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Not yet recruitingNCT07920354Updated Nov 5, 2026

Comparative Efficacy of Luliconazole and Bifonazole Combined With Itraconazole in Dermatophytosis

A Phase 4 interventional study of Itraconazole and Luliconazole Cream 1% in Tinea Corporis,Tinea Cruris,Tinea Faciei, sponsored by University of Faisalabad. Not yet recruiting at 2 sites in Pakistan. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by University of Faisalabad · Phase 4, Interventional, and Treatment

Updated Nov 5, 2026Newly registeredGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
182
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The goal of this randomized controlled trial is to compare the efficacy of topical luliconazole with topical bifonazole in adults aged 18-60 years with dermatophytosis. All participants will receive oral itraconazole, while either topical luliconazole or topical bifonazole will be added according to their assigned treatment group. The main questions it aims to answer are:

  • Does topical luliconazole result in greater improvement in clinical severity, as measured by the DeASI score, compared with topical bifonazole?
  • Does topical luliconazole result in better mycological clearance on 10% KOH microscopy and lower relapse compared with topical bifonazole? Researchers will compare topical luliconazole with topical bifonazole, with oral itraconazole given to both groups, to assess differences in clinical improvement, mycological cure, and relapse.

Participants will:

  • Receive oral itraconazole 100 mg once daily together with either topical luliconazole 1% or topical bifonazole 1% once daily for 28 days.
  • Attend follow-up visits at weeks 2, 4, and 6 for clinical assessment, DeASI scoring, and 10% KOH microscopy.
Read the detailed description

Dermatophytosis is a superficial fungal infection caused by dermatophytes and commonly affects keratinized tissues such as the skin. In this study, dermatophytosis refers specifically to tinea faciei, tinea corporis, and tinea cruris.

Itraconazole is an oral antifungal commonly used in the treatment of dermatophytosis. Bifonazole is a topical antifungal that has been used for the treatment of dermatophyte infections, while luliconazole is a newer topical antifungal agent with activity against dermatophytes.

There is limited direct clinical evidence comparing topical luliconazole with topical bifonazole when both are used along with oral itraconazole. In this study, oral itraconazole will be given to both groups, while the topical antifungal will differ. This will allow a direct comparison of the efficacy of topical luliconazole and topical bifonazole.

The study will be conducted as an open-label randomized controlled trial at the Department of Dermatology, Madinah Teaching Hospital, Faisalabad. The clinical and mycological outcomes of the two treatment groups will be compared.

02

Conditions studied

  • Tinea Corporis,Tinea Cruris,Tinea Faciei

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Keywords

  • Dermatophytosis,Luliconazole,Bifonazole,Itrazconazole,DeASI
03

In context

Tinea

39 studies on the registry are indexed under Tinea; 8 are open to participants now.

This study's planned enrollment of 182 is above the median of 64 across 33 interventional studies indexed under Tinea.

Browse Tinea studies →

Lead sponsor

University of Faisalabad is the lead sponsor of 86 studies on the registry; 27 are open to participants now.

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

04

Who can participate

Ages eligible
18 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 of either gender
  • Age 18 to 60 years.
  • Clinically diagnosed cases of tinea cruris, tinea corporis and tinea faciei.
  • Diagnosis confirmed by positive 10% KOH mount microscopy.
  • Patients providing written .
  • Patients willing to adhere to the treatment regimen and follow-up visits.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating females.
  • Known to itraconazole, luliconazole, or bifonazole.
  • Diagnosed systemic fungal infections.
  • Patients who have received topical or systemic antifungal therapy within the past 4 weeks.
  • Patients with known liver disease.
  • Patients with co-existing skin conditions that may interfere with assessment.
Terms in these criteria, in plain language(2)

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.

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
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
182 participants (estimated)

Study arms

  • Experimental
    Luliconazole+Itraconazole

    Participants will receive oral itraconazole 100 mg twice daily for 28 days together with topical luliconazole 1% cream once daily for 28 days.

