment-related adverse events

    Number of patients who experience any treatment-related adverse events.

    Time frame: At 3 months

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    First appeared on the registry

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 ↗

10

Registry details

Key details

Study ID
NCT07869706
Lead sponsor
Assiut University
Responsible party
Hala Ahmed Farghly Abd Elwahed (Resident Physician, Department of Dermatology, Assiut University) — Principal investigator
First posted
Oct 9, 2026
Start date
Oct 10, 2026 (estimated)
Primary completion
Oct 10, 2027 (estimated)
Completion
Feb 10, 2028 (estimated)
Last update
Oct 9, 2026

Study contacts

Hala A Farghaly
Contact
farghalyhala805@gmail.com
01159003770
Sahar A Ahmed, prof
study chair · Dermatology Department, Assiut University Hospitals

Oversight

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 Oct 2026. You cannot join it, but the record below documents what was studied.

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