    Drug: Itraconazole · Drug: Luliconazole Cream 1%

  • Active comparator
    Bifonazole+Itraconazole

    Participants will receive oral itraconazole 100 mg twice daily for 28 days together with topical bifonazole 1% cream once daily for 28 days.

    Drug: Itraconazole · Drug: Bifonazole cream 1%

Interventions

  • Itraconazole 100 mg orally twice daily for 28 days. It will be administered to participants in both treatment groups.

  • Luliconazole 1% cream applied topically once daily for 28 days to the affected areas.

  • DrugBifonazole cream 1%

    Bifonazole 1% cream applied topically once daily for 28 days to the affected areas.

06

What researchers measure

Primary outcomes

  1. Mean reduction in DeASI score from baseline to Week 4

    Mean reduction in Dermatophytosis Area and Severity Index (DeASI) score from baseline to Week 4, assessed by clinical examination and DeASI scoring.

    Time frame: Baseline to Week 4

Secondary outcomes

  1. Proportion of patients with negative 10% KOH microscopy at Week 4

    Proportion of patients with negative 10% KOH microscopy at Week 4 after treatment.

    Time frame: Week 4

  2. Proportion of patients with relapse at Week 6

    Proportion of patients with relapse at Week 6 after treatment.

    Time frame: Week 6

07

Study locations

2 sites
08

References and documents

Publications

  • Amudha G, Bharathi MK, Mukund PR. Comparative Evaluation of Clinical Efficacy of Topical Luliconazole 1% versus Terbinafine 1% in Tinea Corporis and Tinea Cruris: A Clinical Scoring Analysis. Int J Life Sci Biotechnol Pharma Res. 2025;14(1).
  • Samal A, Singh BSTP, Kar BR, Mohapatra L. Comparison of Efficacy of Luliconazole 1% w/w Cream Versus Amorolfine 0.25% w/w Cream in the Treatment of Tinea cruris: A Single-center, Randomized, Double-blind, Non-inferiority Study. J Pure Appl Microbiol. 2024;18(4):2885-2894. doi:10.22207/JPAM.18.4.59.
  • Vyas A, Jain V. Luliconazole promising drug for Dermatophytes: A Review. Int J Technol. 2023;13(2):79-84. doi:10.52711/2231-3915.2023.00010.
  • Mucha P, Borkowski B, Erkiert-Polguj A, Budzisz E. Ciclopirox and Ciclopirox Olamine: Antifungal Agents in Dermatology with Expanding Therapeutic Potential. Appl Sci. 2024;14(24):11859. doi:10.3390/app142411859.
  • Abdolrasouli A, Borman AM, Johnson EM, Hay RJ, Arias M. Terbinafine-resistant Trichophyton indotineae causing extensive dermatophytosis in a returning traveller, London, UK. Clin Exp Dermatol. 2024 May 21;49(6):635-637. doi: 10.1093/ced/llae042. No abstract available. PubMed 38320217 ↗
  • Ortiz B, Ballesteros-Monrreal MG, Rosales-Tamashiro J, Bush M, Salmanton-Garcia J, Fontecha G. Global Insights and Trends in Research on Dermatophytes and Dermatophytosis: A Bibliometric Analysis. Mycoses. 2024 Oct;67(10):e13803. doi: 10.1111/myc.13803. PubMed 39343727 ↗
  • Lin B, Wang W, Ba W, Li H, Fan J. Preparation and partial pharmacodynamic studies of luliconazole ethosomes. Clin Exp Pharmacol Physiol. 2022 May;49(5):549-557. doi: 10.1111/1440-1681.13623. Epub 2022 Feb 28. PubMed 35090058 ↗
  • Ebrahimi Barogh R, Rahimnia SM, Nosratabadi M, Maleki A, Khosravi Ebrahimi F, Yahyazade Z, Haghani I, Ebrahimnejad P, Saeedi M, Armstrong-James D, Abastabar M, Badali H. Antifungal Efficacy of Luliconazole-Loaded Nanostructured Lipid-Carrier Gel in an Animal Model of Dermatophytosis. J Fungi (Basel). 2025 Apr 19;11(4):324. doi: 10.3390/jof11040324. PubMed 40278144 ↗
  • Sonego B, Corio A, Mazzoletti V, Zerbato V, Benini A, di Meo N, Zalaudek I, Stinco G, Errichetti E, Zelin E. Trichophyton indotineae, an Emerging Drug-Resistant Dermatophyte: A Review of the Treatment Options. J Clin Med. 2024 Jun 18;13(12):3558. doi: 10.3390/jcm13123558. PubMed 38930086 ↗
  • Tyagi H, Goel S, Puri A, Singla I, Rathore A. Comparative Efficacy of Three Oral Itraconazole Formulations in Superficial Dermatophytosis. Mycoses. 2025 Jun;68(6):e70080. doi: 10.1111/myc.70080. PubMed 40536246 ↗
  • Ali M, Ahmed N, Khan S, Kiran A. EFFICACY OF ORAL VORICONAZOLE VERSUS ORAL ITRACONAZOLE, IN THE TREATMENT OF DERMATOPHYTE INFECTIONS. J Ayub Med Coll Abbottabad. 2024 Apr-Jun;36(2):294-298. doi: 10.55519/JAMC-02-12891. PubMed 39609968 ↗
  • Priyadarshi D, Agarwal D, Talwar A. Safety and Efficacy of Oral Itraconazole versus Combination with Oral Isotretinoin in Superficial Dermatophytosis: A Randomised Clinical Trial. J Clin Diagn Res. 2023;17(5):WC01-WC05.
  • Chowdhary A, Singh A, Kaur A, Khurana A. The emergence and worldwide spread of the species Trichophyton indotineae causing difficult-to-treat dermatophytosis: A new challenge in the management of dermatophytosis. PLoS Pathog. 2022 Sep 29;18(9):e1010795. doi: 10.1371/journal.ppat.1010795. eCollection 2022 Sep. No abstract available. PubMed 36173977 ↗
  • Jartarkar SR, Patil A, Goldust Y, Cockerell CJ, Schwartz RA, Grabbe S, Goldust M. Pathogenesis, Immunology and Management of Dermatophytosis. J Fungi (Basel). 2021 Dec 31;8(1):39. doi: 10.3390/jof8010039. PubMed 35049979 ↗
  • Kaliyadan F, Das A, Ashique KT, Jayasree P, Panda M, Panda S, Chatterjee M, Dhafiri MA, Harrison P, Sasidharanpillai S, Samad KA, Jagadeesan S, Panicker VV, Kumar KA, Kumar P, Jakhar D, Samuel S, Rajalakshmi VP. Proposal for a Severity Score (DeASI, Dermatophytosis Area and Severity Index) for the Evaluation of Dermatophyte Infections - A Delphi Consensus Study. Indian J Dermatol. 2023 Nov-Dec;68(6):642-646. doi: 10.4103/ijd.ijd_266_23. Epub 2024 Jan 9. PubMed 38371562 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers because the study data will be maintained by the research team for the purposes of this study, with participant confidentiality and privacy protected.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2026; primary completion for Jul 2027, 7 months later.

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

Registered
Oct 30, 2026
First posted
Nov 5, 2026
StartEst.
Dec 1, 2026
Primary completionEst.
Jul 2027
CompletionEst.
Jul 2027
Last update
Nov 5, 2026
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.
Registered
First appeared on the registry. No changes since
Nov 5, 2026
Show all 1 update
  1. Nov 5, 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
NCT07920354
Lead sponsor
University of Faisalabad
Responsible party
Sponsor
First posted
Nov 5, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Jul 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Nov 5, 2026

Study contacts

Areeba Basharat, MBBS
Contact
areebabasharat567@gmail.com
+923074396418
Tanzeela Khalid, MBBS,FCPS Dermatology
Contact
tanzeelakhalid@tuf.edu.pk
+923336501571

Oversight

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

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Studies of the drug tested here: Luliconazole

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